Construct of a Physiotherapeutic assessment instrument for elderly people in a domestic environment
DOI:
https://doi.org/10.15448/2357-9641.2021.1.45759Keywords:
physical therapy specialty, elderly health, home environment.Abstract
Aims: validate the construct of an instrument that protocol an assessment instrument for elderly people in a domestic environment according to the criteria proposed by Fried (2001).
Methods: the study had 3 stages: I – Preparation of the questionnaire for application with the professionals; II – Application of the questionnaire with professionals in the area; III – Elaboration and validation of the construct. The sample consisted of 9 physiotherapist and in the form was used the Likert scale, the responses were compiled for the analysis of agreement between the judges. The biostatistics calculations used I-CVI and S-CVI.
Results: the itens “Cognition – WHO Quality of Life-BREF” and Communication – Physical Performance Test” was not validated by the I-CVI, because did not reach the value of ≥ 0.78, although the instrument was validated since the S-CVI reached ≥ 0.80.
Conclusion: the instrument’s construct that protocol a physiotherapeutic assessment instrument for elderly people in a domestic environment according to the criteria proposed by Fried (2001) was validated.
Downloads
References
Eustáquio J, Alves D. Envelhecimento populacional no Brasil e no mundo. Novas projeções da ONU; Revista Longeviver. 2019 Jul-Set;3(1).
Instituto Brasileiro de Geografia e Estatística. Censo demográfico; 2018.
Freitas EV de, Py L, organizadores. Tratado de geriatria e gerontologia. Rio de Janeiro (Brasil): Guanabara Koogan. 5. ed.; 2022. 11 p.
Veras R. Em busca de uma assistência adequada à saúde do idoso: revisão da literatura e aplicação de um instrumento de detecção precoce e de previsibilidade de agravos. Cad Saúde Pública. 2003;19(3):705-15. DOI: https://doi.org/10.1590/S0102-311X2003000300003
Veras RP, Caldas CP, da Motta LB, de Lima KC, Siqueira RC, Rodrigues RT da SV, et al. Integration and continuity of care in health care network models for frail older adults. Rev Saude Publica. 2014 Apr;48(2):357-65. https://doi.org/10.1590/S0034-8910.2014048004941 DOI: https://doi.org/10.1590/S0034-8910.2014048004941
Nunes de Moraes E, Campos de Abreu Marino M, Ribeiro Santos R. Principais síndromes geriátricas. Rev.Méd. Minas Gerais [Internet]. 2010 [cited 2022 Out 11];20(1):54-6. Disponível em: http://www.observatorionacionaldoidoso.fiocruz.br/biblioteca/_artigos/196.pdf
Nunes De Moraes E, Miró A, Pereira VB, Souza R, Flávia A, De Moraes L. Avaliação Multidimensional do Idoso. Curitiba: Secretaria de Estado da Saúde do Paraná; 2018. 118 p.
Kisner C, Colby LA. Exercícios terapêuticos: fundamentos e técnicas. 6. ed. Barueri: Manole; 2016. 1056 p.
Kämpfen F, Wijemunige N, Evangelista B. Aging, non-communicable diseases, and old-age disability in low- and middle-income countries: a challenge for global health. Int J Public Health. 2018;63:1011-2. https://doi.org/10.1007/s00038-018-1137-z DOI: https://doi.org/10.1007/s00038-018-1137-z
Silva DSM da, Assumpção D de, Francisco PMSB, Yassuda MS, Neri AL, Borim FSA. Doenças crônicas não transmissíveis considerando determinantes sociodemográficos em coorte de idosos. Rev. bras. geriatr. gerontol. 2022;25(5). https://doi.org/10.1590/1981-22562022025.210204.pt DOI: https://doi.org/10.1590/1981-22562022025.210204.pt
Abad-Díez JM, Calderón-Larrañaga A, Poncel-Falcó A, Poblador-Plou B, Calderón-Meza JM, Sicras-Mainar A, et al. Age and gender differences in the prevalence and patterns of multimorbidity in the older population. BMC Geriatr. 2014 Jun 17;14(1). https://doi.org/10.1186/1471-2318-14-75 DOI: https://doi.org/10.1186/1471-2318-14-75
Bähler C, Huber CA, Brüngger B, Reich O. Multimorbidity, health care utilization and costs in an elderly community-dwelling population: a claims data based observational study. BMC Health Serv Res. 2015 Jan 22;15(1). https://doi.org/10.1186/s12913-015-0698-2 DOI: https://doi.org/10.1186/s12913-015-0698-2
Picco L, Achilla E, Abdin E, Chong SA, Vaingankar JA, McCrone P, et al. Economic burden of multimorbidity among older adults: Impact on healthcare and societal costs. BMC Health Serv Res. 2016 May 10;16(1). https://doi.org/10.1186/s12913-016-1421-7 DOI: https://doi.org/10.1186/s12913-016-1421-7
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in Older Adults: Evidence for a Phenotype. The Journals of Gerontology. 2001 Mar;56(3):146-57. https://doi.org/10.1093/gerona/56.3.M146 DOI: https://doi.org/10.1093/gerona/56.3.M146
Lourenço RA, Moreira VG, Mello RGB, Santos IS, Lin SM, Pinto ALF, et al. Brazilian consensus on frailty in older people: concepts, epidemiology and evaluation instruments. Geriatr Gerontol Aging. 2018;12:121-35. DOI: https://doi.org/10.5327/Z2447-211520181800023
Sirven N, Rapp T. The cost of frailty in France. Eur J Health Econ. 2017 Mar 1;18(2):243-53. DOI: https://doi.org/10.1007/s10198-016-0772-7
Bock JO, König HH, Brenner H, Haefeli WE, Quinzler R, Matschinger H, et al. Associations of frailty with health care costs - results of the ESTHER cohort study. BMC Health Serv Res. 2016 Apr 14;16(1). https://doi.org/10.1186/s12913-016-1360-3 DOI: https://doi.org/10.1186/s12913-016-1360-3
Comans TA, Peel NM, Hubbard RE, Mulligan AD, Gray LC, Scuffham PA. The increase in healthcare costs associated with frailty in older people discharged to a post-acute transition care program. Age Ageing. 2016 Mar 1;45(2):317-20. DOI: https://doi.org/10.1093/ageing/afv196
Ekdahl AW, Alwin J, Eckerblad J, Husberg M, Jaarsma T, Mazya AL, et al. Long-Term Evaluation of the Ambulatory Geriatric Assessment: A Frailty Intervention Trial (AGe-FIT): Clinical Outcomes and Total Costs After 36 Months. J Am Med Dir Assoc. 2016 Mar 1;17(3):263-8. DOI: https://doi.org/10.1016/j.jamda.2015.12.008
Martins G de A. Sobre confiabilidade e validade. Revista Brasileira de Gestão de Negócios - RBGN. 2006 Jan-Abr;8:1-12.
Kimberlin CL, Winterstein AG. Validity and reliability of measurement instruments used in research. Am JJ Health Syst Pharm; 2008;65:2276-84. DOI: https://doi.org/10.2146/ajhp070364
Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN study reached international consensus on taxonomy, terminology, and definitions of measurement properties for health-related patient-reported outcomes. J Clin Epidemiol. 2010 Jul;63(7):737-45. DOI: https://doi.org/10.1016/j.jclinepi.2010.02.006
Polit DF. Assessing measurement in health: Beyond reliability and validity. Int J Nurs Stud. 2015;52:1746-53. DOI: https://doi.org/10.1016/j.ijnurstu.2015.07.002
Medeiros RK da S, Júnior MAF, Pinto DP de SR, Vitor AF, Santos VEP, Barichello E. Pasquali’s model of content validation in the nursing researches. Revista de Enfermagem Referencia. 2015;4(4):127-35. DOI: https://doi.org/10.12707/RIV14009
Pasquali L. Instrumentação psicológica: fundamentos e práticas. 1. ed. Brasil: Artmed; 2009. 568 p.
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006 Out;29(5):489-97. DOI: https://doi.org/10.1002/nur.20147
Souza AC de, Alexandre NMC, Guirardello E de B. Propriedades psicométricas na avaliação de instrumentos: avaliação da confiabilidade e da validade. Epidemiol Serv Saude. 2017 Jul 1;26(3):649-59. DOI: https://doi.org/10.5123/S1679-49742017000300022
Mitchell AJ. A meta-analysis of the accuracy of the mini-mental state examination in the detection of dementia and mild cognitive impairment. J Psychiatr Res. 2009 Jan;43(4):411-31. DOI: https://doi.org/10.1016/j.jpsychires.2008.04.014
Brooks D, Davis AM, Naglie G. Validity of 3 physical performance measures in inpatient geriatric rehabilitation. Arch Phys Med Rehabil. 2006 Jan;87(1):105-10. DOI: https://doi.org/10.1016/j.apmr.2005.08.109
Harada N, Chiu V, Damron-Rodriguez J, Fowler E, Siu A, Reuben DB. Screening for balance and mobility impairment in elderly individuals living in residential care facilities. Phys Ther. 1995 Jun;75(6):462-9. https://doi.org/10.1093/ptj/75.6.462 DOI: https://doi.org/10.1093/ptj/75.6.462
Delbaere K, Van den Noortgate N, Bourgois J, Vanderstraeten G, Tine W, Cambier D. The physical performance test as a predictor of frequent fallers: a prospective community-based cohort study. Clin Rehabil. 2006 Jan;20(1):83-90. DOI: https://doi.org/10.1191/0269215506cr885oa
Luiz Linhares W, Pedroso B, Moreira do Carmo GC, Archanjo de Freitas Júnior M. As propriedades psicométricas em instrumentos que tratam sobre o “torcedor e o time de futebol do coração”: uma revisão sistemática. Pensar a Prática. 2022 Out 31;25. DOI: https://doi.org/10.5216/rpp.v25.73008
Brown M, Sinacore DR, Binder EF, Kohrt WM. Physical and performance measures for the identification of mild to moderate. J Gerontol A Biol Sci Med Sci. 2000;55(6):350-5. https://doi.org/10.1093/gerona/55.6.m350 DOI: https://doi.org/10.1093/gerona/55.6.M350
Hirayama MS, Gobbi S, Gobbi LTB, Stella F. Quality of life (QoL) in relation to disease severity in Brazilian Parkinson’s patients as measured using the WHOQOL-BREF. Arch Gerontol Geriatr. 2008 Mar;46(2):147-60. DOI: https://doi.org/10.1016/j.archger.2007.03.007
Andrew MK, Rockwood K. A five-point change in modified mini-mental state examination was clinically meaningful in community-dwelling elderly people. J Clin Epidemiol. 2008 Aug;61(8):827-31. DOI: https://doi.org/10.1016/j.jclinepi.2007.10.022
Bravo G, Hébert R. Age- and education-specific reference values for the Mini-Mental and modified Mini-Mental State Examinations derived from a non-demented elderly population. Int J Geriatr Psychiatry. 1997;12(10):1008-18. https://doi.org/10.1002/(sici)1099-1166(199710)12:10<1008::aid-gps676>3.0.co;2-a DOI: https://doi.org/10.1002/(SICI)1099-1166(199710)12:10<1008::AID-GPS676>3.0.CO;2-A
Alves Lourenço RI, Cristina Atalaia-Silva K. Kelly Cristina Atalaia-Silva I,II Tradução, adaptação e validação de construto do Teste do Relógio aplicado entre idosos no Brasil. Rev. Saúde Pública. 2008 Out;42(5). https://doi.org/10.1590/S0034-89102008000500020 DOI: https://doi.org/10.1590/S0034-89102008000500020
Almeida OP, Almeida SA. Confiabilidade da versão brasileira da escala de depressão em geriatria (GDS) versão reduzida. Arq Neuropsiquiatr. 1999;57. https://doi.org/10.1590/S0004-282X1999000300013 DOI: https://doi.org/10.1590/S0004-282X1999000300013
Morala D, Shiomi T. Assessing reliability and validity of physical performance for the japonese eldery. Phys Ther Sci J. 2003;16:15-20. DOI: https://doi.org/10.1589/jpts.16.15
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 PAJAR - Pan American Journal of Aging Research
![Creative Commons License](http://i.creativecommons.org/l/by/4.0/88x31.png)
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright
The submission of originals to PAJAR implies the transfer by the authors of the right for publication. Authors retain copyright and grant the journal right of first publication. If the authors wish to include the same data into another publication, they must cite PAJAR as the site of original publication.
Creative Commons License
Except where otherwise specified, material published in this journal is licensed under a Creative Commons Attribution 4.0 International license, which allows unrestricted use, distribution and reproduction in any medium, provided the original publication is correctly cited.