Development and Content Validity of a Disability Self-Management Questionnaire for Hispanic Older Adults.

Puerto Rico health sciences journal Pub Date : 2023-12-01
Elsa M Orellano-Colón, Carla M Feo-Portuondo, Francis N Rivadeneira-Salvador, Nicole M Suazo-Valdez, Nicole M Román-Medina, Jonathan J De Hoyos-Ramírez, Víctor E Bonilla-Rodríguez
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Abstract

Objective: There is no Spanish-language instrument for assessing the self-management strategies used by older adults with physical function disabilities to manage the difficulties that can occur in daily living activities. This study aimed to design and test the content validity of a Spanish version of the newly developed Self-Management of Function in Daily Living Activities Questionnaire (SF-DLAQ).

Methods: A methodological study, guided by the Person-Environment-Occupation-Performance (PEOP) model, was conducted to develop the SF-DLAQ. Stage 1 focused on designing the questionnaire, doing so using qualitative data obtained from 24 older adults and obtained from 10 existing scales that measure the self-management of chronic conditions. Stage 2 focused on expert judgement, which consisted of validating the questionnaire with 8 experts in aging using an item-level content validity index (I-CVI), a scale-level CVI (S-CVI), and the kappa statistic.

Results: All the scores that were attained in stage 2 were favorable, with those of the I-CVI for clarity ranging from 0.09 to 1.0 and those of the I-CVI for relevancy, the S-CVI, and the kappa all being 1.0.

Conclusion: The scale and item validity for the SF-DLAQ, Spanish version, has been demonstrated but should be confirmed with further testing.

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针对西班牙裔老年人的残疾自我管理问卷的开发和内容有效性。
目的:目前还没有一种西班牙语工具可用于评估有身体功能障碍的老年人在处理日常生活活动中可能出现的困难时所采用的自我管理策略。本研究旨在设计和测试新开发的西班牙语版《日常生活活动功能自我管理问卷》(SF-DLAQ)的内容有效性:方法:在 "人-环境-职业-表现"(PEOP)模型的指导下,进行了一项方法学研究,以开发 SF-DLAQ。第一阶段的重点是设计问卷,设计时使用了从 24 名老年人那里获得的定性数据,以及从 10 个现有的测量慢性病自我管理的量表中获得的数据。第二阶段的重点是专家评判,包括与 8 位老龄问题专家一起使用项目级内容效度指数(I-CVI)、量表级 CVI(S-CVI)和卡帕统计量对问卷进行验证:结果:第 2 阶段获得的所有分数都很好,清晰度的 I-CVI 分数从 0.09 到 1.0 不等,相关性的 I-CVI、S-CVI 和 kappa 分数均为 1.0:西班牙文版 SF-DLAQ 的量表和项目有效性已得到证实,但仍需进一步测试确认。
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