The Physical Resilience Instrument for Older Adults (PRIFOR) in Surgical Inpatients: Further Evidence for Its Factor Structure and Validity.

Pub Date : 2023-01-01 DOI:10.14283/jfa.2023.8

C-Y Lin, C-H Ou, C-M Chang, F-W Hu

{"title":"The Physical Resilience Instrument for Older Adults (PRIFOR) in Surgical Inpatients: Further Evidence for Its Factor Structure and Validity.","authors":"C-Y Lin, C-H Ou, C-M Chang, F-W Hu","doi":"10.14283/jfa.2023.8","DOIUrl":null,"url":null,"abstract":"Background: The Physical Resilience Instrument for Older Adults (PRIFOR) is a questionnaire for assessing physical resilience in older adults suffering from acute health stressors. Prior psychometric evidence of the PRIFOR showed that it has good criterion-related validity, known-group validity, predictive validity, and internal consistency. However, it is unclear whether the PRIFOR can be replicated in older adults suffering after surgical treatment.Objectives: This study aimed at evaluating whether the three-factor structure of the PRIFOR can be replicated in older adults suffering after surgical treatment. Moreover, the concurrent validity of the PRIFOR was examined using the association between the PRIFOR and measures of depression, cognition, activities of daily living, and frailty.Design and setting: A longitudinal study was adopted in a tertiary-care medical center in Taiwan.Participants: A total of 207 patients aged 65 years old and older who underwent surgery and if they were able to communicate independently.Measurements: The PRIFOR, the 5-item Geriatric Depression Scale, the Short Portable Mental Status Questionnaire, the Katz Index of Independence in Activities of Daily Living and Clinical Frailty Scale were all assessed after surgery.Results: The three-factor structure (positive thinking, cope and adjust lifestyle, and belief and hopeful mindset) was supported by the CFA results in the present sample. In addition, the PRIFOR showed good concurrent validity with depression (r = -0.470 to -0.542), cognition (r = 0.358 to 0.409), activities of daily living (r = 0.209 to 0.310), and frailty (r =-0.161 to -0.237).Conclusion: The PRIFOR can be recommended to measure physical resilience in older adults suffering after surgical treatment. For the adequate estimation of older adults' level of physical resilience postoperatively and to guide the implementation of individualized interventions, it is important to provide appropriate care for older adults to recover after surgery.","PeriodicalId":75074,"journal":{"name":"","volume":"12 2","pages":"91-96"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14283/jfa.2023.8","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}

引用次数: 1

Abstract

Background: The Physical Resilience Instrument for Older Adults (PRIFOR) is a questionnaire for assessing physical resilience in older adults suffering from acute health stressors. Prior psychometric evidence of the PRIFOR showed that it has good criterion-related validity, known-group validity, predictive validity, and internal consistency. However, it is unclear whether the PRIFOR can be replicated in older adults suffering after surgical treatment.

Objectives: This study aimed at evaluating whether the three-factor structure of the PRIFOR can be replicated in older adults suffering after surgical treatment. Moreover, the concurrent validity of the PRIFOR was examined using the association between the PRIFOR and measures of depression, cognition, activities of daily living, and frailty.

Design and setting: A longitudinal study was adopted in a tertiary-care medical center in Taiwan.

Participants: A total of 207 patients aged 65 years old and older who underwent surgery and if they were able to communicate independently.

Measurements: The PRIFOR, the 5-item Geriatric Depression Scale, the Short Portable Mental Status Questionnaire, the Katz Index of Independence in Activities of Daily Living and Clinical Frailty Scale were all assessed after surgery.

Results: The three-factor structure (positive thinking, cope and adjust lifestyle, and belief and hopeful mindset) was supported by the CFA results in the present sample. In addition, the PRIFOR showed good concurrent validity with depression (r = -0.470 to -0.542), cognition (r = 0.358 to 0.409), activities of daily living (r = 0.209 to 0.310), and frailty (r =-0.161 to -0.237).

Conclusion: The PRIFOR can be recommended to measure physical resilience in older adults suffering after surgical treatment. For the adequate estimation of older adults' level of physical resilience postoperatively and to guide the implementation of individualized interventions, it is important to provide appropriate care for older adults to recover after surgery.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

老年人外科住院病人身体弹性量表(PRIFOR):因子结构和效度的进一步证据。

背景:老年人身体弹性量表(PRIFOR)是一份评估老年人在急性健康压力下身体弹性的问卷。先前的心理测量证据表明，PRIFOR具有良好的标准相关效度、已知组效度、预测效度和内部一致性。然而，目前尚不清楚PRIFOR是否可以在手术治疗后的老年人中复制。目的:本研究旨在评估PRIFOR的三因素结构是否可以在手术治疗后的老年人中复制。此外，利用PRIFOR与抑郁、认知、日常生活活动和虚弱之间的关联来检验PRIFOR的并发效度。设计与情境:本研究在台湾某三级医疗中心进行纵向研究。参与者:共有207名65岁及以上的患者，他们接受了手术，并且能够独立交流。测量方法:术后采用PRIFOR、五项老年抑郁量表、简易便携式精神状态问卷、Katz日常生活活动独立性指数和临床虚弱量表进行评估。结果:本样本的CFA结果支持三因素结构(积极思考、应对和调整生活方式、信念和希望心态)。此外，PRIFOR与抑郁(r = -0.470 ~ -0.542)、认知(r = 0.358 ~ 0.409)、日常生活活动(r = 0.209 ~ 0.310)和虚弱(r =-0.161 ~ -0.237)的并发效度较好。结论:PRIFOR可作为老年人手术后身体恢复能力的测量指标。为充分评估老年人术后身体弹性水平，指导实施个体化干预措施，为老年人术后康复提供适当的护理是十分重要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助