Effects of a Multicomponent Frailty Prevention Program in Prefrail Community-Dwelling Older Persons: A Randomized Controlled Trial

ObjectiveTo examine the effects of a multicomponent frailty prevention program in community-dwelling older persons with prefrailty.DesignA randomized controlled trial.SettingA community elderly center in Hong Kong.ParticipantsPersons aged ≥50 years who scored 1-2 on a simple frailty questionnaire (FRAIL)MethodsParticipants (n = 127) were randomly assigned to a 12-week multicomponent frailty prevention program (exercise, cognitive training, board game activities) or to a wait-list control group. The primary outcomes were FRAIL scores, frailty status, and a combined frailty measure including subjective (FRAIL total score) and objective (grip strength, muscle endurance, balance, gait speed) measures. The secondary outcomes were verbal fluency assessed by dual-task gait speed, attention and memory assessed by digit span task, executive function assessed by the Frontal Assessment Battery, self-rated health, and life satisfaction. Assessments were conducted at baseline and at week 12.ResultsThe mean age of the participants was 62.2 years, and 88.2% were women. At week 12, the FRAIL score had decreased in the intervention group (−1.3, P < .001) but had increased in the control group (0.3, P < .01) (between-group differences P < .001). In addition, 83.3% and 1.6% of the intervention and control groups, respectively, had reversed from prefrailty to robust phenotype (between-group differences P < .001). Participants in the intervention group also had a greater reduction in the combined frailty score and greater improvements in muscle endurance, balance, verbal fluency, attention and memory, executive function, and self-rated health than those in the control group (all P < .05). There were no significant differences between the groups with respect to grip strength, gait speed, and life satisfaction.Conclusions and implicationsThe multicomponent frailty prevention program reduced frailty and improved physical and cognitive functions, and self-rated health in community-dwelling older persons with prefrailty. Findings can provide insights into the consideration of incorporating frailty prevention programs into the routine practice of community elderly services.     

SF-36量表在浙江省麻风治愈者中的应用

目的探讨健康调查量表SF-36在浙江省麻风治愈者中应用的信度、效度和可行性。方法以问卷访谈的形式调查892名麻风治愈者，用分半信度、内部一致性、构想效度和结构效度等指标对SF-36量表进行评判。结果该量表具有良好的内部一致性，8个维度的Chronbach’a系数均≥0．8。除心理健康（MH）外，各维度的分半信度较好，Pearson相关系数均≤0．7。构想效度比较满意。因子分析产生两个因子，能解释总方差的62．05％，且除精神影响（RE）外其他各维度在相应因子有较满意的因子载荷量（≥0．4）。结论SF-36量表基本适用于麻风治愈者生活质量评价，但部分条目需进行调整。     

Development and validation of a WHOQOL-BREF Taiwanese audio player-assisted interview version for the elderly who use a spoken dialect

A quality of life questionnaire is rarely adapted to an interview mode for people who mainly use spoken language in daily life. In Taiwan, the WHOQOL-BREF (Mandarin Chinese version) has been developed, as a self-administered questionnaire, but it cannot be applied to the majority of the elderly in Taiwan, who speak only Taiwanese (a dialect). This study adopted the audio player-assisted interview mode to develop a Taiwanese version of the WHOQOL-BREF specifically for Taiwanese-speaking elderly people, and followed with examinations of the reliability and validity of this version. Initially, the WHOQOL-BREF (English version) was translated into colloquial Taiwanese, and field tests confirmed the equivalence and appropriateness of the translation. A total of 228 Taiwanese-speaking elderly people were assessed using the Taiwanese interview version, of which 144 subjects were re-assessed two weeks later. Interviewers assessed each subject aided by an audio player on which all the translated WHOQOL-BREF contents were recorded. The Taiwanese interview version of the WHOQOL-BREF, except for the item related to dependence on medication, showed acceptable reliability (internal consistency, corrected item-domain correlation, and test–retest reliability) and validity (criterion-related, convergent, and discriminant validity). Confirmatory factor analyses supported the four-factor model of the Taiwanese interview version, providing evidence for construct validity. The results suggest that the Taiwanese audio player-assisted interview version of the WHOQOL-BREF was reliable and valid in assessing quality of life of elderly Taiwanese.     

我国老年伤害现状及危险因素研究进展

  目的  引入并测试和评价美国CDC社区老人跌倒风险自评表,以探索适应中国社区老年人的跌倒风险自评估工具。  方法  量表的汉化过程采用翻译、回译和文化调试法。2017年12月 — 2018年2月对203名社区老年人进行调查,测试量表的信度、效度及敏感度。  结果  自评表总体Cronbach′s α 信度系数和分半信度系数均为0.670,去除条目后的一致性Cronbach′s α 系数均无明显降低。集合效度试验成功率为100 %。内容效度、区分效度良好。探索性因子分析显示自评表涉及9个公因子,累计方差贡献率88.26 %,因子分析的结果与量表的理论结构假设非常一致。以总分 ≥ 4分为界值区分高风险和非高风险人群的敏感度高达81.03 %,ROC曲线下面积为0.743。  结论  中文版美国CDC社区老人跌倒风险自评表具有较好的信度、效度和敏感度,是中国进行社区老年人跌倒风险自评的有效工具和重要参考。     

Psychometric evaluation of the German version of the Recovering Quality of Life (ReQoL) measures in patients with affective disorders

Background

The generic self-reported Recovering Quality of Life (ReQoL) measures were developed for measuring recovery-focused health-related quality of life (HrQoL) in persons with mental health conditions. The aim of this study was to assess the psychometric properties of the German version of the ReQoL measures in patients with affective disorders in Germany.

Methods

Data from a patient sub-sample in a randomized controlled trial have been used (N = 393). The internal consistency and the test–retest reliability of the ReQoL measures were assessed using Cronbach’s Alpha and the intra-class correlation coefficient (ICC). The concurrent validity and the known-group validity of the ReQoL measures were assessed using Pearson’s Correlation coefficient and Cohen’s d. The responsiveness was assessed using Glass' Δ and the standardized response mean (SRM).

Results

The reliability among the items of the ReQoL-20 was overall excellent. The ICC of the ReQoL-20 was r = 0.70, indicating moderate test–retest reliability. The concurrent validity of the ReQoL-20 with the clinical measure PHQ-9 was strong with a correlation coefficient of r = − 0.76. The known-group validity of the ReQoL-20 using PHQ-9 cut-off points was large with an effect size of d = 1.63. The ReQoL measures were sensitive to treatment response and remission of symptoms measured by the PHQ-9 with large effect sizes/SRM.

Discussion

The psychometric properties of the ReQoL measures for the assessment of patients with affective disorders were overall good. With the ReQoL, valid and reliable measures for the assessment of recovery-focused HrQoL for persons with affective disorders are available in German language.

     

Construct validity and reliability of a two-step tool for the identification of frail older people in primary care

ObjectivesTo study the reliability and construct validity of the EASY-Care Two-step Older persons Screening (EASY-Care TOS), a practice-based tool that helps family physicians (FPs) to identify their frail older patients.Study Design and SettingThis validation study was conducted in six FP practices. We determined the construct validity by comparing the results of the EASY-Care TOS with other commonly used frailty constructs [Fried Frailty Criteria (FFC), Frailty Index (FI)] and with other related constructs (ie, multimorbidity, disability, cognition, mobility, mental well-being, and social context). To determine interrater reliability, an independent second EASY-Care TOS assessment was made for a subpopulation.ResultsWe included 587 older patients (mean age 77 ± 5 years, 56% women). According to EASY-Care TOS, 39.4% of patients were frail. EASY-Care TOS frailty correlated better with FI frailty (0.63) than with FFC frailty (0.52). A high correlation was found with multimorbidity (0.50), disabilities (0.53), and mobility (0.55) and a moderate correlation with cognition (0.31) and mental well-being (0.38). Reliability testing showed 89% agreement (Cohen's κ 0.63) between EASY-Care TOS frailty judgment by two different assessments.ConclusionEASY-Care TOS correlated well with relevant physical and psychosocial measures. Accordingly, these results show that the EASY-Care TOS identifies patients who have a wide spectrum of interacting problems.     

Reliability and Validity of the Tilburg Frailty Indicator in 5 European Countries

ObjectivesTo assess the internal consistency, convergent and divergent validity, and concurrent validity of the Tilburg Frailty Indicator (TFI) within community-dwelling older people in Spain, Greece, Croatia, the Netherlands, and the United Kingdom.DesignCross-sectional study.SettingPrimary care and community settings.ParticipantsIn total, 2250 community-dwelling older people (60.3% women; mean age = 79.7 years; standard deviation = 5.7).MethodsWe assessed the reliability and validity of the full TFI as well as its physical, psychological, and social domains. Baseline data of the Urban Health Centers Europe project were used. The internal consistency was assessed with the Cronbach alpha. The convergent and divergent validity were assessed using Pearson correlation coefficients between the domains and alternative measures: the 12-item short-form, Groningen activity restriction scale, 5-item mental well-being scale of the 36-Item Short Form Survey, and the De Jong Gierveld loneliness scale. The concurrent validity was assessed by the area under the receiver operating characteristic curve with physically frail (Survey of Health, Ageing and Retirement in Europe-Frailty Instrument), loss of independence (Groningen activity restriction scale), limited function (Global Activity Limitation Index), poor mental health (5-item mental well-being scale of the 36-Item Short Form Survey), and feeling lonely (De Jong Gierveld loneliness scale) as criteria.ResultsThe internal consistency of the full TFI was satisfactory with the Cronbach alpha ≥0.70 in the total population and in each country. The internal consistency of the psychological and social domains was not satisfactory. The convergent and divergent validity of the physical, psychological, and social domains was supported by all the alternative measures in the total population and in each country. The concurrent validity of the full TFI and the physical, psychological, and social domains was supported with most area under the receiver operating characteristic curve ≥0.70 in the total population and in each country.Conclusions and ImplicationsThe TFI is a reliable and valid instrument to assess frailty in community-dwelling older people in Spain, Greece, Croatia, the Netherlands, and the United Kingdom.     

Identifying subgroups based on self-assessment of ability in patients with schizophrenia and its relationship with vocational outcomes

Background/ObjectivesPeople with schizophrenia have defective self-assessment of ability (i.e., loss of introspective accuracy [IA]). Although previous studies grouped people according to the degree of IA, the clinical features of these subgroups have not been clarified. Additionally, the determinants of outcomes depending on self-assessment remain unknown. We aimed to identify the clinical features that can help distinguish these subgroups and whether the determinants of vocational outcomes differed between the groups.MethodsThe self-assessment ability of 100 people with schizophrenia was examined and categorized as accurate, over-, or under-estimators. Multiple discriminant analysis was also performed. After demonstrating statistical validity, the relative effects of positive and negative symptoms, cognitive function, and level of IA on vocational outcomes were also examined for each subgroup.ResultsThe symptoms that particularly explained the differences between these subgroups were positive and negative (expressing factors) symptoms: p < .001. Using the determinants of vocational outcomes in each subgroup, the over-estimator subgroup was characterized by positive symptoms: p = .025, the under-estimator group, by the underestimation of their own ability: p = .042, and the accurate estimator group, by cognitive function: p = .006.ConclusionReduced IA can be a core mediator of various symptoms. Thus, tailoring the target and strategy of interventions for vocational outcomes according to the accuracy and quality of IA is important in clinical settings.     

Development of the Japanese version of the Pediatric Quality of Life Inventory™ Brain Tumor Module

Background

The Pediatric Quality of Life Inventory? (PedsQL?) is a widely-used modular instrument for measuring health-related quality of life in children aged 2 to 18 years. The PedsQL? Brain Tumor Module is comprised of six scales: Cognitive Problems, Pain and Hurt, Movement and Balance, Procedural Anxiety, Nausea, and Worry. In the present study, we developed the Japanese version of the PedsQL? Brain Tumor Module and investigated its feasibility, reliability, and validity among Japanese children and their parents.

Methods

Translation equivalence and content validity were verified using the standard back-translation method and cognitive debriefing tests. Participants were recruited from 6 hospitals in Japan and the Children's Cancer Association of Japan, and questionnaires were completed by 137 children with brain tumors and 166 parents. Feasibility of the questionnaire was determined based on the amount of time required to complete the form and the percentage of missing values. Internal consistency was assessed using Cronbach's coefficient alpha. Test-retest reliability was assessed by retesting 22 children and 27 parents. Factorial validity was verified by exploratory factor analyses. Known-groups validity was described with regard to whole brain irradiation, developmental impairment, infratentorial tumors, paresis, and concurrent chemotherapy. Convergent and discriminant validity were determined using Generic Core Scales and State-Trait Anxiety Inventory for children.

Results

Internal consistency was relatively high for all scales (Cronbach's coefficient alpha > 0.70) except the Pain and Hurt scale for the child-report, and sufficient test-retest reliability was demonstrated for all scales (intraclass correlation coefficient = 0.45-0.95). Factorial validity was supported through exploratory factor analysis (factor-item correlation = 0.33-0.96 for children, 0.55-1.00 for parents). Evaluation of known-groups validity confirmed that the Cognitive Problems scale was sensitive for developmental impairment, the Movement and Balance scale for infratentorial tumors or paresis, and the Nausea scale for a patient currently undergoing chemotherapy. Convergent and discriminant validity with the PedsQL? Generic Core Scales and State-Trait Anxiety Inventory for children were acceptable.

Conclusions

The Japanese version of the PedsQL? Brain Tumor Module is suitable for assessing health-related quality of life in children with brain tumors in clinical trials and research studies.     

DSSI-23量表在农村老年人中信度及效度评价

目的 评价23条目杜克社会支持量表(DSSI-23)在农村老年人中的信度和效度。方法 采用分层随机整群抽样方法在四川省自贡市和广元市农村地区抽取1021名≥60岁且无严重听力及精神障碍的老年人进行问卷调查;应用分半信度和Cronbach's α系数评价量表的信度,应用会聚效度、区别效度、结构效度和判别效度评估量表的效度。结果 DSSI-23量表的分半信度系数为0.910,量表总体Cronbach's α系数为0.873;社会交往、主观社会支持、社会支持利用3个维度的Cronbach's α系数分别为0.459、0.855、0.888,依次删除3个维度中某一维度条目后总的Cronbach's α系数分别为0.891、0.803、0.808,均>0.8,量表具有较好的信度;各条目与总分间的相关系数为0.192~0.690(均P<0.01),会聚效度与区别效度定标实验成功率均为100%,量表会聚效度和区别效度较好;对量表进行验证性因子分析,各拟合指标为:近似误差均方根(RMSEA)为0.082、拟合优度指数(GFI)为0.837、规范拟合指数(NFI)为0.807、比较拟合指数(CFI)为0.827、增值拟合指数(IFI)为0.828;不同特征农村老年人DSSI-23量表各维度得分及量表总分比较,不同年龄农村老年人社会交往和主观社会支持维度得分均不同,不同文化程度、婚姻状况农村老年人社会交往、主观社会支持、社会支持利用维度得分和量表总分均不同,差异均有统计学意义(均P<0.05),量表具有较好的判别效度。结论 DSSI-23量表用于中国农村老年人社会支持研究的信度较好,会聚效度、区别效度和判别效度较好,但结构效度较差,提示一些条目需要进一步改进。     

Validity,Internal Consistency,and Test-retest Reliability of the Montenegrin 10-item Voice Handicap Index

The purpose of the this cross-sectional study was to assess clinical validity, internal consistency, and test-retest reliability of the adapted Montenegrin translation of the Voice Handicap Index 10 (VHI-10). It included 50 patients with voice disorders, divided into three subgroups according disease aetiology: structural, neurological, and functional and a control group of 50 vocally healthy participants. Mean patient VHI-10 score of 21.1±7.6 was significantly higher than the 2.3±2.5 score of controls (p<0.001). Each of the three patient subgroups also scored significantly higher than control (p<0.001). Spearman’s rank correlation coefficient of 0.90 (p<0.001) indicated a very strong correlation between the Montenegrin VHI-10 score and self-reported perception of the severity of voice disorder. Excellent internal consistency was found in the patient group, with a Cronbach’s alpha of 0.94. Test-retest reliability was also excellent, with intra class correlation coefficient of 0.98. The translated Montenegrin version of VHI-10 is a valid, reliable, and clinically useful tool for self-assessment of the severity of voice disorders in individuals with voice problems in daily practice and in research projects.Key words: dysphonia, quality of life, self-assessment, VHI-10, voice disorders     

中国老年人衰弱状况及其影响因素分析

目的 分析中国老年人衰弱状况及其影响因素,为制定干预措施提供借鉴。方法 利用中国健康与养老追踪调查2011－2015年全国随访调查数据,以衰弱指数（FI）评价≥60岁老年人的衰弱状况。使用logistic回归分析进行影响老年人衰弱患病率的多因素分析。结果 中国老年人2011、2013、2015年的衰弱患病率分别为18.7%、20.6%和28.4%。女性、高龄的老年人FI更高。髋关节骨折、跌倒、饮酒>1次/月及不参加社会活动可能是衰弱的危险因素。结论 中国老年人衰弱患病率较高,且呈逐年上升的趋势。衰弱受不良事件和生活方式等多种因素的影响,应及早采取综合干预策略,延缓衰弱进程。     

The Perceive,Recall, Plan and Perform (PRPP) system for persons with Parkinson’s disease: a psychometric study

Background: The Perceive, Recall, Plan &; Perform (PRPP) system of task analysis might be feasible to evaluate occupational performance and information processing strategies for persons with Parkinson’s disease (PD).

Aim: To evaluate: (1) the random error between raters (inter-rater study), (2) the random error within raters (intra-rater study), and (3) the internal consistency of the PRPP.

Materials and methods: (1) video-recorded performance of meaningful activities of 13 Dutch persons with PD, scored independently by 38 Dutch PRPP trained occupational therapists were included in the analysis. The random error between raters was analyzed with two-way random Intraclass Correlation Coefficients (ICC). (2) Four videos were scored twice by 30 raters (6 week time interval). The random error within raters was analyzed using one-way random ICC’s. (3) Internal consistency study: data of 190 persons with PD were analyzed using Cronbach’s alpha (α).

Results: Inter-rater reliability ranged from slight to moderate (ICC=?0.06–0.43). The mean intra-rater reliability ranged from moderate to almost perfect (ICC=?0.60–0.83). Internal consistency is good (α?=?0.60–0.86).

Conclusion: The limited inter-rater reliability but adequate intra-rater reliability and internal consistency show the feasibility of the PRPP when used for persons with PD. Implications for reliable clinical use are discussed.     

Feasibility, Reliability, and Validity of Three Health-State Valuation Methods Using Multiple-Outcome Vignettes on Moderate-Risk Pregnancy at Term

ObjectivesPreference-based health-state valuation methods such as discrete choice experiment (DCE) are claimed to be superior than attitude-based valuation methods like visual analogue scale (VAS) and time trade-off (TTO). We compared VAS, TTO, and DCE in terms of feasibility, reliability, and validity using vignettes depicting moderate-risk pregnancy at term.MethodsPeople from the community (n = 97) participated in both a panel session and an individual home assignment. Each participant valuated 46 vignettes with VAS, TTO, and DCE. Each vignette consisted of five attributes: maternal health antepartum, time between diagnosis and delivery, process of delivery, maternal outcome, and neonatal outcome. The questionnaire included Feasibility, which we evaluated by questionnaire. Test–retest reliability and interobserver consistency were assessed by intraclass correlation (ICC), and variance consistency by generalization theory. Convergent validity was determined with ICC and Cohen's kappa; construct validity was determined with linear regression, multinomial logit modeling, and Kendall's Tau-b correlation (τ).ResultsThe DCE was reported as most feasible (DCE: 87% vs. VAS: 69% vs. TTO: 42%). Test–retest reliability was high overall and equal (VAS: ICC = 0.77; TTO: ICC = 0.79; DCE: κ = 0.78). The VAS had the highest interobserver reliability (ICC = 0.73). Convergent validity between VAS and DCE was high (κ = 0.79) and there was sufficient construct validity between VAS and DCE (τ = 0.68). The TTO yielded less optimal results. Generally, neonatal and maternal outcomes weighed most, whereas process outcomes weighed least in moderate-risk pregnancy at term.ConclusionsIn our context of multidimensional health states with complex trade-offs, DCE was superior to TTO and performed equal to VAS, with DCE displaying slightly higher user feasibility.     

Morisky 服药依从性量表、家庭 APGAR 问卷在结核病患者中的应用评价

目的：探讨 Morisky 服药依从性量表、家庭关怀指数(APGAR)问卷在结核病患者中应用的内部信度和结构效度。方法对1342例结核病患者进行服药依从性量表和家庭关怀指数问卷测评,采用内部一致性信度和验证性因子分析对其信效度进行评价。结果服药依从性量表的 Cronbach’sα为0.79,拟合优度指标为χ2/df=6.222,CFI=0.897,RMSEA=0.062,GFI=0.998,AGFI=0.997;家庭 APGAR 问卷的 Cronbach’sα为0.86,拟合优度指标为χ     

Protocolo de estudio sobre condicionantes de desestabilización física y psicosocial en los mayores

ObjectiveThe main objective of this study is to define the factors associated with frailty and psychosocial imbalance in elderly people who live in the community.MethodsMulticentre prospective study with a representative sample of subjects older than 75 years who live in the community in the province of Huesca (Spain). 5-year follow-up with biannual assessment. Standardised individual assessment carried out by GPs trained to assess depression, anxiety, cognitive impairment, psychotic symptoms, sarcopenia, social network, dependence for basic and instrumental activities of daily living, physical severity, risk of dependence and quality of life. Further assessment two and five years later to quantify adverse events: institutionalisation, functional impairment or mortality. Possible risk factors will be assessed: gender, age, social status, functional status, mental status and physical severity. Predictive and individual risk models will be designed in order to identify elderly people with high psychosocial frailty and destabilisation risk.ConclusionsAn understanding of the possible risk factors would facilitate the identification of elderly subjects at greater risk of psychosocial frailty, thereby enabling preventive activities to be implemented aimed at reducing frailty and associated adverse events (institutionalisation, mortality, etc.).     

Feasibility of Routine Quality of Life Measurement for People Living With Dementia in Long-Term Care

ObjectivesMaximizing quality of life (QoL) is the ultimate goal of long-term dementia care. However, routine QoL measurement is rare in nursing home (NH) and assisted living (AL) facilities. Routine QoL measurement might lead to improvements in resident QoL. Our objective was to assess the feasibility of using DEMQOL-CH, completed by long-term care staff in video calls with researchers, to assess health-related quality of life (HrQoL) of NH and AL residents with dementia or other cognitive impairment.DesignCross-sectional study.Setting and ParticipantsWe included a convenience sample of 5 NHs and 5 AL facilities in the Canadian province of Alberta. Forty-two care staff who had worked in the facility for ≥3 months completed DEMQOL-CH assessments of 183 residents who had lived in the facility for 3 months or more and were aged ≥65 years. Sixteen residents were assessed independently by 2 care staff to assess inter-rater reliability.MethodsWe assessed HrQoL in people with dementia or other cognitive impairment using DEMQOL-CH, and assessed time to complete, inter-rater reliability, internal consistency reliability, and care staff ratings of feasibility of completing the DEMQOL-CH.ResultsAverage time to complete DEMQOL-CH was <5 minutes. Staff characteristics were not associated with time to complete or DEMQOL-CH scores. Inter-rater reliability [0.735, 95% confidence interval (CI): 0.712-0.780] and internal consistency reliability (0.834, 95% CI: 0.779-0.864) were high. The DEMQOL-CH score varied across residents (mean = 84.8, standard deviation = 11.20, 95% CI: 83.2-86.4). Care aides and managers rated use of the DEMQOL-CH as highly feasible, acceptable, and valuable.Conclusions and ImplicationsThis study provides a proof of concept that DEMQOL-CH can be used to assess HrQoL in NH and AL residents and provides initial indications of feasibility and resources required. DEMQOL-CH may be used to support actions to improve the QoL of residents.     

An Evaluation of the Validity and Reliability of a Food Behavior Checklist Modified for Children

ObjectiveThe objective of this study was to report the construct validity and internal consistency reliability of the Food Behavior Checklist modified for children (FBC-MC), with low-income, Youth Expanded Food and Nutrition Education Program (EFNEP)-eligible children.MethodsUsing a cross-sectional research design, construct validity was assessed using confirmatory factor analysis (weighted least squares method), and internal consistency reliability for 3 subscales was assessed using Cronbach α.ResultsNinety-seven children from low-income families completed the FBC-MC. Indicator tests suggest adequate model fit (comparative fit index = 0.962; root mean square error of approximation = 0.064) and item factor loadings were significant for all subscales (P < .05). The instrument appeared to have adequate reliability for 1 subscale (fruit and vegetable consumption, α = 0.67), but not for the other 2 (milk consumption, α = 0.43; healthful eating behaviors, α = 0.56).Conclusions and ImplicationsThe FBC-MC may be a suitable instrument for evaluating dietary behaviors among Youth EFNEP-eligible children; however, more work is needed to establish internal reliability and criterion validity.     

An examination of the psychometric properties of the occupational identity questionnaire for community-living elderly who require care

IntroductionAuthors created an Occupational Identity Questionnaire Provisional version (OIQ-P) to assess occupational identity for elderly individuals. The purpose of this study was to examine the psychometric properties of the OIQ-P.MethodsParticipants included 135 (42 males) elderly who lived locally and required care or support. OIQ-P was evaluated in terms of structural validity, criterion validity and internal consistency.ResultsBased on the results of an exploratory factor analysis and confirmatory factor analysis, an OIQ with a factor structure of 3 factors and 14 items was created. Rasch rating scale model revealed that 14 participants and 1 item did not fit the goodness of fit, nevertheless, the overall result was good. Spearman''s rank correlation coefficient indicates that there was a law correlation between OIQ and the occupational identity scale of the Occupational Performance History Interview Version 2. In terms of internal consistency, the person separation index and person separation reliability coefficient were 2.30 and 0.84, respectively.ConclusionThis study confirmed the structural validity, criterion validity and internal consistency for the OIQ. To enhance the clinical utility of the OIQ, it is necessary to examine the interpretability and conduct an intervention study using the OIQ.     

Dutch translation and validation of the readiness for interprofessional learning scale (RIPLS) in a primary healthcare context

Background: Interprofessional education and collaborative practice are gradually gaining importance in the context of growing healthcare complexity. The readiness for interprofessional learning scale (RIPLS) is a well-known scale that can identify attitudinal barriers and variance across professions, which may affect educational interventions.

Objectives: This study aims to translate the English RIPLS into Dutch and to test its reliability and validity.

Methods: The scale was translated and back-translated by two pairs of people independently and tested for feasibility and comprehensibility. The translated scale was used with 219 general practitioners, 238 community nurses, and 53 palliative home-care nurses. Exploratory factor analysis was used to assess construct validity. Confirmatory factor analysis was done to generate a fit model. Cronbach’s alpha was computed to evaluate internal consistency. Regression analysis was used to evaluate the effect of the RIPLS score on the level of learning through collaboration and to gauge the influence of the participants’ gender, age, previous palliative care education, type of practice and years in practice.

Results: Confirmatory and exploratory factor analysis confirms the factor structure of the original version. The Dutch version shows good reliability (overall Cronbach’s alpha: 0.88; intraclass correlation coefficient after test-retest: 0.718 (95%CI: 0.499–0.852). The RIPLS score correlates with the amount of workplace learning during collaboration (discriminant validity: P?Conclusion: The Dutch translation of the RIPLS is now ready for comparative studies.