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维托老年人生活质量量表:效度和信度证据

Vitor Quality of Life Scale for the Elderly: evidence of validity and reliability.

作者信息

da Silva José Vitor, Baptista Makilim Nunes

机构信息

São Francisco University, Campus Itatiba, Itatiba, SP Brazil ; Wenceslau Braz School of Nursing, Rua João Faria Sobrinho, 61, apt. 301, Bairro Varginha, CEP: 37501-080 Itajubá, MG Brazil ; Sapucaí Valey University (UNIVAS), Pouso Alegre, MG Brazil.

São Francisco University, Campus Itatiba, Itatiba, SP Brazil.

出版信息

Springerplus. 2016 Aug 30;5(1):1450. doi: 10.1186/s40064-016-3130-4. eCollection 2016.

Abstract

PURPOSE

To assess validity and reliability of the Vitor Quality of Life Scale for the Elderly (VITOR QLSE).

METHODS

A sociodemographic questionnaire, a mental status questionnaire, the VITOR QLSE, the World Health Organization Quality of Life Instrument old module (WHOQOL-OLD), and the Baptista Depression Scale adult version (EBADEP-A) were administered to a non-probabilistic sample of 617 elderly persons living in Brazil. Exploratory factor analysis was performed to reduce the 70 items of the first version of the VITOR QLSE. Construct validity was then evaluated; the VITOR QLSE was tested against the WHOQOL-OLD and EBADEP-A. One hundred and ninety-two randomly selected participants completed the instrument again 7-15 days after the first interview, providing a test-retest reliability estimate.

RESULTS

Exploratory factor analysis reduced the 70 items to 48 items grouped into six domains: autonomy and psychological, environment, physical independence, family, health, and social domains. The total explained variance was 39.46 %. Cronbach's alpha for overall reliability was 0.93 and ranged from 0.79 for health to 0.90 for physical independence. Pearson's correlation coefficient (r) was 0.76 for test-retest reliability, and 0.56 and -0.57 for the correlation of VITOR QLSE scores with those of the WHOQOL-OLD and EBADEP-A, respectively.

CONCLUSION

The final version of the VITOR QLSE has 48 items grouped into six domains and shows adequate validity and reliability. The rapid aging of the population and reduced number of instruments in the Latin America, and more specifically in Brazil, assessing quality of life in the elderly justify the development of a valid and reliable tool.

摘要

目的

评估维托老年人生活质量量表(VITOR QLSE)的有效性和可靠性。

方法

对居住在巴西的617名老年人的非概率样本进行社会人口学问卷调查、精神状态问卷、VITOR QLSE、世界卫生组织生活质量量表老年模块(WHOQOL-OLD)和巴普蒂斯塔成人抑郁量表(EBADEP-A)。进行探索性因子分析以减少VITOR QLSE第一版的70个项目。然后评估结构效度;将VITOR QLSE与WHOQOL-OLD和EBADEP-A进行对比测试。192名随机选择的参与者在第一次访谈后7至15天再次完成该量表,以提供重测信度估计。

结果

探索性因子分析将70个项目减少到48个项目,分为六个领域:自主与心理、环境、身体独立、家庭、健康和社会领域。总解释方差为39.46%。总体信度的Cronbach's α为0.93,健康领域为0.79,身体独立领域为0.90。重测信度的Pearson相关系数(r)为0.76,VITOR QLSE得分与WHOQOL-OLD得分的相关系数为0.56,与EBADEP-A得分的相关系数为-0.57。

结论

VITOR QLSE的最终版本有48个项目,分为六个领域,具有足够的有效性和可靠性。人口的快速老龄化以及拉丁美洲,更具体地说是巴西,评估老年人生活质量的工具数量减少,证明开发一个有效且可靠的工具是合理的。

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