跨文化调适、效度和信度检验阿姆哈拉语版提尔堡衰弱指标（TFI）用于社区居住的埃塞俄比亚老年人衰弱筛查。
Cross-Cultural Adaptation, Validity, and Reliability Testing of the Tilburg Frailty Indicator (TFI) Amharic Version for Screening Frailty in Community-Dwelling Ethiopian Older People.
机构信息
School of Nursing, Faculty of Science, Medicine, and Health, University of Wollongong, Wollongong (UOW), New South Wales, Australia.
Department of Adult Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
出版信息
Clin Interv Aging. 2023 Jul 24;18:1115-1127. doi: 10.2147/CIA.S416942. eCollection 2023.
BACKGROUND
Frailty is a global health problem, including in African countries. Despite this, no reliable or valid frailty instruments incorporate any African language, and no research exists to cross-culturally adapt and test the validity and reliability of instruments commonly used in other countries for use within African countries. The Tilburg Frailty Indicator (TFI) is a reliable and validated instrument with the potential to be relevant for older populations living in Africa. This study aimed to develop the TFI Amharic (TFI-AM) version for use within Ethiopia.
METHODS
This study employed psychometric testing and the evaluation of a translated and adapted instrument. The original English language version of the TFI was translated and culturally adapted into Amharic using the World Health Organization process of translation and adaptation of an instrument. A convenience sample of ninety-six community-dwelling older people 60 years and over was recruited. Cronbach's alpha was used for the analysis of the internal consistency of the TFI Amharic (TFI-AM) version using IBM SPSS 26.0 (IBM Corp., Armonk, NY, USA). Face and content validities of the TFI-AM were determined.
RESULTS
The TFI-AM total mean score was 5.76 (±2.89). The internal consistency of the TFI-AM was very good with an overall Cronbach alpha value of 0.82. The physical domain showed the highest reliability with a 0.75 Cronbach's alpha value while the social domain was the lowest with a 0.68 Cronbach's alpha value. The Cronbach's alpha reliability coefficients of the instrument ranged from 0.68 to 0.75. The item content validity index value ranged from 0.83 to 1.0 and the total content validity index average for the instrument was 0.91.
CONCLUSION
The TFI-AM is reliable, valid, and reproducible for the assessment of frailty among community-dwelling older populations in Ethiopia. TFI-AM proved an easy-to-administer, applicable and fast instrument for assessing frailty in community-dwelling older populations.
背景
衰弱是一个全球性的健康问题，包括在非洲国家。尽管如此，没有可靠或有效的衰弱工具包含任何非洲语言，也没有研究存在来跨文化地适应和测试在其他国家常用的工具的有效性和可靠性，用于非洲国家。蒂尔堡衰弱指标（TFI）是一种可靠和有效的工具，有可能与生活在非洲的老年人有关。本研究旨在开发用于埃塞俄比亚的 TFI 阿姆哈拉语（TFI-AM）版本。
方法
本研究采用心理测量学测试和翻译及改编工具的评估。TFI 的原始英文版本使用世界卫生组织的翻译和工具改编过程翻译成阿姆哈拉语。招募了 96 名居住在社区的 60 岁及以上的老年人作为方便样本。使用 IBM SPSS 26.0（IBM 公司，纽约州阿蒙克）分析 TFI 阿姆哈拉语（TFI-AM）版本的内部一致性。确定 TFI-AM 的表面和内容有效性。
结果
TFI-AM 的总平均得分为 5.76（±2.89）。TFI-AM 的内部一致性非常好，整体 Cronbach alpha 值为 0.82。物理域的可靠性最高，Cronbach 的 alpha 值为 0.75，而社会域的可靠性最低，Cronbach 的 alpha 值为 0.68。该工具的 Cronbach 的 alpha 可靠性系数范围为 0.68 至 0.75。项目内容有效性指数值范围为 0.83 至 1.0，工具的总内容有效性指数平均值为 0.91。
结论
TFI-AM 可靠、有效且可重复使用，可用于评估埃塞俄比亚社区居住的老年人的衰弱程度。TFI-AM 被证明是一种易于管理、适用且快速的评估社区居住的老年人衰弱的工具。
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