MD. Doctor and Volunteer Preceptor, Discipline of Geriatrics and Gerontology, Pain and Osteoarticular Diseases Service, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
MD. Doctor and Volunteer preceptor, Discipline of Geriatrics and Gerontology, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
Sao Paulo Med J. 2023 Jul 31;142(2):e2022217. doi: 10.1590/1516-3180.2022.0217.R1.310523. eCollection 2023.
We aimed to develop and validate a practical instrument to assess older adults' satisfaction with their social participation (SP).
This methodological validation study was conducted at a public higher education institution.
A two-phase study was designed, developed, and validated to assess older adults' satisfaction with their SP. In the first phase, we conceptualized SP and developed an "instrument to assess older adults' satisfaction with their SP (IAPSI)," as approved by a committee of specialists, pre-tested, and partially validated. Second, we determined the IAPSI's reproducibility using Cronbach's alpha to measure internal consistency, Pearson's and Spearman's coefficients to measure correlations, the Bland-Altman plot and intraclass correlation coefficient (ICC) to measure reproducibility. We also generated a receiver operating characteristic (ROC) curve.
102 older adults (mean age, 87.29) participated in the first phase. Moderate internal consistency (Cronbach's alpha 0.7) and significant moderate correlations with quality of life by World Health Organization Quality of Life (WHOQOL)-bref and by WHOQOL-old social domains (Pearson's coefficients 0.54 and 0.64, respectively; P < 0.001) were found. The ROC curve indicated an IAPSI score of 17 as the threshold for the impact of pain on satisfaction with SP (83.3% sensitivity and 88.9% specificity, P < 0.001). In the second phase, 56 older adults (between 81 and 90 years old) participated. We found adequate intra- and inter-observer reproducibility for the IAPSI (ICC 0.96 and 0.78, respectively).
We have developed a practical instrument with appropriate psychometric properties to assess older adults' satisfaction with their SP.
本研究旨在开发并验证一种实用的工具，以评估老年人对其社会参与的满意度。
本方法学验证研究在一所公立高等教育机构进行。
设计并开展了一项两阶段研究，以评估老年人对其社会参与的满意度。第一阶段，我们对社会参与进行概念化，并开发了一种“评估老年人对其社会参与满意度的工具（IAPSI）”，该工具已获得专家委员会的批准、预测试和部分验证。第二阶段，我们使用 Cronbach's alpha 来测量内部一致性、Pearson 和 Spearman 系数来测量相关性、Bland-Altman 图和组内相关系数（ICC）来测量可重复性，来确定 IAPSI 的可重复性。我们还生成了接收器操作特征（ROC）曲线。
共有 102 名老年人（平均年龄 87.29 岁）参加了第一阶段研究。发现中等程度的内部一致性（Cronbach's alpha 为 0.7），且与世界卫生组织生活质量（WHOQOL）-bref 以及 WHOQOL-老年人社会领域的质量呈显著中度相关（Pearson 系数分别为 0.54 和 0.64，P < 0.001）。ROC 曲线表明，IAPSI 评分为 17 时为疼痛对社会参与满意度影响的临界点（敏感性为 83.3%，特异性为 88.9%，P < 0.001）。在第二阶段，共有 56 名老年人（年龄在 81 至 90 岁之间）参加。我们发现 IAPSI 具有良好的内部和观察者间可重复性（ICC 分别为 0.96 和 0.78）。
我们开发了一种具有适当心理测量特性的实用工具，用于评估老年人对其社会参与的满意度。
