Galhardas Luis, Raimundo Armando, Marmeleira José
Departamento de Desporto e Saúde, Escola de Saúde e Desenvolvimento Humano, Universidade de Évora, Largo dos Colegiais, 7000-727 Évora, Portugal.
Comprehensive Health Research Centre (CHRC), Palácio do Vimioso, Gabinete 256, Largo Marquês de Marialva, Apart. 94, 7002-554 Évora, Portugal.
Geriatrics (Basel). 2023 Dec 18;8(6):124. doi: 10.3390/geriatrics8060124.
(1) Background: to examine the psychometric properties of the Portuguese version of the Timed Instrumental Activities of Daily Living (TIADL) in nursing home residents. (2) Methods: Fifty-two participants (85.8 ± 4.2 years) were assessed on two occasions, 10-14 days apart. The same rater administered all assessments. Internal consistency was analysed through Cronbach's α. The reliability was estimated using the intraclass correlation coefficients (ICCs), and the standard error of the mean (SEM) was used to estimate the minimal detectable change (MDC). Construct validity was determined by Spearman's correlation coefficients. (3) Results: For internal consistency, Cronbach's α (0.81) revealed high internal reliability. All of the subtests demonstrated good or excellent reliability and also presented acceptable measurement precision, considering the criterion SEM < SD/2. According to Spearman's rho, correlations with the Portuguese version of the TIADL, the Useful Field of View test, and semantic and phonemic fluency tests were significant, with moderate positive and negative correlations (0.4 < < 0.69). (4) Conclusions: The Portuguese version of the TIADL had good to excellent test-retest reliability (ICC > 0.90) and acceptable measurement precision. This test could be a valuable clinical tool for assessing actual performance in instrumental activities of daily living in nursing home residents.
(1) 背景:检验葡萄牙语版日常生活工具性活动定时评估量表(TIADL)在养老院居民中的心理测量学特性。(2) 方法:52名参与者(85.8±4.2岁)接受了两次评估,间隔10 - 14天。所有评估均由同一名评估者进行。通过Cronbach's α分析内部一致性。使用组内相关系数(ICC)估计信度,并使用平均标准误(SEM)估计最小可检测变化(MDC)。通过Spearman相关系数确定结构效度。(3) 结果:就内部一致性而言,Cronbach's α(0.81)显示出较高的内部信度。所有子测试均表现出良好或优异的信度,并且考虑到标准SEM < SD/2,测量精度也可接受。根据Spearman相关系数,与葡萄牙语版TIADL、有用视野测试以及语义和语音流畅性测试的相关性显著,呈中度正负相关(0.4 < < 0.69)。(4) 结论:葡萄牙语版TIADL具有良好至优异的重测信度(ICC > 0.90)和可接受的测量精度。该测试可能是评估养老院居民日常生活工具性活动实际表现的有价值的临床工具。