Development and validation of a self-care scale for older adults undergoing hip fracture surgery: the HFS-SC

Jeon, Eun-Jeong; Sohng, Kyeong-Yae; Yeom, Hye-Ah

doi:10.1186/s12912-022-00982-3

Cited by 4 publications

(5 citation statements)

References 43 publications

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“…This model evidenced a satisfactory t for the 4 factors and the 13 questions, allowing us to highlight adequate psychometric properties, so that the FRS scale is valid for the sample of OA in Chile. These results obtained in the ve t indicators (RMSEA, TLI, CFI an NFI) were consistent with other validation studies [28,30].…”

Section: Discussionsupporting

confidence: 91%

Validity and reliability of the fall risk scale for older adults

Cossio-Bolaños,

Vidal-Espinoza,

Caceres-Bahamondes

et al. 2024

Preprint

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Introduction: Falls in older adults are a common and serious threat to health and functional independence. It can cause psychological distress, inability to participate in activities of daily living, brain injury, fractures, and even death. The aim was to analyze the psychometric properties of the self-assessed fall risk scale (FRS) that measures the risk of falls in older adults in a central region of Chile, as well as to verify the concurrent validity against functional fitness tests. Material and Methods A descriptive cross-sectional study was carried out in 222 older adults (OA) [34 males and 188 females] with an age range of 65 to 85 years. The 13-item self-perceived fall risk scale (FRS) was validated. Anthropometric measures (weight, height and waist circumference) were assessed. Five functional fitness tests were measured (right and left hand grip strength, biceps curl, up-and-go, agility and 6-minute walk test). Validation was performed by construct validation [(exploratory factor analysis (EFA) and confirmatory factor analysis (CFA)] and concurrent validity. Results The EFA revealed 4 factors in the FRS scale [1: fear of falling (variance 27.1%), 2: use of assistive devices (variance 10.6%), 3: loss of sensation (variance 9.3%), and 4: limited mobility (variance 8.3%)]. Factor loadings ranged from ~ 0.50 to 0.83 across the 4 components. The Kaiser-Meyer Olkin sample adequacy test (KMO) reflected adequate adequacy (KMO = 0.79, chi-square (X2) = 498.806, gl = 78, p = 0.00). The CFA showed a satisfactory final fit [chi-square (X2) = 126.748, Root mean squared error of approximation (RMSEA) = 0.042, Tucker-Lewis Index (TLI) = 0.946, Comparative fit index (CFI) = 0.935 y Normed fit index (NFI) = 0.90. The relationships between the FRS scale and functional fitness tests (right and left hand grip strength, biceps curl, up-and-go, agility and 6-minute walk test) ranged from low to moderate (r= -0.23 to 0.41). Conclusion The FRS scale showed acceptable validity and reliability in older adults in central region of Chile. It is expected that this scale will be useful for assessing fall risk in clinical and epidemiological settings in the aging Chilean population.

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Section: Discussionsupporting

confidence: 91%

Validity and reliability of the fall risk scale for older adults

Cossio-Bolaños,

Vidal-Espinoza,

Caceres-Bahamondes

et al. 2024

Preprint

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“…The I-CVI of the Chinese version of the HFS-SC was 0.857 to 1 and the S-CVI was 0.932, which were higher than the reference value of content validity, and the content validity was good ( 37 , 38 ). In this study, EFA showed that the Chinese version of the 5-factor explained 66.666% of the total variance, the factor attribution of all items was consistent with that of the original scale ( 21 , 36 ), and the factor loadings for each item were >0.4. Ultimately, the Chinese version of the HFS-SC model was within an acceptable range for all fitness indicators.…”

Section: Discussionmentioning

confidence: 53%

“…value of content validity, and the content validity was good (37,38). In this study, EFA showed that the Chinese version of the 5-factor explained 66.666% of the total variance, the factor attribution of all items was consistent with that of the original scale (21,36), and the factor loadings for each item were >0.4.…”

Section: Symptom Recognition and Managementmentioning

confidence: 52%

“…The scale was developed by Jeon et al in 2022 to assess the level of self-care in older adults after hip fracture surgery ( 21 ). The scale included functional independence (4 items), symptom recognition and management (4 items), positive mental health (3 items), participation in and support for social activities (3 items), and safe environment (3 items).…”

Section: Methodsmentioning

confidence: 99%

“…The development of a tool to assess the level of self-care after hip fracture in the older adult/adults Chinese population is seen as essential to better understanding life after hip fracture in the older adult/adults Chinese population due to the high prevalence and significant negative effects of hip fractures in the geriatric population. The self-care scale for older adults undergoing hip fracture surgery (HFS-SC) developed by Jeon et al was used to measure the ability of older people to self-care after hip fracture surgery ( 21 ). The scale was logically constructed for the old population, taking into full account the degree of disease prevention and cognition of older adult/adults hip fracture patients after surgery, based on the background of high morbidity and extended duration of disease in the older adult/adults hip fracture population.…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of the Chinese version of the self-care scale for older adults undergoing hip fracture surgery: A translation and validation study

Zheng

Liu

Zheng³

et al. 2023

Front. Public Health

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ObjectiveThe purpose of this study was to translate and verify the reliability and validity of the Chinese version of the self-care scale for older adults undergoing hip fracture surgery.MethodsA total of 502 older adult/adults patients after hip fracture surgery were recruited from Liaoning, Shanxi, and Beijing, China. The reliability of the Chinese version of the scale was measured by internal consistency, split-half reliability, and retest reliability, and the validity was evaluated by the content validity index and structure validity index.ResultsThe Chinese version of the HFS-SC scale had a Cronbach's alpha coefficient of 0.848, and the Cronbach's alpha coefficients for the five dimensions ranged from 0.719 to 0.780. The split-half reliability of the scale was 0.739, and the retest reliability was 0.759. The content validity index (S-CVI) was 0.932. The five-factor structure, supported by the eigenvalues, total variance explained, and the scree plot accounted for 66.666% of the total variance. In confirmatory factor analysis, the model fit results were as follows, X2/df = 1.847, GFI = 0.914, AGFI = 0.878, PGFI = 0.640, IFI = 0.932, TLI = 0.912, CFI = 0.931, RMSEA = 0.058, PNFI = 0.679. The indicators of the model's fit were within reasonable bounds.ConclusionThe Chinese version of the self-care scale for older adults undergoing hip fracture surgery has suitable reliability and validity. The scale can be used to assess the level of older adult/adults self-care in China following hip replacement surgery and serves as a useful benchmark for identifying potential intervention targets to raise the level of older adult/adults self-care following hip replacement surgery.

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Translation, validity and reliability of the fall risk scale for older adults

Cossio-Bolaños,

Vidal-Espinoza,

Caceres-Bahamondes

et al. 2024

BMC Geriatr

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Introduction Falls in older adults are a common and serious threat to health and functional independence. It can cause psychological distress, inability to participate in activities of daily living, brain injury, fractures, and even death. The aim was to analyze the psychometric properties of the self-assessed fall risk scale (FRS) that measures the risk of falls in older adults in a central region of Chile, as well as to verify the concurrent validity against functional fitness tests. Materials and methods A descriptive cross-sectional study was carried out in 222 older adults (OA) [34 males and 188 females] with an age range of 65 to 85 years. The 13-item self-perceived fall risk scale (FRS) was validated. Anthropometric measures (weight, height and waist circumference) were assessed. Five functional fitness tests were measured (right and left hand grip strength, biceps curl, up-and-go, agility and 6-minute walk test). Validation was performed by construct validation [(exploratory factor analysis (EFA) and confirmatory factor analysis (CFA)] and concurrent validity. Results The EFA revealed 4 factors in the FRS scale [1: fear of falling (variance 27.1%), 2: use of assistive devices (variance 10.6%), 3: loss of sensation (variance 9.3%), and 4: limited mobility (variance 8.3%)]. Factor loadings ranged from ∼ 0.50 to 0.83 across the 4 components. The Kaiser-Meyer Olkin sample adequacy test (KMO) reflected adequate adequacy (KMO = 0.79, chi-square (X2) = 498.806, gl = 78, p = 0.00). The CFA showed a satisfactory final fit [chi-square (X2) = 126.748, Root mean squared error of approximation (RMSEA) = 0.042, Tucker-Lewis Index (TLI) = 0.946, Comparative fit index (CFI) = 0.935 y Normed fit index (NFI) = 0.90. The relationships between the FRS scale and functional fitness tests (right and left hand grip strength, biceps curl, up-and-go, agility and 6-minute walk test) ranged from low to moderate ( r = -0.23 to 0.41). Conclusion The FRS scale showed acceptable validity and reliability in older adults in central region of Chile. It is expected that this scale will be useful for assessing fall risk in clinical and epidemiological settings in the aging Chilean population.

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Development and validation of a self-care scale for older adults undergoing hip fracture surgery: the HFS-SC

Cited by 4 publications

References 43 publications

Validity and reliability of the fall risk scale for older adults

Validity and reliability of the fall risk scale for older adults

Psychometric properties of the Chinese version of the self-care scale for older adults undergoing hip fracture surgery: A translation and validation study

Translation, validity and reliability of the fall risk scale for older adults

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