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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
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Calibrating EASY-Care independence scale to improve accuracy.

A T Jotheeswaran1,2, Amit Dias3, Ian Philp4

  • 1Indian Institute of Public Health, Hyderabad, Hyderabad, Telangana 500033, India.

Age and Ageing
|August 7, 2016
PubMed
Summary

The EASY-Care independence scale demonstrates strong reliability and validity in frail older adults. This study confirms its internal consistency and hierarchical scaling properties for community-based geriatric care.

Keywords:
Indiaageingdependencedependence scaleindependenceolder people

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Area of Science:

  • Geriatric Medicine
  • Psychometrics
  • Health Services Research

Background:

  • Limited validation data exists for the EASY-Care independence scale, particularly in low- and middle-income countries.
  • Assessing the scale's reliability and validity is crucial for its application in diverse geriatric populations.

Purpose of the Study:

  • To evaluate the internal construct validity of the EASY-Care independence scale.
  • To examine the hierarchical and classical scaling properties of the scale in community-dwelling frail older adults.

Main Methods:

  • A Mokken model analysis was employed to assess hierarchical scaling.
  • Internal consistency was evaluated using Cronbach's alpha.
  • Data were collected from 150 frail or dependent older individuals in a primary care setting.

Main Results:

  • The EASY-Care independence scale exhibited high internal consistency and strong hierarchical scaling properties, supporting its unidimensionality.
  • Two items (telephone use, financial management) showed lower item Loevinger H coefficients.
  • Removing these two items enhanced the scale's overall internal consistency.

Conclusions:

  • The EASY-Care independence scale demonstrates robust psychometric properties for assessing independence in community-dwelling frail older adults.
  • The findings support the scale's reliability and validity, encouraging its use in geriatric assessments.