Construct Validity of a New Health Assessment Questionnaire for the National Screening Program of Older Adults in Japan: The SONIC Study.

Construct Validity of a New Health Assessment Questionnaire for the National Screening Program of Older Adults in Japan: The SONIC Study.
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DOI:
10.3390/ijerph191610330
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发表时间:
2022-08-19
影响因子:
--
通讯作者:
Gondo, Yasuyuki
Gondo, Yasuyuki
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Ishizaki, Tatsuro;Masui, Yukie;Nakagawa, Takeshi;Yoshida, Yuko;Ishioka, Yoshiko L.;Hori, Noriko;Inagaki, Hiroki;Ito, Kae;Ogawa, Madoka;Kabayama, Mai;Kamide, Kei;Ikebe, Kazunori;Arai, Yasumichi;Gondo, Yasuyuki

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日本政府实施了一项新的筛查计划,以促进采取措施,避免老年人中与生活方式有关的疾病恶化和虚弱。为此,政府制定了一份新的健康评估问卷,用于筛查年龄≥75岁的老年人。问卷包括15个项目,其中12个涉及虚弱,2个涉及一般健康状况,1个涉及吸烟习惯。本研究采用解释性因子分析(EFA)和验证性因子分析(CFA)检验该问卷的构念效度。本研究中使用的数据来自于2020年进行的一项邮寄调查,该调查是70岁、80岁、90岁老人与百岁老人调查研究的一部分。共有1576名受访者(年龄在78-99岁之间)参与了这项研究。虽然EFA没有显示出包含15个项目的问卷的可解释因子结构,但仅使用12个虚弱相关项目的CFA显示出高阶因子“虚弱”的拟合优度,并且五个虚弱相关子因子模型是可以接受的。这些结果表明,问卷中12个虚弱相关项目的总分可以作为“虚弱”程度的一个指标。
The Japanese government has implemented a new screening program to promote measures to avoid worsening lifestyle-related diseases and frailty among the older population. In this effort, the government formulated a new health assessment questionnaire for the screening program of old-old adults aged ≥75 years. The questionnaire comprises 15 items, of which 12 address frailty, two address general health status, and one addresses smoking habits. This study examined the construct validity of this questionnaire, using the explanatory factor analysis (EFA) and confirmatory factor analysis (CFA). The data used in this study were drawn from a mail-in survey conducted in 2020 as part of the Septuagenarians, Octogenarians, Nonagenarians Investigation with Centenarians study. A total of 1576 respondents (range, 78–99 years of age) were included in the study. Although the EFA did not show an interpretable factor structure of the questionnaire with 15 items, the CFA using only 12 frailty-related items showed the goodness of fit for a higher-order factor “frailty”, and the five frailty-related sub-factors model was acceptable. These results suggest that the total score of the 12 frailty-related items in the questionnaire can be used as an indicator of the degree of “frailty”.
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影响因子: 6.7
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