Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patients
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Otros documentos de la autoría: Valero-Chillerón, María Jesús; Llagostera-Reverter, Irene; Luna Aleixos, David; Moreno-Casbas, Teresa; Andreu-Pejó, Laura; González-Chordá, Victor M.
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Mostrar el registro completo del ítemcomunitat-uji-handle:10234/9
comunitat-uji-handle2:10234/36084
comunitat-uji-handle3:10234/36085
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INVESTIGACIONMetadatos
Título
Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patientsAutoría
Fecha de publicación
2023Editor
ElsevierISSN
1130-8621; 1579-2013Cita bibliográfica
M.J. Valero-Chillerón, I. Llagostera-Reverter, D. Luna-Aleixós et al., Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patients, Enfermería Clínica (English edition), 33, 5, 2023, p. 370-374. https://doi.org/10.1016/j.enfcli.2023.06.005Tipo de documento
info:eu-repo/semantics/articleVersión de la editorial
https://www.sciencedirect.com/science/article/pii/S2445147923000565?via%3DihubVersión
info:eu-repo/semantics/publishedVersionPalabras clave / Materias
Resumen
Objective: Examine the construct validity of the Barthel Index in adult inpatient units. Methods: A secondary analysis was performed on a sample of 1342 adult patients admitted to inpatient units. A confirmatory factor ... [+]
Objective: Examine the construct validity of the Barthel Index in adult inpatient units. Methods: A secondary analysis was performed on a sample of 1342 adult patients admitted to inpatient units. A confirmatory factor analysis of the Barthel Index did not confirm its unidimensional structure (CFA-1). Therefore, two methods were explored to find a solution with a better fit. The sequence of the classical exploratory and confirmatory factor analysis methods was carried out (CFA-2). In contrast, a Gaussian graphical model and confirmatory factor analysis (CFA-3) were performed. Three models were compared on the basis of several goodness-of-fit indicators. Results: CFA-1 results (2 = 161616; P < .001; RMSEA = .183) indicated a poor fit between the model and the data. Exploratory factor analysis provided a model with two dimensions that explained 86% of the variance and improved the goodness-of-fit in CFA-2 (2 = 846; P < .001; RMSEA = .133). The Gaussian graphical model, by removing the item ‘Bladder’, offered a solution with three dimensions that improved the goodness-of-fit compared to the previous models (2 = 492; P < .001; RMSEA = .09). Conclusions: The Barthel Index is not a unidimensional measure of functional capacity when applied to adult inpatient units. The best-fitting model has a three-dimensional structure (Hygiene; Feeding and disposal; Mobility) that relates to the domains of care needs. [-]
Entidad financiadora
Universitat Jaume I
Código del proyecto o subvención
UJI-A2020-08
Derechos de acceso
© 2023 The Authors. Published by Elsevier Espan ̃a, S.L.U.
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
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