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Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patients
dc.contributor.author | Valero-Chillerón, María Jesús | |
dc.contributor.author | Llagostera-Reverter, Irene | |
dc.contributor.author | Luna Aleixos, David | |
dc.contributor.author | Moreno-Casbas, Teresa | |
dc.contributor.author | Andreu-Pejó, Laura | |
dc.contributor.author | González-Chordá, Victor M. | |
dc.date.accessioned | 2023-11-28T13:29:31Z | |
dc.date.available | 2023-11-28T13:29:31Z | |
dc.date.issued | 2023 | |
dc.identifier.citation | 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.2023.06.005 | ca_CA |
dc.identifier.issn | 1130-8621 | |
dc.identifier.issn | 1579-2013 | |
dc.identifier.uri | http://hdl.handle.net/10234/205037 | |
dc.description.abstract | 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. | ca_CA |
dc.format.extent | 5 p. | ca_CA |
dc.format.mimetype | application/pdf | ca_CA |
dc.language.iso | eng | ca_CA |
dc.publisher | Elsevier | ca_CA |
dc.rights | © 2023 The Authors. Published by Elsevier Espan ̃a, S.L.U. | ca_CA |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | ca_CA |
dc.subject | hospitals | ca_CA |
dc.subject | inpatient | ca_CA |
dc.subject | activities of daily living | ca_CA |
dc.subject | nursing assessment | ca_CA |
dc.title | Exploring the construct validity of the Barthel index in a sample of Spanish hospitalised patients | ca_CA |
dc.title.alternative | Explorando la validez de constructo del índice de Barthel en una muestra de pacientes hospitalizados españoles | ca_CA |
dc.type | info:eu-repo/semantics/article | ca_CA |
dc.identifier.doi | https://doi.org/10.1016/j.enfcle.2023.06.005 | |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | ca_CA |
dc.relation.publisherVersion | https://www.sciencedirect.com/science/article/pii/S2445147923000565?via%3Dihub | ca_CA |
dc.type.version | info:eu-repo/semantics/publishedVersion | ca_CA |
project.funder.name | Universitat Jaume I | ca_CA |
oaire.awardNumber | UJI-A2020-08 | ca_CA |
dc.subject.ods | 3. Salud y bienestar | ca_CA |
dc.subject.ods | 5. Igualdad de género | ca_CA |
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