Explorando la validez de constructo del índice de Barthel en una muestra de pacientes hospitalizados españoles

  1. María Jesús Valero-Chillerón 1
  2. Irene Llagostera-Reverter 1
  3. David Luna-Aleixós 1
  4. Mayte Moreno-Casbas 2
  5. Laura Andreu-Pejó 1
  6. Víctor M. González-Chordá 1
  1. 1 Departamento de Enfermería, Universitat Jaume I, Castellón, España
  2. 2 Investén-ISCIII, Instituto de Salud Carlos III, Ministerio de Ciencia e Innovación, Madrid, España
Zeitschrift:
Enfermería clínica

ISSN: 1130-8621

Datum der Publikation: 2023

Ausgabe: 33

Nummer: 5

Seiten: 370-374

Art: Artikel

DOI: 10.1016/J.ENFCLI.2023.06.002 DIALNET GOOGLE SCHOLAR

Andere Publikationen in: Enfermería clínica

Zusammenfassung

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 (χ2 = 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 (χ2 = 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 (χ2 = 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.

Bibliographische Referenzen

  • M. Mueller, S. Lohmann, R. Strobl, C. Boldt, E. Grill Patients’ functioning as predictor of nursing workload in acute hospital units providing rehabilitation care: a multi-centre cohort study BMC Health Serv Res., 10 (2010), p. 295, 10.1186/1472-6963-10-295
  • F.I. Mahoney, D.W. Barthel Functional evaluation: the Barthel Index Md State Med J., 14 (1965), pp. 61-65
  • K. Laake, P. Laake, A.H. Ranhoff, U. Sveen, T.B. Wyller, E. Bautz-Holter The Barthel ADL index: factor structure depends upon the category of patient Age Ageing., 24 (1995), pp. 393-397, 10.1093/ageing/24.5.393
  • D. Luna-Aleixos, I. Llagostera-Reverter, X. Castelló-Benavent, M. Aquilué-Ballarín, G. Mecho-Montoliu, Á. Cervera-Gasch, et al. Development and Validation of a Meta-Instrument for Nursing Assessment in Adult Hospitalization Units (VALENF Instrument) (Part I) Int J Environ Res Public Health., 19 (2022), p. 14622, 10.3390/ijerph192214622
  • S. Lloret-Segura, A. Ferreres-Traver, A. Hernández-Baeza, I. Tomás-Marco Exploratory item factor analysis: practical guide revised and updated Anales Psicol., 30 (2014), pp. 1151-1169
  • N. Bhushan, F. Mohnert, D. Sloot, L. Jans, C. Albers, L. Steg Using a Gaussian Graphical Model to Explore Relationships Between Items and Variables in Environmental Psychology Research Front Psychol., 10 (2019), p. 1050, 10.3389/fpsyg.2019.01050
  • R.B. Kline Principles and practice of structural equation modeling The Guilford Press, New York (2015)
  • D.L. Bandalos Item Meaning and Order as Causes of Correlated Residuals in Confirmatory Factor Analysis Struct Equ Modeling., 28 (2021), pp. 903-913, 10.1080/10705511.2021.1916395
  • N. González, A. Bilbao, M.J. Forjaz, A. Ayala, M. Orive, S. Garcia-Gutierrez, et al. Psychometric characteristics of the Spanish version of the Barthel Index Aging Clin Exp Res., 30 (2018), pp. 489-497, 10.1007/s40520-017-0809-5
  • R. Feo, A. Kitson Promoting patient-centred fundamental care in acute healthcare systems Int J Nurs Stud., 57 (2016), pp. 1-11, 10.1016/j.ijnurstu.2016.01.006
Fuente de los datos: Dialnet