Psychometric validation of the Chinese version of the PaArticular Scales among elderly residents in long-term care facilities with joint contractures

• Published in: BMC geriatrics 2021-06, Vol.21 (1), p.1-353, Article 353
• Main Authors: Chen, Yi-chang, Lin, Keh-chung, Chen, Chen-Jung, Yeh, Shu-Hui, Pan, Ay-Woan, Chen, Hao-Ling, Wang, Chih-Hung
• Format: Article
• Language: English
• Subjects: Activity; Cognitive ability; Complications and side effects; Connective tissue; Contracture; Correlation analysis; Disability evaluation; Elderly residents; Evaluation; Factor analysis; Geriatrics; Health surveys; Joint contractures; Joint diseases; Long term health care; Long-term care facilities; Mobility; Neurological complications; Nursing home patients; Older people; Participation; Population; Quality of life; Questionnaires; Range of motion; Reliability; Sample size; Surveys; Translation; Translations and translating; Validity
• ISSN: 1471-2318; 1471-2318
• DOI: 10.1186/s12877-021-02297-5

Background Joint contractures, which affect activity, participation, and quality of life, are common complications of neurological conditions among elderly residents in long-term care facilities. This study examined the reliability and validity of the Chinese version of the PaArticular Scales in a population with joint contractures. Methods A cross-sectional study design was used. The sample included elderly residents older than 64 years with joint contractures in an important joint who had lived at one of 12 long-term care facilities in Taiwan for more than 6 months (N = 243). The Chinese version of the PaArticular Scales for joint contractures was generated from the English version through five stages: translation, review, back-translation, review by a panel of specialists, and a pretest. Test-retest reliability, internal consistency reliability, construct validity, and criterion validity were evaluated, and the results were compared with those for the World Health Organization Quality of Life scale and the World Health Organization Disability Assessment Schedule. Results The Chinese version of the PaArticular Scales had excellent reliability, with a Cronbach [alpha] coefficient of 0.975 (mean score, 28.98; standard deviation, 17.34). An exploratory factor analysis showed three factors and one factor with an eigenvalue > 1 that explained 75.176 and 62.83 % of the total variance in the Activity subscale and Participation subscale, respectively. The subscale-to-total scale correlation analysis showed Pearson correlation coefficients of 0.881 for the Activity subscale and 0.843 for the Participation subscale. Pearson's product-moment correlation revealed that the correlation coefficient (r) between the Chinese version of the PaArticular Scales and the World Health Organization Disability Assessment Schedule was 0.770, whereas that for the World Health Organization Quality of Life scale was - 0.553; these values were interpreted as large coefficients. Conclusions The underlying theoretical model of the Chinese version of the PaArticular Scales functions well in Taiwan and has acceptable levels of reliability and validity. However, the Chinese version must be further tested for applicability and generalizability in future studies, preferably with a larger sample and in different clinical domains. Keywords: Activity, Elderly residents, Joint contractures, Long-term care facilities, Participation, Reliability, Validity