Calibrating EASY-Care independence scale to improve accuracy.

AT Jotheeswaran; Amit Dias; Ian Philp; Vikram Patel; Martin Prince; (2016) Calibrating EASY-Care independence scale to improve accuracy. Age and ageing, 45 (6). pp. 890-893. ISSN 0002-0729 DOI: 10.1093/ageing/afw106
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BACKGROUND: there is currently limited support for the reliability and validity of the EASY-Care independence scale, with little work carried out in low- or middle-income countries. Therefore, we assessed the internal construct validity and hierarchical and classical scaling properties among frail dependent older people in the community. OBJECTIVE: we assessed the internal construct validity and hierarchical and classical scaling properties among frail dependent older people in the community. METHODS: three primary care physicians administered EASY-Care comprehensive geriatric assessment for 150 frail and/or dependent older people in the primary care setting. A Mokken model was applied to investigate hierarchical scaling properties of EASY-Care independence scale, and internal consistency (Cronbach's alpha) of the scale was also examined. RESULTS: we found that EASY-Care independence scale is highly internally consistent and is a strong hierarchical scale, hence providing strong evidence for unidimensionality. However, two items in the scale (unable to use telephone and manage finances) had much lower item Loevinger H coefficients than others. Exclusion of these two items improved the overall internal consistency of the scale. CONCLUSIONS: the strong performance of the EASY-Care independence scale among community-dwelling frail older people is encouraging. This study confirms that EASY-Care independence scale is highly internally consistent and a strong hierarchical scale.


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