Escala diagnostica adaptativa operacionalizada redefinida: precisão e validade com pessoas idosas / Escala Diagnóstica Adaptativa Operacionalizada-Redefinida: reliability and validity for elderly people

AUTOR(ES)
DATA DE PUBLICAÇÃO

2002

RESUMO

Considering the evidence of reliability and validity of the Escala Diagnóstica Adaptativa Operacionalizada-Redefinida (EDAO-R) when applied to adults, and the necessity to expand the range of tools and procedures available for the assessment of the elderly people, the main goal of this study is to estimate EDAO-Rs reliability and convergent validity applied to the elderly people. Ss were 80 older persons (60 years old or more), of both genders (85% of women), who attend to third age groups. The majority (66,25%) was in the young-old group (60-69 years old), was either married (42,5%) or widowed (40%), having son (83,75%), catholic (75%), retired (61,25%), with many different professions, living in their own home (83,75%), alone (28,75%) or with husband / wife (27,5%), and of middle class (61,3%). EDAO-R is a clinical assessment, and then the reliability was taken from an interrater coefficient (Cohens kappa) between two independent judges. The convergent validity was taken across assessment instruments, Ferrans and Powers Quality of Life Index (IQV) and the Geriatric Depression Scale (GDS-15), as external criterion. The results showed statistically significant interaction, taken through the Spearmans correlation test, between EDAO-R and age (rs= -0,261, p<0,01) and, through the Contingency test between EDAO-R and the persons occupational conditions (C=0,468, p<0,05). The sample tended to the best adaptive levels when assessment through EDAO-R, as to the best scores when assessment through IQV and GDS-15. The reliability for the adaptive efficacy was κ =0,503. When analyzed by EDAO-Rs sectors, the Affective-Relational had k=0,551; Productivity had k=0,459; Organic had k=0,612 and the Social-Cultural had k=0,650, which are considered from fair to good. Statistically significant interactions were observed through Spearmans correlation test, between EDAO-R and IQV (rs=-0,449, p<0,01) and between EDAO-R and GDS-15 (rs=0,397, p<0,01). The results are discussed considering the socio-demographic profile of the sample, and indicate that EDAO-R is a reliable and valid measure of the adaptive efficacy when applied to the elderly people who attend to third age groups. Besides that, considering the used operational assessment categories, its possible to obtain good agreement scores between independent judges.

ASSUNTO(S)

adaptive efficacy psicologia reliability eficácia adaptativa avaliação da pessoa idosa convergent validity precisão elderly people assessment validade convergente

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