Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia.

Autor: Saucedo Figueredo MC; Los Boliches Health Centre, Costa del Sol Primary Health Care District, Málaga, Spain., Morilla Herrera JC; Nursing Home Unit Málaga-Guadalhorce, Primary Health Care District, Málaga, Spain; Faculty of Health Sciences, University of Málaga, Málaga, Spain., San Alberto Giraldos M; La Lobilla Health Centre, Costa del Sol Primary Health Care District, Málaga, Spain., López Leiva I; Department of Nursing, Faculty of Health Sciences University of Málaga, Málaga, Spain., León Campos Á; Department of Nursing, Comillas University, Salamanca, Spain., Martí García C; Department of Nursing, Faculty of Health Sciences University of Málaga, Málaga, Spain., García Mayor S; Department of Nursing, Faculty of Health Sciences University of Málaga, Málaga, Spain., Kaknani Uttumchandani S; Red Cross School of Nursing, Sevilla, Spain., Morales Asencio JM; Department of Nursing, Faculty of Health Sciences University of Málaga, Málaga, Spain.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2018 Feb 27; Vol. 13 (2), pp. e0192690. Date of Electronic Publication: 2018 Feb 27 (Print Publication: 2018).
DOI: 10.1371/journal.pone.0192690
Abstrakt: Aims: To adapt the Edinburgh Feeding Evaluation in Dementia Scale (EdFED) for use in a Spanish-speaking population and to assess its validity and reliability in patients with dementia.
Method: A cross-sectional study was carried out in two stages: 1. Cross-cultural adaptation (translation, back-translation, review by committee of experts, pilot test and weighting of results); 2. Clinimetric validation comprising interobserver reliability assessment, test-retest reliability and internal consistency. To determine construct validity, confirmatory factorial analysis and principal components analysis were performed by oblique rotations. Criteria validity was analysed using the Pearson correlation (p<0.05) with the BMI, MNA and analytical values of albumin, transferrin, cholesterol, absolute lymphocytes and total proteins. Data collection was carried out for six months in 2016 in nursing homes and Alzheimer's day centers in the province of Málaga (Spain), at nine centers, with 262 patients (aged over 60 years and presenting feeding difficulties), 20 nurses, 20 professional caregivers and 103 family caregivers.
Results: A version of EdFED culturally adapted to Spanish was obtained. The sample presented the following characteristics: 76.3% women, mean age 82.3 years (SD: 7.9); MNA 18.73 (SD: 4.44); BMI 23.99 (SD: 4.72); serum albumin 3.79 mg/dl (SD: 0.36). A Cronbach's alpha of 0.88 was obtained, with an inter-item global correlation of 0.43 and a homogeneity index ranging from 0.42 to 0.73. The exploratory factor analysis reproduced the three-factor model identified by the original authors, explaining 62.32% of the total variance. The criterion validity showed a good inverse correlation with MNA and a moderate one with albumin, total proteins, transferrin and BMI.
Discussion: The Spanish version of EdFED is reliable and valid for use in elderly people with dementia. The most appropriate for our environment is the three-factor model, which maintains the original factors, with a slight redistribution of the items.
Databáze: MEDLINE
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