Fragilidad y riesgo de dependenciael cuestionario de Barber en estudios poblacionales
- Eduardo J Pedrero-Pérez 1
- Sara Morales-Alonso 1
- Ester Rodríguez-Rives 1
- Irene Valero-Oteo 1
- Blanca Álvarez-Crespo 1
- José Manuel Díaz-Olalla 1
- María Teresa Benítez-Robredo 1
- 1 Ayuntamiento de Madrid
ISSN: 1134-928X
Year of publication: 2022
Volume: 33
Issue: 2
Pages: 76-81
Type: Article
More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica
Abstract
ABSTRACT Introduction: Functional dependence is a growing problem, linked to increasing age, especially in industrialized countries. Population studies allow an approach to the magnitude of the problem. Objectives: Barber's questionnaire is a widely used instrument for the detection of risk of dependence, vulnerability or frailty in older adults. No works have been found that apply it in population-based studies, where, due to its simplicity, it could be useful. Methodology: The questionnaire was included in a Health Survey, with a representative sample (n = 1,882 subjects) of people aged 65 years or more, from a big city (Madrid, Spain) and the evidence of validity is presented based on the internal structure and the relationship with other variables of convergent and discriminant type. Results: A unifactorial solution was obtained, with adequate internal consistency according to several multivariate indicators. Significant differences were found by sex, both at the scale and item level. Significant correlations also appeared between the total test score and other variables, such as health-related quality of life, age, and sense of loneliness. A total of 58.1% of the sample obtained scores suggesting vulnerability (65.3% of the women). Conclusions: The results suggest the usefulness of the Barber questionnaire, as a reliable and valid test, to detect situations of frailty or vulnerability in older adults, which would facilitate comparability between population surveys, overcoming the current tendency to include dozens of questions in other regional or national surveys.
Bibliographic References
- (2019). Instituto Nacional de Estadística Avance de la Estadística del Padrón Continuo a 1 de enero de 2019. Datos provisionales. INE.
- Islas-Granillo, H,Medina-Solís, CE,Márquez-Corona, ML,Rosa-Santillana, R de la,Fernández-Barrera, MA,Villalobos-Rodelo, JJ. (2018). Prevalence of multimorbidity in subjects aged =60 years in a developing country. Clin Interv Aging. 13. 1129
- Rodgers, W,Miller, B. (1997). A comparative analysis of ADL questions in surveys of older people. J Gerontol B Psychol Sci Soc Sci. 52. 21-36
- (2001). IMSERSO Vejez y protección social a la dependencia en Europa. Ministerio de Trabajo y Asuntos Sociales, Instituto de Migraciones y Servicios Sociales. IMSERSO. Madrid.
- Abellán García, A,Ramiro Fariñas, D,Pérez Díaz, J,Aceituno Nieto, P,Ayala García, A,Pujol Rodríguez, R. (2019). Un perfil de las personas mayores en España 2019. Indicadores estadísticos básicos.
- Álvarez-Hernández, G,Delgado-de la Mora, J. (2015). Diseño de estudios epidemiológicos. I. El estudio transversal: tomando una fotografía de la salud y la enfermedad. Boletín Clínico Hospital Infantil del Estado de Sonora. 32. 26-34
- Hernández-Ávila, M,Garrido, F,Salazar-Martínez, E. (2000). Sesgos en estudios epidemiológicos. Salud Pública de México. 42. 438
- (2018). Gobierno de España. Ministerio de Sanidad Encuesta Nacional de Salud de España 2017. Ministerio de Sanidad. Madrid.
- Katz, S,Ford, AB,Moskowitz, RW,Jackson, BA,Jaffe, MW. (1963). Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA. 185. 914
- Lawton, MP,Brody, EM. (1969). Assessment of older people: Selfmaintaining and instrumental activities of daily living. Gerontologist. 9. 179
- Edjolo, A,Proust-Lima, C,Delva, F,Dartigues, JF,Pérès, K. (2016). Natural history of dependency in the elderly: a 24-year population-based study using a longitudinal item response theory model. Am J Epidem. 183. 277
- Pialoux, T,Goyard, J,Lesourd, B. (2012). Screening tools for frailty in primary health care: A systematic review. Geriatr Gerontol Int. 12. 189
- Barber, JH. (1981). Geriatric screening. J R Coll Gen Pract. 31. 57
- Barber, JH,Wallis, JB,McKeating, E. (1980). A postal screening questionnaire in preventive geriatric care. J R Coll Gen Pract. 30. 49-51
- Molina-Garrido, MJ,Guillen-Ponce, C. (2011). Comparison of two frailty screening tools in older women with early breast cancer. Crit Rev Oncol Hematol. 79. 51-64
- Rojas, V,Pablo, MP,Herrera, ME,Carrasco, M,Bartolotti, C,Galindo, H. (2013). Are the diagnostic tools of ECOG, VES-13 and scales of frailty of Balducci and Rockwood useful to investigate the vulnerability in the older people with cancer?. J Geriatr Oncol. 4. 85
- González-Moneo, MJ,Sánchez-Benavides, G,Verdu-Rotellar, JM,Cladellas, M,Bruguera, J,Qiñones-Ubeda, S. (2016). Ischemic aetiology, self-reported frailty, and gender with respect to cognitive impairment in chronic heart failure patients. BMC Cardiovasc Disord. 16.
- Parks, RM,Lakshmanan, R,Winterbottom, L,Morgan, DA,Cox, K,Cheung, KL. (2012). Comprehensive geriatric assessment for older women with early breast cancer-a systematic review of literature. World J Surg Oncol. 10.
- Romera, L,Orfila, F,Segura, JM,Ramirez, A,Möller, M,Fabra, ML. (2014). Effectiveness of a primary care based multifactorial intervention to improve frailty parameters in the elderly a randomised clinical trial: rationale and study design. BMC Geriatr. 14.
- Martín-Lesende, I,Rodríguez-Andrés, C. (2005). Utilidad del cuestionario de Barber para seleccionar a personas de 75 años o más con riesgo de hospitalización, institucionalización o muerte. Rev Esp Geriatr Gerontol. 40. 335
- Larizgoitia, A,Larizgoitia, I. (1996). Adaptación en nuestro medio de una encuesta para la detección de ancianos con riesgo de dependencia. Revista Multidisciplinar de Gerontología. 6. 224
- Nelson, E,Wasson, J,Kirk, J,Keller, A,Clark, D,Dietrich, A. (1987). Assessment of function in routine clinical practice: description of the COOP chart method and preliminary findings. J Clin Epidemiol. 40. 55-63
- López Alonso, SR,Navarro Casado, F,González Rojo, J,Martínez Sánchez, CM,Romero Cañadillas, AB. (2009). Validity, reliability and convergence of COOP/WONCA and EUROQoL, via telephone, on people suffering from hip and knee osteoarthritis. Index de Enfermería. 18. 195-200
- Pedrero-Pérez, EJ,Díaz-Olalla, JM. (2016). COOP/WONCA: Reliability and validity of the test administered by telephone. Aten Primaria. 48. 25-32
- Serrano-Gallardo, P,Lizán-Tudela, L,Díaz-Olalla, JM,Otero, A. (2009). Reference population values of the Spanish version of the COOP/ WONCA charts of quality of life in an urban adult population. Med Clin (Barc). 132. 336
- Rocha, KB,Pérez, K,Rodríguez-Sanz, M,Borrell, C,Obiols, JE. (2011). Psychometric properties and normative values of the General Health Questionnaire (GHQ-12) in general Spanish population. Int J Clin Health Psychol. 11. 125
- Makowska, Z,Merecz, D,Moscicka, A,Kolasa, W. (2002). The validity of general health questionnaires, GHQ-12 and GHQ-28, in mental health studies of working people. Int J Occup Med Environ Health. 15. 353
- Montejo-Carrasco, P,Montenegro-Peña, M,Prada Crespo, D,García Mulero, E,García Marín, A,Pedrero Pérez, EJ. (2019). Quejas de memoria: salud mental, enfermedades, dolor y soledad. Estudio poblacional en la ciudad de Madrid. Rev Neurol. 69. 481
- Díaz Olalla, JM,Benítez Robredo, MT,Rodríguez Pérez, M,Sanz Cuesta, MR. (2020). Estudio de Salud de la Ciudad de Madrid 2018. Madrid Salud. Madrid.
- Kelly, J. (2008). Encyclopedia of Survey Research Methods. Sage Publications. Thousand Oaks, CA, UA.
- Díaz-Olalla, J,Benítez-Robredo, T. (2015). Estudio de Salud de la Ciudad de Madrid 2014. Madrid Salud. Madrid.
- Domingo-Salvany, A,Bacigalupe, A,Carrasco, JF,Espelt, A,Ferrando, J,Borrell, C. (2013). Proposals for social class classification based on the Spanish National Classification of Occupations 2011 using neo-Weberian and neo-Marxist approaches. Gac Sanit. 27. 263
- Hancock, GR,Mueller, RO. (2000). Structural equation modeling: Present and future. Scientific Software. Lincolnwood, IL.
- McNeish, D. (2018). Thanks coefficient alpha, we'll take it from here. Psychol Methods. 23. 412
- Peters, G-JY. (2014). The alpha and the omega of scale reliability and validity: Why and how to abandon Cronbach's alpha and the route towards more comprehensive assessment of scale quality. European Health Psychologist. 16. 56-69
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences. 2. Erlbaum. Hillsdale, NJ.
- Lorenzo-Seva, U,Ferrando, PJ. (2006). FACTOR A computer program to fit the exploratory factor analysis model. Behav Res Methods. 38. 88-91
- Hay, SI,Abajobir, AA,Abate, KH,Abbafati, C,Abbas, KM,Abd-Allah, F. (2017). Global, regional, and national disability-adjusted life-years (DALYs) for 333 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990-2016: A systematic analysis for the Global Burden of Disease Study 2016. Lancet. 390. 1260
- García-Continente, X,Pérez-Giménez, A,López, MJ,Nebot, M. (2014). Potencial sesgo de selección en las encuestas telefónicas: teléfonos fijos y móviles. Gac Sanit. 28. 170