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

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-tran...

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Autores principales: Saucedo Figueredo, María Carmen, Morilla Herrera, Juan Carlos, San Alberto Giraldos, Mercedes, López Leiva, Inmaculada, León Campos, Álvaro, Martí García, Celia, García Mayor, Silvia, Kaknani Uttumchandani, Shakira, Morales Asencio, José Miguel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828442/
https://www.ncbi.nlm.nih.gov/pubmed/29486002
http://dx.doi.org/10.1371/journal.pone.0192690
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author Saucedo Figueredo, María Carmen
Morilla Herrera, Juan Carlos
San Alberto Giraldos, Mercedes
López Leiva, Inmaculada
León Campos, Álvaro
Martí García, Celia
García Mayor, Silvia
Kaknani Uttumchandani, Shakira
Morales Asencio, José Miguel
author_facet Saucedo Figueredo, María Carmen
Morilla Herrera, Juan Carlos
San Alberto Giraldos, Mercedes
López Leiva, Inmaculada
León Campos, Álvaro
Martí García, Celia
García Mayor, Silvia
Kaknani Uttumchandani, Shakira
Morales Asencio, José Miguel
author_sort Saucedo Figueredo, María Carmen
collection PubMed
description 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.
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spelling pubmed-58284422018-03-19 Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia Saucedo Figueredo, María Carmen Morilla Herrera, Juan Carlos San Alberto Giraldos, Mercedes López Leiva, Inmaculada León Campos, Álvaro Martí García, Celia García Mayor, Silvia Kaknani Uttumchandani, Shakira Morales Asencio, José Miguel PLoS One Research Article 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. Public Library of Science 2018-02-27 /pmc/articles/PMC5828442/ /pubmed/29486002 http://dx.doi.org/10.1371/journal.pone.0192690 Text en © 2018 Saucedo Figueredo et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Saucedo Figueredo, María Carmen
Morilla Herrera, Juan Carlos
San Alberto Giraldos, Mercedes
López Leiva, Inmaculada
León Campos, Álvaro
Martí García, Celia
García Mayor, Silvia
Kaknani Uttumchandani, Shakira
Morales Asencio, José Miguel
Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia
title Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia
title_full Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia
title_fullStr Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia
title_full_unstemmed Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia
title_short Validation of the Spanish version of the Edinburgh Feeding Evaluation in Dementia Scale for older people with dementia
title_sort validation of the spanish version of the edinburgh feeding evaluation in dementia scale for older people with dementia
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5828442/
https://www.ncbi.nlm.nih.gov/pubmed/29486002
http://dx.doi.org/10.1371/journal.pone.0192690
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