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Revista Colombia Médica
Universidad del Valle - Facultad de Salud
ISSN: 0120-8322
EISSN: 1657-9534
Vol. 45, No. 4, 2014, pp. 179-185
Bioline Code: rc14030
Full paper language: English
Document type: Research Article
Document available free of charge

Revista Colombia Médica, Vol. 45, No. 4, 2014, pp. 179-185

 es Escala de Empoderamiento sobre la Salud para Adultos Mayores. Adaptación al español y análisis psicométrico
Azcurra, Daniel Jorge Luis Serrani

Resumen

Introduccion: Empoderamiento se refiere a las habilidades que le permiten al paciente convertirse en responsable de tomar las decisiones para el control diario de sus problemas de salud. A pesar de ser un concepto tan importante, particularmente para adultos mayores con problemas cronicos de salud, hay pocos instrumentos accesibles que hayan sido validados para su uso en hispano-hablantes.
Objetivo: Traducir y adaptar la Escala de Empoderamiento sobre la Salud (EES) para una muestra de adultos mayores hispano-hablantes y llevar a cabo su validacion psicometrica.
Metodos: La EES se adapto basandose en la Escala de Empoderamiento de la Diabetes version corta. Donde se mencionaba gdiabetesh en el instrumento original, se reemplazo con el termino gsaludh para cubrir todos los tipos de condiciones que podrian afectar el Empoderamiento sobre la salud. Se realizaron analisis estadisticos y psicometricos sobre 648 adultos mayores residentes urbanos.
Resultados: La EES tuvo una consistencia interna aceptable con un α de Cronbach de 0.89. la validez convergente se apoyo en un coeficiente de correlacion de Pearson significativo entre la EES total y por items y la Escala General de Auto-eficacia (r= 0.77), la Escala de Empoderamiento para la Enfermedad Reumatica version Sueca (r= 0.69) y la Escala de Empoderamiento Tomando Decisiones (r= 0.70). La validez de Constructo se evaluo mediante analisis de item, test de las dos mitades y coeficiente de correlacion item corregido total (α >0.8). La validez de contenido se apoyo por los Indices de Validez de Contenido para la Escala y para los items de 0.98 y 1.0, respectivamente.
Conclusiones: La EES tuvo una validez y confiabilidad aceptables, que sumados a su facilidad de administracion y comprension simple y sin sesgos podria constituirse en una herramienta confiable para evaluar programas educativos medicos basados en el Empoderamiento de pacientes mayores ambulatorios.

Palabras-clave
Empoderamiento del paciente; Escala de calificación de el factor del constructo; enfermedades cronicas; anciano; uso del servicio de salud

 
 en Elders Health Empowerment Scale. Spanish adaptation and psychometric analysis
Azcurra, Daniel Jorge Luis Serrani

Abstract

Introduction: Empowerment refers to patient skills that allow them to become primary decision-makers in control of daily self-management of health problems. As important the concept as it is, particularly for elders with chronic diseases, few available instruments have been validated for use with Spanish speaking people.
Objective: Translate and adapt the Health Empowerment Scale (HES) for a Spanish-speaking older adults sample and perform its psychometric validation.
Methods: The HES was adapted based on the Diabetes Empowerment Scale-Short Form. Where “diabetes” was mentioned in the original tool, it was replaced with “health” terms to cover all kinds of conditions that could affect health empowerment. Statistical and Psychometric Analyses were conducted on 648 urban-dwelling seniors.
Results: The HES had an acceptable internal consistency with a Cronbach’s α of 0.89. The convergent validity was supported by significant Pearson’s Coefficient correlations between the HES total and item scores and the General Self Efficacy Scale (r= 0.77), Swedish Rheumatic Disease Empowerment Scale (r= 0.69) and Making Decisions Empowerment Scale (r= 0.70). Construct validity was evaluated using item analysis, half-split test and corrected item to total correlation coefficients; with good internal consistency (α> 0.8). The content validity was supported by Scale and Item Content Validity Index of 0.98 and 1.0, respectively.
Conclusions: HES had acceptable face validity and reliability coefficients; which added to its ease administration and users’ unbiased comprehension, could set it as a suitable tool in evaluating elder’s outpatient empowerment-based medical education programs

Keywords
Patient empowerment; factor contruct rating scale; chronic diseases; elderly; health care utilization

 
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Alternative site location: http://colombiamedica.univalle.edu.co

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