Clinimetric Properties of the Integrated Self-Screening Instrument for Geriatric Health Testing (INSIGHT) to Identify Healthcare Problems Among Older Adults.
Administration of comprehensive geriatric assessment is time-consuming and labor intensive. A new instrument, the Integrated Self-Screening Instrument for Geriatric Health Testing (INSIGHT), was developed to quickly identify common geriatric problems. The present study evaluated the clinimetric prop...
| Publicado en: | Inquiry (00469580) Vol. 63; pp. 1 - 15 |
|---|---|
| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Sage Publications Inc.
8/29/2026
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=hlh&AN=196569629&site=ehost-live header: @attributes: shortDbName: hlh uiTerm: 196569629 longDbName: Humanities International Complete uiTag: AN controlInfo: bkinfo: jinfo: jid: 00469580 INQ jtl: Inquiry (00469580) issn: 00469580 maglogo: Y pubinfo: dt: 8/29/2026 vid: 63 pid: 344 pub: Sage Publications Inc. artinfo: ui: 196569629 10.1177/00469580261483969 ppf: 1 ppct: 14 formats: tig: atl: Clinimetric Properties of the Integrated Self-Screening Instrument for Geriatric Health Testing (INSIGHT) to Identify Healthcare Problems Among Older Adults. aug: au: Chang, Chia-Ming Wang, Ya-Li Chiu, Ching-Ju Lin, Chung-Ying Huang, Chi-Chang Griffiths, Mark D. Chen, Mei-Ju Chao, Hui-Chen Yang, Yi-Ching affil: Department of Geriatrics and Gerontology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan Department of Medicine, College of Medicine, National Cheng Kung University, Tainan, Taiwan Institute of Gerontology, College of Medicine, National Cheng Kung University, Tainan, Taiwan Formosan Association of Care and Education for the Seniors, Taiwan Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan School of Nursing, College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan Department of Public Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan Biostatistics Consulting Center, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan Nottingham Institute of Psychology, Nottingham Trent University, Nottingham, UK Department of Senior Service, College of Humanities and Social Science, Southern Taiwan University of Science and Technology, Tainan, Taiwan Department of Senior Citizen Services, National Tainan Junior College of Nursing, Tainan, Taiwan Department of Family Medicine, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan su: Chronic disease diagnosis Self-evaluation Multitrait multimethod techniques Research funding Urinary incontinence Cronbach's alpha Research methodology evaluation Research evaluation Questionnaires Vision Scientific observation Statistical sampling Frail elderly Tertiary care Descriptive statistics Polypharmacy Longitudinal method Geriatric assessment Pain Research methodology Psychometrics Cognition disorders Medical screening Hearing Data analysis software Factor analysis Sarcopenia Activities of daily living Social participation Accidental falls Nutrition Drug utilization Cognition Mental depression sug: subj: Chronic disease diagnosis Self-evaluation Multitrait multimethod techniques Research funding Urinary incontinence Cronbach's alpha Research methodology evaluation Research evaluation Questionnaires Vision Scientific observation Statistical sampling Frail elderly Tertiary care Descriptive statistics Polypharmacy Longitudinal method Geriatric assessment Pain Research methodology Psychometrics Cognition disorders Medical screening Hearing Data analysis software Factor analysis Sarcopenia Activities of daily living Social participation Accidental falls Nutrition Drug utilization Cognition Mental depression keyword: geriatric assessment geriatric syndromes health screening multimorbidity older adults psychometric validation self-screening ab: Administration of comprehensive geriatric assessment is time-consuming and labor intensive. A new instrument, the Integrated Self-Screening Instrument for Geriatric Health Testing (INSIGHT), was developed to quickly identify common geriatric problems. The present study evaluated the clinimetric properties of the INSIGHT. Content Validity Index (CVI) was measured via expert review. Older adults (≥65 years) attending geriatric outpatient visits for the first time (N=224) completed the INSIGHT. Internal consistency was calculated using McDonald's ω, greatest lower bound, and Cronbach's α. Factor structure was evaluated using parallel analysis and exploratory factor analysis (EFA) based on domain scores. After two rounds of expert review, scale-level CVI/universal agreement was 0.95, and all scale-level CVIs/average were 1.00. Using the INSIGHT, 15.2% of the 224 participants had no potential health problems identified, while 14.3% had one, and over 70% had ≥ two. Internal consistency was good (> 0.8), and EFA confirmed unidimensionality with all domain factor loadings >0.3. The INSIGHT demonstrates good content validity, internal consistency, and unidimensional structure, supporting its reliability for rapid geriatric health screening. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: Y dt: @attributes: year: 2026 holdings: @attributes: islocal: N |
|---|