Translation, Adaptation, and Validation of the Preparedness Assessment Instrument for the Transition Home
Abstract
Introduction: Stroke is one of the leading causes of disability, affecting both survivors and caregivers. Assessing caregiver preparedness for the transition to home using a validated instrument will optimally address care needs.
Objective: To translate, adapt, and validate the psychometric properties of the assessment instrument for caregiver preparedness for the transition to home in Mexico.
Methodology: A methodological study comprising seven stages: translation, semantic adaptation, expert validation, style correction, pilot testing, psychometric properties, and factorial analysis.
Results: Item Validity Index: 0.37; Validity Criterion: 24% error; Content Validity Index: 10. Kendall’s W coefficients: coherence [141.848/p= 0.000], clarity [143.312/p= 0.000], relevance [159.631/p= 0.000], sufficiency [59.885/p= 0.000]. The final version's criterion validity, assessed using the Kaiser-Meyer-Olkin analysis, was 0.832. Bartlett’s sphericity test [X2 =2158.306, gl = 300, p = 0.000]. Exploratory factor analysis identified seven factors, explaining 63.38% of the total variance. Confirmatory factor analysis demonstrated an adequate model fit: (X2 = 779.423, gl = 269, p = 0.000; CFI = 0.741; TLI = 0.687; NFI= 0.660; AIC= 941.423; PNFI= 0.547; RMSEA = 0.087 IC [.080/.094]) The final internal consistency is 0.86 according to Cronbach's alpha.
Conclusions: The instrument in Mexico retains 25 items distributed across seven domains, proving valid and reliable for this population.
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