The abstract is read at the publisher; the summary is JClub's.
A nine-item EMFRA scale in 201 community, day-care, and nursing-centre older adults aged ≥65 years supports a two-factor structure (Autonomy, Psychological Distress) with factor reliability.
- Why it matters: EMFRA was created to measure multidimensional functioning and risks, but its initial structure and scoring rules were unclear, limiting confidence for use in older adults.
- What they did: They tested dimensionality using bootstrap parallel analysis, bootstrap exploratory graph analysis, and factor analysis, then refined items and evaluated reliability (omega, ICC), measurement error (MDC95), and correlations with SPPB, MoCA, Barthel Index, and HADS.
- The result: The nine-item version fit was limited (TLI = 0.80; RMSEA = 0.13), total-score omega was low (0.409), factor omega was adequate (0.840 and 0.785), and test-retest ICCs were 0.82 and 0.78; factors correlated with SPPB/MoCA/Barthel and HADS, implying separate factor scoring but needing further external validation.
The findingWhy it mattersWhat they didThe result
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