title: Development of a Multidimensional Functional Health Scale for Older Adults in China.
abstract: A first step to achieve successful aging is assessing functional wellbeing of older adults. This study reports the development of a culturally appropriate brief scale (the Multidimensional Functional Health Scale for Chinese Elderly, MFHSCE) to assess the functional health of Chinese elderly. Through systematic literature review, Delphi method, cultural adaptation, synthetic statistical item selection, Cronbach's alpha and confirmatory factor analysis, we conducted development of item pool, two rounds of item selection, and psychometric evaluation. Synthetic statistical item selection and psychometric evaluation was processed among 539 and 2032 older adults, separately. The MFHSCE consists of 30 items, covering activities of daily living, social relationships, physical health, mental health, cognitive function, and economic resources. The Cronbach's alpha was 0.92, and the comparative fit index was 0.917. The MFHSCE has good internal consistency and construct validity; it is also concise and easy to use in general practice, especially in communities in China.
authors.affiliation: State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiangan Campus, Xiamen University, Xiamen, 361102, China.
authors.forename: Fanzhen
authors.initials: F
authors.lastname: Mao
authors.affiliation: State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiangan Campus, Xiamen University, Xiamen, 361102, China.
authors.forename: Yaofeng
authors.initials: Y
authors.lastname: Han
authors.affiliation: State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiangan Campus, Xiamen University, Xiamen, 361102, China.
authors.forename: Junze
authors.initials: J
authors.lastname: Chen
authors.affiliation: State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiangan Campus, Xiamen University, Xiamen, 361102, China.
authors.forename: Wei
authors.initials: W
authors.lastname: Chen
authors.affiliation: State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiangan Campus, Xiamen University, Xiamen, 361102, China.
authors.forename: Manqiong
authors.initials: M
authors.lastname: Yuan
authors.affiliation: Health Promotion and Community Health Sciences, School of Public Health, Texas A&M Health Science Center, 1266 TAMU, College Station, TX, 77843, USA. yhong@sph.tamhsc.edu.
authors.forename: Y
authors.initials: Y
authors.lastname: Alicia Hong
authors.affiliation: State Key Laboratory of Molecular Vaccinology and Molecular Diagnostics, Key Laboratory of Health Technology Assessment of Fujian Province University, School of Public Health, Xiangan Campus, Xiamen University, Xiamen, 361102, China. fangya@xmu.edu.cn.
authors.forename: Ya
authors.initials: Y
authors.lastname: Fang
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D003071:Cognition; D005163:Factor Analysis, Statistical; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006304:Health Status; D006801:Humans; D007398:Interpersonal Relations; D008297:Male; D008603:Mental Health; D008875:Middle Aged; D011594:Psychometrics; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires
keywords: Culturally appropriate; Functional health; Multidimensional assessment; Older adults; Scale