Validation of Perceived Mental Fatigability Using the Pittsburgh Fatigability Scale
Objectives Establish reliability, concurrent and convergent validity of the Pittsburgh Fatigability Scale (PFS) Mental subscale. Design Cross‐sectional. Setting Older adults from two University of Pittsburgh registries, Baltimore Longitudinal Study of Aging (BLSA), and Long Life Family Study (LLFS)....
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| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2021-05, Vol.69 (5), p.1343-1348 |
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| creator | Renner, Sharon W. Bear, Todd M. Brown, Patrick J. Andersen, Stacy L. Cosentino, Stephanie Gmelin, Theresa Boudreau, Robert M. Cauley, Jane A. Qiao, Yujia (Susanna) Simonsick, Eleanor M. Glynn, Nancy W. |
| description | Objectives
Establish reliability, concurrent and convergent validity of the Pittsburgh Fatigability Scale (PFS) Mental subscale.
Design
Cross‐sectional.
Setting
Older adults from two University of Pittsburgh registries, Baltimore Longitudinal Study of Aging (BLSA), and Long Life Family Study (LLFS).
Participants
PFS Mental subscale validation was conducted using three cohorts: (1) Development Sample (N = 664, 59.1% women, age 74.8 ± 6.4 years, PFS Mental scores 10.3 ± 9.1), (2) Validation Sample I—BLSA (N = 430, 51.9% women, age 74.5 ± 8.2 years, PFS Mental scores 9.4 ± 7.9), and (3) Validation Sample II—LLFS (N = 1,917, 54.5% women, age 72.2 ± 9.3 years, PFS Mental scores 7.5 ± 8.2).
Measurements
Development Sample, Validation Sample I—BLSA, and Validation Sample II—LLFS participants self‐administered the 10‐item Pittsburgh Fatigability Scale. Validation Sample II—LLFS completed cognition measures (Trail Making Tests A and B), depressive symptomatology (Center for Epidemiologic Studies—Depression Scale, CES‐D), and global fatigue from two CES‐D items.
Results
In the Development Sample and Validation Sample I—BLSA, confirmatory factor analysis showed all 10 items loaded on two factors: social and physical activities (fit indices: SRMSR = 0.064, RMSEA = 0.095, CFI = 0.91). PFS Mental scores had strong internal consistency (Cronbach's α = 0.85) and good test‐retest reliability (ICC = 0.78). Validation Sample II—LLFS PFS Mental scores demonstrated moderate concurrent and construct validity using Pearson (r) or Spearman (ρ) correlations against measures of cognition (Trail Making Tests A (r = 0.14) and B (r = 0.17) time), depressive symptoms (r = 0.31), and global fatigue (ρ = 0.21). Additionally, the PFS Mental subscale had strong convergent validity, discriminating according to established clinical or cognitive testing cut points, with differences in PFS Mental scores ranging from 3.9 to 7.6 points (all P |
| doi_str_mv | 10.1111/jgs.17017 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8127403</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2527376511</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4437-a14984b82453585e85100564898e892bdb73d3d5bd7564a5af5d0f52cfe17a863</originalsourceid><addsrcrecordid>eNp1kctKxDAUhoMoOl4WvoAU3OiimpNLk24EEa8oCqNuQ9qmnQyZVpNWmbc3OioqeDaBcz4-_vAjtA34AOIcTptwAAKDWEIj4JSknAFfRiOMMUllBmwNrYcwxRgIlnIVrVHKsjwHNkLjR-1spXvbtUlXJ3fGl8a-mCq5MW2vXXIWT40urLP9PHkItm2SfmKSO9v3oRh8M_lNjEvtzCZaqbULZuvz3UAPZ6f3Jxfp9e355cnxdVoyRkWqgeWSFZIwTrnkRnLAmGdM5tLInBRVIWhFK15UIm411zWvcM1JWRsQWmZ0Ax0tvE9DMTNVGRN77dSTtzPt56rTVv2-tHaimu5FSSCCYRoFe58C3z0PJvRqZkNpnNOt6YagCBM5A5Fn7-juH3TaDb6N31OEE0FFxgEitb-gSt-F4E39HQaweq9KxarUR1WR3fmZ_pv86iYChwvg1Toz_9-krs7HC-UbR3GdSw</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2527376511</pqid></control><display><type>article</type><title>Validation of Perceived Mental Fatigability Using the Pittsburgh Fatigability Scale</title><source>MEDLINE</source><source>Access via Wiley Online Library</source><creator>Renner, Sharon W. ; Bear, Todd M. ; Brown, Patrick J. ; Andersen, Stacy L. ; Cosentino, Stephanie ; Gmelin, Theresa ; Boudreau, Robert M. ; Cauley, Jane A. ; Qiao, Yujia (Susanna) ; Simonsick, Eleanor M. ; Glynn, Nancy W.</creator><creatorcontrib>Renner, Sharon W. ; Bear, Todd M. ; Brown, Patrick J. ; Andersen, Stacy L. ; Cosentino, Stephanie ; Gmelin, Theresa ; Boudreau, Robert M. ; Cauley, Jane A. ; Qiao, Yujia (Susanna) ; Simonsick, Eleanor M. ; Glynn, Nancy W.</creatorcontrib><description>Objectives
Establish reliability, concurrent and convergent validity of the Pittsburgh Fatigability Scale (PFS) Mental subscale.
Design
Cross‐sectional.
Setting
Older adults from two University of Pittsburgh registries, Baltimore Longitudinal Study of Aging (BLSA), and Long Life Family Study (LLFS).
Participants
PFS Mental subscale validation was conducted using three cohorts: (1) Development Sample (N = 664, 59.1% women, age 74.8 ± 6.4 years, PFS Mental scores 10.3 ± 9.1), (2) Validation Sample I—BLSA (N = 430, 51.9% women, age 74.5 ± 8.2 years, PFS Mental scores 9.4 ± 7.9), and (3) Validation Sample II—LLFS (N = 1,917, 54.5% women, age 72.2 ± 9.3 years, PFS Mental scores 7.5 ± 8.2).
Measurements
Development Sample, Validation Sample I—BLSA, and Validation Sample II—LLFS participants self‐administered the 10‐item Pittsburgh Fatigability Scale. Validation Sample II—LLFS completed cognition measures (Trail Making Tests A and B), depressive symptomatology (Center for Epidemiologic Studies—Depression Scale, CES‐D), and global fatigue from two CES‐D items.
Results
In the Development Sample and Validation Sample I—BLSA, confirmatory factor analysis showed all 10 items loaded on two factors: social and physical activities (fit indices: SRMSR = 0.064, RMSEA = 0.095, CFI = 0.91). PFS Mental scores had strong internal consistency (Cronbach's α = 0.85) and good test‐retest reliability (ICC = 0.78). Validation Sample II—LLFS PFS Mental scores demonstrated moderate concurrent and construct validity using Pearson (r) or Spearman (ρ) correlations against measures of cognition (Trail Making Tests A (r = 0.14) and B (r = 0.17) time), depressive symptoms (r = 0.31), and global fatigue (ρ = 0.21). Additionally, the PFS Mental subscale had strong convergent validity, discriminating according to established clinical or cognitive testing cut points, with differences in PFS Mental scores ranging from 3.9 to 7.6 points (all P < .001). All analyses were adjusted for family relatedness, field center, age, sex, and education.
Conclusions
The validated PFS Mental subscale may be used in clinical and research settings as a sensitive, one‐page self‐administered tool of perceived mental fatigability in older adults.</description><identifier>ISSN: 0002-8614</identifier><identifier>ISSN: 1532-5415</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.17017</identifier><identifier>PMID: 33469914</identifier><language>eng</language><publisher>Hoboken, USA: John Wiley & Sons, Inc</publisher><subject>Aged ; Aged, 80 and over ; Aging ; Cognitive ability ; cognitive performance ; Cross-Sectional Studies ; depressive symptomatology ; Diagnostic Self Evaluation ; Epidemiology ; Factor analysis ; Factor Analysis, Statistical ; Fatigue ; Female ; Geriatric Assessment - methods ; Humans ; Longitudinal Studies ; Male ; Mental Fatigue - diagnosis ; Older people ; physical function ; Psychiatric Status Rating Scales - standards ; Psychometrics ; Reproducibility of Results ; Statistics, Nonparametric ; Validity</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2021-05, Vol.69 (5), p.1343-1348</ispartof><rights>2021 The American Geriatrics Society</rights><rights>2021 The American Geriatrics Society.</rights><rights>2021 American Geriatrics Society and Wiley Periodicals LLC</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4437-a14984b82453585e85100564898e892bdb73d3d5bd7564a5af5d0f52cfe17a863</citedby><cites>FETCH-LOGICAL-c4437-a14984b82453585e85100564898e892bdb73d3d5bd7564a5af5d0f52cfe17a863</cites><orcidid>0000-0002-2442-6386 ; 0000-0003-2265-0162</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.17017$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.17017$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>230,314,780,784,885,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33469914$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Renner, Sharon W.</creatorcontrib><creatorcontrib>Bear, Todd M.</creatorcontrib><creatorcontrib>Brown, Patrick J.</creatorcontrib><creatorcontrib>Andersen, Stacy L.</creatorcontrib><creatorcontrib>Cosentino, Stephanie</creatorcontrib><creatorcontrib>Gmelin, Theresa</creatorcontrib><creatorcontrib>Boudreau, Robert M.</creatorcontrib><creatorcontrib>Cauley, Jane A.</creatorcontrib><creatorcontrib>Qiao, Yujia (Susanna)</creatorcontrib><creatorcontrib>Simonsick, Eleanor M.</creatorcontrib><creatorcontrib>Glynn, Nancy W.</creatorcontrib><title>Validation of Perceived Mental Fatigability Using the Pittsburgh Fatigability Scale</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
Establish reliability, concurrent and convergent validity of the Pittsburgh Fatigability Scale (PFS) Mental subscale.
Design
Cross‐sectional.
Setting
Older adults from two University of Pittsburgh registries, Baltimore Longitudinal Study of Aging (BLSA), and Long Life Family Study (LLFS).
Participants
PFS Mental subscale validation was conducted using three cohorts: (1) Development Sample (N = 664, 59.1% women, age 74.8 ± 6.4 years, PFS Mental scores 10.3 ± 9.1), (2) Validation Sample I—BLSA (N = 430, 51.9% women, age 74.5 ± 8.2 years, PFS Mental scores 9.4 ± 7.9), and (3) Validation Sample II—LLFS (N = 1,917, 54.5% women, age 72.2 ± 9.3 years, PFS Mental scores 7.5 ± 8.2).
Measurements
Development Sample, Validation Sample I—BLSA, and Validation Sample II—LLFS participants self‐administered the 10‐item Pittsburgh Fatigability Scale. Validation Sample II—LLFS completed cognition measures (Trail Making Tests A and B), depressive symptomatology (Center for Epidemiologic Studies—Depression Scale, CES‐D), and global fatigue from two CES‐D items.
Results
In the Development Sample and Validation Sample I—BLSA, confirmatory factor analysis showed all 10 items loaded on two factors: social and physical activities (fit indices: SRMSR = 0.064, RMSEA = 0.095, CFI = 0.91). PFS Mental scores had strong internal consistency (Cronbach's α = 0.85) and good test‐retest reliability (ICC = 0.78). Validation Sample II—LLFS PFS Mental scores demonstrated moderate concurrent and construct validity using Pearson (r) or Spearman (ρ) correlations against measures of cognition (Trail Making Tests A (r = 0.14) and B (r = 0.17) time), depressive symptoms (r = 0.31), and global fatigue (ρ = 0.21). Additionally, the PFS Mental subscale had strong convergent validity, discriminating according to established clinical or cognitive testing cut points, with differences in PFS Mental scores ranging from 3.9 to 7.6 points (all P < .001). All analyses were adjusted for family relatedness, field center, age, sex, and education.
Conclusions
The validated PFS Mental subscale may be used in clinical and research settings as a sensitive, one‐page self‐administered tool of perceived mental fatigability in older adults.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aging</subject><subject>Cognitive ability</subject><subject>cognitive performance</subject><subject>Cross-Sectional Studies</subject><subject>depressive symptomatology</subject><subject>Diagnostic Self Evaluation</subject><subject>Epidemiology</subject><subject>Factor analysis</subject><subject>Factor Analysis, Statistical</subject><subject>Fatigue</subject><subject>Female</subject><subject>Geriatric Assessment - methods</subject><subject>Humans</subject><subject>Longitudinal Studies</subject><subject>Male</subject><subject>Mental Fatigue - diagnosis</subject><subject>Older people</subject><subject>physical function</subject><subject>Psychiatric Status Rating Scales - standards</subject><subject>Psychometrics</subject><subject>Reproducibility of Results</subject><subject>Statistics, Nonparametric</subject><subject>Validity</subject><issn>0002-8614</issn><issn>1532-5415</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kctKxDAUhoMoOl4WvoAU3OiimpNLk24EEa8oCqNuQ9qmnQyZVpNWmbc3OioqeDaBcz4-_vAjtA34AOIcTptwAAKDWEIj4JSknAFfRiOMMUllBmwNrYcwxRgIlnIVrVHKsjwHNkLjR-1spXvbtUlXJ3fGl8a-mCq5MW2vXXIWT40urLP9PHkItm2SfmKSO9v3oRh8M_lNjEvtzCZaqbULZuvz3UAPZ6f3Jxfp9e355cnxdVoyRkWqgeWSFZIwTrnkRnLAmGdM5tLInBRVIWhFK15UIm411zWvcM1JWRsQWmZ0Ax0tvE9DMTNVGRN77dSTtzPt56rTVv2-tHaimu5FSSCCYRoFe58C3z0PJvRqZkNpnNOt6YagCBM5A5Fn7-juH3TaDb6N31OEE0FFxgEitb-gSt-F4E39HQaweq9KxarUR1WR3fmZ_pv86iYChwvg1Toz_9-krs7HC-UbR3GdSw</recordid><startdate>202105</startdate><enddate>202105</enddate><creator>Renner, Sharon W.</creator><creator>Bear, Todd M.</creator><creator>Brown, Patrick J.</creator><creator>Andersen, Stacy L.</creator><creator>Cosentino, Stephanie</creator><creator>Gmelin, Theresa</creator><creator>Boudreau, Robert M.</creator><creator>Cauley, Jane A.</creator><creator>Qiao, Yujia (Susanna)</creator><creator>Simonsick, Eleanor M.</creator><creator>Glynn, Nancy W.</creator><general>John Wiley & Sons, Inc</general><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-2442-6386</orcidid><orcidid>https://orcid.org/0000-0003-2265-0162</orcidid></search><sort><creationdate>202105</creationdate><title>Validation of Perceived Mental Fatigability Using the Pittsburgh Fatigability Scale</title><author>Renner, Sharon W. ; Bear, Todd M. ; Brown, Patrick J. ; Andersen, Stacy L. ; Cosentino, Stephanie ; Gmelin, Theresa ; Boudreau, Robert M. ; Cauley, Jane A. ; Qiao, Yujia (Susanna) ; Simonsick, Eleanor M. ; Glynn, Nancy W.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4437-a14984b82453585e85100564898e892bdb73d3d5bd7564a5af5d0f52cfe17a863</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aging</topic><topic>Cognitive ability</topic><topic>cognitive performance</topic><topic>Cross-Sectional Studies</topic><topic>depressive symptomatology</topic><topic>Diagnostic Self Evaluation</topic><topic>Epidemiology</topic><topic>Factor analysis</topic><topic>Factor Analysis, Statistical</topic><topic>Fatigue</topic><topic>Female</topic><topic>Geriatric Assessment - methods</topic><topic>Humans</topic><topic>Longitudinal Studies</topic><topic>Male</topic><topic>Mental Fatigue - diagnosis</topic><topic>Older people</topic><topic>physical function</topic><topic>Psychiatric Status Rating Scales - standards</topic><topic>Psychometrics</topic><topic>Reproducibility of Results</topic><topic>Statistics, Nonparametric</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Renner, Sharon W.</creatorcontrib><creatorcontrib>Bear, Todd M.</creatorcontrib><creatorcontrib>Brown, Patrick J.</creatorcontrib><creatorcontrib>Andersen, Stacy L.</creatorcontrib><creatorcontrib>Cosentino, Stephanie</creatorcontrib><creatorcontrib>Gmelin, Theresa</creatorcontrib><creatorcontrib>Boudreau, Robert M.</creatorcontrib><creatorcontrib>Cauley, Jane A.</creatorcontrib><creatorcontrib>Qiao, Yujia (Susanna)</creatorcontrib><creatorcontrib>Simonsick, Eleanor M.</creatorcontrib><creatorcontrib>Glynn, Nancy W.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Renner, Sharon W.</au><au>Bear, Todd M.</au><au>Brown, Patrick J.</au><au>Andersen, Stacy L.</au><au>Cosentino, Stephanie</au><au>Gmelin, Theresa</au><au>Boudreau, Robert M.</au><au>Cauley, Jane A.</au><au>Qiao, Yujia (Susanna)</au><au>Simonsick, Eleanor M.</au><au>Glynn, Nancy W.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Validation of Perceived Mental Fatigability Using the Pittsburgh Fatigability Scale</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2021-05</date><risdate>2021</risdate><volume>69</volume><issue>5</issue><spage>1343</spage><epage>1348</epage><pages>1343-1348</pages><issn>0002-8614</issn><issn>1532-5415</issn><eissn>1532-5415</eissn><abstract>Objectives
Establish reliability, concurrent and convergent validity of the Pittsburgh Fatigability Scale (PFS) Mental subscale.
Design
Cross‐sectional.
Setting
Older adults from two University of Pittsburgh registries, Baltimore Longitudinal Study of Aging (BLSA), and Long Life Family Study (LLFS).
Participants
PFS Mental subscale validation was conducted using three cohorts: (1) Development Sample (N = 664, 59.1% women, age 74.8 ± 6.4 years, PFS Mental scores 10.3 ± 9.1), (2) Validation Sample I—BLSA (N = 430, 51.9% women, age 74.5 ± 8.2 years, PFS Mental scores 9.4 ± 7.9), and (3) Validation Sample II—LLFS (N = 1,917, 54.5% women, age 72.2 ± 9.3 years, PFS Mental scores 7.5 ± 8.2).
Measurements
Development Sample, Validation Sample I—BLSA, and Validation Sample II—LLFS participants self‐administered the 10‐item Pittsburgh Fatigability Scale. Validation Sample II—LLFS completed cognition measures (Trail Making Tests A and B), depressive symptomatology (Center for Epidemiologic Studies—Depression Scale, CES‐D), and global fatigue from two CES‐D items.
Results
In the Development Sample and Validation Sample I—BLSA, confirmatory factor analysis showed all 10 items loaded on two factors: social and physical activities (fit indices: SRMSR = 0.064, RMSEA = 0.095, CFI = 0.91). PFS Mental scores had strong internal consistency (Cronbach's α = 0.85) and good test‐retest reliability (ICC = 0.78). Validation Sample II—LLFS PFS Mental scores demonstrated moderate concurrent and construct validity using Pearson (r) or Spearman (ρ) correlations against measures of cognition (Trail Making Tests A (r = 0.14) and B (r = 0.17) time), depressive symptoms (r = 0.31), and global fatigue (ρ = 0.21). Additionally, the PFS Mental subscale had strong convergent validity, discriminating according to established clinical or cognitive testing cut points, with differences in PFS Mental scores ranging from 3.9 to 7.6 points (all P < .001). All analyses were adjusted for family relatedness, field center, age, sex, and education.
Conclusions
The validated PFS Mental subscale may be used in clinical and research settings as a sensitive, one‐page self‐administered tool of perceived mental fatigability in older adults.</abstract><cop>Hoboken, USA</cop><pub>John Wiley & Sons, Inc</pub><pmid>33469914</pmid><doi>10.1111/jgs.17017</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0002-2442-6386</orcidid><orcidid>https://orcid.org/0000-0003-2265-0162</orcidid><oa>free_for_read</oa></addata></record> |
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| subjects | Aged Aged, 80 and over Aging Cognitive ability cognitive performance Cross-Sectional Studies depressive symptomatology Diagnostic Self Evaluation Epidemiology Factor analysis Factor Analysis, Statistical Fatigue Female Geriatric Assessment - methods Humans Longitudinal Studies Male Mental Fatigue - diagnosis Older people physical function Psychiatric Status Rating Scales - standards Psychometrics Reproducibility of Results Statistics, Nonparametric Validity |
| title | Validation of Perceived Mental Fatigability Using the Pittsburgh Fatigability Scale |
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