ArticleBMC geriatrics2022
Development and psychometric evaluation of the Physical Resilience Instrument for Older Adults (PRIFOR).
Article in BMC geriatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Novel Hypothesis on Phase Angle as a Candidate Marker Associated with Physiological Reserve in Geriatric Patients in Long-Term Care.Geriatrics (Basel, Switzerland) · 2026Article
- Navigating Adversity in Older Age: An Integrative Review of Contemporary Resilience Concepts and Measurement Challenges.Geriatrics (Basel, Switzerland) · 2026Review
- Using the Stressor-System-Resilience Resources-Outcomes (SSRO) scaffold to clarify the core components of resilience research in medicine.Communications medicine · 2026Review
- Improving long-term trajectories in very old survivors of intensive care: a narrative review.European geriatric medicine · 2026Review
- Physical literacy in older adults: An evolutionary concept analysis.International journal of nursing sciences · 2026Review
- Fun Exercise for Older Adults (FEXO): study protocol for a randomised controlled trial on intrinsic capacity, adherence and motivation.BMJ open · 2026Article
- Association between physical resilience and self-perceptions of aging among Chinese community-dwelling older adults: a cross-sectional study.BMC geriatrics · 2026Article
- Relationship between intrinsic capacity, physical resilience and frailty among older adults patients during stroke recovery: a cross-lagged panel study.BMC geriatrics · 2026Article
- Intrinsic capacity and resilience in hospitalized older adults: a gender-stratified analysis of the PRIFOR score.BMC geriatrics · 2026Article
- A network analysis of physical resilience and social alienation among older adults with ischemic stroke.Frontiers in public health · 2026Article
- Article
- Preliminary Psychometric Evidence of an Integrated Life Autonomy and Coherence Measure (LAC-Scale) in Community-Dwelling Adults.Patient preference and adherence · 2026Article
- Physical Resilience May Offset Mortality Risks Associated With Genetic Predisposition to Shorter Survival: A Population-based Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025Article
- The impact of perceived social support on chronic disease self-management among older inpatients in China: The chain-mediating roles of psychological resilience and health empowerment.BMC geriatrics · 2025Article
- Chinese version of the Physical Resilience Scale (PRS): reliability and validity test based on Rasch analysis.BMC public health · 2024Article
- Psychometric Properties of the Weight Loss Readiness Test in Active Duty Military Personnel Enrolled in a Weight Management Trial.Military medicine · 2024Article
- Development and testing of a four-item version of the physical resilience instrument for older adults (PRIFOR-4).The journal of nutrition, health & aging · 2024Article
- Cognitive social capital and geriatric depression: A community-based case-control study among the rural elderly people of Bangladesh.Global mental health (Cambridge, England) · 2024Article
- Development of the Clinical pHysical rEsilience assEssment Scale (CHEES) in Chinese Older Adults.The Journal of frailty & aging · 2024Review
- The psychometric properties of the Physical Resilience Instrument for Older Adults (PRIFOR): a Rasch analysis.Aging clinical and experimental research · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
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Abstract
backgroundPhysical resilience is known to minimize the adverse outcomes of health stressors for older people. However, validated instruments that assess physical resilience in older adults are rare. Therefore, we aimed to validate the Physical Resilience Instrument for Older Adults (PRIFOR) to fill the literature gap.
methodsContent analysis with content validity was first carried out to generate relevant items assessing physical resilience for older adults, and 19 items were developed. Psychometric evaluation of the 19 items was then tested on 200 older adults (mean [SD] age = 76.4 [6.6] years; 51.0% women) for item properties, factor structure, item fit, internal consistency, criterion-related validity, and known-group validity.
resultsAll 19 items had satisfactory item properties, as they were normally distributed (skewness = -1.03 to 0.38; kurtosis = -1.05 to 0.32). However, two items were removed due to substantial ceiling effects. The retained 17 items were embedded in three factors as suggested by the exploratory factor analysis (EFA) results. All items except one had satisfactory item fit statistics in Rasch model; thus, the unidimensionality was supported for the three factors on 16 items. The retained 16 items showed promising properties in known-group validity, criterion-related validity, and internal consistency (α = 0.94).
conclusionsThe 16-item PRIFOR exhibits good psychometric properties. Using this instrument to measure physical resilience would be beneficial to identify factors that could protect older people from negative health consequence. With the use of the PRIFOR, intervention effects could also be evaluated. It is helpful to strengthen resilience and thereby facilitate successful aging.
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