Evaluation of Psychometric Properties of Persian Version of HUI 3 Comprehensive Health Assessment Tool in the Elderly of Iran

The phenomenon of aging in the world is one of the biggest changes in the 21st century. Accordingly, we must have a broad and comprehensive assessment with a preventive approach to our community to determine more effective macro priorities and policies. The aim of this study was the validity and reliability of HUI3 comprehensive health assessment tool in Iranian elderly for comprehensive health assessment.

This study was a descriptive-analytical study. 400 elderly people over 60 years old were selected by cluster sampling method from 6 health centers and two nursing homes in Sabzevar, Iran between May and August 1397 and were included in the study to determine the validity and reliability of the instrument.Data were collected through demographic information questionnaires, HUI3 and SF-36 through interviews. To determine the validity of the instrument, content validity index and criterion validity were used simultaneously, and to determine reliability, the internal stability method with Cronbach's alpha number report and the inter-evaluators reliability method with in-class correlation coefficient report were used. Data were analyzed using SPSS-v24 software.

The mean age of participants in the study was 71.3 years. Among them, 45.8% (183 people) were men and 54.3% (217 people) were women. The calculated instrument CVI for all instrument items was 0.82. The correlation coefficient between the scores of HUI3 instrument with SF-36 as the standard instrument was 0.87. The intra-class correlation coefficient performed by different presenters was 0.93 and Cronbach's alpha for all items was 0.80.

The reliability and validity of the Persian version of the HUI3 Comprehensive Health Assessment Questionnaire is appropriate and acceptable, so this questionnaire can be used to assess the health status of Iranian elderly.