Psychometric evaluation of the Functional Health Pattern Assessment Screening Tool - Modified Brazilian Version.
Rita de Cassia Gengo E Silva Butcher, Lidia Santiago Guandalini, Alba Lucia Bottura Leite de Barros and 2 others
PMID 38511736WHAT IT FOUND
The Brazilian version of the Functional Health Pattern Assessment Screening Tool reliably screens patient health patterns but fits the theoretical model only moderately.
Six items, including those on substance use and safety, contributed weakly to the score. Use it for initial screening, not definitive diagnosis.
Key findings
01The tool confirmed a three-factor structure (Health Risk/Threat, General Well-Being & Self-Confidence, Health Promotion/Protection Activity) with satisfactory internal consistency for each component.
02Six items showed low factor loadings, meaning they did not contribute significantly to explaining their respective factors, particularly items related to sensitive topics like substance use and safety.
03The tool's scores correlated moderately with patients' self-reported perception of and satisfaction with their current health status.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
30% of the recruited sample was excluded due to missing data, suggesting the tool may be too long or lack face validity. The study used two single questions rather than a standardized gold-standard tool to assess convergent validity. The response scale was changed from 4 to 5 points without defining the categories for participants, which may have influenced the results. The sample was predominantly female and highly educated, limiting generalizability to other populations. The overall statistical model fit was only moderate, indicating the tool does not perfectly match the theoretical framework it is based on.
Declared interests
The authors declared no conflicts of interest. The study was approved by the Ethics Committee.
The easy way to misread this
Do not treat the FHPAST-BR as a precise diagnostic instrument for specific risk behaviors. The study found that items covering substance use, safety, and caretaking burden had low statistical weight and did not fit the model well, so a low score in these areas may not accurately reflect the patient's actual risk or behavior.