Articles In Press
Back to the articles list |
Back to browse issues page
Fatemeh Mehriyan1 
, Rostam Heydartabar2 , Danial Habibi2 , Neda Ahmadazdeh tori *3 , Samaneh Pourhadi4 , Mina Galeshi5 , Safieh Faghani6
, Rostam Heydartabar2 , Danial Habibi2 , Neda Ahmadazdeh tori *3 , Samaneh Pourhadi4 , Mina Galeshi5 , Safieh Faghani6
1- Student Research Committee, Babol University of Medical Sciences, Babol, Iran
2- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
3- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. ,neda.ahmadzade.tori@gmail.com
4- Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
5- Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences,Babol,I.R.Iran
6- Department of Nursing, Zeyinab (P.B.U.H) School of nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
2- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
3- Social Determinants of Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran. ,
4- Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
5- Clinical Research Development Unite of Rouhani Hospital, Babol University of Medical Sciences,Babol,I.R.Iran
6- Department of Nursing, Zeyinab (P.B.U.H) School of nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Abstract: (25 Views)
Background: With the rapid growth of the aging population worldwide, particularly in low- and middle-income countries, assessing older adults’ protective capacities has become increasingly vital. Physical resilience, defined as the ability to withstand and recover from physical stressors while maintaining independence, is a cornerstone of successful aging. The Physical Resilience Instrument for Older Adults (PRIFOR) is one of the few standardized measures designed specifically for this purpose. This study aimed to translate and psychometrically evaluate the Persian version of PRIFOR for use among Iranian older adults.
Methods: A cross-sectional methodological study was conducted in Babol, Iran, including 390 participants aged ≥65 years. Following a rigorous forward–backward translation, face and content validity were assessed through expert review and older adult feedback. Construct validity was examined using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), while reliability was evaluated via Cronbach’s alpha, McDonald’s omega, ordinal alpha, and test–retest intraclass correlation.
Results: EFA supported a three-factor structure—Positive Thinking, Lifestyle Adjustment and Adaptation, and Hopeful Belief and Mindset—explaining 48% of the total variance. CFA confirmed the 16-item, three-factor model with acceptable fit indices (CFI=0.95, RMSEA=0.06). Reliability indices indicated strong internal consistency (α=0.94), stability, and structural validity. Items were reported as feasible and culturally appropriate, with an average completion time of 10–15 minutes.
Conclusion: The Persian version of PRIFOR demonstrated robust validity and reliability, making it a practical and culturally suitable tool for assessing physical resilience in Iranian older adults. Its application can inform clinical, rehabilitative, and policy-level interventions aimed at promoting successful aging and enhancing the quality of life of this population.
Methods: A cross-sectional methodological study was conducted in Babol, Iran, including 390 participants aged ≥65 years. Following a rigorous forward–backward translation, face and content validity were assessed through expert review and older adult feedback. Construct validity was examined using Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA), while reliability was evaluated via Cronbach’s alpha, McDonald’s omega, ordinal alpha, and test–retest intraclass correlation.
Results: EFA supported a three-factor structure—Positive Thinking, Lifestyle Adjustment and Adaptation, and Hopeful Belief and Mindset—explaining 48% of the total variance. CFA confirmed the 16-item, three-factor model with acceptable fit indices (CFI=0.95, RMSEA=0.06). Reliability indices indicated strong internal consistency (α=0.94), stability, and structural validity. Items were reported as feasible and culturally appropriate, with an average completion time of 10–15 minutes.
Conclusion: The Persian version of PRIFOR demonstrated robust validity and reliability, making it a practical and culturally suitable tool for assessing physical resilience in Iranian older adults. Its application can inform clinical, rehabilitative, and policy-level interventions aimed at promoting successful aging and enhancing the quality of life of this population.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC), which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
