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Peer-reviewedCC BYRevista brasileira de enfermagem

Assessment of Frailty in Hospitalized Cancer Patients: A Psychometric Study of the Brazilian Version of Kihon Checklist.

  1. 1Universidade de São Paulo. São Paulo, São Paulo, Brazil.
  2. 2Universidad de los Andes. Santiago, Chile.
  3. 3Universidade do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.

Abstract

Objectives

to analyze the validity and reliability of Kihon Checklist, Brazilian version, for assessing frailty in older adults hospitalized with cancer.Methods

psychometric study. Content was analyzed by experts using the Content Validity Ratio. Internal structure was assessed by Exploratory Factor Analysis, Confirmatory Factor Analysis, and reliability. Sample of 250 individuals.Results

content validity analysis using Content Validity Ratio excluded two items due to values below 0.60. Internal structure analysis showed a better fit in a two-dimensional structure with ten items, named KCL-ONCO10, explaining 66.48% of the phenomenon, with good fit and reliability indices (X2=38.98; p=0.04; GFI=0.98; CFI=0.99; AGFI=0.97; RMSEA=0.04; RMSR=0.05; α=0.84; Ω=0.84), but unstable in the construct replicability (GH Index=F1 0.89 - 0.69; F2 0.85 - 0.67).Conclusions

KCL-ONCO10 demonstrated satisfactory validity and reliability evidence for assessing frailty in older adults hospitalized with cancer.

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BibTeX
@article{lucchesi2026assessment,
  title = {{Assessment of Frailty in Hospitalized Cancer Patients: A Psychometric Study of the Brazilian Version of Kihon Checklist.}},
  author = {Paola Alves de Oliveira Lucchesi and Alejandra Rojas-Rivera and Cristiane Helena Gallasch and Eduardo Ferriolli and Renata Eloah de Lucena Ferretti-Rebustini},
  journal = {Revista brasileira de enfermagem},
  year = {2026},
  month = oct,
  doi = {10.1590/0034-7167-2025-0025},
  url = {https://europepmc.org/article/MED/42912104},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Assessment of Frailty in Hospitalized Cancer Patients: A Psychometric Study of the Brazilian Version of Kihon Checklist.
AU  - Paola Alves de Oliveira Lucchesi
AU  - Alejandra Rojas-Rivera
AU  - Cristiane Helena Gallasch
AU  - Eduardo Ferriolli
AU  - Renata Eloah de Lucena Ferretti-Rebustini
PY  - 2026
DA  - 2026/10/19
JO  - Revista brasileira de enfermagem
DO  - 10.1590/0034-7167-2025-0025
UR  - https://europepmc.org/article/MED/42912104
AB  - Objectives  to analyze the validity and reliability of Kihon Checklist, Brazilian version, for assessing frailty in older adults hospitalized with cancer.Methods  psychometric study. Content was analyzed by experts using the Content Validity Ratio. Internal structure was assessed by Exploratory Factor Analysis, Confirmatory Factor Analysis, and reliability. Sample of 250 individuals.Results  content validity analysis using Content Validity Ratio excluded two items due to values below 0.60. Internal structure analysis showed a better fit in a two-dimensional structure with ten items, named KCL-ONCO10, explaining 66.48% of the phenomenon, with good fit and reliability indices (X2=38.98; p=0.04; GFI=0.98; CFI=0.99; AGFI=0.97; RMSEA=0.04; RMSR=0.05; α=0.84; Ω=0.84), but unstable in the construct replicability (GH Index=F1 0.89 - 0.69; F2 0.85 - 0.67).Conclusions  KCL-ONCO10 demonstrated satisfactory validity and reliability evidence for assessing frailty in older adults hospitalized with cancer.
SN  - 0034-7167
SN  - 1984-0446
ER  -