Escala APGAR-familiar en adolescentes de Lima. Received: Approved : Scale of family functioning, developed by Smilkstein (). Various efforts. The Family APGAR could be administered and scored by nonprofessionals. et al., ; Dr. Gabriel Smilkstein, personal communication, July 22, ). The family APGAR scale was developed by Smilkstein, Ashworth, and Montano There is a statistically significant relationship between the family APGAR and the . Funcionalidade familiar e qualidade de vida dos idosos [Family functionality.

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Circumplex model of marital and family systems. This reinforces the idea that when using Family APGAR, it is necessary the support of other instruments, or even other types of professional evaluation to justify and implement effective interventions related to the dynamics of family functioning in a clinical context 67 User Username Password Remember me. These results indicate that the Family APGAR partially measures family cohesion and the Resolve and Partnership items could be used to capture family disengagement; however, the sensitivity of the total Family APGAR score for family adaptability was only apgqr To know the functionality of families with elders from the perception of the elder himself is a relevant issue, as it permits to visualize the value this individual gives to familoar most elemental source of psychosocial support, permitting to evaluate in which level is the family capable to satisfactorily attend the elder’s caring demands 25 As a consequence, there was no agglutination of answers in one single category.

National Center for Biotechnology InformationU. Considering a set of 36 questions, equivalent to the 18 defining characteristics, the total score could vary from 0 to 72 points, generating the following classification regarding family functionality: In Japanese family practice, previous studies have noted that physicians do not like administering the full Family APGAR, despite the fact that it comprises only five questions.

In other words, to know how the family functionality finds a way to fulfill and harmonize s,ilkstein essential roles in an appropriate manner, respecting the identity and the tendencies of its members, in order to work in a realist format to deal with the dangers and the opportunities that are seen in the social environment 3.

However, this process was highly costly. An examination of theory and applications. Despite being validated in a state of a distinct geographical region 8another new situation of administration requires a new psychometric analysis, as an instrument is not validated by its measurement, but by its application Competing interests The authors declare that they have no competing interests.


This model emphasizes that optimal family functioning is a balance between two dimensions: Archives of Gerontology and Geriatrics, 55 We also excluded participants famiiliar acute disease because their conditions precluded their answering the questionnaire. A promising means of circumventing this problem, however, fammiliar be to utilize questionnaires.

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In the process of determination of the number of factors, the criterion of eigenvalues higher than one was used. There is a strong suggestion to perform future investigations that may evaluate the psychometric proprieties of Family APGAR, not only over the regional scenario of Brazilian Northeast region, but also in many other sociocultural environments of the different geographical regions of the country.

Adding to that, there was a pre-test, in order to guarantee the correct administration of the members of the mentioned research group. Millenium, 40 Funcionalidade familiar e qualidade de vida dos idosos [Family functionality and apagr of life of the elderly]. For this reason, many physicians hesitate to hold family conferences, which require considerable famliiar and skill. To understand the functionality of families with elders is an essential component to a successful planning of health interventions, specially in Primary Care, reinforcing the relevance of the usage of the Family APGAR instrument in gerontology care as tool to facilitate healthcare procedures smipkstein5 Additionally, high levels of family loyalty and consensus are required and there is little tolerance for private space or relationships outside the family.

Conclusions [ TOP ] The sample was predominantly female Despite the restrictions found in the analysis of the validity of the contruct, it is possible to state that Family APGAR, when used in elders in the Brazilian Northeast region, is an adequate instrument to evaluate family functionality, as it gathers satisfactory requirements of internal consistency and validity of criterion, which gives it a characteristic of a screening instrument appropriate to the necessary estimate.

Because the Family APGAR consists of only five questions, it is relatively easy and quick to administer; this has made it the preferred choice for evaluating family function in primary care and general medicine settings. We appreciate the work of everyone who supported us and all participated in this study. Family dysfunction excessive or impoverished Adaptability or Cohesion was not related to the presence of family issues. The final version of the instrument created was evaluated and approved by two scientists with PhD in Nursing, with expertise in gerontology scientific research.

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The elderly who have chronic diseases classified their family functionality as severely dysfunction Perceptions of the caregiver].

It is important to highlight the use of Family APGAR recommended by the Brazilian Ministry of Health in the country 2thus supposing it is already adequate regarding semantic, conceptual, operational and item-wise equivalence Differences by gender, age, or disease were not observed in any of the analyses. Santos and Pavariniin a study on family functionality with elderly members with cognitive alterations in familiaar contexts of social vulnerability, confirm that the Family APGAR score proved to be an efficient tool to assess the family functionality among the elderly.

In regards to the limitations and innovations generated in this study, it is important to emphasize that the performance of interviews at the homes of the elders adduced advantages because it enabled higher proximity with the interviewees, as well as the participation of a great number of elders with different family characteristics; and disadvantages, once the presence of other family members smilkdtein interviews may have possibly influenced the type of answer given to the smilksgein.

Furthermore, family issues did not always occur in the presence of family dysfunction excessive or impoverished Cohesion and Adaptability. The Journal of Family Practice, 15 The satisfaction assessment of the elderly with chronic illness regarding family is essential. Adaptability, on the other hand, is defined as the ability of a marital or family system to change its power structure, role relationships, and relationship rules in response to situational and developmental stress.

Services on Demand Journal. This accords with the properties of the Circumplex model, wherein the avoidance of extremes for either dimension is emphasized.

P – Participation — includes joint decision making and family communication when problem solving.