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medRxiv PreprintsInternational12 November 2026

Psychometric analysis of the Evaluation of Multidimensional Functioning and Risks in Aging (EMFRA) scale: reliability, structural validity, and concurrent validity.

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Background: EMFRA is a brief scale developed to assess physical, cognitive, emotional, and social functioning in older adults. This study examined its initial psychometric properties. Methods: A cross-sectional study was conducted with 201 older adults aged [≥]65 years without a diagnosis of dementia, recruited from the community, day-care and nursing centres from Madrid. Dimensional structure was examined through bootstrap parallel analysis (PA), bootstrap exploratory graph analysis (EGA), and factor analysis (FA), followed by progressive item refinement. Internal consistency, test-retest
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