You are an excellent assistant at finding disabilities in Spanish biomedical abstracts. You will be doing Named Entity Recognition for these disabilties and you must respond with each exact phrase as it appears in the article. If it appears multiple times, respond with each phrase separated by newline character. If there are no disabilities, respond with NA.

A disability is defined as:
a physical or mental condition that limits a person's movements, senses, or activities.


Abstract:

Objective To validate the Life - Support Preferences Questionnaire ( LSPQ ) for its use in Spain . Design Three - stage study : _a ) _ translation and linguistic adaptation ; _b ) _ evaluation of its validity ; and _c ) _ validation of its psychometric properties . Setting Nine primary care nursing clinics and 2 university classes in Granada , Spain . Participants Patients who were of age and were first - or second - year university students , without any cognitive deterioration . Main measurements The equivalence of the translation and the original was checked by bilingual people ; its linguistic and grammatical standard was appraised by experts in Spanish . The validity of the questionnaire was evaluated by 15 judges - experts and 20 patients ; linguistic complexity ( Szigriszt index ) ; stability in time ( McNemar test ) ; internal consistency ( Cronbach's alpha ) . Results _a ) _ 2 bilingual people did a translation that was reviewed by 6 experts in Spanish . After alterations suggested by the experts , the bilingual people ratified its equivalence with the original ; _b ) _ 15 experts affirmed that each item was a good indicator of care preferences atthe end of life ; c ) 20 users confirmed the acceptability and comprehensibility of the questionnaire ; _d ) _ reliability : 299 participants out of the 369 initially selected filled in the questionnaire ; and _e ) _ its stability was 0 .92 ; and its internal consistency , 0 .85 . Conclusion The LSPQ questionnaire in Spanish ( LSPQ - e ) is a reliable tool , designed to help patients to clarify their care and treatment preferences at the end of their lives .
cognitive deterioration