Marquette University, College of Nursing, Milwaukee, Wisconsin, USA. abir.bekhet@marquette
Issues Ment Health Nurs. 2011;32(11):711-6. doi: 10.3109/01612840.2011.600808.
The number of elders who relocate to retirement communities is increasing exponentially, and their ability to exercise free choice, personal control, and autonomy has been associated with relocation adjustment and positive outcomes in regard to physical, emotional, and social well-being. Although a measure of relocation controllability (the degree of personal control associated with the move) exists, there is limited evidence of its psychometric adequacy. This study tested the reliability and validity of the Pressure to Move Scale (PTMS). A convenience sample of 104 American elders who relocated to six Northeast Ohio retirement communities was recruited. Study participants completed the nine-item PTMS and two validation measures during structured interviews. Cronbach's alpha was .71. Homogeneity was supported by item-to-total correlations between .30 and .70, except for two items. Deletion of the item asking about the elder's first impression of relocation improved the alpha to .74. The PTMS was correlated in the expected direction with positive cognitions (r = -.37, p < .01) and relocation adjustment (r = -.62, p < .01), indicating convergent validity. Factor extraction generated three factors, the first reflecting "internal" control factors and the second reflecting "external" control factors; a third factor, containing two items with low item-to-total correlations, reflected another level of "external" control. With preliminary evidence of its reliability and validity, this scale can be a useful tool for screening for pressure to move or involuntary relocation among older adults so that negative outcomes associated with relocation can be prevented through tailored interventions.
越来越多的老年人选择搬到退休社区居住,他们行使自由选择、个人控制和自主的能力与迁居调整以及身心健康、情感和社交方面的积极结果有关。虽然有一个衡量迁居可控性(与迁居相关的个人控制程度)的指标,但它的心理测量学充分性的证据有限。本研究检验了迁居压力量表(PTMS)的信度和效度。从美国东北部的六个退休社区招募了 104 名搬到这些社区居住的老年人作为方便样本。研究参与者在结构访谈中完成了 9 项 PTMS 和两项验证性测量。Cronbach's alpha 为.71。项目与总分之间的相关性在.30 到.70 之间,除了两个项目之外,均支持同质性。删除询问老年人对迁居的第一印象的项目后,alpha 提高到.74。PTMS 与积极认知(r = -.37,p <.01)和迁居调整(r = -.62,p <.01)呈预期方向相关,表明具有聚合效度。因子提取生成了三个因子,第一个反映“内部”控制因素,第二个反映“外部”控制因素;第三个因子包含两个项目,与总分的相关性较低,反映了另一个“外部”控制水平。该量表具有初步的信度和效度证据,可作为筛查老年人迁居压力或非自愿迁居的有用工具,以便通过有针对性的干预措施预防与迁居相关的负面后果。