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澳大利亚老龄化语义差异量表的开发,这是一种用于测量澳大利亚医学生对老年人态度的新工具。

Development of the Australian Ageing Semantic Differential, a new instrument for measuring Australian medical student attitudes towards older people.

作者信息

Wilson Mark A G, Tran Yvonne, Wilson Ian, Kurrle Susan

机构信息

Community Based Health Education, Graduate Medicine, School of Medicine, University of Wollongong, Bowral, New South Wales, Australia.

Australasian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia.

出版信息

Australas J Ageing. 2019 Sep;38(3):e67-e74. doi: 10.1111/ajag.12627. Epub 2019 Feb 19.

Abstract

OBJECTIVE

This study outlines development of an instrument for measuring attitudes of medical students towards older people, the Australian Ageing Semantic Differential (AASD).

METHODS

Words for AASD scales were derived from the reflections of 151 third year medical students attending two Australian medical schools. A pilot study of the AASD was then undertaken with third year students at another medical school to confirm usability and reliability of the instrument. After slight modification, a larger study using the AASD was then undertaken of medical students attending the three institutions, in order to obtain sufficient data for exploratory factor analysis.

RESULTS

n = 321 (response rate 73%). Mean AASD score 73.2/114. Cronbach's α = 0.86. There was no evidence of sequence bias. Exploratory factor analysis (EFA) demonstrated four factors: Instrumentality; Personal Appeal; Experience; and Sociability. A lower mean instrumentality subscore for all students and a higher mean experience subscore for female students were noted.

CONCLUSIONS

The AASD instrument proved internally reliable, and its use was generalisable to different groups of medical students. Its design ensured construct and face validity, and responses were not affected by sequencing bias. This study has revealed positive student attitudes towards older people. Variation in attitudes requires further investigation.

摘要

目的

本研究概述了一种用于测量医学生对老年人态度的工具——澳大利亚老龄化语义差异量表(AASD)的开发过程。

方法

AASD量表的词汇源自151名就读于两所澳大利亚医学院的三年级医学生的反馈。随后,对另一所医学院的三年级学生进行了AASD的初步研究,以确认该工具的可用性和可靠性。在进行了轻微修改后,对这三所院校的医学生开展了一项使用AASD的规模更大的研究,以便获取足够的数据进行探索性因素分析。

结果

n = 321(应答率73%)。AASD平均得分73.2/114。克朗巴哈系数α = 0.86。没有序列偏差的证据。探索性因素分析(EFA)显示出四个因素:工具性;个人吸引力;经验;以及社交性。所有学生的工具性子量表平均得分较低,而女生的经验子量表平均得分较高。

结论

AASD工具在内部被证明是可靠的,并且其应用可推广到不同群体的医学生。其设计确保了结构效度和表面效度,且应答不受序列偏差影响。本研究揭示了学生对老年人的积极态度。态度差异需要进一步调查。

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