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老年人生活方式评估工具的开发与心理测量学评价

Development and Psychometric Evaluation of a Lifestyle Evaluation Instrument for Older Adults.

作者信息

Ferreira Luana Karoline, Filgueiras Meireles Juliana Fernandes, de Oliveira Gomes Grace Angélica, Caputo Ferreira Maria Elisa

机构信息

Body Studies Lab, Federal University of Juiz de Fora, Juiz de Fora, Brazil.

Department of Family and Community Medicine, The School of Community Medicine, University of Oklahoma - Health Sciences Center, Tulsa City, OK, USA.

出版信息

Percept Mot Skills. 2023 Oct;130(5):1901-1923. doi: 10.1177/00315125231182173. Epub 2023 Jun 7.

DOI:10.1177/00315125231182173
PMID:37286477
Abstract

Brazil is experiencing an accelerated period of population aging, with important implications for individuals, families, and the society at large. Lifestyles for the elderly can have both positive and negative health effects and are characterized by behaviors that individuals constantly reproduce in day-to-day life. However, few assessment instruments are aimed at evaluating lifestyles, and this has hampered research development. Thus, our aim in this study was to develop and evaluate the psychometric qualities of a new instrument to assess older adults' lifestyles. We developed this single scale to assess the lifestyles of older men and women using the sequential mixed method. Individuals over 60 years old of both sexes participated in this study of several phases. In Phase 1, we produced a 96-item single scale instrument, based on a literature review, previous scales, and qualitative research. In Phase 2, we verified the scale's content validity with help from 12 experts and 20 members of a target audience, aged between 60-84 years, deleting some items and reworking others. In Phase 3, we analyzed the psychometric qualities of the new scale in a sample of 700 older adults, aged 60 and above, from the five regions of Brazil, using both exploratory and confirmatory factor analysis. Our completed "Older Adult Lifestyle Scale" (OALS) is composed of 19 items divided into four subscales. The OALS has shown good psychometric qualities for Brazilian older adults over 60 years of age, and we can now recommend its use in this population.

摘要

巴西正经历人口老龄化加速阶段,这对个人、家庭及整个社会都有重要影响。老年人的生活方式对健康可能产生积极和消极影响,其特点是个体在日常生活中不断重复的行为。然而,针对评估生活方式的测评工具很少,这阻碍了研究发展。因此,我们本研究的目的是开发并评估一种用于评估老年人生活方式的新工具的心理测量学特性。我们采用序贯混合法开发了这个单一量表来评估老年男性和女性的生活方式。60岁以上的男女个体参与了这个分几个阶段的研究。在第一阶段,我们基于文献综述、先前的量表和定性研究编制了一个包含96个条目的单一量表工具。在第二阶段,我们在12名专家和20名年龄在60 - 84岁之间的目标受众的帮助下验证了该量表的内容效度,删除了一些条目并对其他条目进行了修改。在第三阶段,我们使用探索性和验证性因素分析,对来自巴西五个地区的700名60岁及以上的老年人样本分析了新量表的心理测量学特性。我们完成的“老年人生活方式量表”(OALS)由19个条目组成,分为四个子量表。OALS对60岁以上的巴西老年人显示出良好的心理测量学特性,我们现在可以推荐在这一人群中使用该量表。

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