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测量老年人在过渡到辅助生活设施时的幸福感:Mueller 过渡评估(MAT)的验证性因子分析。

Measuring older adults' wellbeing when transitioning into assisted living facilities: a confirmatory factor analysis of the Mueller assessment of transition (MAT).

机构信息

School of Health Science and Human Performance, Catawba College, Salisbury, NC, USA.

Graduate School, Clemson University, Clemson, SC, USA.

出版信息

Aging Ment Health. 2024 Jun;28(6):936-942. doi: 10.1080/13607863.2023.2293054. Epub 2023 Dec 20.

Abstract

OBJECTIVES

Older adults' wellbeing during the transition into an assisted living facility (ALF) is not well understood and may influence their wellbeing. The Mueller Assessment of Transition (MAT) was created to measure the impact of transition on older adults' wellbeing. Early developmental testing of the MAT revealed a hypothesized model with two constructs (adjustment strategies and constraints to wellbeing). Therefore, the purpose of this study was to confirm the factor structure of the MAT with a representative sample of older adults transitioning into ALFs.

METHODS

In a nationwide sample, 108 older adult participants completed the MAT to measure wellbeing when relocating into ALFs. Confirmatory factor analysis (CFA) assessed the structural validity of the MAT. Internal consistency was evaluated, and chi-square tests of association for regional differences in MAT scores were also conducted.

RESULTS

The CFA produced strong fit indices to confirm the hypothesized 2-factor (constraints to wellbeing and adjustment strategies) model of the MAT. Cronbach's alpha for the internal consistency was 0.784 and chi-square test indicated no significant regional differences.

CONCLUSION

The MAT was established as a valid and reliable standardized assessment. Implications for using the MAT as a tool to measure older adults' wellbeing and future research are discussed.

摘要

目的

老年人在过渡到辅助生活设施(ALF)期间的幸福感尚不清楚,可能会影响他们的幸福感。Mueller 过渡评估(MAT)旨在衡量过渡对老年人幸福感的影响。MAT 的早期发展性测试显示了一个具有两个结构(调整策略和幸福感约束)的假设模型。因此,本研究的目的是使用即将过渡到 ALF 的老年人的代表性样本来确认 MAT 的因子结构。

方法

在全国性样本中,108 名老年参与者完成了 MAT,以衡量在过渡到 ALF 时的幸福感。验证性因子分析(CFA)评估了 MAT 的结构有效性。还评估了 MAT 分数的区域差异的内部一致性和卡方检验。

结果

CFA 产生了较强的拟合指数,以确认 MAT 的假设的 2 因素(幸福感约束和调整策略)模型。内部一致性的 Cronbach's alpha 为 0.784,卡方检验表明没有明显的区域差异。

结论

MAT 已被确立为一种有效且可靠的标准化评估工具。讨论了将 MAT 用作衡量老年人幸福感的工具以及未来研究的意义。

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