Liu Chien-Chih, Chen Yi-Jung, Fung Xavier C C, Pramukti Iqbal, Liu Chieh-Hsiu, Liu Li-Fan, Griffiths Mark D, Yang Yi-Ching, Lin Chung-Ying
Center for General Education, National Tainan Junior College of Nursing, Tainan, Taiwan.
Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Int J Older People Nurs. 2025 May;20(3):e70023. doi: 10.1111/opn.70023.
The global population is experiencing a significant increase in the number of older people, highlighting the need to maintain both physical and mental health among this cohort and to promote healthy ageing. One critical area that has been insufficiently explored is the prevalence and scope of ageism and its assessment. Therefore, the present review evaluated the psychometric properties of instruments designed to assess ageism against older people.
To locate relevant instruments, a search was conducted using seven databases comprising MEDLINE, PubMed, Embase, PsycINFO, Web of Science, ScienceDirect and Scopus. The review utilised the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN) checklist to assess the methodological quality of the studies identified, ensuring a thorough evaluation of relevant literature.
From an initial pool of 338,180 outputs, 20 studies were deemed suitable for inclusion. These studies addressed various aspects of ageism, with eight focusing on self-directed ageism and 12 on attitudes towards older individuals. The review found that while 18 studies tested internal consistency, only three assessed cross-cultural validity. None of the studies achieved a high methodological quality rating concerning content validity based on the COSMIN criteria.
These findings suggest a significant gap in the development of reliable and comprehensive psychometric instruments for assessing ageism, indicating a need for further refinement of these instruments.
This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.
This systematic review equips healthcare policymakers with evidence to advance the development of more robust ageism measurement tools. Additionally, the results underscore the need for researchers to conduct more thorough validation and evaluation of ageism instruments that address its multidimensional nature, thereby enhancing the quality of future gerontological research.
全球老年人口数量显著增加，这凸显了在这一人群中维持身心健康以及促进健康老龄化的必要性。一个尚未得到充分探索的关键领域是年龄歧视的患病率和范围及其评估。因此，本综述评估了旨在评估针对老年人的年龄歧视的工具的心理测量特性。
为了找到相关工具，我们使用了七个数据库进行搜索，包括MEDLINE、PubMed、Embase、PsycINFO、Web of Science、ScienceDirect和Scopus。该综述利用基于共识的健康状况测量工具选择标准（COSMIN）清单来评估所确定研究的方法学质量，确保对相关文献进行全面评估。
从最初的338180条产出中，有20项研究被认为适合纳入。这些研究涉及年龄歧视的各个方面，其中八项关注自我导向的年龄歧视，十二项关注对老年人的态度。该综述发现，虽然有18项研究测试了内部一致性，但只有三项评估了跨文化效度。根据COSMIN标准，没有一项研究在内容效度方面达到较高的方法学质量评级。
这些发现表明，在开发用于评估年龄歧视的可靠且全面的心理测量工具方面存在重大差距，这表明需要对这些工具进行进一步完善。
本系统综述为医疗保健政策制定者提供了证据，以推动开发更强大的年龄歧视测量工具。此外，结果强调研究人员需要对解决年龄歧视多维性质的工具进行更全面的验证和评估，从而提高未来老年学研究的质量。
本系统综述为医疗保健政策制定者提供了证据，以推动开发更强大的年龄歧视测量工具。此外，结果强调研究人员需要对解决年龄歧视多维性质的工具进行更全面的验证和评估，从而提高未来老年学研究的质量。
