Reliability and Validity of the Chinese Version of the Physical Activity Scale for the Elderly

老年人身體活動量表中文版之信度與效度

古博文(Po-Wen Ku) ； 孫文榮(Wen-Jung Sun) ； 張俊一(Chun-Yi Chang) ； 陳俐蓉(Li-Jung Chen)

《大專體育學刊》 15卷3期 (2013/09) Pp. 309-319

https://doi.org/10.5297/ser.1503.006

摘要

有關臺灣地區老年人身體活動目前仍缺乏具信度與效度的測量問卷。本研究旨在檢定「老年人身體活動量表中文版」之信度與效度。透過招募高雄市263位65歲以上社區老年人（平均年齡±標準差＝73±6；男／女：97/166），本研究使用皮爾森相關分析及組內相關係數等方法，檢定該量表一週再測信度；同時使用斯皮爾曼等級相關分析該量表總分（含整體活動量、休閒活動、家務活動以及職業相關活動）與加速規（含能量消耗及走路步數）、手握力以及老年憂鬱量表等變項間的同時效度。前述相同分析程序亦針對男女生進行分層檢定。結果顯示：本量表一週再測信度之皮爾森相關係數及組內相關係數均達建議水準。第二波所填量表總分與配戴7日加速規數據間有顯著相關。量表總分與手握力間呈現顯著正相關，與老年憂鬱量表呈現顯著負相關等結果，進一步提供該量表具有同時效度的支持證據。此外，該量表所包含三種不同型態身體活動信度與效度亦透過檢定，獲得支持。透過性別分層，該量表信效度不論在男性或女性中都獲得支持。本研究結論：基於上述結果，本研究提供「老年人身體活動量表中文版」初步信效度證據，驗證該量表適合在臺灣地區老年族群中測量其生活型態之身體活動行為。

關鍵字

運動 ； 老化 ； 測量 ； 加速規 ； 問卷

並列摘要

There is a paucity of knowledge about valid and reliable physical activity questionnaires for Taiwanese older adults. The purpose of this study was to examine the reliability and validity of the Chinese version of the Physical Activity Scale for the Elderly in Taiwan (PASE-C). Two hundred and sixty-three community-dwelling older adults aged 65 or older (mean age 73±6; male/female: 97/166) were recruited from Kaohsiung City. The test-retest reliability over a one-week period was estimated by Pearson's correlation and Intra-class correlation coefficients (ICCs). Concurrent validity was assessed using Spearman's rank correlation by PASE scores (i.e., overall, leisure, household and work-related physical activity), accelerometer measures (energy expenditure and walking steps), hand grip strength and the 15-item Geriatric Depression Scale (GDS). The same procedure was conducted stratified by gender. The results showed that Pearson's correlation coefficient and the ICC for the overall PASE-C scores on two different sessions were exceeded the recommended level. The second-wave PASE-C score was significantly associated with accelerometer measures. The concurrent validity was supported by the positive association between overall PASE-C scores and hand grip strength, and by the negative associations by overall PASE-C scores and GDS. Additionally, reliability and validity of three types of physical activities were also examined and supported. The adequate results were found in men and women separately. Based on the preceding analysis, the PASE-C demonstrated preliminary evidence for reliability and validity and is suitable for assessing the lifestyle physical activity among Taiwanese older population.

並列關鍵字

exercise ； aging ； assessment ； accelerometer ； questionnaire

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