医学与社会2024,Vol.37Issue(3) :92-99.DOI:10.13723/j.yxysh.2024.03.015

健康老龄化背景下老年人社会参与量表的编制及信效度检验

Development of Social Participation Scale for Older Adults and Assessment on Reliability and Validity in the Context of Healthy Aging

任海涛 张镇 赵怡霖 高先燕
医学与社会2024,Vol.37Issue(3) :92-99.DOI:10.13723/j.yxysh.2024.03.015

健康老龄化背景下老年人社会参与量表的编制及信效度检验

Development of Social Participation Scale for Older Adults and Assessment on Reliability and Validity in the Context of Healthy Aging

任海涛 1张镇 2赵怡霖 2高先燕2
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作者信息

  • 1. 中国科学院心理研究所行为科学院重点实验室,北京,100101;中国科学院大学心理学系,北京,100049;北京市西城区广安门外街道办事处,北京,100055
  • 2. 中国科学院心理研究所行为科学院重点实验室,北京,100101;中国科学院大学心理学系,北京,100049
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摘要

目的:在健康老龄化背景下,编制老年人社会参与量表,并检验其信效度,为构建老年人社会参与评估体系提供参考.方法:结合文献分析、半结构化访谈和量表评估设计量表的维度和条目,制作初始量表.以方便抽样的方式在北京市某城区街道37 个社区开展调查,共获得 1453 名 60 岁以上老年人的有效样本,采用随机分半样本1(n=752)进行项目分析、探索性因子分析等,样本 2(n=701)进行验证性因子分析及信效度检验.分析社会参与和抑郁情绪及正负情绪等心理健康指标的相关性.结果:新编量表包含 22 个条目,社会参与分为亲友互访、团体文娱、志愿公益、家事活动、休闲活动、网络参与 6 个维度.6 因子结构模型拟合良好:χ2/df=3.26,CFI=0.91,TLI=0.89,RMSEA=0.057,SRMR=0.048.量表具有良好的项目区分度、o-mega合成信度(0.87)、ICC重测信度(0.85)和效标关联效度(0.49).社会参与和抑郁情绪(-0.26)、正向情绪(0.33)、负向情绪(-0.12)等心理健康指标显著相关.结论:本研究编制的老年人社会参与量表具有一定的科学性,经检验量表具有较好的信效度,和抑郁情绪及正负情绪等心理健康指标呈显著相关,可用于评估老年人的社会参与状况.

Abstract

Objective:To develop the social participation scale for older adults in the context of healthy aging,test its reliabil-ity and validity,so as to provide a reference basis for constructing an evaluation system for the social participation of the elderly.Methods:Based on literature analysis,in-depth interviews and expert evaluation,the dimensions and items of the scale were de-signed to form the initial scale.A survey was conducted in 37 communities of a certain urban street in Beijing using a convenient sampling method,and a total of 1453 valid samples of old adults aged 60 and above were obtained,and samples were randomly split into half,sample 1(n=752)was used for item analysis and exploratory factor analysis,sample 2(n=701)for confirmatory factor analysis and reliability and validity testing.The correlation between social participation and psychological health indicators such as depression and positive and negative emotions was analyzed.Results:The newly developed scale included 22 items,and social participation was divided into 6 dimensions:family and friend visit,group entertainment,volunteer public welfare,household ac-tivities,leisure activities and online participation.The six-factor model had good fitness(χ2/df=3.26,CFI=0.91,TLI=0.89,RMSEA=0.057,SRMR=0.048).The scale was proved to have good discriminability and reliability,with omega coefficient of 0.87,ICC retest reliability was 0.85,and criterion correlation validity was 0.49.There was a significant correlation between social participation and mental health indicators including depressive emotions(-0.26),positive emotions(0.33)and negative emo-tions(-0.12).Conclusion:The social participation scale for old adults developed in this study has good reliability and validity,it is significantly correlated with mental health indicators such as depression and positive and negative emotions,and can be used to measure older adults social participation level.

关键词

医学行为/社会参与量表/信效度/健康老龄化

Key words

Medical Behavior/Social Participation Scale/Reliability and Validity/Healthy Aging

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基金项目

国家自然科学基金资助项目(71774157)

中国科学院心理研究所行为科学院重点实验室重点项目(Y5CX052003)

出版年

2024
医学与社会
华中科技大学同济医学院

医学与社会

CSTPCDCHSSCD北大核心
影响因子:1.178
ISSN:1006-5563
参考文献量45
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