Development and test of an adaptability questionnaire for the disabled elderly in rural area
Objective To develop a questionnaire on adaptability of the disabled elderly in rural area and test its reliability and validity.Methods Based on the Roy adaptation model,the first draft of questionnaire was formed by litera-ture review,qualitative interview and group discussion.Eighteen experts from different regions were invited to conduct Delphi expert consultation to modify the questionnaire.Then,the questionnaire was improved by cognitive interview and pre-experi-ment.From May to June 2022,a questionnaire survey was conducted among 255 disabled elderly in 9 rural villages of a township in northern of Henan Province by stratified cluster sampling,and the reliability and validity were tested by SPSS 27.0.Results The adaptability questionnaire for rural disabled elderly covered 32 items in 4 dimensions:physiological ad-aptation,psychological adaptation,role adaptation and social adaptation.Exploratory factor analysis showed that the cumula-tive variance interpretation rate of 4 common factors was 68.246%.The S-CVI was 0.850 and I-CVI was 0.857-1.000(P<0.01).The correlation coefficient between each dimension was 0.292-0.578,and the correlation coefficient between each dimension and the total questionnaire was 0.607-0.841(P<0.01).The correlation coefficient between each dimen-sion and the calibration questionnaire was 0.524-0.645(P<0.01).The Cronbach's a coefficient of the total questionnaire was 0.892,and the Cronbach's α coefficient of each dimension was 0.705-0.794,and the test-retest reliability was 0.933.Conclusion The rural disabled elderly adaptability questionnaire has good reliability and validity,which is suitable for evaluating the level of disability adaptability of rural disabled elderly in China.
RuralDisabled elderlyAdaptabilityQuestionnaire development