Perceived Accessibility of Living Environment and Services Questionnaire: Validity and Reliability.

IF 1.5 4区医学 Q3 REHABILITATION

Otjr-Occupation Participation and Health Pub Date : 2025-03-20 DOI:10.1177/15394492251322494

Orit Segev-Jacubovski

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Abstract

Assessing living-environment accessibility is relevant for older adults and others with disabilities because they influence participation in daily activities and quality of life (QoL). The objective of this study is to test the reliability and validity of the Perceived Accessibility of Living Environment and Services questionnaire (PALES). Feedback from experts on older adults and accessibility and a sample of 495 older adults (≥60 years) with/without disabilities was used to assess validity/reliability measures. Construct validity was tested via between-group (with/without disabilities) differences and correlations between PALES responses and World Health Organization's QoL domains, criterion validity via correlations between participant and researcher responses, and test-retest reliability. Results showed content validity, test-retest reliability (r = 0.892, p < .001), criterion validity (r = .826, p < .001), between-group differences t(493) = -6.591, p < .001, convergent validity (r = 0.41-0.31, p < .001), and discriminant validity (r = 0.16-0.14, p < .001). The PALES is suitable for assessing immediate neighborhood environment accessibility for older adults.

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居住环境与服务感知可达性问卷：效度与信度。

评估生活环境可及性与老年人和其他残疾人有关，因为它们影响日常活动的参与和生活质量。摘要本研究旨在检验《居住环境与服务可达性认知问卷》的信度与效度。专家对老年人和可及性的反馈和495名老年人（≥60岁）有/无残疾的样本用于评估效度/信度措施。通过组间（有/无残疾）PALES反应与世界卫生组织的生活质量域之间的差异和相关性来测试结构效度，通过参与者和研究者反应之间的相关性来测试标准效度，以及测试-重测信度。结果显示：内容效度、重测信度（r = 0.892, p < 0.001）、标准效度（r = 0.826, p < 0.001）、组间差异t(493) = -6.591, p < 0.001、收敛效度（r = 0.41-0.31, p < 0.001）、判别效度（r = 0.16-0.14, p < 0.001）。PALES适用于评估老年人就近社区环境可达性。

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来源期刊

Otjr-Occupation Participation and Health REHABILITATION-

CiteScore

2.60

自引率

7.10%

发文量

期刊介绍： The aim of OTJR: Occupation, Participation and Health is to advance knowledge and science in occupational therapy and related fields, nationally and internationally, through the publication of scholarly literature and research. The journal publishes research that advances the understanding of occupation as it relates to participation and health.