Clinical GerontologistPub Date : 2025-05-01Epub Date: 2024-10-29DOI: 10.1080/07317115.2024.2421876
Angela K Troyer, Komal T Shaikh, Natasha Baptist-Mohseni, Arjunvir Singh, Jacob Duncan-Kofman, Susan Vandermorris, Jill B Rich
{"title":"Creation and Validation of the MMQ-9: A Short Version of the Multifactorial Memory Questionnaire for Middle-Aged and Older Adults.","authors":"Angela K Troyer, Komal T Shaikh, Natasha Baptist-Mohseni, Arjunvir Singh, Jacob Duncan-Kofman, Susan Vandermorris, Jill B Rich","doi":"10.1080/07317115.2024.2421876","DOIUrl":"10.1080/07317115.2024.2421876","url":null,"abstract":"<p><strong>Objectives: </strong>Memory concerns are common among older adults. The Multifactorial Memory Questionnaire (MMQ) is a well-validated participant-reported measure consisting of 57 items across three subscales assessing satisfaction with memory, self-perceived memory ability, and memory strategy use, respectively. Because short scales are often desired to accommodate clinical time constraints and reduce respondent burden, we created and evaluated 9-item versions of each subscale (MMQ-9).</p><p><strong>Methods: </strong>In Study 1, we used an optimization strategy to identify subsets of items that maximized subscale reliability in a sample of 560 adults ages 50-90. In Study 2, we examined psychometric properties of the MMQ-9 in an independent sample of 638 adults ages 51-95.</p><p><strong>Results: </strong>Internal consistency, test-retest reliability, and convergent and discriminant validity of each subscale met published criteria for good measurement properties. Confirmatory factor analysis validated the original factor structure. A hierarchical series of invariance models showed excellent fit, confirming robust measurement invariance across age, gender, and education.</p><p><strong>Conclusions: </strong>The shortened MMQ-9 is a reliable, valid, and invariant measure of metamemory in middle-aged and older adults.</p><p><strong>Clinical implications: </strong>The MMQ-9 is a reasonable instrument of choice when brief yet psychometrically strong measures of participant-reported memory are required for clinical assessment of patients with memory concerns.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"528-538"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142544118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reliability and Validity of Revised Apathy Evaluation Scale-Self in Community-Dwelling Older Adults.","authors":"Xinyu Qiao, Ziqi Guan, Fangfang Pang, Juzhe Xi, Ruiyuan Guan","doi":"10.1080/07317115.2024.2383924","DOIUrl":"10.1080/07317115.2024.2383924","url":null,"abstract":"<p><strong>Objectives: </strong>The questionnaire Apathy Evaluation Scale-Self (AES-S) has been widely adopted globally, demonstrating high reliability and validity. However, direct translation of the AES into Chinese does not fit well into the Chinese cultural setting, so a structured and comprehensive revision is needed to obtain a high reliability and validity version of the scale.</p><p><strong>Methods: </strong>In this study, 436 adults aged ≥ 60 years from two communities in Beijing were assessed using a modified AES-S. The methodology included item analysis, exploratory factor analysis, and confirmatory factor analysis. The scale's validity was tested using the Temporal Experience of Pleasure Scale (TEPS) and Mini-Mental State Examination (MMSE). Reliability assessment included retest reliability, internal consistency reliability, and split-half reliability.</p><p><strong>Results: </strong>The modified Apathy Evaluation Scale-Self-Assessment (AES-S-C) presented a first-order four-factor structure with higher reliability and validity than the original version within the Chinese older adult community.</p><p><strong>Conclusions: </strong>The revised AES-S-C is more suitable for the Chinese older adults in community settings.</p><p><strong>Clinical implications: </strong>This self-rated scale is suitable for screening apathy among older adults in community or nursing facilities, aiding in the identification of cognitive impairment and promoting mental health.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"494-502"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141757536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2024-07-11DOI: 10.1080/07317115.2024.2375326
Crystal M Glover, Lei Yu, Peter A Lichtenberg, S Duke Han, Melissa Lamar, Christopher C Stewart, David A Bennett, Lisa L Barnes, Patricia A Boyle
{"title":"Factors Associated With Healthcare and Financial Decision Making Among Older Black Adults Without Dementia.","authors":"Crystal M Glover, Lei Yu, Peter A Lichtenberg, S Duke Han, Melissa Lamar, Christopher C Stewart, David A Bennett, Lisa L Barnes, Patricia A Boyle","doi":"10.1080/07317115.2024.2375326","DOIUrl":"10.1080/07317115.2024.2375326","url":null,"abstract":"<p><strong>Objectives: </strong>The study aims to identify factors associated with health care and financial decision-making among older Black adults without dementia.</p><p><strong>Methods: </strong>Participants (<i>N</i> = 326) underwent assessments of decision-making and completed measurements of factors from four categories: cognitive, contextual, psychosocial, and personality. We performed separate linear regression models to examine the association between each factor and decision-making and created a fully adjusted model.</p><p><strong>Results: </strong>Higher global cognition (estimate = 1.92, SE = 0.21, <i>p</i> < .0001) was associated with better decision-making. Contextual factors including higher current annual income (estimate = 0.23, SE = 0.05, <i>p</i> < .0001), higher childhood socioeconomic status (estimate = 0.48, SE = 0.18, <i>p</i> = .006), higher health and financial literacy (estimate = 0.08, SE = 0.01, <i>p</i> < .0001), and lower financial stress (estimate = -0.19, SE = 0.07, <i>p</i> = .01) were associated with better decision-making. More psychological well-being (estimate = 0.07, SE = 0.22, <i>p</i> = .001), a psychosocial factor, and less neuroticism (estimate = -0.06, SE = 0.02, <i>p</i> = .002), a personality factor, were associated with better decision-making. In the fully adjusted model, two factors, higher global cognition and higher literacy (health and financial), remained associated with better decision-making.</p><p><strong>Conclusions: </strong>Cognitive and contextual factors serve as drivers of decision-making among older Black adults.</p><p><strong>Clinical implications: </strong>Clinicians may implement strategies to bolster cognition and improve health and financial literacy to facilitate optimal decision-making among older Black adults.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"423-439"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11724011/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141589750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2024-03-20DOI: 10.1080/07317115.2024.2331171
Ana Paula Saraiva Amaral, Mário Manuel Rodrigues Simões, Sandra Cristina Lopes Freitas, Rosa Marina Lopes Brás Martins Afonso
{"title":"Capacity Assessment Instrument - Health: Pilot Study of a New Tool for Adults with Dementia.","authors":"Ana Paula Saraiva Amaral, Mário Manuel Rodrigues Simões, Sandra Cristina Lopes Freitas, Rosa Marina Lopes Brás Martins Afonso","doi":"10.1080/07317115.2024.2331171","DOIUrl":"10.1080/07317115.2024.2331171","url":null,"abstract":"<p><strong>Objectives: </strong>This research comprises a pilot study of the CAI-Health, a new tool for the evaluation of decision-making capacity in healthcare. It aims to analyze the instrument's indicators of reliability and internal validity to conclude its final version.</p><p><strong>Methods: </strong>A total of 89 participants were included, of which 22 had Alzheimer's Disease; 32 had mild cognitive impairment, and 35 were controls. Cronbach's alpha and the intercorrelation matrix were used as indicators of reliability and internal validity as well as to identify items for elimination. Repeated-measures ANOVA allowed for the analysis of differences between the vignettes that comprise CAI-Health.</p><p><strong>Results: </strong>The internal consistency results were acceptable, and no items were proposed for elimination. A repeated-measures ANOVA revealed that the vignettes were unexpectedly equivalent. Despite the procedures used to develop clinical vignettes with increased levels of complexity in assessing decision-making capacity, this study showed no differences in the vignettes' level of demand.</p><p><strong>Conclusions: </strong>The extensive application of CAI-Health compromises its clinical usefulness and viability. To reduce its length while maintaining a thorough assessment of each ability, it was decided to eliminate two vignettes and retain all interview items. The final version of the CAI-Health comprises a clinical vignette and a capacity interview.</p><p><strong>Clinical implications: </strong>CAI-Health was designed for the assessment of medical decision-making capacity in older adults.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"411-422"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140174010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2024-11-19DOI: 10.1080/07317115.2024.2427268
Philipp M Keune, Regina Meister, Jana Keune, Romy Springer, Patrick Oschmann, Sascha Hansen, Iva Holmerová, Stefanie Auer
{"title":"What Do We Know About the Validity and Reliability of Mindfulness Self-Report Measures in Persons with Dementia? A Critical Narrative Review.","authors":"Philipp M Keune, Regina Meister, Jana Keune, Romy Springer, Patrick Oschmann, Sascha Hansen, Iva Holmerová, Stefanie Auer","doi":"10.1080/07317115.2024.2427268","DOIUrl":"10.1080/07317115.2024.2427268","url":null,"abstract":"<p><strong>Objectives: </strong>Mindfulness-based interventions (MBIs) for persons with dementia (PwD) have yielded mixed results, possibly attributable to the fact that little is known about the validity and reliability of trait mindfulness self-report measures in PwD. This narrative review sought to identify studies involving self-reported trait mindfulness and other clinical measures that may hold information on the convergent validity and reliability of these measures in PwD.</p><p><strong>Methods: </strong>Scientific databases were searched for studies involving PwD and mindfulness assessments.</p><p><strong>Results: </strong><i>N</i> = 426 studies from PubMed and <i>N</i> = 156 from PsychInfo databases were reviewed. Four cross-sectional studies were identified that allowed inferences about the validity of mindfulness measures. A qualitative review indicated that convergent validity with other measures varied with sample heterogeneity and cognitive impairment. Merely one MBI included self-reported trait mindfulness, however without reporting sample-specific validity or reliability.</p><p><strong>Conclusions: </strong>Despite efforts to implement MBIs in PwD, information on basic methodological psychometric issues is minimal. Future studies ought to address the validity and reliability of self-reported mindfulness in detail across different stages of dementia.</p><p><strong>Clinical implications: </strong>Results of MBIs need to be considered cautiously. Basic information about psychometric properties of mindfulness self-report measures is required and these measures need to be included systematically in MBIs.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"386-400"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142675368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2024-01-16DOI: 10.1080/07317115.2024.2304889
Anne K Schwabenbauer, John Merladet, Neil Metzner, Brea Salib, Kevin Siffert
{"title":"Adapting Measurement-Based Care to VA Home-Based Primary Care Mental Health Treatment: A Quality Improvement Project.","authors":"Anne K Schwabenbauer, John Merladet, Neil Metzner, Brea Salib, Kevin Siffert","doi":"10.1080/07317115.2024.2304889","DOIUrl":"10.1080/07317115.2024.2304889","url":null,"abstract":"<p><strong>Objectives: </strong>This quality improvement project sought to develop guidance for Home-Based Primary Care (HPBC) Mental Health (MH) clinicians on integrating Measurement-Based Care (MBC) into their practice and gain participating psychologists' feedback on their experience using MBC for treating mental health concerns with HBPC Veterans.</p><p><strong>Methods: </strong>Based on feedback from the HBPC MH community and in consultation with national leadership, a workgroup of HBPC psychologists developed a guide tailoring MBC to HBPC Veterans. Eight HBPC psychologists piloted the adapted MBC approach with 53 Veterans. Participating psychologists provided feedback on measure administration, Veterans' responses to MBC, and perceived benefits and challenges.</p><p><strong>Results: </strong>Pilot participants' feedback suggested that MBC can be a highly useful tool for delivering mental health services in HBPC, although feedback varied about specific MBC measures. Qualitative feedback was primarily positive, but participants noted challenges based on the nature of the presenting problem and Veteran-specific characteristics.</p><p><strong>Conclusions: </strong>Findings indicate that MBC can be utilized with appropriate HBPC Veterans and has the potential to benefit care. Further research is needed to clarify factors that enhance or reduce MBC's utility within HBPC.</p><p><strong>Clinical implications: </strong>HBPC MH providers identified MBC as a useful tool particularly when adapted to meet the needs of HBPC Veterans.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"556-565"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139472093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2023-05-29DOI: 10.1080/07317115.2023.2217190
Gali H Weissberger, Annie L Nguyen, Aaron C Lim, Laura Fenton, Laura Mosqueda, S Duke Han
{"title":"The Cognitive Correlates of Financial Literacy in Older Adults.","authors":"Gali H Weissberger, Annie L Nguyen, Aaron C Lim, Laura Fenton, Laura Mosqueda, S Duke Han","doi":"10.1080/07317115.2023.2217190","DOIUrl":"10.1080/07317115.2023.2217190","url":null,"abstract":"<p><strong>Objectives: </strong>This study examined the cognitive correlates of financial literacy using a comprehensive neuropsychological battery, and whether education modifies the relationship between cognition and financial literacy.</p><p><strong>Methods: </strong>Sixty-six participants completed sociodemographic questionnaires, an assessment of financial literacy, and a neuropsychological assessment. Multiple linear regression models that controlled for age, sex, and education examined the main effects of cognitive measures that showed a significant bivariate association with financial literacy.</p><p><strong>Results: </strong>After correcting for multiple comparisons, the Crystallized Composite score (<i>p</i> = .002) and the Picture Vocabulary test (<i>p</i> = .002) from the NIH Toolbox, and the Multilingual Naming Test (<i>p</i> > .001) from the Uniform Data Set 3 were associated with financial literacy. Contrary to our hypothesis, education did not interact with cognitive measures when considering financial literacy scores.</p><p><strong>Conclusions: </strong>Findings suggest that vocabulary knowledge and semantic memory may play an important role in financial literacy in older age.</p><p><strong>Clinical implications: </strong>Assessing vocabulary knowledge and semantic processes may help to identify older adults with lower financial literacy skills. Additionally, financial literacy interventions may consider targeting individuals with lower vocabulary knowledge and semantic processing skills.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"459-467"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10684819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9834828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2024-10-01DOI: 10.1080/07317115.2024.2407581
Juno Moray, Peter A Lichtenberg
{"title":"Cross-Validation of the Financial Exploitation Vulnerability Scale.","authors":"Juno Moray, Peter A Lichtenberg","doi":"10.1080/07317115.2024.2407581","DOIUrl":"10.1080/07317115.2024.2407581","url":null,"abstract":"<p><strong>Objectives: </strong>The present study is a cross-validation of the Financial Exploitation Vulnerability Scale (FEVS), a measure of contextual risk for financial exploitation.</p><p><strong>Methods: </strong>The sample was drawn from both the community and the SAFE program, a service for older adults who have been financially scammed. FEVS was administered within a larger assessment battery. The total score ability to differentiate exploitation groups and its correlates were examined. ROC analysis and logistic regression evaluated the clinical utility of the FEVS to detect exploitation. Results were compared to the initial validation study.</p><p><strong>Results: </strong>FEVS score was significantly higher for those who were exploited and correlated with age. ROC analysis revealed adequate detection of financial exploitation. FEVS total score remained a strong predictor of exploitation when compared to demographic factors and several measures of cognitive functioning.</p><p><strong>Conclusions: </strong>Cross-validation demonstrates strong evidence that the FEVS detects financial exploitation in older adults, beyond the ability of many known risk factors.</p><p><strong>Clinical implications: </strong>FEVS is an evidence-based tool for identifying exploitation and is accessible to many professionals working with older adults. Items query contextual factors that allow professionals to support clients with the appropriate standard of care.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"401-410"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11958782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142342846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2023-10-27DOI: 10.1080/07317115.2023.2274989
Carolinne Marques, Sofia Fontoura Dias, Liliana Sousa
{"title":"A Systematic Review of the Reminiscence Functions Scale and Implications for Use with Older Adults.","authors":"Carolinne Marques, Sofia Fontoura Dias, Liliana Sousa","doi":"10.1080/07317115.2023.2274989","DOIUrl":"10.1080/07317115.2023.2274989","url":null,"abstract":"<p><strong>Objectives: </strong>The Reminiscence Functions Scale (RFS) is a widely used robust instrument. While reminiscence-based intervention is one of the most effective nonpharmacological interventions for older adults. This systematic review provides a comprehensive synthesis of the literature that used RFS with older adults, summarizes the main outcomes, and highlights implications for practice.</p><p><strong>Methods: </strong>This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were eligible if they used RFS and included older adults. Studies were searched from 1993, the year RFS was first published. Electronic databases were searched (Scopus, PsycNET, and Web of Science), from which 44 eligible studies were identified.</p><p><strong>Results: </strong>Four themes were identified: i) predictive value of reminiscence functions regarding well-being, ii) increased frequency of teach/inform and death preparation functions in older adults, iii) key roles of reminiscence functions in coping with critical life events, iv) reminiscence-based interventions should promote positive memories.</p><p><strong>Conclusions: </strong>The RFS outcomes may improve reminiscence-based interventions, since the functions of reminiscence are key players in older adults daily life.</p><p><strong>Clinical implications: </strong>Reminiscence-based interventions should promote positive memories, which are associated with improved well-being. Particularly, it seems a good practice when supporting older adults regarding critical and traumatic events.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"364-385"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"54227950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clinical GerontologistPub Date : 2025-05-01Epub Date: 2023-10-29DOI: 10.1080/07317115.2023.2276291
Shayne S-H Lin, Mary Lindsey Jacobs, Anne Halli-Tierney, Dana G Carroll, Rebecca S Allen
{"title":"Psychometric Properties of the Acceptance and Action Questionnaire-II (AAQ-II) in Older Adult Primary Care Patients.","authors":"Shayne S-H Lin, Mary Lindsey Jacobs, Anne Halli-Tierney, Dana G Carroll, Rebecca S Allen","doi":"10.1080/07317115.2023.2276291","DOIUrl":"10.1080/07317115.2023.2276291","url":null,"abstract":"<p><strong>Objectives: </strong>Considering that the examination of psychological flexibility measures among older adults is scant, this study explores the psychometric properties of the Acceptance and Action Questionnaire-II (AAQ-II) among outpatient geriatrics primary care clinic patients in a university-affiliated medical center in the Deep South.</p><p><strong>Methods: </strong>On average, patients who consented to participate in research (<i>N</i> = 119) were 75.42 (<i>SD</i> = 9.14) years old. Approximately 74% were women, 91% were non-Hispanic white, and 86% lived in urban areas. Measures included psychological inflexibility, subjective health literacy, depression, anxiety, and global cognitive functioning.</p><p><strong>Results: </strong>The AAQ-II demonstrated adequate internal reliability, Cronbach's α = 0.79, and good test-retest reliability, <i>r</i>(28) = .84, <i>p</i> < .001. With the removal of item 4, confirmatory factor analysis demonstrated adequate construct validity for the use of AAQ-II with older adults. As predicted, the AAQ-II exhibited concurrent, predictive, discriminant, and incremental validity within this older adult sample.</p><p><strong>Conclusions: </strong>These results demonstrate meaningful scientific and clinical implications. This is the first study to examine the psychometric properties of the Acceptance and Action Questionnaire-II (AAQ-II) in an older adult sample.</p><p><strong>Clinical implications: </strong>The AAQ-II is a psychometrically sound measurement that can be clinically used on older adults.</p>","PeriodicalId":10376,"journal":{"name":"Clinical Gerontologist","volume":" ","pages":"480-493"},"PeriodicalIF":2.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71410981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}