老年初级保健患者接受和行动问卷II（AAQ-II）的心理测量特性。

IF 2.6 3区医学 Q3 GERIATRICS & GERONTOLOGY

Clinical Gerontologist Pub Date : 2025-05-01 Epub Date: 2023-10-29 DOI:10.1080/07317115.2023.2276291

Shayne S-H Lin, Mary Lindsey Jacobs, Anne Halli-Tierney, Dana G Carroll, Rebecca S Allen

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引用次数: 0

摘要

目的：考虑到对老年人心理灵活性测量的检查较少，本研究探讨了接受与行动问卷II（AAQ-II）在深南某大学附属医疗中心老年初级保健门诊患者中的心理测量特性，同意参与研究的患者（N = 119）为75.42（SD = 9.14）岁。大约74%是女性，91%是非西班牙裔白人，86%生活在城市地区。测量指标包括心理灵活性、主观健康素养、抑郁、焦虑和全球认知功能。结果：AAQ-II显示出足够的内部可靠性，Cronbachα = 0.79，以及良好的重测可靠性，r（28） = .84，p 结论：这些结果显示出有意义的科学和临床意义。这是第一项在老年人样本中检验接受和行动问卷II（AAQ-II）的心理测量特性的研究。临床意义：AAQ-II是一种心理测量学上的声音测量，可在临床上用于老年人。

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Psychometric Properties of the Acceptance and Action Questionnaire-II (AAQ-II) in Older Adult Primary Care Patients.

Objectives: 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.

Methods: On average, patients who consented to participate in research (N = 119) were 75.42 (SD = 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.

Results: The AAQ-II demonstrated adequate internal reliability, Cronbach's α = 0.79, and good test-retest reliability, r(28) = .84, p < .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.

Conclusions: 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.

Clinical implications: The AAQ-II is a psychometrically sound measurement that can be clinically used on older adults.

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来源期刊

Clinical Gerontologist GERIATRICS & GERONTOLOGY-PSYCHIATRY

CiteScore

6.20

自引率

25.00%

发文量

审稿时长

>12 weeks

期刊介绍： Clinical Gerontologist presents original research, reviews, and clinical comments relevant to the needs of behavioral health professionals and all practitioners who work with older adults. Published in cooperation with Psychologists in Long Term Care, the journal is designed for psychologists, physicians, nurses, social workers, counselors (family, pastoral, and vocational), and other health professionals who address behavioral health concerns found in later life, including: -adjustments to changing roles- issues related to diversity and aging- family caregiving- spirituality- cognitive and psychosocial assessment- depression, anxiety, and PTSD- Alzheimer’s disease and other neurocognitive disorders- long term care- behavioral medicine in aging- rehabilitation and education for older adults. Each issue provides insightful articles on current topics. Submissions are peer reviewed by content experts and selected for both scholarship and relevance to the practitioner to ensure that the articles are among the best in the field. Authors report original research and conceptual reviews. A unique column in Clinical Gerontologist is “Clinical Comments." This section features brief observations and specific suggestions from practitioners which avoid elaborate research designs or long reference lists. This section is a unique opportunity for you to learn about the valuable clinical work of your peers in a short, concise format.