Reliability and Validity of the Chinese Version of the Physical Activity Scale for the Elderly

老年人身體活動量表中文版之信度與效度

10.5297/ser.1503.006

古博文(Po-Wen Ku)；孫文榮(Wen-Jung Sun)；張俊一(Chun-Yi Chang)；陳俐蓉(Li-Jung Chen)

運動 ； 老化 ； 測量 ； 加速規 ； 問卷 ； exercise ； aging ； assessment ； accelerometer ； questionnaire

大專體育學刊

15卷3期（2013 / 09 / 30）

309 - 319

英文

有關臺灣地區老年人身體活動目前仍缺乏具信度與效度的測量問卷。本研究旨在檢定「老年人身體活動量表中文版」之信度與效度。透過招募高雄市263位65歲以上社區老年人（平均年齡±標準差＝73±6；男／女：97/166），本研究使用皮爾森相關分析及組內相關係數等方法，檢定該量表一週再測信度；同時使用斯皮爾曼等級相關分析該量表總分（含整體活動量、休閒活動、家務活動以及職業相關活動）與加速規（含能量消耗及走路步數）、手握力以及老年憂鬱量表等變項間的同時效度。前述相同分析程序亦針對男女生進行分層檢定。結果顯示：本量表一週再測信度之皮爾森相關係數及組內相關係數均達建議水準。第二波所填量表總分與配戴7日加速規數據間有顯著相關。量表總分與手握力間呈現顯著正相關，與老年憂鬱量表呈現顯著負相關等結果，進一步提供該量表具有同時效度的支持證據。此外，該量表所包含三種不同型態身體活動信度與效度亦透過檢定，獲得支持。透過性別分層，該量表信效度不論在男性或女性中都獲得支持。本研究結論：基於上述結果，本研究提供「老年人身體活動量表中文版」初步信效度證據，驗證該量表適合在臺灣地區老年族群中測量其生活型態之身體活動行為。

There is a paucity of knowledge about valid and reliable physical activity questionnaires for Taiwanese older adults. The purpose of this study was to examine the reliability and validity of the Chinese version of the Physical Activity Scale for the Elderly in Taiwan (PASE-C). Two hundred and sixty-three community-dwelling older adults aged 65 or older (mean age 73±6; male/female: 97/166) were recruited from Kaohsiung City. The test-retest reliability over a one-week period was estimated by Pearson's correlation and Intra-class correlation coefficients (ICCs). Concurrent validity was assessed using Spearman's rank correlation by PASE scores (i.e., overall, leisure, household and work-related physical activity), accelerometer measures (energy expenditure and walking steps), hand grip strength and the 15-item Geriatric Depression Scale (GDS). The same procedure was conducted stratified by gender. The results showed that Pearson's correlation coefficient and the ICC for the overall PASE-C scores on two different sessions were exceeded the recommended level. The second-wave PASE-C score was significantly associated with accelerometer measures. The concurrent validity was supported by the positive association between overall PASE-C scores and hand grip strength, and by the negative associations by overall PASE-C scores and GDS. Additionally, reliability and validity of three types of physical activities were also examined and supported. The adequate results were found in men and women separately. Based on the preceding analysis, the PASE-C demonstrated preliminary evidence for reliability and validity and is suitable for assessing the lifestyle physical activity among Taiwanese older population.

1. Liou, Y. M.,Jwo, C. J. C.,Yao, K. G.,Chiang, L. C.,Huang, L. H.(2008).Selection of appropriate Chinese terms to represent intensity and types of physical activity terms for use in the Taiwan version of IPAQ.Journal of Nursing Research,16(4),252-263.
   連結：
2. Boyle, P. A.,Buchman, A. S.,Wilson, R. S.,Leurgans, S. E.,Bennett, D. A.(2009).Association of muscle strength with the risk of Alzheimer's disease and the rate of cognitive decline in community-dwelling older persons.Archives of Neurology,66(11),1339-1344.
3. Bullinger, M.,Alonso, J.,Apolone, G.,Leplège, A.,Sullivan, M.,Wood-Dauphinee, S.(1998).Translating health status questionnaire and evaluating their quality: The IQOLA project approach.Journal of Clinical Epidemiology,51(11),913-923.
4. Chen, L. J.,Stevinson, C.,Ku, P. W.,Chang, Y. K.,Chu, D. C.(2012).Relationships of leisuretime and non-leisure-time physical activity with depressive symptoms: A population-based study of Taiwanese older adults.International Journal of Behavioral Nutrition and Physical Activity,9(28),1-10.
5. Chow, N.(2004).Asian value and aged care.Geriatric and Gerontology International,4,S21-S25.
6. de Vaus, D.(2002).Analyzing social science data: 50 key problems in data analysis.London:Sage.
7. Hagiwara, A.,Ito, N.,Sawai, K.,Kazuma, K.(2008).Validity and reliability of the physical activity scale for the elderly (PASE) in Japanese elderly people.Geriatrics & Gerontology International,8(3),143-151.
8. Hu, G.,Eriksson, J.,Barengo, N. C.,Lakka, T. A.,Valle, T. T.,Nissinen, A.(2004).Occupational, commuting, and leisure- time physical activity in relation to total and cardiovascular mortality among Finnish subjects with type 2 diabetes.Circulation,110(6),666-673.
9. Keller, S. D.,Ware, J. E.,Gandek, B.,Aaronson, N.,Alonso, J.,Apolone, G.(1998).Testing the equivalence of translations of widely used response choice labels: Results from the IQOLA project.Journal of Clinical Epidemiology,51(11),933-944.
10. Ku, P. W.,Fox, K. R.,Chen, L. J.(2009).Physical activity and depressive symptoms in Taiwanese older adults: A seven-year follow-up study.Preventive Medicine,48(3),250-255.
11. Ku, P. W.,Fox, K. R.,Chen, L. J.,Chou, P.(2012).Physical activity and depressive symptoms in older adults: 11-year follow-up.American Journal of Preventive Medicine,42(4),355-362.
12. Ku, P. W.,Fox, K. R.,Chen, L. J.,Chou, P.(2012).Associations of leisure time, work-related and domestic physical activity with cognitive impairment in older adults.International Journal of Sport Psychology,43(2),103-116.
13. Matthews, C. E.,Jurj, A. L.,Shu, X. O.,Li, H. L.,Yang, G.,Li, Q.(2007).Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women.American Journal of Epidemiology,165(12),1343-1350.
14. Nelson, M. E.,Rejeski, W. J.,Blair, S. N.,Duncan, P. W.,Judge, J. O.,King, A. C.(2007).Physical activity and public health in older adults: Recommendation from the American college of sports medicine and the American heart association.Circulation,116(9),1094-1105.
15. New England Research Institutes(1991).Physical activity scale for the elderly: Administration and scoring instruction manual.Watertown, MA:Author.
16. Ngai, S. P. C.,Cheung, R. T. H.,Lam, P. L.,Chiu, J. K. W.,Fung, E. Y. H(2012).Validation and reliability of the physical activity scale for the elderly in Chinese population.Journal of Rehabilitation Medicine,44(5),462-465.
17. Phongsavan, P.,Merom, D.,Marshall, A. L.,Bauman, A.(2004).Estimating physical activity level: The role of domestic activities.Journal of Epidemiology and Community Health,58(6),466-467.
18. Taiwan Ministry of Interior(2008).Population policy white paper.Taipei:Author.
19. UK Department of Health(2011).Start active, stay active: A report on physical activity from the four home countries' chief medical officers.London:Author.
20. US Department of Health and Human Services(2008).2008 physical activity guidelines for Americans.Washington, DC:Author.
21. Washburn, R. A.,McAuley, E.,Katula, J.,Mihalko, S. L.,Boileau, R. A.(1999).The physical activity scale for the elderly (PASE): Evidence for validity.Journal of Clinical Epidemiology,52(7),643-651.
22. Washburn, R. A.,Smith, K. W.,Jette, A. M.,Janney, C. A.(1993).The physical activity scale for the elderly (PASE): Development and evaluation.Journal of Clinical Epidemiology,46(2),153-162.
23. Wong, M.,Ho, T.,Ho, M.,Yu, C.,Wong, Y.,Lee, S.(2002).Development and inter rater reliability of a standardized verbal instruction manual for the chinese Geriatric Depression Scale-Short form.International Journal of Geriatric Psychiatry,17(5),459-463.
24. World Health Organization(2011).Global health and aging.Geneva, Switzerland:Author.
25. Yang, Y. H.,Galvin, J. E.,Morris, J. C.,Lai, C. L.,Chou, M. C.,Liu, C. K.(2011).Application of AD8 questionnaire to screen very mild dementia in Tawanese.American Journal of Alzheimer's Disease and Other Dementias,26(2),134-138.
26. Yu, C.,Liaw, Y.,Barnd, S. M.(2004).Cultural and social factors affecting women's physical activity participation in Taiwan.Sport, Education and Society,9(3),379-393.

1. Pei-Shan LI,Nae-Fang MIAO,Chia-Jung HSIEH(2020).A Study of Physical Activity, Frailty, and Health-Related Quality of Life Among Community-Dwelling Older Adults in Taiwan.The Journal of Nursing Research,28(6),1-11.
2. 陳俐蓉,許涴淇,徐嘉鴻(2019)。青少年靜態行為與認知表現之文獻回顧。國立臺灣體育運動大學學報，8(2)，1-20。
3. 陳俐蓉、孫文榮、古博文(2016)。老年人靜態行為問卷之發展。大專體育學刊，18(1)，41-55。