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

被引:7
作者
Lin, Shayne S. -H. [1 ,2 ]
Jacobs, Mary Lindsey [1 ,2 ,3 ,5 ]
Halli-Tierney, Anne [2 ,4 ]
Carroll, Dana G. [2 ,4 ]
Allen, Rebecca S. [1 ,2 ,6 ]
机构
[1] Univ Alabama, Coll Arts & Sci, Dept Psychol, Tuscaloosa, AL USA
[2] Univ Alabama, Coll Arts & Sci, Alabama Res Inst Aging, Tuscaloosa, AL USA
[3] Tuscaloosa VA Med Ctr, Res & Dev Serv, Tuscaloosa, AL USA
[4] Univ Alabama, Coll Community Hlth Sci, Family Internal & Rural Med, Tuscaloosa, AL USA
[5] Univ Alabama, Coll Arts & Sci, Dept Psychol, Gordon Palmer Hall, Tuscaloosa, AL 35487 USA
[6] Univ Alabama, Coll Arts & Sci, Dept Psychol, Gordon Palmer Hall,Box 870348, Tuscaloosa, AL 35487 USA
关键词
Acceptance and commitment therapy; older adults; psychological flexibility; psychometrics; MONTREAL COGNITIVE ASSESSMENT; COMMITMENT THERAPY; PSYCHOLOGICAL FLEXIBILITY; EXPERIENTIAL AVOIDANCE; ANXIETY DISORDER; VALIDATION; VALIDITY; TRUST; MOCA;
D O I
10.1080/07317115.2023.2276291
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
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 alpha = 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.
引用
收藏
页码:480 / 493
页数:14
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