Study of Health Promotion for the Elderly : Development and Evaluation of Empowerment Scale for the Elderly

本研究旨在：（1）建构老年人增权量表（ESE），以评估老年人对健康促进的认知。（2）检验其信度和效度。增强老年人权能是一个由三个子结构组成的概念：1）意识到自我潜能，2）通过互动认识问题，采用383名老年人的调查数据，对量表的信度和效度进行了检验（年龄65-92岁），参与了29个小社区的老年人健康促进项目。结果如下。1)探索性因素分析显示量表的三个因素。因此，该量表由12个项目组成，分为3个分量表。2)协方差结构分析表明，二阶结构方程模型具有足够的拟合度（χ2/df=2.234，GFI= 0.942，AGTI =0.910）。RMSEA=0.064，p<.001）。3)结构效度的支持ESE和其他三个量表（一般自我效能感量表，帮助效果量表，应对量表）之间的显着相关。相关系数范围为0.74至0.22。标准相关效度得到了ESE和其他三个量表（授权，结果量表）之间显著相关的支持。日常生活满意度。主观健康感）。4)ESE及其三个分量表的Cronbach α系数范围为0.71至0.83。这表明量表具有足够的可靠性。重测相关系数的平均值为0.71，这是可接受的稳定性水平。

This study aimed 1) to construct an Empowerment Scale for the Elderly (ESE) to assess personal cognition regarding health promotion. and 2) to examine its validity and reliability. Empowerment for the elderly is a concept that consists of three sub-construcls : 1) becoming conscious of self-potential far competence, 2) recognizing issues through interaction, and 3) intending to take positive action.We tested the validity and reliabilaly of the scale based on the data of 383 elderly people (aged 65-92 years) who partacipated in health promotion programs for the elderly in 29 small communities. The results are as follows. 1) The exploratory factor analysis with promax rotation indicated three factors of the scale. As a result, this scale consisted of 12 items classified into 3 subscales. 2) The covariance structure analysis yielded a sufficient degree of fitness of the second-order structural equation model (χ2/df=2.234, GFI=0.942.AGTI=0.910. RMSEA=0.064, p<.001). 3) The construct validity was supported by a significant correlation between the ESE and three other scales (General self-efficacy scale, Helping effects scale, and Coping scale). with correlation coefficients ranging from 0.74 to 0.22. Criterion-relaled validity was supported by a significant correlation between the ESE and three other Scales (Empowerment, outcome scale. Daily life satisfaction. and Sense of subjective health). 4) The Cronbach's alpha coefficient for the ESE and its three subscales ranged from 0.71 to 0.83. indicating sufficient reliability of the scale. The average of test-retest correlation coefficients was 0.71, which is an acceptable level of stability.