The attitudes to ageing questionnaire (AAQ): development and psychometric properties

Laidlaw, Ken; Power, Michael; Schmidt, Silke

doi:10.1002/gps.1683

Cited by 245 publications

(360 citation statements)

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“…Evidence of marginal fit or the lack thereof is not unique to the present study and has also been reported among Swiss (Von Steinbuchel et al 2006) and Chinese (Hwang et al 2003) older adults, the latter of these two reporting different suggested modifications than those observed in the present study. Cultural differences serve as a reminder that older people alone possess intimate knowledge of adaptation to the ageing process and their QoL (Laidlaw et al 2007). Further comparative studies of the BREF among older people living in different countries would add to our existing knowledge of the meaning of QoL in the third age and further invite us to embrace its complexities.…”

Section: Discussionmentioning

confidence: 99%

The suitability of the WHOQOL–BREF for Canadian and Norwegian older adults

2008

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The aim of this study was to examine the validity and reliability of the WHOQOL-BREF, a generic quality of life scale, among older people in Canada and Norway. Very similar data from the Canadian and Norwegian Field Trial data (Canada n = 192; Norway, n = 469) were analyzed and compared. Higher negatively skewed mean scores were found for all WHOQOL-BREF domains in Canada. For both study samples, missing values were highest for the sex item from the social domain. Ceiling effects were found (Canada n = 21; Norway n = 11) primarily among items in the physical and environmental domains. In both study samples, a multitrait multimethod procedure indicated items correlated most strongly with their parent domains; however, equally appreciable correlations were observed between physical, psychological, and environmental items (r = 0.33-0.64; p \ 0.01). The social domain had the lowest internal consistency (a = 0.67 Canada, a = 0.55 Norway). Confirmatory factor analyses (CFA) yielded marginal goodness-of-fit between the hypothesized WHOQOL-BREF measurement model and the sample data as well as differing patterns of domain misspecification. Patterns of correlations (p \ 0.01) of WHOQOL-BREF domains with WHOQOL-OLD facets, a global QOL item, the SF-12, and the geriatric depression scale provided evidence of convergent and divergent validity. Domain scores also significantly discriminated between health and unhealthy populations and presence of morbidity. Empirical support was found, in part, for the construct validity of the WHOQOL-BREF in older adults. Despite some different patterns found in the CFA, possibly due to cultural or sampling differences, it appears that the instrument is reliable, valid, and facilitates cross-cultural comparisons.

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Section: Discussionmentioning

confidence: 99%

The suitability of the WHOQOL–BREF for Canadian and Norwegian older adults

2008

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“…Scores on this factor - which we labelled “physical and psychological loss” - were strongly associated with risk of becoming physically frail or pre-frail, but they represent just 1 potential domain of attitudes to ageing. Some other measures for assessing attitudes to ageing include subscales on several domains [29,30]. Another limitation is that due to attrition our analyses were based on 52% of the participants assessed at baseline.…”

Section: Discussionmentioning

confidence: 99%

Attitudes to Ageing and Change in Frailty Status: The English Longitudinal Study of Ageing

Gale

Cooper

2017

Gerontology

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Background: Older people with more negative attitudes to ageing are at increased risk of several adverse outcomes, including decline in physical function and increased difficulties with activities of daily living. Objective: We investigated whether negative attitudes to ageing increase the risk of the onset or progression of frailty. Method: Participants were 3,505 men and women aged 60 years and over from the English Longitudinal Study of Ageing. They completed a 12-item questionnaire on attitudes to ageing. Exploratory factor analysis was used to examine the structure of these items, and a single factor was derived which we labelled “physical and psychological loss.” Frailty was assessed by the Fried phenotype of physical frailty at waves 2 and 4, and by a frailty index at waves 2-5. Results: Having a more positive attitude to ageing as regards “physical and psychological loss” was associated with a decreased risk of becoming physically frail or pre-frail at follow-up. For a standard deviation increment in score, the relative risk ratios (95% confidence interval), adjusted for age, sex and baseline level of physical frailty, were 0.86 (0.79, 0.94) for pre-frailty and 0.72 (0.63, 0.83) for frailty. Further adjustment for other potential confounding variables had only slight attenuating effects on these associations: multivariable-adjusted relative risk ratios were 0.89 (0.81, 0.98) for pre-frailty and 0.78 (0.68, 0.91) for frailty. Attitude to ageing was not associated with change in the frailty index over time after adjustment for potential confounding variables. Conclusion: Older people who have a more positive attitude to ageing are at reduced risk of becoming physically frail or pre-frail. Future research needs to replicate this finding and discover the underlying mechanisms. Attitude to ageing was not a risk factor for change in the more broadly defined frailty index.

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“…Our principal results referred to three dimensions of ageing described by Laidlow (24) and strived to understand which factors of older adults life contributed to each of the dimensions (research question 2). We also intended to describe what seniors meant by expressing positive or negative attitudes to ageing (research question 1).…”

Section: Fig 3 Comparison Of the Staff And The Seniors Living In Inmentioning

confidence: 99%

The Attitudes of Older Adults Living in Institutions and Their Caregivers to Ageing

Janečková¹,

Dragomirecká²,

Holmerová³

et al. 2013

Cent Eur J Public Health

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SUMMARYObjectives: The aim of this study was to explore the attitudes of older people living in institutions and their caregivers to ageing. Recent outcomes showed prevailing negative social stereotype to ageing in CR.Methods: The Attitudes to Ageing Questionnaire (AAQ-24) was used in two waves of data collection to measure attitudes of 400 randomly selected residents of 19 Senior Residential Homes. The reduced sample of 220 seniors and 276 professional carers employed at twelve Senior Residential Homes completed 12 items of general form (AAQ-12). All respondents expressed their agreement or disagreement with the statements presented in the questionnaire regarding positive or negative attitudes to ageing.Results: The AAQ total score proved significant influence of gender, having children, self-perceived health, depression, and quality of life. Subscale scores (psychosocial losses, physical changes, psychological growth) were significantly influenced by gender, age, activities limitations, having own children, depression, self-perceived health status, and quality of life. Globally, the attitudes of professional caregivers to ageing were more positive compared to the attitudes of older people living in institutions. Older adults showed higher agreement with negative statements about ageing. There was no difference between professional caregivers and older people in the positive attitudes to ageing expressed as the growth potential. Physical activity, wisdom, better ability to cope with life and contacting young generation were effective in the positive attitudes of both groups.

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The attitudes to ageing questionnaire (AAQ): development and psychometric properties

Abstract: The AAQ provides researchers, clinicians and policy makers with a unique scale to measure the impact of successful ageing interventions. It also provides a vehicle for the measurement of how individuals age across cultures and under different economic, political and social circumstances.

Cited by 245 publications

References 9 publications

The suitability of the WHOQOL–BREF for Canadian and Norwegian older adults

The suitability of the WHOQOL–BREF for Canadian and Norwegian older adults

Attitudes to Ageing and Change in Frailty Status: The English Longitudinal Study of Ageing

The Attitudes of Older Adults Living in Institutions and Their Caregivers to Ageing

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