A Validation of the French Version of the Attitudes to Aging Questionnaire (AAQ): Factor Structure, Reliability and Validity

Marquet, Manon; Missotten, Pierre; Schroyen, Sarah; Sambeek, Iris van; Akker, Marjan van den; Broeke, C. van den; Buntinx, Frank; Adam, Stéphane

doi:10.5334/pb.301

Cited by 22 publications

(33 citation statements)

References 40 publications

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“…In this study, similar to previous findings, education was associated with positivity towards ageing among rural and urban older persons [ 5 , 10 , 12 , 37 , 38 ]. Also, previous research has shown that the combination of living in urban settings and a high level of education indicate higher social status [ 10 ].…”

Section: Discussionsupporting

confidence: 92%

Attitude towards ageing and perceived health status of community-dwelling older persons in a low resource setting: a rural-urban comparison

2021

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Background Older person’s attitude to ageing is critical for their adjustment, acceptance of health-related behaviour, survival and choices. Their attitude influences how they cope with the challenges experienced while ageing, which affects their quality of life and health-related outcomes. Despite the increasing number of older persons in sub-Saharan Africa, there is limited information about their experience. This study examines the experience and attitude of older persons in Nigeria regarding the ageing process. Methods A descriptive cross-sectional study among older persons aged 60 years and above was carried out in a selected rural and an urban community in Oyo State, south-western Nigeria. The study participants were selected using a multi-stage sampling technique. Trained research assistants collected data with the aid of an interviewer-administered, semi-structured questionnaire. The Attitude to Ageing Questionnaire (AAQ) was used to measure participants’ perception of ageing in three domains (psychosocial loss, physical changes and psychological growth). Data were analysed using Stata version 14 at a level of significance p < 0.05. Results A total of 1,180 participants (588 rural vs. 592 urban) were recruited for the study. The mean age was 73.2 ± 9.3 years. The majority (69.7 %) were females and still working (50.5 %). Overall, urban-dwelling participants had a better attitude to the ageing process in all the domains compared with rural-dwelling participants (psychological growth 32.5 ± 3.4 vs. 32.4 ± 3.3, p = 0.30; physical change 27.5 ± 5.1 vs. 26.9 ± 5.0, p = 0.03; and psychosocial loss 25.3 ± 5.7 vs. 25.0 ± 5.3, p = 0.60). Among the rural and urban-dwelling participants, good self-rated health was significantly associated with a positive attitude to ageing across the domains. Conclusions Older persons residing in urban communities had higher positivity to ageing than their rural older counterparts. The common factor significantly associated with a positive attitude to ageing in both groups was good self-rated health. This information can be used for the planning of targeted interventions and informing policy formation for improved provisions for community-dwelling older persons in Nigeria and other sub-Saharan African countries.

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Section: Discussionsupporting

confidence: 92%

Attitude towards ageing and perceived health status of community-dwelling older persons in a low resource setting: a rural-urban comparison

2021

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“…Other translated versions of the AAQ in various countries also showed three-factor structures similar to that of the original AAQ. 7 , 8 , 13 - 15 ) However, the final AAQ-M included only 19 items. Five items were removed: three for poor factor loading and two for incorrect loading and contextually inappropriate factors.…”

Section: Discussionmentioning

confidence: 99%

“… 12 ) The questionnaire has been translated into various languages and validated in many countries, including Canada, Spain, Brazil, Iran, Norway, and Belgium. 8 , 13 - 15 ) To our knowledge, no validated tool was available in Malay to measure the attitude toward aging among older adults in Malaysia. Research on the attitudes of Malaysian older adults toward aging is also limited.…”

Section: Introductionmentioning

confidence: 99%

A Malay Version of the Attitude to Ageing Questionnaire: Its Adaptation, Validation, and Reliability in the Malaysian Older Adult Population

Rejab

Muhammad

Tohid

et al. 2022

Ann Geriatr Med Res

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Introduction:The Attitude to Ageing Questionnaire (AAQ) was developed to assess perceptions of the aging process among older adults. The 24 items were framed into three factors. This study aimed to translate the AAQ from English to the Malay language (AAQ-M) and determine its factorial structure and validity in a Malaysian population. Methodology: The original AAQ underwent a standard translation process, as well as content and face validation, to produce the AAQ-M. The construct validity of the AAQ-M was then assessed in 254 older adults aged 60 years and above attending a public primary care clinic in Seremban, Malaysia. Results:Exploratory factor analysis showed a three-factor model for the AAQ-M with acceptable reliability and Cronbach α values ranging from 0.71 to 0.82 for each factor. A total of five items were omitted for poor factor loadings (<0.32) or because they did not conceptually fit into the factor they were loaded onto. Of the final 19 AAQ-M items, seven were physical change factors, eight were psychosocial loss factors, and four were psychological growth factors. This threefactor model explained 37.9% of the total variance. Conclusion: The AAQ-M version confirmed that the three-factor model, namely physical change, psychosocial loss, and psychological growth, was similar to that of the original AAQ. The AAQ-M is a valid and reliable instrument for assessing the three aspects of attitudes toward aging in the Malaysian older adult population.

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“…We estimated reliability (internal consistency and test-retest reliability) and construct validity (discriminant and structural). To provide external measures, we compared the UCLA-GAS-F to the Aging Stereotypes and Exercise Scale (ASES) initially developed in French [ 28 ] and seven selected items, which can be addressed by a large public, of the French version of the Attitudes to Aging Questionnaire (AAQ) [ 29 ]. The local Ethics Committee approved the study (Req-2018-00467) according to the Swiss law [ 30 ].…”

Section: Methodsmentioning

confidence: 99%

“…Higher total scores indicate larger positive attitudes towards one’s own aging process. The scale was assessed for validity and reliability in French and demonstrated acceptable psychometric qualities [ 29 ]. We selected the first seven items of the scale as they are more general and can be addressed by a large public.…”

Section: Methodsmentioning

confidence: 99%

Transcultural adaptation and validation of a French version of the University of California, Los Angeles geriatrics attitudes scale (UCLA-GAS-F)

et al. 2021

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Background In the context of demographic aging, active aging must be encouraged. In addition, the increase in life expectancy requires specific care for the elderly. Therefore, it is important to ensure appropriate training and education to caregivers. Educational institutions put value in positively influencing the attitudes and behaviours towards elderly people in order to ensure the quality of patient care in the future. Questionnaires are often used to assess attitudes. Among them, the University of California, Los Angeles Geriatrics Attitudes Scale (UCLA-GAS) was developed to assess attitudes towards older people and caring for older patients. This scale has been used to evaluate attitude of healthcare professionals and students including undergraduate physiotherapy students. To our knowledge, there is no scale that assesses the same concept in French. Therefore, this study aimed to translate and adapt the UCLA-GAS into French and to test its psychometric properties. Methods We conducted this study in two phases. First, we translated and adapted the UCLA-GAS from English into French following the five recommended stages of cross-cultural adaptation. Second, we validated the French version of the scale with undergraduate physiotherapy students. One hundred nineteen students participated from the first to the third academic years. We estimated reliability and validity of the scale. We performed correlation analyses between the French version of the UCLA-GAS (UCLA-GAS-F) with the Aging Stereotypes and Exercise Scale (ASES) and the Attitudes to Aging Questionnaire (AAQ). Results The scale was translated and adapted into French. Results of the validation phase showed that the UCLA-GAS-F had high test-retest reliability (ICC 0.83, 95%CI 0.74–0.89), but internal consistency below 0.7 (Cronbach’s alpha 0.49 to 0.57). The scale showed no ceiling or floor effect. As expected, the French version showed a weak correlation to the ASES (r = 0.28, p = .003) and to the AAQ (r = 0.32, p = .001). Conclusions Despite low internal consistency, the French version of the UCLA-GAS showed appropriate psychometric properties. Further validation should include healthcare professionals and other healthcare students.

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A Validation of the French Version of the Attitudes to Aging Questionnaire (AAQ): Factor Structure, Reliability and Validity

Cited by 22 publications

References 40 publications

Attitude towards ageing and perceived health status of community-dwelling older persons in a low resource setting: a rural-urban comparison

Attitude towards ageing and perceived health status of community-dwelling older persons in a low resource setting: a rural-urban comparison

A Malay Version of the Attitude to Ageing Questionnaire: Its Adaptation, Validation, and Reliability in the Malaysian Older Adult Population

Transcultural adaptation and validation of a French version of the University of California, Los Angeles geriatrics attitudes scale (UCLA-GAS-F)

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