Kd. Melillo et al., A SELF-ASSESSMENT TOOL TO MEASURE OLDER ADULTS PERCEPTIONS REGARDING PHYSICAL-FITNESS AND EXERCISE ACTIVITY, Journal of advanced nursing, 25(6), 1997, pp. 1220-1226
The purpose of this research was to qualitatively generate and psychom
etrically assess an instrument which assesses the self-perceived physi
cal fitness and exercise activity levels of community-dwelling older a
dults and examines perceived factors which enhance or impede their exe
rcise activity level. This research was carried out in two stages: qua
litative and quantitative. Items for the instrument were generated thr
ough qualitative interviews with 23 community-dwelling older adults, 9
males and 14 females, with an age range of 63 to 82 years. From this
qualitative study, 50 items were generated, representing nine categori
es of elements which enhance or impede physical activity. The 50 items
were incorporated into a 4-point, forced-choice, Likert format instru
ment which was pilot tested for clarity and ease of administration wit
h a convenience sample of community-dwelling older adults. Following t
he pilot testing, 41 items were retained. The 41-item instrument, enti
tled Physical Fitness and Exercise Activity Levels of Older Adults Sca
le, was categorized into the following subscales: Physical Fitness, Ba
rriers, Motivators, and Exercise Frequency. Initial testing of the Phy
sical Fitness and Exercise Activity Levels of Older Adults Scale seems
to indicate adequate validity and reliability. Correlation coefficien
ts for the total instrument, as well as the subscales, were significan
tly positive for both stability and internal consistency. Results with
respect to predictive validity were mixed. The Physical Fitness and M
otivators subscales were significant predictors of Exercise Frequency,
Although the correlation between the Barriers subscale and Exercise F
requency was negative, it was non-significant.