以往有關休閒運動參與度的研究多針對社區中的健康民眾，護理之家中住民的休閒運動參與度的評量尚缺乏適當的評估工具。本研究之主要目的乃在發展護理之家住民休閒運動參與度之評估工具，並驗證其信度與效度。量表建構效度研究共七所護理之家參與，有效問卷333份。以「霍普金斯復健參與度評量表」為基礎，經前向及反向翻譯、專家審題、認知訪談等程序，並進行探索性因素分析。施測者間信度研究共三所護理之家參與，有效問卷113份。由護理之家中各兩位工作人員對住民進行評量，計算兩組工作人員之施測者間信度及最小可偵測變化值。結果顯示題目2未通過項目分析檢定，予以刪除。修訂完成的「護理之家休閒運動參與度量表」有4道題目，為6等級之頻率量尺，最高總分20分，為單一向度之建構，並具有良好之建構效度與施測者間信度。本研究結果增進護理之家臨床工作人員對住民休閒運動參與度的掌握，有助於護理之家進行活動設計及擬定鼓勵住民參與休閒運動的策略。研究結果亦可作為護理之家休閒運動相關研究的基礎。 The studies in the past that related to recreational sports participation were almost all about healthy people in the community, and the evaluation of the recreational sports participation of nursing home residents lacked an appropriate assessment tool. The main purposes of this study are to develop an assessment tool for recreational sports participation of the nursing homes residents and to investigate the tool’s validity and reliability. A total of 7 nursing homes participated to construct validity research and a total of 333 valid questionnaire responses were collected for further analysis. A version of further testing of “ A measure for assessing recreational sports participation of nursing home residents, MARSP” was completed through forward and backward translation, experts’ examinations and cognitive interviews based on “Hopkins rehabilitation engagement rating scale, HRERS”. An exploratory factor analysis was then conducted. A total of 3 nursing homes participated in inter-rater reliability research and a total of 113 valid questionnaire responses were collected. Two clinicians in individual nursing homes evaluated the residents’ recreational sport participation using the MARSP simultaneously. The inter-rater reliability between the two groups was calculated, and then the minimal detectable change (MDC) was estimated. The results showed that the item 2 was excluded from the 5-item scale owing to its failure in the examination of item analysis. The finally revised MARSP contained 4 items with a 6-rank frequency scale, the maximum of total score was 20 points, and the construction of MARSP was one-dimension with good validity and reliability. The results of this study provide the clinicians in nursing homes with an assessment tool with reliability and validity. Grasping the residents’ recreational sports participation is critical for designing recreational sports and for establishing strategies to encourage residents’ participation in recreational sports. The results also can be the foundation for related studies of recreational sports in nursing homes.
