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Abstract Background The issue of active aging among older adults living alone in rural areas is becoming increasingly complex worldwide, and China is no exception. However, more specialized assessment tools are needed to evaluate active aging in this population. This study aims to develop and validate an active aging scale for rural older adults living alone (AAS-ROALA) in China, providing a theoretical foundation for research in this area. Methods The scale was developed in three phases—a preliminary version, a test version, and a final refined version—a cross-sectional survey of 480 rural older adults living alone in two cities in China in April and May 2024. The scale was tested for item analysis, content validity, structural validity, and internal reliability via a cross-sectional survey design. Results The newly developed scale has thirty-two items across five dimensions: independent autonomy, self-regulation, active participation, economic security, and collaborative assistance. The I-CVI ranged from 0.813–1.000, and the S-CVI/Ave was 0.929. EFA identified five factors with a cumulative variance of 61.60%. The CFA showed a good model fit. The Cronbach’s α, McDonald’s ω, split-half coefficient, and retest reliability for the total scale were 0.928, 0.935, 0.815, and 0.874, respectively. Conclusion The findings show that the AAS-ROALA is a valid and appropriate instrument to inform in-depth studies of active aging among rural older adults living alone.
Liao et al. (Mon,) studied this question.
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