Cross-Cultural Adaptation and Psychometric Evaluation of the Turkish Perceived Ageism Questionnaire (PAQ-TR)

Perceived ageism has been increasingly recognized as a critical determinant of the health and well-being of older adults. However, the cross-cultural validation of instruments measuring ageism remains limited. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Turkish version of the Perceived Ageism Questionnaire (PAQ-TR).

Content validity was assessed by a multidisciplinary expert panel. Construct validity was examined using exploratory (EFA) and confirmatory factor analyses (CFA). Convergent validity was tested through correlations with the Brief Aging Perceptions Questionnaire (B-APQ). Reliability was evaluated using Cronbach's alpha, McDonald's omega, and test-retest intraclass correlation coefficients (ICC). Statistical analyses were performed using IBM SPSS Statistics v27 (IBM Corp., Armonk, NY, USA) and AMOS v22 (IBM Corp., Chicago, IL, USA).

A total of 307 older adults (137 men and 170 women) participated in the study. The mean age was 71.19 (6.96) years, and 55.7% of the participants were female. An EFA confirmed the original two-factor structure, explaining 61.2% of the total variance, which was subsequently verified by a CFA, showing a good model fit. EFA confirmed the original two-factor structure, explaining 61.2% of the total variance (Kaiser-Meyer-Olkin = 0.82; Bartlett's χ²(28) = 412.5, p < 0.001). The structure was subsequently verified by CFA, which demonstrated an excellent model fit (Comparative Fit Index = 0.97; Tucker-Lewis Index = 0.96; Root Mean Square Error of Approximation = 0.052; Standardized Root Mean Square Residual = 0.041). The Negative subscale showed high internal consistency (Cronbach's alpha (α) = 0.84; McDonald's Omega (ω) = 0.85), whereas the Positive subscale indicated moderate reliability (α = 0.58; ω = 0.60). The test-retest reliability was excellent, reflecting strong temporal stability (Intraclass Correlation Coefficient = 0.91). Convergent validity showed that the positive subscale was related to positive aging perceptions and less to negative ones, while the negative subscale showed the opposite pattern.

The PAQ-TR demonstrated adequate psychometric properties for assessing perceived ageism among older adults in Türkiye. While the Negative subscale showed robust reliability, the positive subscale required refinement. These findings highlight both the cross-cultural validity of the PAQ and the influence of cultural norms on positive aging perception. The PAQ-TR is a valuable tool for research and clinical practice.