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55<br />

Chapter 2: Literature Review<br />

second set <strong>of</strong> 17 items expressing the reverse positive statements. The positive and<br />

negative paired items are separated and distributed at random points in the scale.<br />

Positive items are scored from left to right with “strongly disagree” being one point<br />

and “strongly agree” being six points. Negative items are scored from right to left<br />

with “strongly disagree” being six points and “strongly agree” being one point. The<br />

higher the total score for the scale, the more positive a person is in their attitude to<br />

older people. The instrument’s reliability has been found to be alpha 0.79<br />

(Lambrinou et al., 2005). Holroyd et al. (2009) state that Kogan’s scale is valuable in<br />

nursing research due to its caring dimension.<br />

In 1969 Rosencranz and McNeving developed the “Aging Semantic Differential”<br />

(ASD). The 32-item ASD is used to measure attitudes,and quantify bias and negative<br />

stereotypes toward older people. To date there are no reports on the validity or<br />

reliability <strong>of</strong> this scale.<br />

The “Facts on Aging Quiz” (FAQ) was devised by Palmore in 1977. According to<br />

Lusk, Williams and Hsuing (1995) the FAQ I and II (Palmore, 1977, 1981) were<br />

designed to assess knowledge and to measure misconceptions regarding older<br />

people. This study compared results on the FAQ I and II administered to freshmen<br />

nursing students. In contrast with Palmore's (1981) findings, the FAQ I and II were<br />

not related (r=0.04) and alpha coefficients were low (0.45 and 0.32 respectively).<br />

However, use <strong>of</strong> theta coefficients (which make fewer stringent assumptions about<br />

items being parallel) resulted in values <strong>of</strong> 0.60 and 0.64 respectively. The factors<br />

emerging in this study differed from Palmore's (1977, 1981, 1988) conceptual<br />

structure and explained only 45% <strong>of</strong> the variance. Results from this study suggest<br />

that while the FAQ I and II may be useful as a stimulus for discussion, revisions and<br />

testing need to be done if they are to be used for research purposes. Palmore (2005)<br />

himself reflected upon his work and highlighted that he started doing his research on<br />

ageist stereotypes at around the same time that Butler (1969) coined the term<br />

“ageism”. Palmore (2005) explained that the FAQ was developed in order to provide<br />

an alternative form <strong>of</strong> a quiz that would facilitate before and after tests <strong>of</strong> the effects<br />

<strong>of</strong> courses and workshops, and by 1997 there were more than 150 known reports <strong>of</strong><br />

studies using the quizzes. Palmore (2005) stated that the Facts on Aging

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