社區中生活的高齡者常因高齡退化或疾病發生導致活動參與的改變，進而影響其生活品質。然而台灣目前可運用於社區高齡者的參與評估工具較少，活動分類圖卡(Activity Card Sort, ACS)，是少數可以用來評估高齡者活動參與變化與保留程度之評估工具，故本研究旨在製作台灣版活動分類圖卡並且對高齡者進行預試。
本研究分為三階段。第一階段為照片拍攝與圖卡製作:研究者徵求居住於社區之長者拍攝86張活動圖卡。第二階段為專家諮詢:總計進行兩次專家諮詢，第一次專家諮詢徵求五位專家提供照片適合性與修正建議，對活動圖卡照片初稿提供意見。第二次專家諮詢修正後的照片，製作成台灣版活動分類圖卡-預試版。第三階段為圖卡理解度調查與預試：研究者招募高齡者20名，使用台灣版活動分類圖卡-預試版進行理解度調查以及預試。預試資料使用 SPSS 軟體進行無母數分析，將高齡者依年齡與性別分組，了解年齡與性別因素對於活動參與的保留比例是否造成影響。
研究結果顯示，台灣高齡者對於台灣版活動分類圖卡的理解度平均分數為4.6分，且有73%的項目得分4.5分以上，顯示台灣高齡者對於圖卡理解度高。結果亦顯示性別、年齡可能會影響活動參與，性別因素可能影響社交活動保留比例，年齡因素則可能影響高體能需求休閒活動參與。
本研究製作台灣活動分類圖卡預試版並進行預試，結果可作為台灣活動分類圖卡正式版之基礎，未來可進行正式版之信效度驗證，以提供適合台灣高齡者使用的活動參與評估工具，並期待應用對象可以擴及其他特定族群，例如中風、腦傷、失智症等。

Introduction: The Activity Card Sort (ACS) is one of assessment tools that can be used to assess changes and retention in activity participation in older adults. This study aimed to make the Taiwan version of Activity Card Sort (ACS-TW) and pilot test older adults.
Methods: The study included three stages: 1. 86 photos and activity cards production. 2. Two expert consultations to revise the photos. 3. Comprehension survey of the Taiwan version of Activity Card Sort (ACS-TW) and pilot testing.
Results: The results of this study showed that Taiwanese elders have a good understanding of the ACS-TW; gender and age may affect activity participation.
Discussion and conclusion:
Based on the results, the Taiwan version of Activity Card Sort (ACS-TW) can be finalized and further examined its psychometrics.

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