背景與目的：活動參與構築人們的日程，影響個體的身心健康與生活滿意度，也和社交互動及人際關係密切相關，對於各年齡層的人們皆有其重要性。對於大多數年長者來說，生活中有許多閒暇時間，因此活動參與更是影響年長者生活的關鍵因子。為了解活動參與的情況，過去已有研究發展量測活動參與之評估工具，其中，活動分類圖卡(Activity Card Sort, ACS)為具有文化特異性且針對年長者所設計的工具，目前已有台灣版本的發展，但尚未建立其信效度。因此，本研究目的在於建立台灣版活動分類圖卡 (Activity Card Sort-Taiwan Version, ACS-TW)之信效度。

研究方法：研究者聯繫南部地區之社區據點、活動中心或走訪公園等年長者聚集處，招募年長者參與研究。研究者對參與者進行台灣版活動分類圖卡、台灣版有意義活動參與量表、世界衛生組織老年版生活品質問卷、年長者健康整合功能評估(認知分量表)、衰弱量表等評估工具的施測。ACS-TW心理計量特性檢測在信度方面包含內部一致性和再測信度的分析，效度方面則進行同時效度、聚合效度、區辨效度的驗證；此外，亦進行年長者之活動參與和相關因子的迴歸分析。

研究結果：本研究共納入219位年長者，分析結果顯示ACS-TW有良好的的內部一致性(α = 0.939, p < 0.001)與再測信度(intraclass correlation coefficient = 0.931，p < 0.001)。在效度部分，ACS-TW與外在效標呈現顯著相關，支持其同時效度(r = 0.536, p < 0.001)與聚合效度(r = 0.222, p < 0.001)；此外，在評估不同健康狀態的長者之活動參與亦具有區辨效度(t = -4.30, p < 0.001)。在活動參與相關因子方面，迴歸分析結果呈現年齡、性別、健康狀態、教育程度與活動參與有顯著關聯性(R2= .22)。

結論：台灣版活動分類圖卡具有良好之信效度，能有效反映社區長者的活動參與情況與轉變，可在社區健康促進、長照服務及高齡友善實務場域中作為活動參與評估，展現其廣泛的臨床與實務應用潛力。未來研究可擴大樣本範圍，納入來自不同地區、族群與社會經濟背景的長者，特別是未參與社區據點活動之年長者，以強化工具的普遍性與在地適用性。

The study aimed to establish the reliability and validity of the Taiwanese version of the Activity Card Sort (ACS-TW), a culturally specific tool designed for assessing activity participation in older adults. Engagement in activities is crucial for older adults' well-being, influencing their physical and mental health, and overall life satisfaction. Researchers recruited 219 healthy older adults from community centers in southern Taiwan. Participants were assessed using the ACS-TW and other tools, including the Taiwan version of the Meaningful Activity Participation Assessment (MAPA), the age version of World Health Organization Quality of Life questionnaires (WHOQOL-AGE), Integrated Care for Older People Screening Tool-cognition part (ICOPE), and frail test (SOF). Psychometric properties such as internal consistency, test-retest reliability, concurrent, convergent, and discriminant validity were evaluated, and regression analysis was performed to investigate associated factors. Results showed high internal consistency (α = 0.939, p < 0.001) and excellent test-retest reliability (intraclass correlation coefficient = 0.931, p < 0.001) for the ACS-TW. The tool demonstrated significant correlations supporting its concurrent (r = 0.536, p < 0.001) and convergent validity (r = 0.222, p < 0.001). Discriminant validity was also confirmed by distinguishing activity participation levels among older adults with differing health statuses (t = -4.30, p < 0.001). Factors significantly associated with activity participation included age, gender, health status, and education level (R2 = .22). In conclusion, the ACS-TW is a reliable and valid instrument that effectively reflects activity participation and changes in community-dwelling older adults. It is suitable for various practical settings like community health promotion and long-term care services. Future research should broaden the sample to include diverse populations to enhance generalizability and local applicability.

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