한국어판 네이메헨 설문지(Nijmegen Questionnaire) 개발 - 횡문화적 번역 및 내용타당도 검증

옥지명 ( Ji-myung Ok ),임영우 ( Young-woo Lim ),박영재 ( Young-jae Park ),박영배 ( Young-bae Park ) 대한한의진단학회 2015 大韓韓醫診斷學會誌 Vol.19 No.3

Objectives Nijmegen Questionnaire is one tool used internationally to evaluate hyperventilation syndrome. However, there is a necessity of developing Korean version of the Nijmegen Questionnaire, as the questionnaire of the original one are written in English, marking it hard to apply for Korean patients. So as a first step, we conducted a cross-cultural translation of the Nijmegen Questionnaire into Korean and verification of content validity. Methods We translated the Nijmegen Questionnaire into Korean up to guidelines of cross-cultural adaptation. We conducted a survey with 45 subjects to get content validity, using the translated questionnaire. Results About the translated Nijmegen Questionnaire, 28 out of 45 subjects replied that they had no difficulty understanding them, while 17 were pointed out ambiguous items and 7 offered ideas about ambiguous expressions of them. Upon further examination of five Korean Medical doctors, one sentence was additionally modified in the translated version. Conclusions We translated and adapted cross-culturally the original Nijmegen Questionnaire to develop a Korean version in accordance with internationally accepted guidelines. Then we conducted a survey for content validity with the translated questionnaire and gathered opinions from those questioned. After going through some examining and correcting procedures based on the opinions, we finalized the Korean version of Nijmegen Questionnaire. It will also require a follow-up verification process to prove reliability and validity of the final version of the Korean version of Nijmegen Questionnaire

암 환자 대상 변증 설문지 활용 현황에 대한 문헌고찰

박수빈,윤지현,김은혜,이지영,윤성우,Park, Su Bin,Yoon, Jee-Hyun,Kim, Eun Hye,Lee, Jee Young,Yoon, Seong Woo 대한암한의학회 2021 大韓癌韓醫學會誌 Vol.26 No.1

Objective: The aim of this review is to analyze the studies using syndrome differentiation questionnaire in cancer patients. Methods: We searched electronic databases including Pubmed, google scholar, Cochrane library, CNKI, KISS, RISS and OASIS. Key words used for searching were cancer, Korean medicine, pattern identification, and questionnaire. Studies using a symptom differentiation questionnaire to cancer patients were selected. Results: 35 studies were enrolled. A total of 17 questionnaires was used. Most of the types of included studies were observational studies, followed by randomized controlled trials (RCTs) and validation studies. The purposes of using questionnaires were rrelation analysis, outcome measurement, evaluating adverse events, subgroup analysis, and questionnaire development. The most used questionnaire was Body Constitution Questionnaire (BCQ), and it was used 8 times, Questionnaire for the Sasang Constitution Classification II (QSCC II) was used 5 times, Constitution in Chinese Medicine Questionnaire (CCMQ), TCM-Symptom Complex Differentiation Questionnaire (TCM-SCDQ), Yin Deficiency Questionnaire were used 4 times, and Qi Blood Yin Yang Deficiency Questionnaire was used twice. BCQ is a questionnaire diagnosing and evaluating yang deficiency, yin deficiency, and blood stasis. It has high reliability, validity, and optimal cut-off value. Conclusion: BCQ is the most used syndrome differentiation questionnaire in cancer-related studies. So, BCQ could be recommended in syndrome differentiation-related cancer studies.

한국판 아건강 평가 설문지의 타당도 연구

유재민 ( Jae-min Ryu ),박영배 ( Young-bae Park ),박영재 ( Young-jae Park ) 대한한의진단학회 2009 大韓韓醫診斷學會誌 Vol.13 No.2

Background and Objective: We previously developed questionnaire of subhealth status. Developed questionnaire was verified about reliability and validity, but there had a lack of concurrent validity study. On this study, we will verify concurrent Validity of the Korean Version of the Subhealth Questionnaire. Methods: Guibi-tang questionnaire, chalder questionnaire and subhealth questionnaire were applied to 113 college students. After then do correlation analysis, we calculate concurrent validity of that. Results and Conclusions: As a result, subhealth questionnaire between chalder questionnaire, and subhealth questionnaire between Guibi-tang questionnaire had a significant correlation respectively. The result of this study indicate that the developed questionnaire of subhealth status was verified about concurrent validity.

신경행동학적 증상 설문지의 타당도 및 신뢰도에 관한 연구

권호장,조수헌,임현술 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.1

유기용제 폭로에 의한 신경행동학적 장애를 선별 검사 할 수 있도록 고안된 설문지의 타당도와 신뢰도를 검정할 목적으로 유기용제를 사용하는 페인트 제조공장과 유기용제를 전혀 사용하지 않는 코일제조 공장의 근로자를 대상으로 2차에 걸쳐 설문조사를 실시하여 다음과 같은 결과를 얻었다. 1. 유기용제 폭로 근로자들이 비폭로 근로자들에 비해 증상총점의 평균이 통계적으로 유의하게 높았으며 이 결과는 나이, 근무기간, 교육연한, 음주, 흡연 등의 교란 요인을 통제하고도 유지되었다. 2. 신뢰도를 보기 위하여 페인트제조공장 근로자를 대상으로 2개월 간격으로 시행한 검사-재검사에서 문항별 kappa값은 0.15-0.69의 범위안에 있었으며 0,4이상으로 비교적 일치도가 높은 문항은 31문항 중 16문항이었다. 3. 검사문항간에 내적 일치도를 보기 위하여 Cronbach Alpha계수를 구한 결과 분포를 표준화하기 이전에는 0.85, 분포를 표준화한 이후에는 0.86의 값을 보였다. 이상의 결과를 볼 때 본 연구에 사용된 설문지는 유기용제 폭로로 인한 신경행동학적 장애를 비교적 잘 반영하고 있으며 신뢰도도 비교적 높은 것으로 판단되었다. There are many studies on the neurobehavioral symptoms due to organic solvent exposure using questionnaire. However there is little published evidence on validity and reliability of the questionnaire on the neurobehavioral symptoms. In present study, the authors tested the validity and reliability of our questionnaire, which was designed for screening neurobehavioral disturbance in organic solvent exposer. Questionnaire was administered to the workers of one paint manufacturing plant and one coil manufacturing plant. In order to evaluate validity of the questionnaire, the average questionnaire scores of two plants were compared. The average score of paint manufacturing plant were higher than that of coil manufacturing plant and the difference was statistically significant. After adjustment of age, duration of employment, education, smoking history and alcohol consumption, significance was maintained. Test-retest reliability was evaluated by kappa statistics. More than 50% of question items showed values of kappa above 0.4. Cronbach coefficient alpha which reflects internal consistency of the questionnaire was 0.86. Overall the data showed that validity and reliability of the questionnaire were generally acceptable.

Adaptation of Questionnaire Measuring Working Conditions and Health Problems Among Iranian Nursing Personnel

Narges Arsalani,Masoud Fallahi-khoshknab,Mostafa Ghaffari,Malin Josephson,Monica Lagerstrom 한국간호과학회 2011 Asian Nursing Research Vol.5 No.3

Purpose: To adapt a questionnaire in the Persian language measuring working conditions and health problems among nursing personnel. A further aim was to test the validity and reliability of the questionnaire. Methods: The adapted questionnaire was based on three well-established questionnaires. Physical working conditions items were from Nurse Early Exit Study. Psychosocial working conditions scales were included from Copenhagen Psychosocial Questionnaire which contains two scales on general and mental health as well. The Nordic Musculoskeletal Questionnaire was the origin of the musculoskeletal disorders questions. During the culture adaptation process, an expert panel method was used. To achieve equivalence between the sources and target version, some changes were made by the expert panel. Then the questionnaire was examined in the field for face validity and construct validity (n ¼ 92) among Iranian nursing personnel from two hospitals. Construct validity was assessed using a priori hypothesized correlations of the outcomes with exposures. Finally the adaptation process was completed by reliability assessment using Cronbach’s alpha and Intra-class Correlation Coefficient (ICC). Results: The construct validity result was the correlation of the health outcome with the work-related exposure (physical rs ¼ .71 and psychosocial rs ¼ .66). In the reliability assessment, Cronbach’s alpha and ICC were .60 and .70 respectively. Conclusion: The findings show that the adapted questionnaire has an acceptable conceptual structure and provides reliable information from the nursing profession. Consequently, the questionnaire is applicable to work situation studies among nurses and other health care workers.

한국형 노인신체 활동도구의 개발 및 타당도, 신뢰도 검증

손기영,조비룡,권인순,박병주,선우덕,윤종률,원장원,황환식,가혁 대한노인병학회 2012 Annals of geriatric medicine and research Vol.16 No.2

Background: As individuals age, there is an obvious decline in their physical activity level. Thus, this is an area where an easy to use assessment instrument is needed. But presently, there is no tool that meets this need. In addition, there is no such instrument tailored for the Korean elderly. This study aimed to fill this void by developing a physical activity assessment instrument for this particular population that is easy to use. Methods: Item collection was performed through a literature review and a survey of 100 elderly individuals residing in a community setting. Items were selected through expert consensus; and the Physical Activity Questionnaire for elderly(PAQE) was created. For validation, 120 community dwelling elderly persons were enrolled. PAQE and an accelerometer were administered to each participant, and the questionnaire was re-administered 2 weeks later. The Spearman rho between the questionnaire and the accelerometer was calculated for concurrent validity. The Cronbach’s alpha was calculated for internal consistency. Test-retest reliability was assessed by calculating the Spearman rho. Results: Of the 119 participants, 80.34% were female with the average age being 72.74±7.29 years. Energy expenditure measured by the accelerometer was 220.36±96.96 kcal/day compared to 368.33±257.29 kcal/day measured through the developed questionnaire. Although the Spearman rho between the energy expenditure measured by the accelerometer and calculated through the recreational activity report in the questionnaire was 0.235 (p=0.011), the total energy expenditure was 0.105 (p=0.259) and the energy expenditure by household activity was 0.002 (p=0.983). The Cronbach’s alpha was 0.781. The Spearman rho was 0.720 (p<0.001) for test-retest reliability. Conclusion: Our findings show that PAQE is a reliable questionnaire, a valid instrument for estimating energy expenditure during recreational physical activity in the Korean elderly person. However, energy expenditure of household activity did not correlate well with the accelerometer. In conclusion, the PAQE questionnaire can be used to assess kinds and frequency of household activities. 연구배경: 노인에서의 신체 활동은 건강상의 이득이 뚜렷하며, 이에 따라 노인의 신체 활동을 간편하게 측정할 수있는 도구가 요구되고 있다. 그러나 한국인의 일상 생활 신체활동의 특성을 고려한 측정 도구는 아직 없다. 이 연구는한국 노인의 신체 활동 특성이 고려되어 있는 신체 활동 측정도구를 개발하고, 타당도 및 신뢰도를 검증하는 것을 목적으로한다. 방법: 문헌 고찰과 100 명의 지역사회 노인을 대상으로한 설문 조사로 문항 수집을 시행한 후, 전문가 회의를 통해문항 선별이 이루어졌다. 이 문항들을 이용하여 한국형 노인신체 활동 측정도구(Physical Activity Questionnaire for elderly, PAQE)를 구성하였다. 타당도 확인을 위해 120명의 지역사회노인이 연구에 참여하였고, 각 대상자에게 가속도계를 이용하여 신체 활동량을 실측하였다. 신뢰도 확인을 위하여 2주후 개발된 설문 도구를 각 대상자에게 다시 적용하였다. 설문조사 점수와 가속도계 실측치 간의 Spearman rho를 일치타당도 확인을 위해 계산하였고, 내적 일치도를 확인하기위해 Cronbach's alpha를 계산하였다. 신뢰도 확인을 위해 1차 및 2차 조사 결과에 대한 Spearman rho를 확인하였다. 결과: 119명의 환자 중, 80.34%는 여성이었고, 연령은72.74±7.29세였다. 가속도계로 측정된 에너지 소비량은220.36±96.96 kcal/day였고, PAQE를 이용하여 측정했을 때는 368.33±257.29 kcal/day였다. PAQE의 여가 시간 신체활동량과 실측치의 Spearman rho는 0.235 (p=0.011)이었으나, 총 신체 활동량의 Spearman rho는 0.105 (p=0.259), 일상생활 신체 활동량의 Spearman rho는 0.002 (p=0.983)이었다. Cronbach's alpha는 0.781이었으며, 신뢰도 확인을 위한Spearman rho는 0.720 (p<0.001)이었다. 결론: PAQE의 신뢰도가 확인되었고, 여가 시간 신체 활동량을 추정하는 것에 타당한 도구로 입증되었다. 또한 일상생활 신체 활동의 에너지 소비량은 실측치와의 상관 관계가좋지 않았으므로, 에너지 소비량 보다는, 종류 및 빈도를 확인하는 것에 유용한 도구로 생각된다.

이명 설문지의 특징과 이해를 위한 분석

이장원,이경주,오홍엽,정승엽,진인기 한국청각언어재활학회 2018 Audiology and Speech Research Vol.14 No.2

For decades, tinnitus questionnaires have used as an effective tool to evaluate the degree of tinnitus relief or a patient’s subjective perception of tinnitus. The purpose of this study was to review four tinnitus questionnaires that have primarily been used in clinics. The Tinnitus Handicap Questionnaire (THQ), Tinnitus Handicap Index (THI), Tinnitus Functional Index (TFI), and Tinnitus Primary Functional Questionnaire (TPFQ) were reviewed for development background, purpose of development, developmental process, questionnaire characteristics, reliability test results, and pros and cons of each questionnaire. Each tinnitus questionnaire has their own characteristics in terms of evaluations and interpretations. Especially, the THQ is focused on social, emotional, and physical impacts and the THI is focused on catastrophic loss of life, functional, and emotional factors. The TFI is mainly focused on quality of life, cognitive, and emotional factors. The TPFQ is focused on hearing, sleep, concentration, and emotional factors. The current study provides detailed information about four questionnaires. If each questionnaire is correctly identified and applied, effective measures of tinnitus and the degree of tinnitus relief through rehabilitation can be efficiently measured.

Developing an optimized cold/heat questionnaire

윤영흠,김호석,이영섭,유종향,이시우 한국한의학연구원 2015 Integrative Medicine Research Vol.4 No.4

Background The cold/heat questionnaire is one of the most actively developed patient diagnostic tools in traditional Korean medicine (hereafter abbreviated as TKM) because of its objectivity. Unfortunately, the existing questionnaires contain too many items to hold the respondent's attention. In the current study, we aimed to develop an optimized cold/heat questionnaire to be used as a complement to the existing questionnaires. Methods We developed a new cold/heat questionnaire based on a domain analysis of the existing questionnaires. The questionnaire's reliability was examined via two test–retest reliability analyses involving 1890 individuals in November 2013 and February 2014. Its validity was examined using a professional cold/heat diagnosis kappa value. Results The new cold/heat questionnaire consisted of a total of seven items, which were created based on an analysis of the existing questionnaires. A reliability analysis performed using the study participants revealed a correlation coefficient of 0.609, 74.5% agreement with professional cold/heat diagnoses by TKM practitioners, and a kappa value of 0.487. Conclusion In the current study, we developed an optimized cold/heat questionnaire. The level of agreement between the questionnaire and professional cold/heat diagnoses by TKM practitioners was significant, which indicates great potential for its widespread use as a diagnostic tool in TKM.

어혈 진단 설문지 개정 연구

장수빈,강병갑,고미미,김평화,정지연 대한예방한의학회 2020 대한예방한의학회지 Vol.24 No.2

Objectives : The objective of this study was to revise the modified Blood Stasis Questionnaire Ⅱ. Methods : This revision focused on refining the Korean literature expression of Blood Stasis Questionnaire Ⅱ consisting of 30-question questionnaire. Seven external experts and five researchers of Korean Institute of Oriental Medicine reviewed the questionnaire and its protocol, while the addition or deletion of questions and changes in scoring method were not dealt with in this revision. Results : Among thirty questions, four questions were corrected to appropriate expressions. In case of eight questions, explanations in Korean or Chinese were added. Thirteen questions in the phrase were changed in sentence form to unify the whole questionnaire. Conclusions : This study introduces the revised version of the modified Blood Stasis Questionnaire Ⅱ. It is expected that clinical demand of this questionnaire will increase and it will be used vigorously in blood stasis research.

Creating and field-testing the questionnaire for the assessment of knowledge about cervical cancer and its prevention among schoolgirls and female students

Katarzyna Jaglarz,Krzysztof A. Tomaszewski,Wojciech Kamzol,Mirosława Puskulluoglu,Krzysztof Krzemieniecki 대한부인종양학회 2014 Journal of Gynecologic Oncology Vol.25 No.2

Objective: The aim of this study was to develop and validate a questionnaire used to assess the level of general knowledge about cervical cancer, its primary and secondary prevention, and to identify sources of information about the disease among schoolgirls and female students. Methods: The questionnaire development process was divided into four phases: generation of issues; construction of a provisional questionnaire; testing of the provisional questionnaire for acceptability and relevance; field-testing, which aimed at ensuring reliability and validity of the questionnaire. Field-testing included 305 respondents of high school female Caucasian students, who filled out the final version of the questionnaire. Results: After phase 1, a list of 65 issues concerning knowledge about cervical cancer and its prevention was generated. Of 305, 155 were schoolgirls (mean age±SD, 17.8±0.5) and 150 were female students (mean age±SD, 21.7±1.8). The Cronbach alpha coefficient for the whole questionnaire was 0.71 (range for specific questionnaire sections, 0.60 to 0.81). Test-retest reliability ranged from 0.89 to 0.94. Conclusion: The Cervical-Cancer-Knowledge-Prevention-64 has been successfully developed to measure the level of knowledge about cervical cancer. The results confirm the validity, reliability and applicability of the created questionnaire.