Rasch 측정모형을 사용한 대학생 대상 다문화 수용성 척도개발 및 타당화

박혜숙(Hye Sook Park) 한국교육심리학회 2013 敎育心理硏究 Vol.27 No.2

본 연구에서는 Rasch 측정모형을 사용하여 다문화 수용성 척도를 타당화하였다. 이전의 연구(박혜숙, 원미순, 2010)를 바탕으로 다문화 수용성을 인지, 정의, 행동 측면에서 문항표본을 확대하고 전국의 4년제 대학생을 대상으로 설문을 실시하였다. 다문화 수용성 척도에 대하여 인지(n=14), 정의(n=12), 행동 측면(n=13)을 나타내는 39개의 문항을 개발하고, 개발한 도구에 대하여 Messick(1989)이 제시한 타당화 관련 4가지 측면(내용, 실제, 내적구조, 일반화)에 근거해서 Rasch 측정모형을 이용하여 타당화 작업을 실시하였다. 분석 결과, 문항 및 피험자의 신뢰도는 상당히 양호아였고, 내용타당도 관련하여 문항이 적절함을 보여주었다. 문항과 피험자를 한 로짓선상에서 비교하여 볼 때, 대체적으로 상위수준의 문항이 더 포함되어야 함을 보여주었다. 표준화 잔차를 사용한 Rasch 모형의 주성분 분석결과, 단일차원이 아님을 보여주었다. Conquest프로그램을 이용한 단일차원 Rasch 모형과 다차원 Rasch 모형 분석 결과. 다차원으로 보는 것이 더 적절한 것으로 나타났다. 유사한 내용의 문항들이 각각의 차원으로 이루어진 점도 있어서, 다문화 수용성은 내용영역에 따라 다른 반응이 가능하다는 점을 보여주고 있다. 이는 교육현장에서는 영역에 따른 프로그램운영의 필요성을 제시한다. 남녀 성차에 따른 문항 간에 있어서 차별기능문항이 존재하는지를 검증한 결과, 문항에 따른 차별기능문항이 나타났다. 추후 부적합한 피험자에 대하여 추가분석이 요구된다. This study was designed to validate a multicultural receptivity scale using the Rasch measurement model. Based on Park&Won`s instrument (2010), more comprehensive items (n=39) that reflect cognitive (n=14), emotional (n=12), and behavioral aspects (n=13) of multicultural receptivity were constructed and administered to students attending four-year universities, located in different parts of Korea. In validation processes. Messick`s (1989) ideas of content-, substantive-, construct-, and generalizability-related validity were applied to the product of a typical, unidimensional Rasch measurement model. Results showed that item and person reliabilities and content-related validity are high. However, when person and items are put on the same logit scale, mort items that capture upper level of ability need to be included. In additional, principal component analysis using Rasch standard residuals did not support the evidence of unidimensionality. Comparing both unidimensional and multidimensional Rasch models using Conquest program, the data supports the existence of multidimensionality. Groups of items formed multiple separate factors (dimensions), which indicates students responses to multicultural receptivity depends on characteristics of item content. This also suggests the possibility of implementing an area-specific multicultural education program. Additionally, several gender-related DIF were also identified. Further investigation may be needed to determine why some data did not fit the model.

교합학 교과목 완전학습을 위한 개인별 취약단원 진단 및 보완 교수.학습 방법

박혜숙,Park, Hye-Sook 대한안면통증구강내과학회 2010 Journal of Oral Medicine and Pain Vol.35 No.1

I'd like to introduce a teaching method to improve learning efficiency. Most students are likely to ignore what they don't understand in the class of a course. The subject of Occlusion is essential to understanding prosthodontic and orthodontic subjects. It is necessary to let students know and review what they don't understand among parts of a chapter in the course of Occlusion. Therefore I look over the examination papers after every examination and input the problems that each student didn't solve into the C-language computer program and print the list of the contents that each student must study particularly. I give the lists to students and let them review and present their own weak parts of a chapter in the course of Occlusion in the next class. This teaching method leads to improvement in learning and is helpful to students as well as lecturers.

서울시 보건소에 등록된 폐결핵환자의 단기치료성적에 관한 연구

박혜숙,하은희,위자형,Park, Hye-Sook,Ha, Eun-Hee,Wie, Cha-Hyung 대한예방의학회 1995 예방의학회지 Vol.28 No.2

This study was performed for the comparison of the therapeutic efficiency between 6-month (2HERZ/4HER) and 9-month (9HER) short-course chemotherapy under the programe conditions for pulmonary tuberculosis in terms of sputum AFB negative conversion rate, remedial interruption rate and cost effectiveness analysis. Two hundreds and ninty three patients treated with 9HER and 641 treated with 2HERZ/4HER had been discharged from 22 health centers in Seoul from May 1, 1993 to April 30, 1994. Seven hundreds and seventeen was subsequently analysed excluding 217 patients due to remedial interruption. The results : 1. Bacteriological negative conversion rate in 9HER regimen and 2HERZ/4HER regimen was 97.8% and 96.4% respectively(p>0.05). But the early treatment period, negative conversion rate in 2HERZ/4HER regimen was very higher than in 9HER regimen(p<0.01). 2. Remedial interruption rate for 9HER regimen and 2HERZ/4HER regimen was 34.1% and 13.6% respectively. The primary reason for the interruption was transfering to other clinics and this interruption was high within 3months. 3. Cost effectiveness for 2HERZ/4HER regimen was higher than 9HER regimen. The difference cost effectiveness ratio was 2.33 at the first sputum test and 1.69 at the last sputum test.

폐결핵 재발 환자의 약제 감수성과 재발 간격에 관한 단면 연구 - 서울시 일부 보건소 등록 환자를 중심으로

박혜숙,하은희,위자형,강지용,Park, Hye-Sook,Ha, Eun-Hee,Wie, Cha-Hyung,Kang, Ji-Yong 대한예방의학회 1996 예방의학회지 Vol.29 No.1

The purpose of this study was examine the general characteristics of relapsed pulmonary tuberculous patients (i.e. age, sex, weight, occupation, previous forms of treatment, drug sensitivity, and the frequency of relapse) in order to improve future treatments of tuberculosis as well as to perpetuate health education. The data was obtained from the medical records of 186 relapsed pulmonary tuberculosis patients who were registered for treatment at various public health offices in Seoul during the year of 1994. The major findings obtained from the study were as follows; 1) The male to female ratio of relapsed pulmonary tuberculous patients was about 7:3, more specifically 23.7% of the men and 30.9% of the women were between 20 and 29 years of age. 2) Comparing initial less aggravated states to relapsed states, patients with minimal X-ray findings later proved moderately advanced X-ray findings. Furthermore, patients with negative sputum AFB findings later proved positive sputum AFB findings. 3) Of the 186 patients studied, 91.9% suffered, relapse and 8.1% suffered 2 or more relapses. Of the patients who suffered at least 1 relapse, 54.8% received short-term treatment, 26.9% received long-term treatment, and 18.3% received treatment of an unknown during their initial tuberculosis treatment periods. 4) fifty five point four percent of the patients had no reaction to the drug treatment(not available), 25.9% of the patients had sensitive reaction to the drug treatment, 18.7% of the patients had resistant reaction to the- drug treatment. Drug resistance was higher in patients that exhibited positive X-ray findings as well as in patients that exhibited positive sputum AFB findings. furthermore, patients receiving treatment of an unknown nature(35.5%) exhibited higher drug resistance than those receiving short-term treatment(13.6%) and long-term treatment(17.0%). 5) Of the 160 patients who suffered relapses, 8.8% suffered a relapse within 1 year after treatment and 91.2% suffered a relapse at least 1 year after treatment. Furthermore, our study showed that women, under 30, who received short-term treatment and encounterd complications during their primary treatment suffered relapses faster than any other groups studied. In addition, minimal X-ray findings and sputum AFB findings were not correlated to the time relapse occured. Therefore, the seater efforts are needed to prevent relapsed pulmonary tuberculosis.

구강위생관리능력이 구취 자각증상에 미치는 영향

박혜숙,Park, Hye-Sook 대한안면통증구강내과학회 2008 Journal of Oral Medicine and Pain Vol.33 No.2

In our study, we investigated self-evaluation of tongue coating, self-rating intensity of oral malodor, habit related to tooth brushing and tongue scraping. Investigation was carried out on 714 Korean college students by method of self-reporting to prepared questionnaire. The obtained data were processed and analyzed with SAS program. The results of this study are as follows. 1. Students who have frequently experienced tongue coating have tendency to have stronger oral malodor than the other students. 2. The self-reporting prevalence rate of oral malodor is 81.1%. 3. Students who brush teeth shortly and irregularly have tendency to have stronger oral malodor than the other students. 4. Students with strong oral malodor have tendency to neglect scraping tongue. 5. Students with low index of tooth brushing or low index of oral hygiene controllability have tendency to have stronger oral malodor than the other students. 6. Mean scales of tooth brushing index(p<.0001), tongue scraping index(p=0.0439) and oral hygiene controllability index(p<.0001) among students in the department of Dental Hygiene and Dental Technology are significantly higher than those among general students.

단계적 모델링(Layers of Modeling)을 통한 실습역량 증진 교수.학습법

박혜숙,Park, Hye-Sook 대한안면통증구강내과학회 2012 Journal of Oral Medicine and Pain Vol.37 No.2

Let me introduce a teaching method to improve practice capacity in dental laboratary work. I applied theories of layers of modeling and reflection constituting cognitive apprenticeship and peer tutoring to my class. At internet uploading a file showing a practice procedure a week before the class of a course, I let students preview it. During the class I demonstrated the practice procedure in front of students. A superior student and an inferior student paired according to the previous practice grade and a feedback between a peer tutor and a peer tutee was activated. Late in the class, a student self-evaluated his own practice result and had a check of a professor. Finally he compared his own practice result with that in the file uploaded at internet and reflected. This teaching method led to improvement in students' satisfaction and efficiency of learning.

측두하악장애증상자의 성격유형검사(MBTI)

박혜숙,Park, Hye-Sook 대한안면통증구강내과학회 2011 Journal of Oral Medicine and Pain Vol.36 No.1

The purpose of this study is to investigate the relationship between personality type and symptoms and contributing factors of temporomandibular disorders. 199 college students completed the MBTI(Myers-Briggs Type Indicator) and a questionnaire and collected data were analyzed by SAS 9.2 program. The obtained results were as follows : 1. The prevalence of symptoms of temporomandibular disorders and mean scales of positive answers of contributing factors appeared to be higher in I type, S type, T type, P type than in E type, N type, F type, J type. 2. ISTP and ISFP among 16 types of personality seemed to have higher prevalence of symptoms and contributing factors of temporomandibular disorders than other types of personality. 3. Symptom of TMJ pain during mouth opening seemed to occur more frequently in I type, S type, F type, J type than in E type, N type, T type, P type. 4. Contributing factors including clenching and stressful state occurred significantly more frequently in I type than E type. Gum chewing habit occurred significantly more frequently in E type than in I type. 5. Unilateral chewing habit occurred significantly more frequently in J type than in P type. 6. Nervous or sensitive persons had significantly higher mean scales of positive answers of subjective symptoms than relaxed or general persons. 7. General persons had significantly lower mean scales of positive answers of contributing factors than nervous, sensitive and relaxed persons. In conclusion, these results show that there is the relationship between personality and temporomandibular disorders and patient education and counselling considering personality type may contribute to treating patients with temporomandibular disorders.

구강점막질환증상자의 성격유형검사(MBTI)

박혜숙,Park, Hye-Sook 대한안면통증구강내과학회 2013 Journal of Oral Medicine and Pain Vol.38 No.1

The purpose of this study is to investigate the relationship between personality type and symptoms of oral mucosa disease. 393 college students completed the MBTI(Myers-Briggs Type Indicator) and a questionnaire and collected data were analyzed by SAS 9.2 program. The obtained results were as follows : 1. Dysgeusia(p<0.05) and xerostomia(p<0.01) occurred significantly more frequently in I type than E type. 2. Herpetic stomatitis, recurrent aphthous ulcer, glossitis, dysgeusia, burning mouth syndrome and xerostomia seemed to occur more frequently in S type than in N type. 3. Most symptoms of oral mucosa disease seemed to occur the most frequently in the type including NF among 16 types of personality of MBTI. 4. Most subjects had negative attitude in curing their symptoms of oral mucosa disease(p<.0001). Significantly more subjects with I type than E type had negative attitude in curing herpetic stomatitis(p<0.01) and dysgeusia(p<0.05). 5. Most symptoms of oral mucosa disease appeared to occur the most frequently in nervous or sensitive subjects. Therefore a guideline for the individual cure of oral mucosa diseases meeting personality type is necessary.

두경부 위치에 따른 측두하악장애환자의 하악 torque 회전운동 분석

박혜숙,최종훈,김종열,Park, Hye-Sook,Choi, Jong-Hoon,Kim, Chong-Youl 대한안면통증구강내과학회 2000 Journal of Oral Medicine and Pain Vol.25 No.2

The purpose of this study was to evaluate the effect of specific head positions on the mandibular rotational torque movements in maximum mouth opening, protrusion and lateral excursion. Thirty dental students without any sign or symptom of temporomandibular disorders(TMDs) were included as a control group and 90 patients with TMDs were selected and examined by routine diagnostic procedure for TMDs including radiographs and were classified into 3 subgroups : disc displacement with reduction, disc displacement without reduction, and degenerative joint disease. Mandibular rotational torque movements were observed in four head postures: upright head posture(NHP), upward head posture(UHP), downward head posture(DHP), and forward head posture(FHP). For UHP, the head was inclined 30 degrees upward: for DHP, the head was inclined 30 degrees downward: for FHP, the head was positioned 4cm forward. These positions were adjusted with the use of cervical range-of-motion instrumentation(CROM, Performance Attainment Inc., St. Paul, U.S.A.). Mandibular rotational torque movements were monitored with the Rotate program of BioPAK system (Bioresearch Inc., WI, U.S.A.). The rotational torque movements in frontal and horizontal plane during mandibular border movement were recorded with two parameters: frontal rotational torque angle and horizontal rotational torque angle. The data obtained was analyzed by the SAS/Stat program. The obtained results were as follows : 1. The control group showed significantly larger mandibular rotational angles in UHP than those in DHP and FHP during maximum mouth opening in both frontal and horizontal planes. Disc displacement with reduction group showed significantly larger mandibular rotational angles in DHP and FHP than those in NHP during lateral excursion to the affected and non-affected sides in both frontal and horizontal planes(p<0.05). 2. Disc displacement without reduction group showed significantly larger mandibular rotational angles in FHP than those in any other head postures during maximum mouth opening as well as lateral excursion to the affected and non-affected sides in both frontal and horizontal planes. Degenerative joint disease group showed significantly larger mandibular rotational angles in FHP than those in any other head postures during maximum mouth opening, protrusion and lateral excursion in both frontal and horizontal planes(p<0.05). 3. In NHP, mandibular rotational angle of the control group was significantly larger than that of any other patient subgroups. Mandibular rotational angle of disc displacement with reduction group was significantly larger than that of disc displacement without reduction group during maximum mouth opening in the frontal plane. Mandibular rotational angle of disc displacement without reduction group was significantly larger than that of disc displacement with reduction group or degenerative joint disease group during maximum mouth opening in the horizontal plane(p<0.05). 4. In NHP, mandibular rotational angles of disc displacement without reduction group were significantly larger than those of the control group or disc displacement with reduction group during lateral excursion to the affected side in both frontal and horizontal planes. Mandibular rotational angle of disc displacement without reduction group was significantly smaller than that of the control group during lateral excursion to the non-affected side in frontal plane. Mandibular rotational angle of disc displacement without reduction group was significantly larger than that of disc displacement with reduction group during lateral excursion to the non-affected side in the horizontal plane(p<0.05). 5. In NHP, mandibular rotational angle of the control group was significantly smaller than that of disc displacement with reduction group or disc displacement without reduction group during protrusion in the frontal plane. Mandibular rotational angle of disc displacement without reduction group was signifi

경기도 지역 대학생의 측두하악장애증상에 관한 역학적 연구

박혜숙,Park, Hye-Sook 대한안면통증구강내과학회 2007 Journal of Oral Medicine and Pain Vol.32 No.1

An epidemiologic investigation was carried out to determine the prevalence of symptoms of temporomandibular disorders in college students that aged 19-31 years. 460 students were investigated with a questionnaire from September to December 2006. The obtained results were as follows : 1. The prevalence of symptoms of temporomandibular disorders was 80.6%. 2. The most frequently complained symptom was headache and joint sound was the next one without distinct difference between men and women. 3. While the rate of occurrence of symptom of acute malocclusion decreased with age in men, that of TMJ pain during chewing or speech increased with age in women. 4. Symptoms including TMJ pain during mouth opening, chewing or speech, TMJ fatigue and acute malocclusion occurred significantly more frequently in women than in men. Contributing factors including resting cheeks on hands, stressful state, gum chewing, insomnia and clenching occurred significantly more frequently in women than in men. 5. There was a highly significant relationship between symptoms and contributing factors including resting cheeks on hands, stressful state, unilateral chewing, insomnia and clenching. 6. There was a highly significant relationship between symptoms and general personality.