척수손상 환자를 위한 한국판 크레이그 핸디캡 평가(Craig Handicap Assessment and Reporting Technique-Korean: CHART-K)의 신뢰도 및 타당도 연구

국문 초록 (Abstract)

목적 : 본 연구는 국내 재활의 결과 측정 및 지역사회 참여와 통합의 정도를 확인하기 위해 미국에서 개발된 Craig Handicap Assessment and Reporting Technique(CHART)를 번역과정을 거쳐 한국 번역판 CHART를 완성하였으며, 신뢰도 및 타당도를 검증하였다. 연구방법 : 연구 대상자로는 지역사회에 거주하는 척수손상 환자 100명과 장애가 없는 일반인 100명으로 총 200명이었다. 번역 및 역번역 검증을 통해 CHART-K를 완성하였고, 국내에 적용하기 위해 예비연구를 진행하였다. 이 후 신뢰도와 타당도를 확인하였다. 결과 : 내용타당도는 0.97로 높은 수준을 수립하였으며, 삭제된 문항은 없었다. 판별타당도 검증에서는 척수손상 환자의 총점수의 평균은 일반인 대상자보다 낮은 점수를 확인하였고 통계적으로 유의미한 차이를 보였다 (p<.01). 수렴타당도 검증에서 Korean-Community Integration Questionnaire(K-CIQ)와 상관관계 분석을 실시한 결과 .524로 통계적으로도 유의미하였다(p<.01). 내적일치도는 Cronbach’s α .628로 양호한 수준이었으며, 검사-재검사 .730~ .992로 유의미한 상관관계를 보였다(p<.01). 결론 : 본 연구를 통해 CHART를 번역하고 국내의 실정에 맞게 CHART-K를 완성하고, 신뢰도 및 타당도를 확인하였다. 따라서 척수손상 환자의 국내 재활의 결과 측정 및 지역사회 참여와 통합의 정도를 측정하고 기존 평가도구의 한계점을 보완한 도구로 활용될 수 있을 것으로 기대된다.

다국어 초록 (Multilingual Abstract)

Objective: In order to measure the result of domestic rehabilitation and find out the level of participation and communities integration, this study translated Craig Handicap Assessment and Reporting Technique(CHART) and completed its Korean version, and verified its reliability and validity.
Methods: Craig Handicap Assessment and Reporting Technique-Korean(CHART-K) was completed through translation and back translation, and to apply it domestically, a pilot study was conducted. As for the result of the internal consistency, cronhach’s α, Pearson correlation coefficient. Afterwards, reliability and validity were verified.
Results: Content validity index was calculated result stood at 0.97, which was high level, and no questions were deleted. Discriminant validity of CHART-K was tested average of the total score of the patients with spinal cord injury was lower than that of ordinary group, and the difference was statistically significant(p<.01). For convergent validity, correlation analysis was carried out with K-CIQ and the figure stood at .524, a statistically significant level(p<.01). Internal consistency was good with Cronbach’s α .628 and test and retest results showed a significant correlation of .730~ .992(p<.01).
Conclusion: This study translated CHART, completed CHART-K suitable for domestic situation, and reliability and validity was confirmed. It is expected that CHART-K could be used as a tool to measure the degree of rehabilitation for patients with spinal cord injury and to find out the level of their participation and integration in the community integration, complementing the limitations of existing assessment tools.

목차 (Table of Contents)

• 국문초록
• Ⅰ. 서 론
• Ⅱ. 연구 방법
• 1. 연구 대상
• 2. 연구 도구
• 3. 연구 과정
• 4. 자료분석
• Ⅲ. 연구 결과
• 1. 예비검사
• 2. CHART-K의 타당도 검증
• 3. CHART-K의 신뢰도 검증
• Ⅳ. 고 찰
• Ⅴ. 결 론
• References
• Abstract

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