뇌성마비 아동의 섭식 평가 항목 개발 : 델파이 연구
Development of Item on Feeding Assessment for Children With Cerebral Palsy : Delphi Survey
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초록
목적 : 본 연구의 목적은 뇌성마비 섭식장애 평가의 영역을 수립함과 동시에 뇌성마비 섭식장애 평가시 범용적으로 사용할 수 있는 평가 항목을 개발하고자 한다. 연구방법 : ICF 분류기준에 근거하여 섭식장애 중재에 포함되어야 하는 평가 및 치료 영역 등을 문헌고찰하여 평가영역을 종합하고, 전문가의 검증을 거쳐 델파이 조사지 초안을 제작하였다. 그 후 20명의전문가를 대상으로 1차 및 2차 델파이 연구가 진행되었다. 결과 : 뇌성마비의 섭식 영역을 6개 영역으로 범주화하고, 항목을 구성하였다. 전문가 자문을 통하여평가 영역 및 항목들을 체계화하였으며, 전문가 자문을 거친 평가 영역과 항목들은 1차, 2차 델파이조사를 통하여 6개 영역, 9개의 중분류, 32개의 소분류, 76개의 항목으로 최종 확인되었다. 결론 : 본 연구에서는 특정 영역을 평가하는 항목 구성으로 된 기존의 평가도구에서 벗어나 평가 영역확장 및 평가 항목을 체계적으로 구성하였다는데 의미가 있다고 할 수 있다. 따라서 본 연구결과를바탕으로 섭식장애를 가진 뇌성마비 아동의 치료적 중재 활동 시에 아동의 현재 섭식 기능 및 활동수준을 확인하고자 하는 작업치료사에게 유용하게 사용될 것으로 판단된다.
Abstract
Objective : The purpose of this study is to establish the domain for assessment of feeding disorder with cerebral palsy. In addition, it is to develop item on feeding assessment for feeding disorder on children with cerebral palsy Methods : Factors to be included in the assessment of feeding disorders in children with cerebral palsy based on the ICF classification criteria constituted the assessment domain through literature review. Results : Assessment items of feeding disorders in children with cerebral palsy were categorized into 6 domains. These were systematized through expert advice, and through the first and second Delphi surveys, nine middle categories, 32 sub-categories, and 76 items were confirmed. Conclusions : The results of this study are useful for occupational therapists who want to check the current feeding function and activity level during therapeutic interventions for children with cerebral palsy who have feeding disorders.
참고문헌 (34)
- Antonios, N., "Analysis of a physician tool for evaluating dysphagia on an inpatient stroke unit: The modified Mann Assessment of Swallowing Ability", Journal of Stroke and Cerebrovascular Diseases, 19(1), pp.49~57 (2010)[DOI]
- Arvedson, J. C., "Feeding children with cerebral palsy and swallowing difficulties", European Journal of Clinical Nutrition, 67(2), pp.9~12 (2013)[DOI]
- Arvedson, J. C., "Evaluation of children with feeding and swallowing problems", Language, Speech, and Hearing Services in Schools, 31(1), pp.28~41 (2000)[DOI]
- "Swallowing and feeding in infants and young children" (2006)[URL]
- Arvedson, J. C., "Assessment of pediatric dysphagia and feeding disorders: Clinical and instrumental approaches", Developmental Disabilities Research Reviews, 14(2), pp.118~127 (2008)[DOI]
- Arvedson, J. C., "Pediatric swallowing and feeding: Assessment and management" (2019), Plural Publishing
- Chatoor, I., "Feeding disorders in infants and toddlers: Diagnosis and treatment", Child and Adolescent Psychiatric Clinics of North America, 11(2), pp.163~183 (2002)[DOI]
- 최진혁, "발달장애 학생을 위한 ICF Core Set 항목 개발 연구", 교육혁신연구, 28(4), pp.265~294 (2018), 교육발전연구소[DOI]
- Cox, M. S., "Specialized knowledge and skills in feeding, eating, and swallowing for occupational therapy practice", The American Journal of Occupational Therapy, 61(6), pp.686~700 (2007)[DOI]
- De Oliveira Lira Ortega, A., "Assessment scale of the oral motor performance of children and adolescents with neurological damages", Journal of Oral Rehabilitation, 36(9), pp.653~659 (2009)[DOI]
- Fung, E. B., "Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy", Journal of the American Dietetic Association, 102(3), pp.361~373 (2002)[DOI]
- Guralnick, M. J., "Why early intervention works: A systems perspective", Infants & Young Children, 24(1), pp.6~28 (2011)[DOI]
- Jones, R. E., "The infant-feeding triad: Infant, mother, and household", Human Biology, 60(6), pp.953~955 (1988)
- 정세희, "비디오 투시 연하 검사에 근거한 연하곤란 임상 척도의 타당도 평가", Annals of Rehabilitation Medicine, 29(4), pp.343~350 (2005), 대한재활의학회
- Korea Statistics, "ICF guide for users", ~ (2010)
- Lawshe, C. H., "A quantitative approach to content validity", Personnel Psychology, 28(4), pp.563~575 (1975)[DOI]
- Lee, J. S., "Delphi method" (2001), Kyoyookbook
- Manikam, R., "Pediatric feeding disorders", Journal of Clinical Gastroenterology, 30(1), pp.34~46 (2000)[DOI]
- Marcus, S., "Infant and child feeding and swallowing: Occupational therapy assessment and intervention" (2013), The American Occupational Therapy Association, Inc
- Morris, S. E., "Pre-speech assessment scale: A rating scale for the measurement of pre-speech behaviors from birth through two years" (1982), JA Preston
- Morris, S. E., "Pre-feeding skills : A comprehensive resource for mealtime development" (2000), Therapy skill builders
- 박은영, "소아 연하장애의 임상적 평가와 선별검사", 대한연하장애학회지, 4(2), pp.50~55 (2014), 대한연하장애학회[DOI]
- Parkes, J., "Oromotor dysfunction and communication impairments in children with cerebral palsy: A register study", Developmental Medicine & Child Neurology, 52(12), pp.1113~1119 (2010)[DOI]
- Paul, S., "The role of occupational therapy in the management of feeding and swallowing disorders", New Zealand Journal of Occupational Therapy, 60(2), pp.27~31 (2013)[DOI]
- Quitadamo, P., "Gastrointestinal and nutritional problems in neurologically impaired children", European Journal of Paediatric Neurology, 20(6), pp.810~815 (2016)[DOI]
- Rudolph, C. D., "Feeding disorders in infants and children", Pediatric Clinics of North America, 49(1), pp.97~112 (2002)[DOI]
- Sellers, D., "Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy", Developmental Medicine & Child Neurology, 56(3), pp.245~251 (2014)[DOI]
- 서상민, "섭식 장애 아동의 임상 평가에 관한 연구", 예술인문사회 융합 멀티미디어 논문지, 8(7), pp.533~544 (2018), 사단법인 인문사회과학기술융합학회[DOI]
- 서상민, "뇌성마비 아동의 섭식 중재 결과를 측정하기 위해 사용된 임상평가도구에 관한 체계적 고찰", 디지털콘텐츠학회논문지, 20(3), pp.639~645 (2019), 한국디지털콘텐츠학회[DOI]
- Song, Y. J., "Feeding disorder of Pediatrics. Swallowing disorder", pp.397~414 (2018), Gyechukmunhwasa
- 탁정화, "수정된 델파이조사를 통한 유아강점 구성요인 개발", 학습자중심교과교육연구, 17(12), pp.253~277 (2017), 학습자중심교과교육학회[DOI]
- Thomas-stonell, N. L., "Development of the FOCUS (Focus on the Outcomes of Communication Under Six), a communication outcome measure for preschool children", Developmental Medicine & Child Neurology, 52(1), pp.47~53 (2010)[DOI]
- Volkert, V. M., "Handbook of evidence-based practice in clinical psychology, Vol. 1. Child and adolescent disorders", pp.323~337 (2012), John Wiley & Sons, Inc
- "International Classification of Functioning, Disability and Health" (2001)[URL]