포괄적 구강안면기능척도(Comprehensive Oro-Facial Function Scale; COFFS)의 개발
Development of Comprehensive Oro-Facial Function Scale
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초록
목적 : 본 연구는 연하장애 환자를 대상으로 구강안면기능을 평가할 수 있는 포괄적 구강안면기능척도(Comprehensive Oro-Facial Function Scale; COFFS)를 개발하고자 실시되었다. 연구방법 : COFFS의 문항 구성과 신뢰도를 검증하는 연구로 4개의 선행 연구를 선택 분석하여 예비문항을수집하였고, 전문가를 대상으로 2차의 설문조사를 통해 내용타당도(Content Validity Ratio; CVR)를도출하였다. 평가 항목의 내적 타당도를 위해 Cronbach’s α값을 산출하였으며, 급간 내 상관계수(Internal Classification Coefficients; ICC)를 이용하여 검사-재검사 신뢰도 및 검사자간 신뢰도를 구하였다. 결과 : 전체 문항의 내용타당도는 0.67로 나타났으며, 영역별 Cronbach’s α값의 경우 의사소통 영역 0.849, 구강안면 구조 및 형태 –0.224, 구강안면 움직임 수행능력 0.831, 저작 및 삼킴 기능은 0.946으로 도출되었으며, 검사-재검사 신뢰도는 0.974, 검사자간 신뢰도는 0.937로 높은 신뢰도를 보였다. 결론 : 본 연구에서 COFFS의 평가도구는 4개의 영역에서 34개의 문항을 최종적으로 선정하였고, 평가항목에 따라 3~5점 척도로 개발되었다. 추후 연구에서는 구강안면기능을 측정하는 다른 평가도구와의 상관관계를 통해 타당도를 입증할 추가연구가 필요할 것으로 사료된다.
Abstract
Objective : This study aimed to develop a Comprehensive Oro-Facial Function Scale (COFFS) that can evaluate oro-facial function in patients with dysphagia. Methods : To verify the item composition and reliability of the COFFS, preliminary items were collected by selecting and analyzing four previous studies, and the Content Validity Ratio (CVR) was derived through a second survey of experts. Cronbach’s α was calculated for the internal validity of the evaluation items, and the test-retest reliability and inter-rater reliability were calculated using the internal classification coefficients (ICC). Results : The content validity ratio of all items was 0.67; in the case of Cronbach’s α value for each domain, 0.849 for communication domain, –0.224 for the oro-facial structure and shape, 0.831 for the ability to perform orofacial movements, and 0.946 for mastication and swallowing function. The test-retest reliability was 0.974 and the inter-rater reliability was 0.937, showing high reliability. Conclusion : In this study, the evaluation tool of COFFS was finally selected from 34 items in four areas and developed on a 3-5 point scale according to the evaluation items. In future studies, additional research is needed to prove its validity through correlation with other evaluation tools that measure oro-facial function.
참고문헌 (34)
- Adams, V., "A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI)", Dysphagia, 28(3), pp.350~369 (2013)[DOI]
- Bakke, M., "Development and evaluation of a comprehensive screening for orofacial dysfunction", Swedish Dental Journal, 31(2), pp.75~84 (2007)
- Campos, C. H., "Correlation of cognitive and masticatory function in Alzheimer’s disease", Clinical Oral Investigations, 21(2), pp.573~578 (2017)[DOI]
- Chang, K. Y., "Evaluation and treatment of oral motor function", Journal of Korean Society of Occupational Therapy, 5(1), pp.67~74 (1997)
- Clark, H. M., "Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments", American Journal of Speech-Language Pathology, 12(1), pp.40~50 (2003)[DOI]
- Clark, H. M., "Age and sex differences in orofacial strength", Dysphagia, 27(1), pp.2~9 (2012)[DOI]
- Ertekin, C., "Voluntary versus spontaneous swallowing in man", Dysphagia, 26(2), pp.183~192 (2011)[DOI]
- Felício, C. M. D., "Orofacial myofunctional evaluation protocol for older people: Validity, psychometric properties, and association with oral health and age", Communication Disorders Audiology and Swallowing, 29(6), pp.1~12 (2017)[DOI]
- Fleiss, J. L., "The design and analysis of clinical experiments" (1986), John Wiley & Sons
- Freed, M. L., "Electrical stimulation for swallowing disorders caused by stroke", Respiratory Care, 46(5), pp.466~474 (2001)
- 조은주, "뇌졸중 환자의 삼킴기능평가도구에 대한 체계적 고찰", 대한작업치료학회지, 24(4), pp.45~68 (2016), 대한작업치료학회[DOI]
- 강보미, "구강안면운동이 뇌졸중 환자의 연하기능과 구강안면근력에 미치는 영향", 대한작업치료학회지, 21(1), pp.57~69 (2013), 대한작업치료학회
- Koch, W. M., "Swallowing disorders: Diagnosis and therapy", Medical Clinics of North America, 77(3), pp.571~582 (1993)[DOI]
- Koo, T. K., "A guideline of selecting and reporting intraclass correlation coefficients for reliability research", Journal of Chiropractic Medicine, 15(2), pp.155~163 (2016)[DOI]
- Lawshe, C. H., "A quantitative approach to content validity", Personnel Psychology, 28(4), pp.563~575 (1975)
- Lazarus, C., "Evidence-based systematic review: Effects of oral sensory-motor treatment on swallowing in adults", American Speech Language Hearing Association, 1~42 (2011)
- Logemann, J. A., "Evaluation and treatment of swallowing disorders" (1998), PRO-ED
- Lund, J. P., "Mastication and its control by the brain stem", Critical Reviews in Oral Biology & Medicine, 2(1), pp.33~64 (1991)[DOI]
- Mann, G., "Swallowing disorders following acute stroke: Prevalence and diagnostic accuracy", Cerebrovascular Diseases, 10(5), pp.380~386 (2000)[DOI]
- Marchesan, I. Q., "MBGR protocol of orofacial myofunctional evaluation with scores", International Journal of Orofacial Myology, 38, pp.38~77 (2012)
- Miller, A. J., "Oral and pharyngeal reflexes in the mammalian nervous system: Their diverse range in complexity and the pivotal role of the tongue", Critical Reviews in Oral Biology & Medicine, 13(5), pp.409~425 (2003)[DOI]
- Morris, S. E., "Pre-feeding skills: A comprehensive resource for mealtime development" (2000), Therapy Skill Builders
- Morisaki, N., "Effects of oral exercise on oral function among Japanese dependent elderly individuals living in nursing facilities", International Journal of Nursing & Clinical Practices, 5, pp.1~4 (2018)[DOI]
- Oh, J. C., "Reliability and validity of Korean Mann Assessment of Swallowing Ability (K-MASA)", Doctor, pp.2014
- 박윤길, "연하장애환자를 위한 연하재활치료", 대한연하장애학회지, 1(1), pp.31~38 (2011), 대한연하장애학회[DOI]
- 박영학, "연하장애의 임상적 평가", 대한연하장애학회지, 1(1), pp.19~24 (2011), 대한연하장애학회
- Prosiegel, M., "Management of dysphagic patients with acute stroke", Nervenarzt, 83(12), pp.1590~1599 (2012)[DOI]
- Robbins, J., "The effects of lingual exercise in stroke patients with dysphagia", Archives of Physical Medicine and Rehabilitation, 88(22), pp.150~158 (2007)[DOI]
- 서상민, "연하장애 재활치료의 현황 및 실태조사", 대한연하장애학회지, 10(1), pp.47~55 (2020), 대한연하장애학회[DOI]
- Shrout, P. E., "Intraclass correlations:Uses in assessing rater reliability", Psychological Bulletin, 86(2), pp.420~428 (1979)[DOI]
- Solomon, N. P., "Assessment of orofacial strength in patients with dysarthria", Journal of Medical Speech-language Pathology, 16(4), pp.251~258 (2008)
- Steele, C. M., "Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury", International Journal of Speech-Language Pathology, 15(5), pp.492~502 (2013)[DOI]
- Yeates, E. M., "Improvements in tongue strength and pressuregeneration precision following a tongue-pressure training protocol in older individuals with dysphagia:Three case reports", Clinical Interventions in Aging, 3(4), pp.735~747 (2008)[DOI]
- Yoshida, M., "Decreased tongue pressure reflects symptom of dysphagia", Dysphagia, 21(1), pp.61~65 (2006)[DOI]