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아동 건강 평가 질문지(CHAQ)의 타당성 검증: 뇌성마비 학생을 대상으로

Exploration of Utility for Korean Translation of the Childhood Health Assessment Questionnaire in Children with Cerebral Palsy

박은영
한국특수아동학회 (Kacsn: Korean Association Of The Children With Special Need)|2010.12|특수아동교육연구 (The Journal of Special Children Education)|제12권 제4호|pp. 335-353|DOI 10.21075/kacsn.2010.12.4.335

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참고문헌

키워드

psychometric propertiesreliabilitychildren with cerebral palsy심리측정학적 특성뇌성마비 학생CHAQ아동 건강 평가 질문지
주제분류교육학

초록

이 연구는 한글로 번안한 아동 건강 평가 질문지(Childhood Health Assessment Questionnaire: CHAQ)를 뇌성마비 학생을 대상으로 평가하고 CHAQ에 대한 심리측정학적 특성에 대한 기초 자료를 알아보는데 그 목적이 있었다. 이를 위해 표준 번안 과정에 따라 CHAQ를 한글로 번안하고, 6~16세 뇌성마비 학생 72명을 대상으로 CHAQ, 대동작 기능 분류 체계, 대동작 기능을 측정하였다. CHAQ 응답 자료를 분석하여, 각 하위 영역의 적용할 수 없음으로 평가한 비율, 천정 효과와 바닥 효과가 나타난 비율을 제시하였다. 문항내적합치도를 통해 신뢰도를 알아본 결과, 옷 입기와 몸단장하기의 α = .887, 먹기의 α = .880을 제외하고 모든 하위 영역에서 .90 이상 인 것으로 나타나, CHAQ의 신뢰도는 받아들일 수 있는 수준으로 나타났다. 대동작 기능 분류 체계 및 대동작 기능과의 상관은 통증의 시각 유추 척도를 제외하고 유의한 것으로 나타났다. 높은 수준의 문항내적합치도와 대동작 기능과의 유의한 상관이 나타난 결과를 통해 한글로 번안한 CHAQ는 뇌성마비 학생의 건강 상태 평가에 유용할 수 있음을 제시하였다. 한글로 번안한 CHAQ의 국내 적용을 위해서 앞으로의 연구에서는 다양한 측면의 신뢰도 및 타당도를 밝히는 것이 필요할 것으로 생각된다.

Abstract

The purpose of this study was investigated the utility for Korean translation of the Childhood Health Assessment Questionnaire (K-CHAQ) through the examination of psychometric properties of this instrument in children with cerebral palsy. For this, CHAQ was translated to Korean according to guidelines for the process of cross-cultural adaptation. The K-CHAQ, Gross Motor Classification System (GMFCS), Gross Motor Function Measure (GMFM) was measured in 72 children with cerebral palsy. The participants was range of age from 6 to 16 years old. The data of 'not applicable' was low rate. The floor effect appeared in the subscale of Arising, and the floor effect and ceiling effect emerged in Waling. The subscale of Reach and Grip showed the floor effect and Hygiene and Activity displayed the ceiling effect. The Cronbach's coefficient alpha was good for the subscale of the K-CHAQ. The subscales of K-CHAQ have significant correlation with GMFCS and GMFM except of the visual analogue scale of pain. The K-CHAQ was considered in assessment of health status in children with cerebral palsy based on reliability and correlation with gross motor function. In further research, various reliabilities and validities of the K-CHAQ was examined for the increasement of utility in children with cerebral palsy.

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