한국어판 대상자중심재활 측정도구의 타당도와 신뢰도
Validity and Reliability of Korean Version of the Client-centered Rehabilitation Questionnaire
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연구목적: 본 연구는 한국어판 대상자중심재활 측정도구(Client-Centered Rehabilitation Questionnaire ;CCRQ)의 타당도와 신뢰도를 검증하기 위함이다. 연구방법: 영어로 개발된 CCRQ-15을 번역과 역번역을 통해 한국어로 번안하였다. 자료수집은 서울과 경기도의 6개의 재활병원에 입원한 뇌졸중 재활환자를 대상으로 하였으며, 최종적으로 243개의 자료가 분석에 사용되었다. 타당도는 구성타당도, 집중타당도, 판별타당도 및 준거타당도가 분석되었다. 신뢰도는 Cronbach’s alpha를 통해 내적일관성을 검증하였다. 결과: 한국어판 대상자중심재활 측정도구는 의사결정/의사소통(decision-making/communication) 5문항, 자기관리/임파워먼트(self-management/empowerment) 6문항, 심리사회적 안녕감(psychosocial well-being) 4문항으로 총 15문항으로 구성되어 있다. 확인적 요인분석을 통해 구성타당도를 검증한 결과 모형의 적합도가 양호한 것으로 나타났으며, 집중타당도가 기준치를 충족하였다(CR = .74 to .89). 인간 중심적 환경 측정도구와 상관관계 분석을 통해 준거타당도를 확인하였을 때, 유의한 상관관계가 있는 것으로 나타났으며(r=.57, p <.001), 신뢰도는 높은 편으로 확인되었다(Cronbach’s α = .74 to .88). 결론: 타당도와 신뢰도가 검증된 한국어판 대상자중심재활 측정도구를 통해 재활 임상 현장에서 인간중심적 재활에 대한 대상자의 경험을 모니터링하고 향상시키는데 활용될 수 있을 것이다.
Abstract
Purpose: The purpose of this study was to evaluate the validity and reliability of the Korean version of the Client-Centered Rehabilitation Questionnaire (CCRQ). Methods: The English version of the CCRQ was translated into Korean using the forward and backward translation method. Data were collected from 243 post-stroke rehabilitation patients at six rehabilitation hospitals in Seoul and Gyeonggi-do. Validity was assessed, including construct validity, convergent validity, and criterion validity. Reliability was assessed using Cronbach’s alpha. Results: The Korean version of the CCRQ consists of 15 items in three domains: decision-making/communication, self-management/empowerment, and psychosocial well-being. Construct validity was verified using a three-factor structure, and the scale showed good convergent validity. Criterion validity was evaluated using the Korean version of the Person-centered Climate Questionnaire, which showed a significant correlation. Additionally, the reliability of the scale was good. Conclusion: These findings indicate that the Korean version of the CCRQ is a valid and reliable tool for assessing the extent of person-centered rehabilitation care in individuals undergoing stroke rehabilitation.
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