가정 내 일상생활활동 평가의 신뢰도 및 타당도 연구

국문 초록 (Abstract)

목적 : 본 연구는 노인의 가정환경에서 필수적으로 이루어지는 일상생활활동의 수행수준을 독립성, 어려움, 안전성 영역에서 측정할 수 있는 가정 내 일상생활활동 평가(Assessment of Home-based Activities; AHA)의 신뢰도와 타당도를 검증하기 위한 목적으로 실시되었다. 연구방법 : 연구 대상자는 장애가 없는 노인 360명이었고, 평균연령은 71.2세였다. 신뢰도와 타당도 검증을위해 내적 일치도, 검사-재검사 신뢰도, 수렴 타당도, 판별 타당도를 조사하였다. 수렴 타당도 산출을 위해AHA와 한국형 일상생활활동(Korean-Activities of Daily Living; K-ADL), 한국형 수단적 일상생활활동(Korean-Instrumental Activities of Daily Living; K-IADL)의 활동별 상관관계를 각각 알아보았고 판별 타당도를 구하기 위해 일반 노인과 뇌졸중 노인의 수행수준을 비교분석하였다. 결과 : AHA의 영역별 내적 일치도는 .91~.98, 검사-재검사 신뢰도는 .78~.86의 분포를 보였다. K-ADL, K-IADL과 AHA 간의 상관관계에서는 명칭이 일치하거나 유사한 활동 간에 통계적으로 유의하였다(p<.01). 또한 판별 타당도 검증에서는 일반 노인의 수행수준이 모든 영역에서 뇌졸중 노인보다 유의하게높았다(p<.01). 결론 : 본 연구를 통해 AHA는 일반 노인의 전반적인 가정 내 일상생활활동을 평가하는데 적합한 도구임을 입증하였다. 향후 재활분야에서 노인을 위한 일상생활활동 훈련, 가정환경개선 등의 중재를 실행하는데 사용될 수 있을 것으로 기대된다.

다국어 초록 (Multilingual Abstract)

Objective : The aim of this study was to verify the reliability and validity of the Assessment of Home-based Activities (AHA), which can assess the elderly’s performance of daily activities at home in the three areas of independence, difficulty, and safety. Methods : A total of 360 elderly people aged 55 or older without physical disorders participated in this study. To verify the reliability and validity of AHA, the internal consistency, test-retest reliability, convergent validity, and discriminant validity were analyzed. Of them, we calculated the convergent validity, and the correlations between each activity of the AHA and Korean-Activities of Daily Living (K-ADL)and between each activity of the AHA and Korean-Instrumental Activities of Daily Living (K-IADL) were examined. In addition, to test the discriminant validity, the performance of daily activities between the group of general elderly and the group of elderly after a stroke was compared. Results : The internal consistency was within the range of .91 to .98 and the test-retest reliability showed a range of .78 to .86. The convergent validity showed that the correlations of all sets of two activities with similar names or features were statistically significant (p<.01). The discriminant validity showed that the general elderly people performed daily activities at a higher level than the elderly after suffering a stroke in all areas (p<.01). Conclusion : The AHA is a suitable instrument that can assess the performance of daily activities at home of elderly people, and is expected to be useful in implementing interventions of training for activities of daily living and home modifications in the field of rehabilitation.

목차 (Table of Contents)

• 국문초록
• Ⅰ. 서론
• Ⅱ. 연구 방법
• 1. 연구 대상
• 2. 연구 도구
• 3. 연구 과정
• 4. 분석 방법
• Ⅲ. 연구 결과
• 1. 내적 일치도 및 검사-재검사 신뢰도
• 2. 수렴 타당도
• 3. 판별 타당도
• Ⅳ. 고찰
• Ⅴ. 결론
• References
• Abstract

참고문헌 (Reference)

• 1 구형모, "일상활동평가-복합(Seoul-Instrumental Activities of Daily Living ; S-IADL)의 신뢰도 및 타당도 연구" 대한신경정신의학회 43 (43): 189-199, 2004
• 2 양노열, "가정 내 일상생활활동 평가도구 개발" 대한작업치료학회 22 (22): 1-10, 2014
• 3 Simonsick, E. M., "Who walks? Factors associated with walking behavior in disabled older women with and without self-reported walking difficulty" 47 : 672-680, 1999
• 4 Retornaz, F., "Usefulness of frailty markers in the assessment of the health and functional status of older cancer patients referred for chemotherapy: A pilot study" 63 : 518-522, 2008
• 5 Statistics Korea, "Time use survey" Time use survey 2010
• 6 Won, C. W., "The validity and reliability of Korean Instrumental Activities of Daily Living(KIADL)scale" 6 : 273-280, 2002
• 7 Won, C. W., "The validity and reliability of Korean Activities of Daily Living(K-ADL)scale" 6 : 98-106, 2002
• 8 National Academy of Korean Language, "The standard korean dictionary" Doosan Dong-A 2001
• 9 National Academy of Korean Language, "The standard korean dictionary" Doosan Dong-A 2001
• 10 Korea Society of Nursing Science, "The great encyclopedia of nursing science" Korea Dictionary Research Publishing 1996
• 11 McCreadie, C., "The acceptability of assistive technology to older people" 25 (25): 91-110, 2005
• 12 I. Petersson, "The Client-Clinician Assessment Protocol (C-CAP): Evaluation of its Psychometric Properties for Use with People Aging with Disabilities in Need of Home Modifications" SAGE Publications 27 (27): 140-148, 2007
• 13 Shin, J. I., "Study on instrumental activities of activities of daily living after rehabilitation for elderly outpatients" 2 (2): 17-24, 2010
• 14 Statistics Korea, "Statistical Report on the aged" Statistics Korea 2010
• 15 S. Stark, "Removing Environmental Barriers in the Homes of Older Adults with Disabilities Improves Occupational Performance" SAGE Publications 24 (24): 32-40, 2004
• 16 Murphy, K. A., "Psychological testing" Prentice Hall 1998
• 17 Won, C. W., "Korea Activities of Daily Living scale and Korea Instrumental Activities of Daily Living scale" 6 (6): 1-10, 2002
• 18 Portney, L. G., "Foundations of clinical research : Applications to practice" Prentice Hall 2008
• 19 Bayer, A. H., "Fixing to stay: A national survey of housing and home modification issues"
• 20 Linda P. Fried, "Disability in Older Adults: Evidence Regarding Significance, Etiology, and Risk" Wiley-Blackwell 45 (45): 92-100, 1997
• 21 Park, K. Y., "Development of a basic ADL instrument for persons with stroke" 12 (12): 15-25, 2004
• 22 Gitlin, L. N., "Client-Clinician Assessment Protocol (C-CAP)" Thomas Jefferson University. 2000
• 23 Lee, M. S., "Assessment of daily livingrelated physical function in Korean elderly" 40 (40): 601-613, 2001
• 24 Jung, K. H., "Analysis of the Survey of living conditions and welfare needs of Korean older persons" Korea Institute for Health and Social Affairs 2012
• 25 Ministry of Employment and Labor, "Aged employment status" Ministry of Employment and Labor 2009
• 26 Ku, H. M., "A study on the reliability and validity of Seoul-Activities of Daily Living (S-ADL)" 8 : 206-214, 2004
• 27 Kwon, O. J., "A study on home modifications of elderly households without families" 17 (17): 1-18, 1997
• 28 Youn, H. S., "A study of the influence of residential characteristics on the quality of life of the elderly" Daegu University 2010