DOI QR코드

DOI QR Code

A Study on the Agreement and Bias between Parents' Proxy report and Self-report of People with Developmental Disabilities

발달장애인 부모의 대리 의사표시의 정합도와 편향에 관한 연구

  • Chun, Dong-il (Department of Social Welfare, Kangwon National University) ;
  • Jeon, Ji-Hye (Department of Social Welfare, Incheon National University)
  • 전동일 (강원대학교 사회복지학과) ;
  • 전지혜 (인천대학교 사회복지학과)
  • Received : 2019.03.22
  • Accepted : 2019.05.20
  • Published : 2019.05.28

Abstract

The purpose of this study is to analyze whether parents with developmental disabilities are well represented by the persons with developmental disabilities. Analysis data is based on the data from the Survey on Disability Survey in 2014. We analyzed the consistency and biases of the parent's proxy respondents' opinions by the degree of agreement between the contents of the person with developmental disabilities and the value of items that the parents answered on behalf of the development disabled. First, the parents' proxy respondents responded well to the actual situation such as life satisfaction for the developmental disabled, while the parental proxy respondents showed the positive bias to overestimate the cost items and the negative bias to recognize the discrimination. Second, in relation to independent living, the majority of the parents of the developmental disabled respondents had a high agreement with the developmental disabled person. However, about 5 ~ 10% of the parents' proxy respondents seem to have a tendency to distort the independent living policy by preferring non-standard housing types, unlike those with developmental disabilities. Based on this, it was proposed that the respondents should be able to receive the answers of the possible parties in the future research on desire and independent living related intention toward the developmental disabled, and the research on the matching of the proxy response is needed in a multidimensional manner.

본 연구의 목적은 발달장애인 부모가 발달장애인의 의사를 잘 대리하는지를 분석하는데 있다. 분석 자료는 2014년 장애인실태조사 원자료를 활용하였다. 발달장애인 본인이 응답한 내용과 발달장애인을 대신하여 부모가 응답대리한 항목의 값의 일치도를 통해 부모 대리응답자의 의사표시의 정합성과 편향성을 분석하였다. 분석결과, 첫째, 부모 대리응답자는 발달장애인에 대해 삶의 만족도와 같은 실태에 대해 잘 응답대리하고 있으나 비용 항목은 심하게 과대 계상하는 긍정편향을, 차별 인식은 부정 편향 대리가 나타났다. 둘째, 자립과 관련되어 다수의 발달장애인 부모 대리응답자는 발달장애인 본인과 의사표시 정합성이 높았다. 다만, 약 5~10% 정도의 부모 대리응답자가 발달장애인과 의견과 달리 시설 형태의 비일반주택을 선호하여 자립정책을 왜곡할 가능성이 있는 것으로 나타났다. 이를 토대로 향후 발달장애인을 대상으로 하는 욕구 및 자립의향 연구조사시 가능한 당사자의 응답을 받을 수 있어야 함을 제안하였고, 대리응답의 정합도 연구가 다차원적으로 필요함을 논의하였다.

Keywords

Table 1. Demographic Characteristics of Respondents

JKOHBZ_2019_v9n5_201_t0001.png 이미지

Table 2. Research Variables

JKOHBZ_2019_v9n5_201_t0002.png 이미지

Table 3. The response of self report and proxy report to 'Truth'

JKOHBZ_2019_v9n5_201_t0003.png 이미지

Table 4. The response of self report and proxy report to 'Perception'

JKOHBZ_2019_v9n5_201_t0004.png 이미지

Table 5. The response of self report and proxy report to 'Desire'

JKOHBZ_2019_v9n5_201_t0005.png 이미지

References

  1. E. J. Kang. (2008). Disagreements between Adolescents and Their Parents on the Evaluation of the Health Status of Adolescents. National Youth Policy Institute, 19(4), 33-56.
  2. I. J. Chung. (2015). Response agreement rates between children in foster care and their caregivers. Journal of the Korean society of child welfare, (51), 163-187.
  3. E. J. Kim.. (2008). Quality of life in patients with schizophrenia and bipolar disorder : comparison of self-report and proxy assessment. European Psychiatry, 24(1), 569-560.
  4. C. Schiffczyk. et al. (2011). Gender-dependence of substituted judgment on quality of life in patients with dementia. BMC Neurology, (11), 11-8.
  5. P. Makai. et al. (2012) Capabilities and quality of life in dutch psycho-geriatric nursing homes: An exploratory study using a proxy version of the ICECAP-O. Quality of Life Research, 21(5), 801-812. https://doi.org/10.1007/s11136-011-9997-1
  6. F. K. Bruvik. et al. (2012). The quality of life of people with dementia and their family carers. Dementia and Geriatric Cognitive Disorders, 34(1), 7-14. https://doi.org/10.1159/000341584
  7. T. Buckley. et. al. (2012). Predictors of quality of life ratings for persons with dementia simultaneously reported by patients and their caregivers: The cache county (utah) study. International Psychogeriatrics, 24(7), 1094-1102. https://doi.org/10.1017/S1041610212000063
  8. M. Crespo. et al. (2012). Quality of life of nursing home residents with dementia: A comparison of perspectives of residents, family, and staff. Gerontologist, 52(1), 56-65. https://doi.org/10.1093/geront/gnr080
  9. A. M. Arons. et al. (2013). Quality of life in dementia: A study on proxy bias. BMC Medical Research Methodology, 13, 110-117. https://doi.org/10.1186/1471-2288-13-110
  10. M. Crespo. et. al. (2013). Factors associated with quality of life in dementia patients in long-term care. International Psychogeriatrics, 25(4), 577-85. https://doi.org/10.1017/S1041610212002219
  11. P. A. Yeama. et. al. (2013). Relationship of physical and functional independence and perceived quality of life of veteran patients with alzheimer disease. American Journal of Hospice and Palliative Medicine, 30(5), 462-466. https://doi.org/10.1177/1049909112453868
  12. C. M. Giebel. et. al. (2014). Activities of daily living and quality of life across different stages of dementia: A UK study. Aging and Mental Health. 19(1), 1-9. https://doi.org/10.1080/13607863.2014.979012
  13. M. B. Hocaoglu. et. al. (2012). Health-related quality of life in huntington's disease patients: A comparison of proxy assessment and patient self-rating using the disease-specific huntington's disease health-related quality of life questionnaire (HDQoL). Journal of Neurology, 259(9), 1793-1800. https://doi.org/10.1007/s00415-011-6405-2
  14. D. K. Whynes. (2013). Testing for differential item functioning within the EQ-5D. Medical Decision Making, 33(2), 252-60. https://doi.org/10.1177/0272989X12465016
  15. C. Ramos-Remus. et. al. (2014). Divergent perceptions in health-related quality of life between family members and patients with rheumatoid arthritis, systemic lupus erythematosus, and ankylosing spondylitis. Rheumatology International, 34(12), 1743-1749. https://doi.org/10.1007/s00296-014-3044-9
  16. C. J. Lewis. et. al. (2014). Parkinson's disease patients with subthalamic stimulation and carers judge quality of life differently. Parkinsonism and Related Disorders, 20(5), 514-519. https://doi.org/10.1016/j.parkreldis.2014.02.009
  17. J. M. Jones. et. al. (2011). Assessing agreement between terminally ill cancer patients' reports of their quality of life and family caregiver and palliative care physician proxy ratings. Journal of Pain and Symptom Management, 42(3), 354-365. https://doi.org/10.1016/j.jpainsymman.2010.11.018
  18. D. Steinmann. et. al. (2013). Proxy assessment of patients before and after radiotherapy for brain metastases. Results of a prospective study using the DEGRO brain module. Radiology and Nuclear Medicine, 189(1), 47-53.
  19. S. Schmidt. et. al. (2010). Self and proxy rating of quality of life in adults with intellectual disabilities: Results from the DISQOL study. Research in Developmental Disabilities. 31(5), 1015-1026. https://doi.org/10.1016/j.ridd.2010.04.013
  20. C. Claes. et. al. (2012). Relationship between self-report and proxy ratings on assessed personal quality of life-related outcomes. Journal of Policy and Practice in Intellectual Disabilities, 9(3), 159-165. https://doi.org/10.1111/j.1741-1130.2012.00353.x