DOI QR코드

DOI QR Code

뇌졸중 영향 척도 3.0의 신뢰도와 타당도

Reliability and Validity of Stroke Impact Scale 3.0

  • 박은영 (전주대학교 중등특수교육과) ;
  • 최유임 (원광대학교 작업치료학과) ;
  • 김은주 (전주대학교 작업치료학과)
  • 투고 : 2019.05.20
  • 심사 : 2019.08.05
  • 발행 : 2019.08.28

초록

이 연구의 목적은 Stroke Impact Scale 3.0(SIS 3.0)의 신뢰도와 타당도를 조사하는 것이었다. 연구에서 SIS 3.0은 125명의 뇌졸중 환자를 대상으로 측정하였다(평균 = 62.7, 표준 편차 = 9.43). SIS 3.0 하위 영역들 간에 상관 분석을 통해 구성타당도를 확인하였고, MBI(Modified Barthel Index)와 K-MMSE(Mini-Mental State Examination-Korean)간의 상관을 분석하여 수렴타당도를 조사하였다. 각 항목의 특성은 고전적 문항 이론을 바탕으로 내적 합치도와 문항 변별도를 분석하였다. 이 연구를 통해 SIS 3.0의 구성타당도와 수렴타당도가 확인되었다. 감정 영역에 포함된 i 항목은 문항 변별도가 낮았지만 이 항목을 제외하고는 모두 변별도가 높았다. 하위 영역의 문항내적합치도는 0.858~0.941로 나타났다. 이 연구는 지역사회에 거주하는 뇌졸중 환자를 대상으로 임상 현장에서 SIS 3.0 사용을 위한 신뢰도와 타당도를 확인하였다는데 그 의의가 있다.

The purpose of this study was to examine the reliability and validity of Stroke Impact Scale 3.0 (SIS 3.0). Here, the SIS 3.0 was completed by 154 stroke patients (mean = 62.7; standard deviation [SD] = 9.43). Construct validity was verified by analyzing the correlation between SIS 3.0 sub-domains, and convergent validity was investigated by analyzing the correlation between the Modified Barthel Index (MBI) and the Mini-Mental State Examination-Korean (K-MMSE) version. The characteristics of each item were analyzed by internal consistency and item discrimination based on the classical item theory. Construct and convergent validity were verified through this study. Although the item i included in the emotion domain showed low item discrimination, all but this item showed high discrimination. Internal consistency was also high in all sub-domains.

키워드

참고문헌

  1. P. Clarke, V. Marshall, S. E. Black, and A. Colantonio, "Well-being after stroke in Canadian seniors: Findings from the Canadian Study of Health and Aging," Stroke, Vol.33, No.4, pp.1016-1021, 2002. https://doi.org/10.1161/01.STR.0000013066.24300.F9
  2. D. T. Farzan, "Reintegration for stroke survivors. Home and Community considerations," The Nursing Clinics of North America, Vol.26, No.4, pp.1037-1048, 1991.
  3. P. Kim, S. Warren, H. Madill, and M. Hadley, "Quality of life of stroke survivors," Quality Life Research, Vol.8, No.4, pp.293-301, 1999. https://doi.org/10.1023/A:1008927431300
  4. J. W. Oak(ed.), Effect of stroke on the patient's family burden, Hallym University, Seoul, 2003.
  5. E. Finch, C. Gowland, and N. E. Mayo(editors), Physical Rehabilitation Outcome Measures, Lippincott Williams & Wilkins, Philadelphia, 1995.
  6. V. Schepers, M. Ketelaar, Van de Port I, J. Visser-Meily, and E. Lindeman, "Comparing contents of functional outcome measures in stroke rehabilitation using the International Classification of Functioning, Disability and Health," Disability & Rehabilitation, Vol.29, No.3, pp.221-230, 2007. https://doi.org/10.1080/09638280600756257
  7. S. M. Lai, S. Perera, P. W. Duncan, and R. Bode, "Physical and social functioning after stroke: comparison of the Stroke Impact Scale and Short Form-36," Stroke, Vol.34, No.2, pp.488-493, 2003. https://doi.org/10.1161/01.STR.0000054162.94998.C0
  8. P. W. Duncan, G. P. Samsa, M. Weinberger, L. B. Goldstein, A. Bonito, D. M. Witter, C. Enarson, and D. Matchar, "Health status of individuals with mild stroke," Stroke, Vol.28, No.4, pp.740-745, 1997. https://doi.org/10.1161/01.STR.28.4.740
  9. U. G. Schulz, "Predicting functional outcome in acute stroke-prognostic models and clinical judgement," J. Neurology Neurosurgery and Psychiatry, Vol.75, No.3, pp.351-352, 2004. https://doi.org/10.1136/jnnp.2003.032383
  10. F. J. Artal, "Specific scales for rating quality of life after stroke," Revista de Neurologia, Vol.39, No.11, pp.1052-1062, 2004. https://doi.org/10.33588/rn.3911.2004447
  11. P. W. Duncan, D. Wallace, S. M. Lai, D. Johnson, S. Embretson, and L. J. Laster, "The stroke impact scale version 2.0: Evaluation of reliability, validity, and sensitivity to change," Stroke, Vol.30, No.10, pp.2131-2140, 1999. https://doi.org/10.1161/01.STR.30.10.2131
  12. P. W. Duncan, R. K. Bode, S. Min Lai, and S. Perera, "Rasch analysis of a new stroke-specific outcome scale: The Stroke Impact Scale," Archives Physical Medicine & Rehabilitation, Vol.84, No.7, pp.950-963, 2003. https://doi.org/10.1016/S0003-9993(03)00035-2
  13. S. M. Lai, S. Studenski, P. W. Duncan, and S Perera, "Persisting consequences of stroke measured by the Stroke Impact Scale," Stroke, Vol.33, No.7, pp.1840-1844, 2002. https://doi.org/10.1161/01.STR.0000019289.15440.F2
  14. B. Edwards and B. O'Connell, "Internal consistency and validity of the Stroke Impact Scale 2.0 (SIS 2.0) and SIS-16 in an Australian sample," Quality Life Research, Vol.12, No.8, pp.1127-1135, 2003. https://doi.org/10.1023/A:1026109920478
  15. S. Geyh, A. Cieza, and G. Stucki, "Evaluation of the German translation of the Stroke Impact Scale using Rasch analysis," Clinical Neuropsychology, Vol.23, No.6, pp.978-995, 2009. https://doi.org/10.1080/13854040802665782
  16. J. I. Won, "The relationship between activities of daily living and Health-Related Quality of Life in ambulatory stroke patients," Physical Therapy Korea, Vol.15, No.1, pp.12-19, 2008.
  17. F. J. Carod-Artal, L. F. Coral, D. S. Trizotto, and C. M. Moreira, "The Stroke Impact Scale 3.0 evaluation of acceptability, reliability, and validity of the Brazilian version," Stroke, Vol.39, No.9, pp.2477-2484, 2008. https://doi.org/10.1161/STROKEAHA.107.513671
  18. C. A. Trombly and M. V. Radomski(editors), Occupational therapy for physical dysfunction, Lippincott Wiliams & Wilkins, Baltimore, 2002.
  19. A. Kucukdeveci, G. Yavuzer, A. Tennant, N. Suldur, B. Sonel, and T. Arasil, "Adaptation of the modified Barthel Index for use in physical medicine and rehabilitation in Turkey," Scandinavian J. Rehabilitation Medicine, Vol.32, No.2, pp.87-92, 2000. https://doi.org/10.1080/003655000750045604
  20. M. F. Folstein, S. E. Folstein, and P. R. McHugh, "Mini-mental state: A practical method for grading the cognitive state of patients for the clinician," J. Psychiatric Research, Vol.12, No.3, pp.189-198, 1975. https://doi.org/10.1016/0022-3956(75)90026-6
  21. C. Han, S. A. Jo, I. Jo, E. Kim, M. H. Park, and Y. Kang, "An adaptation of the Korean mini-mental state examination (K-MMSE) in elderly Koreans: demographic influence and population-based norms (the AGE study)," Archives Gerontology Geriatrics, Vol.47, No.3, pp.302-310, 2008. https://doi.org/10.1016/j.archger.2007.08.012
  22. R. L. Ebel(ed.), Measuring Educational Achivement, Prentice-Hall, NJ, 1965.
  23. T. J. Sung(ed.), The Theory and Practice of item development and analysis, Hakjisa, Seoul, 2004.
  24. L. Roberts and C. Counsell, "Assessment of clinical outcomes in acute stroke trials," Stroke, Vol.29, No.5, pp.986-991, 1998. https://doi.org/10.1161/01.STR.29.5.986
  25. J. S. Nunnally and I. H. Bernstein(editors), Psychometric theory (3rd ed.), McGraw-Hill, USA, 1994.
  26. D. L. Streiner, "Starting at the beginning: an introduction to coefficient alpha and internal consistency," J. Personality Assessment, Vol.80, No.1, pp.99-103, 2003. https://doi.org/10.1207/S15327752JPA8001_18
  27. H. J. Lee and J. M. Song, "The Korean language version of Stroke Impact Scale 3.0: Corss-cultural adaptation and translation," J. Korean Society of Physical Medicine, Vol.10, No.3, pp.265-273, 2015.
  28. S. H. Kim, S. Y. Yoo, and Y. Y. Kim, "Validity and reliability of the Korean version scale of the Clinical Learning Environment, Supervision and Nurse Teacher Evaluation Scale(CLES+T)," J. Korean Academy of Nursing, Vol.48, No.1, pp.70-84, 2018. https://doi.org/10.4040/jkan.2018.48.1.70
  29. S. U. Choi, H. S. Lee, J. H. Shin, S. H. Ho, M. J. Koo, K. H. Park, J. A. Yoon, D. M. Kim, J. E. Oh, S. H. Yu, and D. A. Kim, "Stroke Impact Scale 3.0: Reliability and validity evaluation of the Korean version," Annual Rehabilitation Medicine, Vol.41, No.3, pp.387-393, 2017. https://doi.org/10.5535/arm.2017.41.3.387
  30. M. L. van Mierlo, C. M. van Heugten, M. W. M. Post, T. R. S. Hajos, L. J. Kappelle, and J. M. A. Visser-Meily, "Quality of life during the first two years post stroke: The restore stroke cohort study," Cerebrovascular Disorder, Vol.41, No.1-2, pp.19-26, 2016. https://doi.org/10.1159/000441197
  31. L. M. Kuo, W. C. Tsai, M. J. Chiu, L. Y. Tang, H. J. Lee, and Y. L. Shyu, "Cognitive dysfunction predicts worse health-related quality of life for older stroke survivors: A nationwide population-based survey in Taiwan," Aging & Mental Health, Vol.23, No.3, pp.305-310, 2019. https://doi.org/10.1080/13607863.2017.1414148
  32. H. J. Jun, K. J. Kim, and O. K. Moon, "The relationship between stroke patients' socio-economic conditions and their quality of life: The 2010 Korean community health survey," J. Physical Therapy Science, Vol.27, pp.781-784, 2015. https://doi.org/10.1589/jpts.27.781