Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

A Preliminary Study on Family Function Components Affecting Individual Health and Disease: A Delphi Study

개인의 건강과 질병에 영향을 미치는 가족기능 구성요소에 관한 사전연구: 델파이 연구

  • Kim, Ah-Ram (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Jeong, Seong-Woo (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Jeong, Jiin (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Kim, Jung-Ran (Dept. of Dementia Prevention and Rehabilitation, College of Human Service, Catholic Kwandong University)
  • 김아람 (연세대학교 일반대학원 작업치료학과) ;
  • 정성우 (연세대학교 일반대학원 작업치료학과) ;
  • 정지인 (연세대학교 일반대학원 작업치료학과) ;
  • 김정란 (가톨릭관동대학교 휴먼서비스대학 치매전문재활학과)
  • Received : 2020.09.23
  • Accepted : 2021.02.03
  • Published : 2021.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Objective : This study aimed to determine Korea-type family function factors that affect individual growth and social activities, and examine check the appropriate contents and domestic culture components based on the McMaster model, a family function evaluation tool, through the Delphi technique. Methods : The Delphi technique was applied to 12 expert panels in fields related to family function. The period lasted 9 weeks, from May to June 2020. The Delphi survey was conducted twice. In the first survey, the domestic culture and appropriate contents of the McMaster model were selected and localized, and expert' opinions about the components were collected using closed and open-ended questions. In the second survey, the fitness and importance of the components were investigated. Results : As a result of the first Delphi investigation, 18 items were deleted from the 53 items presented. After adding 11 items and excluding any overlapping items, a total of 40 items were selected. Subsequently, sentences that were difficult to understand were revised to familiar vocabulary. A second survey was constructed, with an example sentence. In the second Delphi investigation, 33 items were selected. The average content validity ratio for the final selected component was 0.76, and the stability was 0.28. Conclusion : Family function and the factors influencing domestic family function identified though this study can be used to conduct family function evaluations and interventions in clinical sites or relevant research studies.

목적 : 개인의 성장과 사회적 활동에 영향을 미치는 국내 가족기능 요소를 개발하기 위해, 가족기능 평가도구인 McMaster 모델을 기반으로 국내 문화와 적합한 내용을 도출하여 가족기능에 영향을 주는 요소들을 델파이 기법을 통해 확인하고자 하였다. 연구방법 : 가족기능과 관련이 깊은 분야의 전문가 패널 12명을 대상으로 델파이 기법을 실시하였다. 기간은 2020년 5월부터 6월까지 총 7주간 진행되었으며, 델파이 조사는 2회 실시하였다. 1차 조사에서는 McMaster 모델의 국내 문화와 적합한 내용을 선정 및 한글화를 진행한 후, 구성요소에 관한 폐쇄형 항목 및 개방형 항목을 사용하여 전문가들의 의견을 수집하였다. 2차 조사에서는 구성요소의 적합도 및 중요도를 조사하였다. 결과 : 1차 델파이 조사 결과, 제시된 53개의 항목에서 18개의 항목이 삭제되었고, 11개의 항목이 추가되었으며, 의미가 중복되는 항목을 제외하여 40개의 항목이 선정되었다. 이 후 이해가 어려운 문장을 친숙한 어휘로 수정하고 2차 조사지를 구성하였다. 2차 델파이 결과에서는 총 33개의 항목이 선정되었으며, 최종 선정된 구성요소에 대한 내용타당도 비율은 0.76, 안정도는 0.28로 도출되었다. 결론 : 본 연구를 통해 도출된 국내 가족기능 평가를 위한 영향요소들은 가족기능을 포함하고 임상현장 또는 관련연구에서 가족기능 평가 및 중재를 시행하는데 활용되기를 기대한다.

Keywords

References

  1. 강용주. (2008). 델파이 기법의 이해와 적용사례. 수시과제보고서, 12, 1-17. Retrieved from http://www.dbpia.co.kr/journal/articleDetail?nodeld=NODE2074698
  2. 김유숙, 전영주, 김요완. (2003). 가족과 가족평가. 서울, 한국: 학지사.
  3. 노승용. (2006). 델파이 기법(Delphi technique): 전문적 통찰로 미래예측하기. 세종, 한국: 국토연구원. Retrieved from http://www.dbpia.co.kr/journal/articleDetail?nodeld=NODE01170551
  4. 송성자. (2002). 가족과 가족치료 (제2판). 파주, 한국: 법문사.
  5. American Journal of Occupational Therapy (AJOT). (2014). Occupational Therapy Practice Framework: Domain and Process (3rd Edition). Retrieved from https://ajot.aota.org/article.aspx?articleid=1860439. doi:10.5014/ajot.2014.682006
  6. Beavers, W. R., & Voeller, M. N. (1983). Family models: Comparing and contrasting the Olson circumplex model with the Beavers systems model. Family Process, 22(1), 85-97. doi:10.1111/j.1545-5300.1983.00085.x
  7. Chae, S. Y., Jo, S. J., Kwon, H. C., Kong, J. Y., & Chang, M. Y. (2008). A study on a Korean-translated version of the Psychosocial Impact of Assistive Devices Scale (PIADS). Korean Journal of Occupational Therapy, 16(3), 71-86.
  8. Choi, H. J., & Yoo, Y. J. (2003). The development of Korean family functioning scale. Journal of Korean Home Management Association, 21(3), 15-28.
  9. Choi, J. H., Choi, H. R., Kim, B. S., Shin, H. C., & Won, C. W. (2002). The reliability and validity of the Korean family function assessment tool. The Journal of the Korean Academy of Family Medicine, 23(3), 292-300.
  10. Chung, S. K. (2000). A study on the effects of family functioning and ecological context on middle school students' delinquency. Korean Journal of Family Therapy, 8(2), 45-64.
  11. Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310-357. doi:10.1037/0033-2909.98.2.310
  12. Epstein, N. B., Bishop, D. S., Ryan, C. E., Miller, I. W., & Keitner, G. I. (1993). The McMaster model view of healthy family functioning. Normal Family Processes, 138-160.
  13. Goldenberg, H., & Goldenberg, I. (2012). Family therapy: An overview. Boston, Massachusetts: Cengage learning.
  14. Green, R. G., Kolevzon, M. S., & Vosler, N. R. (1985). The beavers timberlawn model of family competence and the circumplex model of family adaptability and cohesion: Separate, but equal? Family Process, 24(3), 385-398. doi:10.1111/j.1545-5300.1985.00385.x
  15. Hops, H., Biglan, A., Sherman, L., Arthur, J., Friedman, L., & Osteen, V. (1987). Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55(3), 341-346. doi:10.1037/0022-006X.55.3.341
  16. Jame, H. B., & Thomas, L. C. (2007). The family's influence on health. In R. E. Rakel (Ed.), Textbook of family medicine e-book (7th ed., pp. 25-34). Amsterdam, Noord-Holland: Elsevier Health Sciences.
  17. Jeong, S. R., & Kim, S. H. (2006). The development of the family functioning scale. Korean Journal of Counseling, 7(4), 1221-1238.
  18. Jung, S. R. (2004). Item manufacture for development of family assessment device. Journal of Student Guidance, 25(1), 83-122.
  19. Kim, H. J., Jung, G. E., Kweon, H. J., Kang, H. C., & Youn, B. B. (2000). A study on family function of the patients with psychiatric disorders. Journal of Korean Academy of Family Medicine, 21(5), 645-655.
  20. Kim, W. J., & Chang, M. Y. (2007). The analysis of the environment of the activity of daily living skills training room: Focused on the people with physical disability using wheelchair. Journal of Assistive Technology, 1(1), 27-37.
  21. Kim, Y. Y., & Bae, S. W. (2005). The level of perceived family support of the mentally ill and its differential impact on psychosocial rehabilitation outcomes. Family and Culture, 17(2), 235-257.
  22. Korean Association of Occupational Therapists (KAOT). (2020). Introduction of association-definition of occupational therapy. Retrieved from http://www.kaot.org/start.asp
  23. Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
  24. Lee, E. K. (2020). Impact of disease-related knowledge and family support on resilience in elderly patients with stroke rehabilitation (Master's thesis). Hanyang University, Seoul.
  25. Lee, E. O., Kim, H. S., Park, Y. S., Song, M., Lee, I., & Park, Y. H. (1999). Model development of change of family functioning with chronic illness. Journal of Korean Academy of Nursing, 29(3), 467-484. doi:10.4040/jkan.1999.29.3.467
  26. Lee, G. S. (2011). The effects of social support and family function on life satisfaction of the middle-aged and old-aged for the policy implications. Journal of The Korean Society of Computer and Information, 16(4), 243-252. https://doi.org/10.9708/jksci.2011.16.4.243
  27. Lee, H. J., & Eo, Y. S. (2000). A study on family functioning and burden of parents with cerebral palsy children. Child Health Nursing Research, 6(2), 199-211.
  28. Lee, H. J., & Yi, M. S. (2004). Descriptive study of relationships between depression, family support, and rehabilitation-motivation in patients with cerebrovascular accident. Korean Journal Rehabilitation Nursing, 7(2), 188-196.
  29. Lee, I. S., Park, Y. S., Song, M. S., Lee, E. O., Kim, H. S., Park, Y. H., Choi, K. W., ... Lee, H. S. (2002). A study on the development of the Korean family resilience scale. Journal of Korean Academy of Nursing, 32(4), 560-569. https://doi.org/10.4040/jkan.2002.32.4.560
  30. Lee, M. O. (2004). The development of the family system diagnosis scale and its validity: On the basis of Minuchin's structural family therapy theory. Family and Environment Research, 42(3), 179-193.
  31. Miller, I. W., Kabacoff, R. I., Epstein, N. B., Bishop, D. S., Keitner, G. I., Baldwin, L. M., & Van der Spuy, H. I. J. (1994). The development of a clinical rating scale the McMaster model of family functioning. Family Process, 33(1), 53-69. doi:10.1111/j.1545-5300.1994.00053.x
  32. Murry, J., & Hammons, J. O. (1995). Delphi: A versatile methodology for conducting qualitative research. The Review of Higher Education, 18(4), 423-436. doi:10.1353/rhe.1995.0008
  33. Olson, D. H., Rusell, C. S., & Sprenkle, D. H. (1980). Marital and family therapy: A decade review. Journal of Marriage and Family, 42(4), 973-993. doi:10.2307/351836
  34. Park, J. H. (2004). Validity of the Family Environment Scale-Korean version (FES-K). Korean Journal of Family Therapy, 12(2), 1-26.
  35. Roberts, C. S., & Feetham, S. L. (1982). Assessing family functioning across three areas of relationships. Nursing Research, 31(4), 231-235. doi:10.1097/00006199-198207000-00011
  36. Sarre, S., & Moran-Ellis, J. (2014). Methodological insights from researching temporality in families with teenage children. International Journal of Child, Youth and Family Studies, 5(4.1), 666-685. doi:10.18357/ijcyfs.sarres.5412014
  37. Song, S. J., & Yoon, D. K. (1992). A study on the prospection of long term care facilities by Delphi technique. Architectural Institute of Korea, 8(7), 85-94.
  38. Suk, M. S. (2013). A comparative study of family function between the disabled family and the non-disabled family: An application of the McMaster model. Korean Journal of Family Welfare, 18(2), 105-131.
  39. Yang, O. K. (2001). Study on development of the family relationship scale. Korean Journal of Family Social Work, 67(1), 119-147.
  40. Yoo, Y. J. (2004). A study on the development of Korean family strengths scale of strengthening the family. Journal of Family Relations, 25(1), 119-151.