[논문]한국판 TEMPA의 신뢰도 및 타당도 연구

이창대; 정민예; 박지혁; 김종배

doi:10.22683/tsnr.2019.8.4.065

한국판 TEMPA의 신뢰도 및 타당도 연구
Evaluating the Validity and Reliability of the Korean Version of Upper Extremity Performance Test for the Elderly (TEMPA) 원문보기

Therapeutic science for rehabilitation = 재활치료과학, v.8 no.4, 2019년, pp.65 - 76

이창대 (New York University 작업치료학과) , 정민예 (연세대학교 보건과학대학 작업치료학과) , 박지혁 (연세대학교 보건과학대학 작업치료학과) , 김종배 (연세대학교 보건과학대학 작업치료학과)

초록
AI-Helper

목적 : 본 연구는 문화적 차이를 보이는 Upper extremity performance test for elderly (TEMPA)를 한국판으로 수정 및 번역하고 그 타당도 및 신뢰도를 검증하는 것이다. 연구방법 : 연구대상자는 40세이상의 손 기능에 장애가 없는 성인 171명과 손 기능에 장애가 있는 성인 41명 이었다. 내용 타당도와 분별 타당도를 검증하였고, 검사-재검사 신뢰도와 검사자 간 신뢰도를 검증하였다. 결과 : 내용 타당도를 통해 문화적 차이를 보이는 2개의 항목 ('자물쇠 열고 약통 열기', '편지 봉투 작성하고 우표 붙이기')을 수정하였다. 분별 타당도를 통해 TEMPA는 손 기능에 장애가 있는 성인과 없는 성인을 구별할 수 있는 평가 도구임을 확인 하였다 (p<.001). 신뢰도 검증 결과 수행 속도는 급간 내 상관계수(ICC)= .71-.92, 기능 정도는 카파계수 (kappa) = 1.0, 수행 분석은 ICC = 1.0로 중간수준에서 높은 수준의검사-재검사 신뢰도를 보였다. 검사자 간 신뢰도는 실행 속도 ICC = 1.0, 기능 정도 kappa = .79-1.0, 수행 분석 ICC = .94-1.0으로 상당한 수준에서 높은 수준의 신뢰도를 보였다. 결론 : TEMPA는 손 기능의 장애가 있는 성인을 구별해 낼 수 있고, 높은 수준의 신뢰도를 보이는 평가 도구로 임상적 평가 및 근거 기반의 연구에 있어 많이 사용되기를 기대한다.

Abstract ▼ AI-Helper

Objective : This study aimed to verify the validity and reliability of the Upper Extremity Performance Test for the Elderly (TEMPA) by modifying its items to exhibit cultural differences. Methods : This study included 171 healthy adults and older adults and 41 individuals with impaired upper extremity function. Content validity, discriminant validity, test-retest reliability, and inter-rater reliability were analyzed. Results : The following items, exhibiting cultural differences, were modified: "open a lock and take the top off a pillbox" and "write and affix a postage stamp." The discriminant validity results indicated that participants with normal upper extremity function performed better than those with impaired in the upper extremity function (p<.001). The test-retest reliability of the execution speed (intraclass correlation coefficient; ICC) was .71-.94, functional rating (kappa) was 1.0, and task analysis (ICC) was 1.0. The inter-rater reliability of the speed of execution was 1.0, functional rating was .79-1.0, and task analysis was .94-1.0. Conclusion : TEMPA has moderate to high level of reliability and is an assessment tool that can clearly distinguish individuals with upper extremity impairment from those without impairment.

주제어

표/그림 (7)

표 Table 1. Demographic Information of Participants (N =212)
표 Table 2. Types of Impairments, Duration, and Gender (N = 41)
표 Table 3. Procedures of the Study
표 Table 4. Comparison Result of Speed of Execution and Functional Rating Between Two Groups (N=212)
표 Table 5. Comparison Result of Task Analysis Between Two Groups (N=212)
표 Table 6. Reliability of TEMPA in Speed of Execution, Functional Rating
표 Table 7. Reliability of TEMPA in Task Analysis

AI 본문요약
AI-Helper

* AI 자동 식별 결과로 적합하지 않은 문장이 있을 수 있으니, 이용에 유의하시기 바랍니다.

문제 정의

The cultural traits of Koreans must be taken into consideration prior to the implementation of TEMPA in Korea. Therefore, this study aimed to measure the construct validity of TEMPA usage in Korean clinics and modify the assessment tool in accordance with the Korean culture. It also aimed to verify the validity and reliability of the modified TEMPA when used in the Korean clinical setting to evaluate upper extremity function.
This study aimed to verify the validity and reliability of TEMPA. Through the content validity verification process, two items of TEMPA were modified due to cultural differences in experiences and language.

제안 방법

To verify content validity, the content validity index (CVI) calculation method was used (Polit, & Beck, 2006). Discriminant validity was verified by comparing the results of the impaired group and the healthy group. The comparison experiment was conducted separately for the dominant hand and the non-dominant hand.
Functional rating measures how the individual successfully and easily performs the tasks. In the task analysis, the upper extremity performance is measured by five variables: range of movement, strength, control of gross movement, prehension patterns, and fine movement, related to basic neurosensorimotor skills of the upper extremities. Both functional rating and task analysis have a four-point system, ranging from 0 to –3.
Therefore, this study aimed to measure the construct validity of TEMPA usage in Korean clinics and modify the assessment tool in accordance with the Korean culture. It also aimed to verify the validity and reliability of the modified TEMPA when used in the Korean clinical setting to evaluate upper extremity function.
The pillbox opens when the arrows are lined up, but this pillbox is not used in Korea. The participants were not familiar in using this type of pillbox, the arrows were marked with red tape to be more recognizable, and participants were instructed in how to open the pillbox before the test. “Write and affix a postage stamp” was modified for cultural and linguistic reasons.
The tool is used to evaluate an older adult’s performance of nine tasks (four unilateral and five bilateral tasks) selected through task analysis of daily activities.

대상 데이터

A total of 212 individuals, 171 younger and older adults without upper extremity impairment and 41 younger and older adults with upper extremity impairment, were recruited in the study (Table 1, 2). Individuals (1) without neurological and musculoskeletal deficits that affect upper extremity function, (2) without cognitive impairment, and (3) without comprehension difficulties in following instruction during evaluation constituted the healthy group.

데이터처리

0. Among the results of the discriminant validity, the result of the speed of execution was analyzed using an independent t test, and the chi-square test was used to analyze functional rating and task analysis. In the reliability study, ICC was used to analyze the speed of execution and functional rating.

이론/모형

Descriptive statistic was used to analyze demographic information of participants. CVI was a 5-point scale ranging from 1 to 5, and the results of each task were calculated using the geometric mean method. Then, each score was converted to a 5-point scale ranging from 0 to 1.

성능/효과

For the quantitative assessment, the results for the speed of execution showed that eight items, apart from the “pick-up and move a jar” item, were different between the impaired group and healthy group.
The result of the discriminant validity test indicated that TEMPA is an assessment tool, which can clearly distinguish individuals with upper extremity impairments from those without impairments. The reliability test result showed that TEMPA has a moderate to high test-retest reliability score and moderate to high inter-rater reliability score.
Through the content validity verification process, two items of TEMPA were modified due to cultural differences in experiences and language. The result of the discriminant validity test indicated that TEMPA is an assessment tool, which can clearly distinguish individuals with upper extremity impairments from those without impairments. The reliability test result showed that TEMPA has a moderate to high test-retest reliability score and moderate to high inter-rater reliability score.
The results of our study indicated that TEMPA can be used to obtain more detailed information of the participants’ upper extremity functions.
The results of the speed of execution showed that the healthy group competed all tasks faster than the impaired group, except the “pick-up and move a jar” task, and the difference was statistically significant (p<.05).

참고문헌 (23)

Brown, T. (2010). Construct validity: A unitary concept for occupational therapy assessment and measurement. Hong Kong Journal of Occupational Therapy, 20(1), 30-42. doi: 10.1016/S1569-1861(10)70056-5

상세보기
Carroll, D. (1965). A quantitative test of upper extremity function. Journal of Chronic Diseases, 18(5), 479-491. doi: 10.1016/0021-9681(65)90030-5

상세보기
Desrosiers, J., Bravo, G., Hebert, R., Dutil, E., & Mercier, L. (1994a). Validation of the box and block test as a measure of dexterity of elderly people: Reliability, validity, and norms studies. Archives of Physical Medicine and Rehabilitation, 75(7), 751-755.

상세보기
Desrosiers, J., Hebert, R., Dutil, E., & Bravo, G. (1993). Development and reliability of an upper extremity function test for the elderly: The TEMPA. Canadian Journal of Occupational Therapy, 60(1), 9-16. doi:10.1177/000841749306000104

상세보기
Desrosiers, J., Hebert, R., Dutil, E., Bravo, G., & Mercier, L. (1994b). Validity of the TEMPA: A measurement instrument for upper extremity performance. Occupational Therapy Journal of Research, 14(4), 267-281. doi: 10.1177/153944929401400405

상세보기
Desrosiers, J., Hebert, R., Bravo, G., & Dutil, E. (1995). The purdue pegboard test: Normative data for people aged 60 and over. Disability and Rehabilitation, 17(5), 217-224. doi: 10.3109/09638289509166638

상세보기
Feys, P., Duportail, M., Kos, D., Van Aschand, P., & Ketelaer, P. (2002). Validity of the TEMPA for the measurement of upper limb function in multiple sclerosis. Clinical Rehabilitation, 16(2), 166-173. doi: 10.1191/0269215502cr471oa

상세보기
Gonzalez-Calvo, J., Gonzalez, V. M., & Lorig, K. (1997). Cultural diversity issues in the development of valid and reliable measures of health status. Arthritis Care and Research: The Official Journal of the Arthritis Health Professions Association, 10(6), 448-456.

상세보기
Jacobson-Sollerman, C., & Sperling, L. (1976). Grip function of the healthy hand in a standardized hand function test: A study of the rancho los amigos test. Scandinavian Journal of Rehabilitation Medicine, 9(3), 123-129.
Jebsen, R. H., Taylor, N., Trieschmann, R., Trotter, M., & Howard, L. (1969). An objective and standardized test of hand function. Archives of Physical Medicine and Rehabilitation, 50(6), 311.

상세보기
Kim, H. (2008). The effects of hand function program on hand function and instrumental activities of daily living. The Journal of Occupational Therapy for the Aged and Dementia, 2(2), 1-12.
Kopp, B., Kunkel, A., Flor, H., Platz, T., Rose, U., Mauritz, K. H., & Taub, E. (1997). The arm motor ability test: Reliability, validity, and sensitivity to change of an instrument for assessing disabilities in activities of daily living. Archives of Physical Medicine and Rehabilitation, 78(6), 615-620. doi: 10.1016/S0003-9993(97)90427-5

상세보기
Lee, C. D., & Jung, M. Y. (2015). A study of hand function assessment tools in Korean adults: A review. The Journal of Work Ability Association, 1(1), 39-50.
Lemmens, R. J., Timmermans, A. A., Janssen-Potten, Y. J., Smeets, R. J., & Seelen, H. A. (2012). Valid and reliable instruments for arm-hand assessment at ICF activity level in persons with hemiplegia: A systematic review. BioMed Central Neurology, 12(1), 21. doi:10.1186/1471-2377-12-21
Mathiowetz, V., Volland, G., Kashman, N., & Weber, K. (1985 a). Adult norms for the box and block test of manual dexterity. American Journal of Occupational Therapy, 39(6), 386-391. doi: 10.5014/ajot.39.6.386

상세보기
Mathiowetz, V., Weber, K., Kashman, N., & Volland, G. (1985 b). Adult norms for the nine hole peg test of finger dexterity. OTJR: Occupation, Participation and Health, 5(1), 24-38. doi: 10.1177/153944928500500102
Ogata, S., Kato, K., Honda, C., & Hayakawa, K. (2014). Common genetic factors influence hand strength, processing speed, and working memory. Journal of Epidemiology, 24(1), 31-38. doi: 10.2188/jea.JE20130070

상세보기
Pendleton, M. H., & Schultz-Krohn, W. (2013). Pedretti's occupational therapy: Practice skills for physical dysfunction (7th ed.). St. Louis, MO: Mosby/Elsevier.
Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what’s being reported? Critique and recommendations. Research in Nursing & Health, 29, 489-497. doi:10.1002/nur.20147

상세보기
Radomski, M. V., & Latham, C. A. T. (2013). Occupational therapy for physical dysfunction (7th ed). Philadelphia, PA: Lippincott Williams & Wilkins.
Ranganathan, V. K., Siemionow, V., Sahgal, V., & Yue, G. H. (2001). Effects of aging on hand function. Journal of the American Geriatrics Society, 49(11), 1478-1484. doi: 10.1046/j.1532-5415.2001.4911240.x

상세보기
Yoo, E., Jung, M., Park, S., & Choi, E. (2006). Current trends of occupational therapy assessment tool by Korean occupational therapist. The Journal of Korean Society of Occupational Therapy, 14(3), 27-37.
Vliet, V. T., Van der Wijk, T., Jolie, I., Zwinderman, A., & Hazes, J. (1996). Determinants of hand function in patients with rheumatoid arthritis. The Journal of Rheumatology, 23(5), 835-840.

상세보기

저자의 다른 논문 :

표제어: PCR

동의어: Packet Collision Rate

용어 설명 출처 목록 (6)

용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

내보내기 구분	파일저장 인쇄 메일전송
구성항목	기본정보 상세정보 관리번호, 논문명, 저널/프로시딩명, 저자 , 발행년, 권, 호, 시작페이지, 끝페이지, 발행기관 관리번호, 논문명, 대등논문명, 저자 , 저널/프로시딩명, 발행기관, 발행년, 발행언어, 권, 호, 시작페이지, 끝페이지, ISBN, ISSN, 주제분야, 키워드, 초록(한글), 초록(영문), 저자(소속기관)
저장형식	Text(ASCII format) Excel format RefWorks Direct Export RIS format (for Reference Manager, ProCite, EndNote), Scholar's Aids, Mendeley
메일정보	받는사람 (필수) @ 보내는사람 (선택) @ 제목 내용 KISTI 검색결과 이메일 서비스
안내	총 건의 자료가 검색되었습니다. 다운받으실 자료의 인덱스를 입력하세요. (1-10,000) 검색결과의 순서대로 최대 10,000건 까지 다운로드가 가능합니다. 데이타가 많을 경우 속도가 느려질 수 있습니다.(최대 2~3분 소요) 다운로드 파일은 UTF-8 형태로 저장됩니다. 파일의 내용이 제대로 보이지 않을실 때는 웹브라우저 상단의 보기 -> 인코딩 -> 자동선택 여부를 확인하십시오. ~ Text(ASCII format) Excel format

연합인증