DOI QR코드

DOI QR Code

노인의 지역사회 이동성을 측정하는 Life-Space Assessment(LSA)의 한국어 번역에 대한 적합성 검증연구

A Study on Translation Process into Korean Version of the Life-Space Assessment to Assess Community Mobility for Elderly

  • 김정희 (동의의료원 작업치료실) ;
  • 장문영 (인제대학교 작업치료학과)
  • 투고 : 2017.03.10
  • 심사 : 2017.04.19
  • 발행 : 2017.04.30

초록

목적 : 본 연구의 목적은 노인의 지역사회 이동성을 측정하는 평가도구인 Life Space Assessment(LSA)를 한국어로 번역하여 이에 대한 적합성을 검증하기 위하여 내용 타당도와 이해도 검증을 실시하는 것이다. 연구방법 : 원문 LSA을 번역-역번역한 최종 한글 번역본을 6명의 전문가 위원에게 내용 타당도 검증을 실시하였고, 신입 작업치료사 13명에게 문항에 대한 이해도를 검증을 조사하였다. 내용 타당도와 이해도 검증은 내용 타당도 지수(Contents Validity Index; CVI)를 사용하였다. 결과 : 내용 타당도에 대한 각 문항에 대한 CVI .93~1.00이었으며, 도구 전체 CVI는 .99로 매우 높은 수준의 내용 타당도를 보였다. 또한 내용 이해도 결과는 각 문항 CVI .92~1.00로 분포하였고, 도구 전체 CVI는 .97로 매우 높은 수준으로 검증되었다. 결론 : LSA의 한국어 번역 검증 결과 내용 타당도 및 이해도가 매우 높은 수준으로 검증되어 국내에서 노인의 지역사회 이동성을 평가할 수 있는 도구로 적용가능성을 보여주었다. 앞으로의 연구에서는 LSA의 수렴타당도, 구성타당도, 신뢰도 검증 등의 다양한 연구들이 진행되어야할 것이다.

Objective : The purpose of this study to create a translation of Life Space Assessment(LSA) for elderly, which was then tested for content related validity and understanding test. Methods : The translation and content validation process involved direct and backward translation, and the collection of content-related evidence from 6 expert panels and 13 clinician panels. A content validity indices (CVI), means, and standard deviations were used for the analysis of the content validity. Results : The results of the comparison between the original LSA and the Korean LSA with the expert panels were I-CVI showed a very high value of .93. and 1.00, and S-CVI/Ave 0.99. The results of the understanding test were showed a very high value of .92 and 1.00, and S-CVI/Ave 0.97. Conclusion : Korean LSA showed content related validity and understanding test, and illustrated the applicability of LSA in a Korean clinical setting. The results showed LSA can be used a useful tool for evaluating the community mobility of elderly.

키워드

참고문헌

  1. Baker. P. S., Bodner, E. V., & Allman, R. M. (2003). Measuring life-space mobility in communitydwelling older adults. Journal of the American Geriatric Society, 51(11), 1610-1614. https://doi.org/10.1046/j.1532-5415.2003.51512.x
  2. Boyle, P. A., Buchman, A. S., Barnes, L. L., James, B. D., & Bennett, D. A. (2010). Association between life space and risk of mortality in advanced age. Journal of the American Geriatric Society, 58(10), 1925-1930. https://doi.org/10.1111/j.1532-5415.2010.03058.x
  3. Curcio, C. L., Alvarado, B. E., Gomez, F., Guerra, R., Guralnik, J., & Zunzunegui, M. V. (2013). Life-Space Assessment scale to assess mobility: validation in Latin American older women and men. Aging Clinical Experimental Research, 25(5), 553-560. https://doi.org/10.1007/s40520-013-0121-y
  4. Dermers, L., Monette, M., Descent, M., Jutai, J., & Wolfson, C. (2002). The psychosocial impact of assistive devices scale : Translation and preliminary psychometric evaluation of Canadian-French version. Quality of Life Research, 11(5), 583-592. https://doi.org/10.1023/A:1016397412708
  5. Forhan, M., & Gill, S. V. (2012). Obesity, functional mobility and quality of life. Best Practice & Research. 27(2), 129-137.
  6. Freiberger, E., Vreede, P., Schoene, D., Rydwik, E., Mueller., V., & Frandin, K., et al. (2012). Performance-based physical function in older community-dwelling persons : a systematic review of instruments. Age and Ageing, 41(6), 712-721. https://doi.org/10.1093/ageing/afs099
  7. Fried, L., Ferrucci, L., Darer, J,. Williamson, J. D., & Anderson, G. (2004). Untangling the concepts of disability, frailty, and comorbidity: Implications for improved targeting and care. The journals of gerontology. Series A, Biological sciences and medical sciences, 59(3), 255-263. https://doi.org/10.1093/gerona/59.3.M255
  8. Fristedt, S., Kammerlind, A. S., Bravell, M. E., & Fransson. E. I. (2016). Concurrent validity of Swedish version of the life-space assessment questionnaire. BioMed Central Geriatrics, 16(181), 2-6. https://doi.org/10.1186/s12888-015-0704-6
  9. Gill, T. M. (2010). Assessment of function and disability in longitudinal studies. Journal of the American Geriatric Society, 58(2), 308-312. https://doi.org/10.1111/j.1532-5415.2010.02914.x
  10. Guralnik, J. M., Ferrucci, L., & Simonsick, E. M. (1995). Lower extremity function in persons over the age of 70 years as predictor of subsequent disability. New England Journal Medicine, 332(9), 556-561. https://doi.org/10.1056/NEJM199503023320902
  11. James, B. D., Boyle, P. A., Buchman, A. S., Barnes, L. L., & Bennett, D. A. (2011). Life space and risk of Alzheimer disease, mild cognitive impairment, and cognitive decline in old age. American Journal of Geriatric Psychiatry, 19(11), 961-969. https://doi.org/10.1097/JGP.0b013e318211c219
  12. Ji, M., Zhou, Y., Liao, J., & Feng F. (2015). Pilot study on the Chinese version of the Life Space Assessment among community-dwelling elderly. Archives of Gerontology and Geriatrics, 61(2), 301-306. https://doi.org/10.1016/j.archger.2015.06.012
  13. Kim, K. E., Park, W. B., Oh, M. K., Kang, E. K., Lim, J. Y., Yang, E. J., et al. (2010). The Effect of Physical Performance and Physical Activity on Quality of Life in Old People: The Korean Longitudinal Study on Health and Aging. Journal of the Korean Geriatric Society, 14(4), 212-220. https://doi.org/10.4235/jkgs.2010.14.4.212
  14. Kim, S. M., Rhim, S. Y., Park, S. K., Lee, K. H., Kim, H., B., & Yang, D. C., et al. (2009). The Short Physical Performance Battery in Stroke Patients. Korean Academy of Rehabilitation Medicine, 33(5), 533-537.
  15. Kumar, A., Schmeler, M. R., Karmarkar, A. M., Collins, D. M., Cooper, R., Cooper, R. A., et al. (2013). Test-retest reliability of the functional mobility assessment (FMA): a pilot study. Disability and Rehabilitation: Assistive Technology, 8(3), 213-219. https://doi.org/10.3109/17483107.2012.688240
  16. Lee, S. H., Suk, M. S. (2015). Effects of social participation activities on successful aging of elderly : The Mediating Effects of Verification ego-resilience. Journal of the Korea Academia-Industrial cooperation Society, 16(11), 8012-8020. https://doi.org/10.5762/KAIS.2015.16.11.8012
  17. Lynn, M. R. (1986). Determination and quantification of content validity. Nursing Research, 35(6), 382-385.
  18. May, D., Nayak, U. S., & Isaacs, B. (1985) The life-space diary: a measure of mobility in old people at home. International Rehabilitation Medicine, 7(4), 182-186. https://doi.org/10.3109/03790798509165993
  19. Ohnuma, T., Hashidate, H., Yoshimatsu, T., & Abe, T., (2014) Clinical usefulness of indoor life-space assessment in community-dwelling older adults certified as needing support or care. Nihon Ronen Igakkai Zasshi. 51(2), 151-160. https://doi.org/10.3143/geriatrics.51.151
  20. Oh-Park, M., Hung, C., Chen, P., & Barrett, A. M. (2014). Severity of Spatial Neglect During Acute Inpatient Rehabilitation Predicts Community Mobility After Stroke. National Institute Health of Pubilc Assess, 6(8), 716-722.
  21. Park, R. J., Son, S. S., Cho, J. S., Oh, H. J., Lee, H. H., & Lee, M. H., et al. (2011). Correlations between SPPB, FRT, and TUG in Hospitalized Frail People : The Timed Up and Go test, the Functional Reaching Test, and the Short physical performance battery. The Journal of Korean Society of Physical Therapy, 23(2), 17-21.
  22. Peel, C., Sawyer B. P., Roth, D. L., Brown, C. J., Brodner, E. V., & Allman, R. M. (2005). Assessing mobility in older adults: The UAB Study of Aging Life-Space Assessment. Physical Therapy, 85(10), 1008-1119.
  23. 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(5), 489-497. https://doi.org/10.1002/nur.20147
  24. Polit, D. F., Beck, C. T., & Owen, S. V. (2007). Is the CVI an acceptable indicator of content validity? Appraisal and recommendations. Research in Nursing & Health, 30(4), 459-467. https://doi.org/10.1002/nur.20199
  25. Portegijs, E., Iwarsson, S., Rantakokko, M., Viljanen, A., & Rantanen, T., (2014). Life-space mobility assessment in older people in Finland; measurement property in winter and spring. BioMed Central Reseach Notes, 30(7), 323.
  26. Shimada, H., Sawyer, P., Harada, K., Kaneya, S., Nihei, K., Asakawa, Y., Yoshii, C., Hagiwara, A., Furuna, T., & Ishizaki, T. (2010). Predictive validity of the classification schema for functional mobility tests in instrumental activities of daily living decline among older adults. Archives of Physical Medicine Rehabilitation, 91(2), 241-246. https://doi.org/10.1016/j.apmr.2009.10.027
  27. Shumway-Cook, A., & Woollacott. M. H. (2001). Motor Control: Theory and Practical Applications (2nd ed.). New York, Lippincott-Williams & Wilkins, 401-406.
  28. Snih, S. A., Peek, K. M., Sawyer, P., Markides, K. S., Allman, R. M,. & Ottenbacher, K. J. (2012). Life-space mobility in Mexican Americans aged 75 and older. Journal of the American Geriatric Society, 60(3), 532-537. https://doi.org/10.1111/j.1532-5415.2011.03822.x
  29. Sousa, V. D., & Rojjanasrirat, W. (2011). Translation, adaptation and validation of instruments or scales for use in cross-cultural health care research: A clear and user-friendly guideline. Journal of Evaluationin Clinical Practice, 17(2), 268-274. https://doi.org/10.1111/j.1365-2753.2010.01434.x
  30. Suzuki, T., Kitaike, T., & Ikezaki, S. (2014). Life-space mobility and social support in elderly adults with orthopaedic disorders. International Journal of Nursing Practice 20(1), 32-38. https://doi.org/10.1111/ijn.12111
  31. Tinetti, M. E., Speechley, M., & Ginter, S. F. (1988). Risk factors for falls among elderly persons living in the community. The New England Journal of Medicine, 319(26), 1701-1707. https://doi.org/10.1056/NEJM198812293192604
  32. Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36): I. Conceptual framework and item selection. Medical Care, 30(6) 473-483. https://doi.org/10.1097/00005650-199206000-00002
  33. World Health Organization (2001). International Classification of Functioning, Disability and Health. Geneva, Switzerland: Author.
  34. Zhi, Y. W., Mohamed, A. H., Fahad, S., Abdul, H. M. Y., & Hisham, A. (2014). Translation and validation of the Malaysian version of generic medicines scale. Journal of Medical Marketing, 14(1), 32-40. https://doi.org/10.1177/1745790414540928

피인용 문헌

  1. 지역사회 이동성을 측정하는 한국어판 생활공간 평가(Korean Version of the Life-Space Assessment; K-LSA)의 임상적 유용성 및 사용성 검증 연구 vol.8, pp.1, 2018, https://doi.org/10.18598/kcbot.2018.08.01.01
  2. 지역사회 거주 노인 대상의 생활공간 이동성(Life-space mobility) 연구 동향 vol.10, pp.1, 2017, https://doi.org/10.22683/tsnr.2021.10.1.019