The Journal of Korean society of community based occupational therapy (대한지역사회작업치료학회지)

Korean Society of Community Based Occupational Therapy Association (대한지역사회작업치료학회)
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Validation Study of Clinical Utility and Usability on Korean Version of the Life-Space Assessment to Assess Community Mobility

지역사회 이동성을 측정하는 한국어판 생활공간 평가(Korean Version of the Life-Space Assessment; K-LSA)의 임상적 유용성 및 사용성 검증 연구

  • 김정희 (인제대학교 대학원 재활과학과) ;
  • 장문영 (인제대학교 작업치료학과)
  • Received : 2018.03.23
  • Accepted : 2018.04.24
  • Published : 2018.04.30
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Abstract

Objective : The purpose of study is to validate the clinical utility and usability of the Korean version of the Life Space Assessment(K-LSA) which is an assessment tool of community mobility of older adults. Methods : Surveys on the clinical utility and usability of the K-LSA are carried out with a total of aoaa60 occupational and physical therapists. The surveys included the multiple choice questions on the clinical utility and open questions on the usability. Responses to multiple questions are post processed by frequency analysis and technical statistics, and responses to the open questions are categorized by common factors in each questions. Results : Average value of clinical utility ranges from 3.6 to 4.0 with positive responses of 'fair (3 point)', 'agree (4 point)' and 'strongly agree (5 point)' being 95~100%. Average value for clinical usability ranges from 3.6 to 4 with positive answers of 'fair (3 point)', 'easy (4 point)' and 'very easy (5 point)' being 88.3~100%. Additionally out of open-type questions of clinical usability, it was pointed out that the concept of 'neighborhood' for the life space level 3 and 4 is unclear. Conclusion : The current study and research outcomes showed that the K-LSA is a validated tool in Korean health care system for the clinical utility and usability in measuring community mobility, and that it is straightforward in practical use. It will help clinicians and therapists promote the social participation of older adults, and set an intervention goal for enhancing community mobility. It will further help clinicians and researchers in education and research for medical intervention and goal-setting.

목적 : 본 연구의 목적은 노인의 지역사회 이동성을 측정하는 평가도구인 한국어판 생활공간 평가(Korean Version of the Life Space Assessment; K-LSA)의 임상적 유용성 및 사용성을 검증하는 것이다. 연구방법 : 작업치료사와 물리치료사 60명을 대상으로 K-LSA의 임상적 유용성 및 사용성 검증에 관한 설문조사를 실시하였다. 설문지는 임상적 유용성에 관한 객관식 문항 및 사용성에 관한 객관식과 주관식 문항을 포함하였다. 객관식 자료 분석은 빈도 분석 및 기술 통계로 처리하였고, 사용성에 대한 주관식 문항은 항목별로 공통적인 요소를 모아 분류하여 분석하였다. 결과 : K-LSA의 임상적 유용성에 긍정적 표현인 '보통(3점)'과 '그렇다(4점)'와 '매우 그렇다'로 응답한 비율이 95~100%이었고, 문항 별 점수 분포가 3.6~4.0점으로 나타났다. 또한 K-LSA의 사용성에 대한 질문에 긍정적 표현인 '보통'과 '쉽다'와 '매우 쉽다'로만 응답한 비율은 88.3~100%이었고, 문항 별 점수 분포가 3.6~4.0점으로 나타났다. 추가적으로 사용성에 대한 개방형 질문에서 생활공간 범위 3과 4에서 기준의 모호함이 언급되었다. 결론 : K-LSA는 국내 보건의료 분야에서 지역사회 이동성을 측정하는 평가도구로 임상적으로 유용하며, 사용이 용이한 도구이다. 따라서 치료사들이 노인의 사회 참여를 증진시키고, 지역사회 이동을 위한 중재 목표를 세우고, 교육하는데 기초자료로 LSA를 활용할 수 있을 것이다.

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References

  1. American Journal of Occupational Therapy (2014). Occupational Therapy Practice Framework: Domain and Process (3rd ed.). American Journal of Occupational Therapy, 68(Suppl. 1), S1-S48.
  2. American Occupational Therapy Association. (2010). Driving and Community mobility. American Journal of Occupational Therapy, 64(Supp. 1), S112-S124. https://doi.org/10.5014/ajot.2010.64S112
  3. Choi, H., Kim, D. A., Lee, B. S., Lee, J. A., & Lee, J. J., et al. (2015). Effectiveness Modified Cognitive Perceptual Assessment for Driving(CPAD) to evaluate. Seoul, Korea; National Rehabilitation Center.
  4. Cresswell, T. (2010). Towards a politics of mobility. Environment and Planning D: Society and Space, 28(1), 17-31. https://doi.org/10.1068/d11407
  5. Classen, S. (2010). Special issue on older driver safety and community mobility. American Journal of Occupational Therapy, 64(2), 211-214. https://doi.org/10.5014/ajot.64.2.211
  6. 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
  7. Doig, E., Fleming, J., Kuipers, P., & Cornwell, P. L. (2010). Clinical utility of the combined use of the Canadian Occupational Performance Measure and Goal Attainment Scaling. American Journal of Occupational Therapy, 64(6), 904-914. https://doi.org/10.5014/ajot.2010.08156
  8. 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. Journals of gerontology. Series A, Biological sciences and medical sciences, 59(3), 255-263. https://doi.org/10.1093/gerona/59.3.M255
  9. 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
  10. Gardezi, F., Wilson, K. G., Man-Son-Hing, Marshall, S. C., Molnar, F. J., Dobbs, B. M., et al. (2006). Qualitative research on older drivers. Clinical Gerontologist, 30, 5-22. https://doi.org/10.1300/J018v30n01_02
  11. 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
  12. 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
  13. Jeong, K. H., Oh, Y. H., Kang, E. N., Kim, J. H., & Sun, W. D., et al. (2014). Survey of the elderly in 2014. Seoul, Korea; Ministry of Health and Welfare, Korean Institute for Health and Social Affairs.
  14. 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
  15. Kim, J. H., & Chang, M. Y. (2017). A Study on Translation Process into Korean Version of the Life-Space Assessment to Assess Community Mobility for Elderly. Journal of Korean Society of Community Based Occupational Therapy, 7(1), 49-57. https://doi.org/10.18598/kcbot.2017.07.01.06
  16. Lee, Y. N., Kim, H., Choi, E. M., & Lee, E. Y. (2017). Content Validity and Clinical Utility of Executive Function Performance Test Korean Translation. Journal of Korean Society of Occupational Therapy, 25(2), 143-153. https://doi.org/10.14519/jksot.2017.25.2.10
  17. 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
  18. 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
  19. Peel, C., Sawyer Baker, P., Roth, D. L., Brown, C. J., Bodner, E. V. & Allman, R. M., et al. (2005). Assessing Mobility in Older Adults: The UAB Study of Aging Life-Space Assessment. Physical Therapy, 85(10), 1008-1019.
  20. 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.
  21. Prohaska, T. R., Anderson, L. A., Hooker, S. P., Hughes, S. L., & Belza, B. (2011). Mobility and Aging: Transference to Transportation. Journal of Aging Research, 2011(15), 1-3.
  22. Sawyer Baker, P., Bodner, E. V., & Allman, R. M. (2003). Measuring life-space mobility in community-dwelling older adults. Journal of the American Geriatric Society, 51(11), 1610-1614. https://doi.org/10.1046/j.1532-5415.2003.51512.x
  23. Shin, Y. N., Park, S. H., Lee, J. Y., & Park, J. H. (2014). Validity and Reliability of the Korean Version of the School Function Assessment. Journal of Korean Society of Occupational Therapy, 22(4), 27-37. https://doi.org/10.14519/jksot.2014.22.4.03
  24. Smart, A. (2006). A multi-dimensional model of clinical utility. International Journal for Quality in Health Care, 18(5), 377-382. https://doi.org/10.1093/intqhc/mzl034
  25. 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
  26. Umastattd Meyer, M. R., Janke, M. C., & Beaujean, A. A. (2014). Predictors of older adults' personal and community mobility: using a comprehensive theoretical mobility framework. Gerontologist, 54(3), 398-408. https://doi.org/10.1093/geront/gnt054
  27. Wessels, R. D., de Wittte, L. P., Jedeloos, S., van den Heuvel, W. P., & van den Heeuvel, W. J. (2004). Effectiveness of provision of outdoor mobility services and devices in The Netherlands. Clinical Rehabilitation, 18(4), 371-378. https://doi.org/10.1191/0269215504cr755oa
  28. Williamson, J. D., Espeland, M., Kritchevsky, S. B., Newman, A. B., King, A. C., & Pahor, M., et al. (2009). Changes in cognitive function in a randomized trial of physical activity: Results of the lifestyle interventions and independence for elders pilot study. Journals of Gerontology, 64(6), 688-694.
  29. World Health Organization (2002). Towards a common language for functioning, disability and health ICF. Geneva, Switzerland: Author.