사상체질의학회지 (Journal of Sasang Constitutional Medicine)

  • 제31권2호
  • /
  • Pages.12-21
  • /
  • 2019
  • /
  • 1226-4075(pISSN)
  • /
  • 2287-786X(eISSN)
사상체질의학회 (The Society Of Sasang Constitutional Medicine)
권호 표지
DOI QR코드

DOI QR Code

1년간 검사-재검사법을 통한 단축형 사상체질 진단 설문 (KS-15)의 신뢰도 평가

One year test-retest reliability of the Korea Sasang constitutional diagnostic questionnaire (KS-15) in university students

  • 배광호 (한국한의학연구원 미래의학부) ;
  • 김상혁 (한국한의학연구원 미래의학부) ;
  • 고호연 (세명대학교 한의과대학 한방내과학교실) ;
  • 박기현 (한국한의학연구원 미래의학부) ;
  • 이시우 (한국한의학연구원 미래의학부) ;
  • 이수진 (상지대학교 한의과대학 생리학교실)
  • Bae, Kwang-Ho (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Kim, Sang-Hyuk (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Go, Ho-Yeon (Department of Internal Medicine, College of Korean Medicine, Semyung University) ;
  • Park, Ki-Hyun (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Siwoo (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Soojin (Department of Physiology, College of Korean Medicine, Sangji University)
  • 투고 : 2019.06.10
  • 심사 : 2019.06.25
  • 발행 : 2019.06.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Objectives This study was aimed to evaluate the one-year test-retest reliability of the Korea Sasang constitutional diagnostic questionnaire (KS-15) in university students. Methods In March 2017, and March 2018, a survey was sent by email to 583 Korean medicine students in two universities. Of these, 149 (25.6%) participated and completed the first survey (test) and second survey (retest). Participants responded to the KS-15 questionnaire and the general characteristics including their age, sex, height, and weight. Cohen's kappa Spearman's rank correlation coefficient and agreement rate (%) were used for the test-retest reliability for each question item and the diagnosis of the Sasang constitution. The independent T-test was used to determine the difference in BMI between Sasang constitutional accordance and discordance groups obtained from the test-retest results of KS-15. Results The agreement of Sasang constitutional diagnosis was 75.8% (Kappa = 0.618), indicating that KS-15 had a certain level (substantial) of test-retest reliability. However, the kappa of each item was 0.161 ~ 0.620, which showed a large difference between the items. The agreements of each Sasang constitution were 85.1% for Taeeumin, 73.6% for Soeumin, and 58.6% for Soyangin. There was no significant difference in the BMI change between Sasang constitutional accordance and discordance groups in the test-retest. Conclusions These results indicate KS-15 has a reliable one-year test-retest reliability. However, further studies will be required to improve reliability, validity and application across different age ranges for the practical utilization of KS-15.

키워드

HSSSBH_2019_v31n2_12_f0001.png 이미지

Figure 1. The test-retest reliability according to sasang constitutional probability score

Table 1. Participants’ General Characteristics at the Baseline (2017)

HSSSBH_2019_v31n2_12_t0001.png 이미지

Table 2. Test-Retest Agreements and Kappa Reliability Analysis of KS-15

HSSSBH_2019_v31n2_12_t0002.png 이미지

Table 3. Test-Retest Rank Correlation Coefficients of KS-15

HSSSBH_2019_v31n2_12_t0003.png 이미지

Table 4. Test-retest Agreements According to Sasang Constitution

HSSSBH_2019_v31n2_12_t0004.png 이미지

Table 5. BMI Changes between Sasang Constitutional Accordance and Discordance Group

HSSSBH_2019_v31n2_12_t0005.png 이미지

참고문헌

  1. Kim YY, Kim HS, Baek YH, Yoo JH, Kim SH, Jang ES. A Study on the Constitution Type-Specific Presentation of Physical Symptoms. J Sasang Constitut Med. 2011;23(3):340-350. (Korean) https://doi.org/10.7730/JSCM.2011.23.3.340
  2. Shin SW, Kim YH, Hwang MW. Diagnosis and treatment principle in Sasang medicine: original symptom. Integr Med Res. 2016;5:99-104. https://doi.org/10.1016/j.imr.2016.03.005
  3. Lee JM. Dong-yi-soo-se-bo-won. Seoul: Daesung. 1998.
  4. Do JH, Jang ES, Ku BC, Jang JS, Kim HG, Kim JY. Development of an integrated Sasang constitution diagnosis method using face, body shape, voice, and questionnaire information. BMC Complement Altern Med. 2012;12:85. https://doi.org/10.1186/1472-6882-12-S1-P85
  5. Ko BH, Song IB. Study on the Methodology of Sasang Constitutional Differentiation of Syndromes (Report 1 & 2). J Korean Med. 1987;8:139-45.
  6. Kim SH, Koh BH, Song IB. A Validation Study of Questionnaire of Sasang Constitutional Classification (QSCC). J Sasang Constitut Med. 1993;5:67-85. (Korean)
  7. Kim SH, Koh BH, Song IB. A Study on the Standardization of QSCCII(Questionnaire for the Sasang Constitution Classification II). J Sasang Constitut Med. 1995;7(1):187-246. (Korean)
  8. Choi MO. The Study on Golden standard for Sasang Constitution Diagnosis. Busan: Dong-Eui University. 2006.
  9. Pak YS, Kim JS, Park BJ, Yoo JH, Lee JH, Koh BH, et al. The Reliability and Validity Test of Sasangin Diagnostic Questionnaire for Specialist (SDQ_S). J Sasang Constitut Med. 2016;28(2):110-122. (Korean) https://doi.org/10.7730/JSCM.2016.28.2.110
  10. Kim YW, Shin DY, Kim JH, Choi DS, Lim MK, Lee KL, et al. A Development of the Two Step Questionnaire for the Sasang Constitution Diagnosis (TS-QSCD). J Sasang Constitut Med. 2006;18(1): 75-90. (Korean)
  11. Baek YH, Jang ES, Park KH, Yoo JH, Jin HJ, Lee SW. Development and Validation of Brief KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) Based on Body Shape, Temperament and Symptoms. J Sasang Constitut Med. 2015;27(2):211-221. (Korean) https://doi.org/10.7730/JSCM.2015.27.2.211
  12. Kim YY, Jang ES. Test-Retest Reliability of Brief KS-15 -Korean Sasang Constitutional Diagnostic Questionnaire. J Physiol & Pathol Korean Med. 2016;30(3):177-183. https://doi.org/10.15188/kjopp.2016.06.30.3.177
  13. Park DI, Park KH, Jin HJ. The Web Application to Improve Utilization of Sasang Constitutional Diagnosis Questionnaire - KS-15(Korea Sasang Constitutional Diagnostic Questionnaire). J Sasang Constitut Med. 2017;29(3):224-231. https://doi.org/10.7730/JSCM.2017.29.3.224
  14. Park KH, Baek YH, Lee SW. Applying KS-15 (Korea Sasang Constitutional Diagnostic Questionnaire) to the Japanese : a Pilot Study. J Physiol & Pathol Korean Med. 2018;32(1):70-74. https://doi.org/10.15188/kjopp.2018.02.32.1.70
  15. Jang ES, Kim YY, Baek YH, Lee SW. The Association between Seven Health Practices and Self Rated Health by Sasang Constitution. J Sasang Constitut Med. 2018;30(1):32-42. https://doi.org/10.7730/JSCM.2018.30.1.32
  16. Bae KH, Park KH, Lee SW. Cold hypersensitivity in the Hands, Feet and Abdomen according to Sasang Constitution. J Sasang Constitut Med. 2018;30(1):50-57. https://doi.org/10.7730/JSCM.2018.30.1.50
  17. Jin HJ, Baek YH, Kim HS, Ryu JH, Lee SW. Constitutional multicenter bank linked to Sasang constitutional phenotypic data. BMC Complement Altern Med. 2015;15:46. https://doi.org/10.1186/s12906-015-0553-3
  18. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-174. https://doi.org/10.2307/2529310
  19. Jang ES. A Development of Sasang Constitution Diagnosis Program based on Characteristics of Body Shape Face Physiological Symptom and Personality. Iksan: Wonkwang University. 2010.
  20. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurement. Lancet. 1986;1:307-310. https://doi.org/10.1016/S0140-6736(86)90837-8
  21. JCGM. Evaluation of measurement data-Guide to the expression of uncertainty in measurement. Geneva : Int. Organ. Stand. 2008;50:134.
  22. Lee JY, Yim MH, Kim JY. Test-retest reliability of the questionnaire in the Sasang constitutional analysis tool (SCAT). Integr Med Res. 2018;7:136-140. https://doi.org/10.1016/j.imr.2018.02.001
  23. Kim KS, Lee SK, Shin HK, Koh BH, Song IB, Lee EJ. A Study on the Reliability of the Questionnaire about Sasang Constitution Classification for Mongolians. J Sasang Constitut Med. 2006;18(2): 96-112. (Korean)
  24. Hwang DS, Cho JH, Lee CH, Jang JB, Lee KS. A Study on Reproducibility of Responses to the Questionnaire for Sasang Constitution Classification II (QSCC II). J Korean Med. 2006;27(3):145-150. (Korean)
  25. Kim SH. Diagnostic Accuracy of the Questionnaire for Sasang Constitution in Korean Adult Population:Systematic Review. Doctor thesis. Kyunghee univ. 2012.
  26. Kim SH, Lee YS, Koh BH, Jang ES. Assessing the diagnostic accuracy of the Questionnaire for Sasang Constitutional Classification II (QSCC II): A systematic review. Eur J Integr Med. 2013;5(5):393-398. https://doi.org/10.1016/j.eujim.2013.05.003
  27. Kim SB, Lee JH, Park GS, Jung YJ, Lee SK, Song IB. A Study on responses to the questionnaire based on of revised Sasang Constitution Classification II (QSCCII+). J Sasang Constitut Med. 2001;13(3):15-23.