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

Korean Society of Community Based Occupational Therapy Association (대한지역사회작업치료학회)
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Development of Grocery Shopping Skills Enhancement Program for Chronic Schizophrenia Using Delphi Study

만성조현병 환자를 위한 식료품 쇼핑 기술 강화 프로그램 기초연구: 델파이기법

  • Kim, Yong-Sub (Taeangun Community Mental Health Center) ;
  • Lee, Seong-A (Dept. of Occupational Therapy, Soonchunhyang University)
  • 김용섭 (태안군 정신건강복지센터) ;
  • 이성아 (순천향대학교 작업치료학과)
  • Received : 2020.03.20
  • Accepted : 2020.04.24
  • Published : 2020.04.30
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Abstract

Objective : The purpose of this study is to provide basic data for the development of a instrumental activities of daily living training program called grocery shopping for schizophrenic patients in Delphi. Methods : The final program items and contents were completed through the first and third delphi surveys from August 2018 to March 2019. The expert composition selected 26 occupational therapists related to mental health. Three surveys were conducted and 23 experts participated in the Delphi survey. The second questionnaire, which was created from an open questionnaire, was designed to indicate the degree of importance using the Likert 5-point scale. As a result of the response of the 3rd questionnaire, the level of expert consensus was reconfirmed by analyzing average, standard deviation, and content validity ratio (CVR). Results : Three rounds of Delphi research reveal four categories of questions: grocery shopping views, product purchase strategies, necessary functions, and expert knowledge and experience on how to make purchase decisions. 24 items were selected. Through the 2nd and 3rd Delphi surveys, 4 items that did not meet the criteria of goodness of fit of each item or duplicated the contents were deleted and finally 20 items were extracted. Conclusion : Experts' agreement on grocery shopping technology was drawn from an occupational therapy perspective so that patients with schizophrenia living in the community could recover and participate as a member of society.

목적 : 본 연구는 델파이 조사를 통해 국내 조현병 환자의 수단적 일상생활활동 훈련 중 식료품 쇼핑이라는 구체적인 수행 과제를 적용한 프로그램을 개발하기 위한 연구이다. 연구방법 : 델파이 1~3차 조사를 통해 최종 프로그램 항목 및 내용을 완성하는 단계로 2018년 8월부터 2019년 3월까지 진행되었다. 전문가 구성은 정신보건과 관련 있는 작업치료사 23명을 선정하였다. 개방형 문항으로 구성된 1차 설문으로부터 작성된 2차 설문지는 중요한 정도를 리커트 5점 척도를 이용하여 표시하도록 하였다. 3차 설문의 응답결과로 평균 및 표준편차, 내용타당도비율(Content Validity Ratio; CVR) 분석을 통해 전문가의 합의 수준을 다시 확인하였다. 결과 : 3차에 걸친 델파이 조사 결과 식료품 쇼핑의 견해, 물건 구매 전략, 필요한 기능, 구매 결정 방법에 대한 전문가의 지식과 경험에 의한 의견을 구하는 4개의 문항으로 1차 개방형 델파이 설문을 실시하여 4가지 영역에 24가지 항목을 선정하였다. 2차, 3차 델파이 설문을 거쳐 각 항목의 적합도 기준에 미달하거나 내용이 중복되는 4개의 항목을 삭제하고 최종적으로 20개의 항목을 추출하였다. 결론 : 만성조현병 환자들이 회복하고 사회의 일원으로 참여할 수 있도록 작업치료적 관점으로 식료품 쇼핑 기술에 전문가들의 합의를 도출하였다.

Keywords

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