Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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A Study on the Evaluation Method of Comprehension Task in Proverbs for the Elderly

노인용 속담 이해력 과제의 평가 방법에 대한 고찰

  • Lee, Young-Min (Dept. of Speech & Language Pathology, Graduate School of Rehabilitation, Daegu University) ;
  • Kim, Jung-Wan (Dept. of Speech Pathology, Daegu University)
  • 이영민 (대구대학교 재활과학과 일반대학원 언어치료전공) ;
  • 김정완 (대구대학교 재활과학대학 언어치료학과)
  • Received : 2021.01.29
  • Accepted : 2021.04.27
  • Published : 2021.11.30
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Abstract

Objective : This study aimed to establish an analytic methodology that can objectively evaluate the proverb comprehension levels that vary based on the aging process. Method : This study recruited 70 normal elderly aged ≥ 65 years and performed proverb comprehension tasks using an explanation method. A scoring estimation method was designed on 3 and 5-point scales. The difficulty and discrimination levels were calculated based on the two scales, thereby selecting the final questions and evaluation scale. Results : First, the item discrimination index on the 5-point scale was relatively higher than that on the 3-point scale, and 10 items were finally selected. Second, in terms of proverb comprehension ability, the elderly group aged 70 ~ 84 years showed significantly lower performance than those aged 65 ~ 69 years. Additionally, subjects with ≥ 10 years of education showed significantly higher performance than those with 9 ≤ years of education. Third, the performance of the proverbs comprehension task negatively correlated with the reaction time of the executive function task. Conclusion : Proverb comprehension is a task that can distinctively show a deterioration of brain functions in line with the aging process even among the normal elderly group and therefore, can estimate the difference more effectively with an increase in the score of the evaluation scale.

목적 : 노화 과정에 따른 속담 이해력을 객관적으로 평가할 수 있는 분석방법을 정립하기 위해 속담 이해력 과제 제작 후 평가척도별 차이를 비교하였다. 연구방법 : 만 65세 이상 정상 노인 70명을 대상으로 설명하기 방식을 통한 속담 이해력 과제를 실시하였다. 3점 및 5점 척도의 점수 산정 방식을 설계하고 두 가지 방법으로 각각 분석하여 비교하였다. 두 척도에 따른 난이도와 변별도를 산출하여 최종 문항과 평가척도를 선정하였고, 이 척도상 수행력과 집행기능 간의 상관성에 대해 알아보았다. 결과 : 첫째, 3점 척도보다 5점 척도에서의 문항변별지수가 상대적으로 높게 산출되었고, 최종 10개 문항이 선정되었다. 둘째, 속담 이해력은 70~84세 집단이 65~69세 집단보다 유의하게 낮은 수행력을 보였고, 교육년수가 10년 이상인 집단이 9년 이하 집단에 비해 유의하게 높은 수행력을 보였다. 셋째, 속담 이해력 과제의 수행력은 집행기능 과제의 반응시간과 부적 상관을 보였다. 결론 : 속담 이해력은 일반적인 뇌기능인 좌반구와 우반구의 반구 특성에만 기인하지 않고 일반 노인내에서도 노화과정에 따른 뇌기능의 저하를 변별적으로 보여줄 수 있는 과제이며, 평가 척도의 점수범위가 높을수록 그 차이를 더 효과적으로 평가할 수 있음을 알 수 있다.

Keywords

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