DOI QR코드

DOI QR Code

A Preliminary Study for the Development of test tool for discourse comprehension of the elderly

노인 담화이해력 검사 도구 개발을 위한 예비 연구

  • 이현주 (원광대학교 언어치료학과) ;
  • 박성지 (원광대학교 중등특수교육과)
  • Received : 2024.09.14
  • Accepted : 2024.11.01
  • Published : 2024.11.30

Abstract

As a preliminary study for the development of the 'Elderly Discourse Comprehension Test Tool', this study aims to verify the content validity of the subtest items that comprise the test tool. For this purpose, 48 items were developed as subtests at three levels (word, sentence, and discourse) based on the literature and existing assessment tools. The initially developed test items were presented to eight speech-language pathologists with a first-level speech therapist license and more than 10 years of treatment experience, and they were asked to answer on a 5-point Likert scale, and the Content Validity Index (CVI) was calculated based on the scores. Based on the results, 37 items with a CVI greater than .75 at the sentence and discourse level were selected, except for a few items at the word and sentence level, where the CVI was below the cutoff of .75. In conclusion, the subtest items of this instrument were found to have adequate content validity as a test instrument for assessing discourse comprehension in the elderly.

본 연구는 '노인 담화이해력 검사 도구' 개발을 위한 예비 연구로서 검사 도구를 구성하는 하위 검사 문항의 내용타당도를 검증하고자 하는 연구이다. 이를 위하여, 선행 연구와 기존의 관련 평가 도구를 바탕으로 세 수준(단어, 문장, 담화) 48문항을 하위 검사 문항으로 개발하였다. 1차로 개발된 검사 문항은 1급 언어치료사 자격증 소지자이면서 10년 이상의 치료 경력이 있는 언어재활사 8명에게 제시하고 리커트 5점 척도로 답하도록 하였고, 점수에 근거한 내용타당도 지수(Content Validity Index, CVI)를 산출하였다. 결과에 따라 내용타당도(CVI)가 절단점인 .75 미만인 단어 및 문장 수준의 몇몇 문항을 제외하고 문장 및 담화수준에서 내용타당도(CVI)가 .75를 초과하는 문항 37문항이 채택되었다. 결론적으로, 본 평가도구의 하위 검사 문항은 노인의 담화이해력을 평가하기 위한 검사도구로 적절한 내용타당도를 지니고 있음이 증명되었다.

Keywords

References

  1. J.W. Kim, "Development of Geriatric Index of Communicative Ability (GICA), PhD thesis, Yonsei University, 2010.
  2. S.D. Seok, and S.K. Kang, "The Development of Communication Scale Contents for Presbycusis", The Korean Society For Rehabilitation Science, Vol. 26., No. 1, pp. 47-62, June 2003.
  3. R.K. Peach, "Syntactic comprehension in listening and reading by aphasic subjects", Northwestern University, 1983.
  4. S.H. Shu, "Study on Attentiveness and Sentence Comprehensive Faculty along with Old Men's Hearing Loss Degree", Master's thesis, Daegu University, 2015.
  5. J.W. Kim, "Development of Geriatric Index of Communicative Ability (GICA), PhD thesis, Yonsei University, 2010.
  6. M.S. Lee, and H.H, Kim, "Cognitive-Pragmatic Language Assessment for Normal Aging : Study of Assessment Tools and Content Validity". Journal of the Korea Contents Association, Vol. 12, No. 5., pp. 280-292. 2012. https://doi.org/10.5392/JKCA.2012.12.05.280
  7. R.K. Peach, "Syntactic comprehension in listening and reading by aphasic subjects", Northwestern University, 1983.
  8. D.V. Bishop, and C. Adams, "Comprehension problems in children with specific language impairment: Literal and inferential meaning". Journal of Speech & Hearing Research, Vol. 35, No. 1, pp. 119-129, 1992. https://doi.org/10.1044/jshr.3501.119
  9. Y.T. Kim, G.H. Hong, and K.H. Kim, "Content and Reliability Analyses of the Receptive and Expressive Vocabulary Test (REVT)", Korean Journal of Communication Disorders, Vol. 14., No. 1, pp. 34-45, 2009.
  10. S.S. Pae, S.S. Lim, J.H. Lee, and H.S. Chang, "Korea sentence comprehension test; KOSECT", Seoul Community Rehabilitation Center, 2004.
  11. S.S. Bae, M.B. Kim, H.J. Youn, S.M. Jang, "Korean Language based Reading Assessment; KOLRA", INPSYT, 2015.
  12. C.S. Choi, and H.J. Choi, "Story Comprehension Ability in Patients with MCI and DAT", Journal of speech-language & hearing disorders, Vol. 22, No. 4, pp. 159-180, 2013.
  13. Y.W. Kang, S.M. Jang, and D.R. Na, "Seoul Neuropsychological Screening Battery 2nd Edition; SNSB-II", Human Brain Research & Consulting, 2012.
  14. H.H. Kim, and D.R. Na, "Paradise Korea - Western Aphasia Battery (Revised); PK-WAP-R", Paradise Welfare Foundation NCS Pearson, Inc., 2012.
  15. S.H. Yang, H.J. Lee, and S.J. Park, "Literature Review on Language Reception and Expression Ability Related to Aging", Journal of speech-language & hearing disorders, Vol. 29, No. 1, pp. 49-57, 2020, https://doi.org/10.15724/jslhd.2022.31.2.023
  16. N.F. Dronkers, D.P. Wilkins, R.D. Van Valin Jr, B.B. Redfern, and J.J. Jaeger, "Lesion analysis of the brain areas involved in language comprehension", Cognition, Vol. 92, No. 1-2, pp. 145-177, 2004, https://doi.org/10.1016/j.cognition.2003.11.002
  17. S.S. Pae, S.S. Lim, J.H. Lee, and H.S. Chang, " Korea sentence comprehension test; KOSECT", Seoul Community Rehabilitation Center, 2004, https://doi.org/10.12963/csd.13042
  18. C.S. Choi, and H.J. Choi. "Story Comprehension Ability in Patients with MCI and DAT", Journal of speech-language & hearing disorders, Vol. 22, No. 4, pp. 159-180, 2013.
  19. J.R. Sneed, and S.K. Whitbourne, "Models of the Aging Self", Journal of Social Issues, Vol. 61, pp. 375-388, 2005, https://doi.org/10.1111/j.1540-4560.2005.00411.x
  20. K.A. Bayles, C.K. Tomoeda , and D.R. Boone, "A view of age-related changes in language function", Developmental Neuropsychology, Vol. 1, pp. 231-264, 1985, https://doi.org/10.1080/87565648509540312
  21. H.H. Kim, S.R. Kim, H.J. Yoo, and J.W. Kim, "Content Validity of Speech-Language Assessment Items for the Elderly", Journal of Rehabilitation Research, Vol. 17, No. 3, pp. 347-373, 2013.
  22. S.R. Son, W.S. Kim, "Analysis of research trends related to discourse: Focusing on domestic research from 2010 to 2023", The Journal of the Convergence on Culture Technology (JCCT), Vol. 10, No. 3, pp.349-358, 2024, https://doi.org/10.17703/JCCT.2024.10.3.349