• Title/Summary/Keyword: Measurement Scales

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Combining Two Scales to Assess Risk Factors of Falling in Community-Dwelling Elderly Persons: A Preliminary Study (노인의 낙상에 영향을 주는 요인을 평가하기 위한 ABC-BBS의 적용: 사전연구)

  • Park, So-Yeon
    • Physical Therapy Korea
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    • v.15 no.2
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    • pp.44-53
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    • 2008
  • The purpose of this preliminary study was to develop a measurement for assessing risk factors for falling in community-dwelling elderly persons. Rasch analysis and principal component analysis were performed to examine whether items on the Activities-Specific Balance Confidence (ABC), assessing self-efficacy, and items on the Berg Balance Scale (BBS), assessing balance function, contribute jointly to a unidimensional construct in the elderly. A total of 35 elderly persons (4 men, 31 women) participated. In this study, each item of ABC (16 items) and BBS (14 items) was scored on a 5-point ordinal rating scale from 0 to 4. The initial Rasch and principal component analysis indicated that 3 of the ABC items and 2 of the BBS items were misfit for this study. These 5 items were excluded from further study. After combining ABC and BBS, Rasch and principal component analyses were examined and finally 23 items selected; 12 items from ABC, 11 items from BBS. The 23 combined ABC-BBC items were arranged in order of difficulty. The hardest item was 'walk outside on icy sidewalks' and the easiest item was 'pivot transfer'. Although structural calibration of each 5 rating scale categories was not ordered, the other three essential criteria of Linacre's optimal rating scale were satisfied. Overall, the ABC-BBS showed sound item psychometric properties. Each of the 5 rating scale categories appeared to distinctly identify subjects at different ability levels. The findings of this study support that the new ABC-BBS scale measure balance function and self-efficacy. It will be a clinically useful assessment of risk factors for falling in the elderly. However, the number of subjects was too small to generalize our results. Further study is needed to develop a new assessment considering more risk factors of falling in elderly.

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Factors Affecting the Social Distance toward Older Adults of Nursing Students (간호대학생의 노인에 대한 사회적 거리감 영향요인)

  • Ha, Jiyeon;Park, Ju Young
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.539-549
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    • 2019
  • Purpose: The aim of this study was to identify the factors related to the social distance toward older adults in nursing college students. Methods: The participants comprised 137 students in a nursing college. Data were collected using self-report questionnaires in March 2019. The measurement instruments included social distance scales, the Fact on Aging Quiz (FAQ I), a 20-item semantic differential scale (to assess attitudes), and the perceived elderly stigma scale. The data were analyzed using descriptive statistics, independent t-tests, one-way analysis of variance (ANOVA), Pearson's correlation coefficient, and a multiple regression analysis. Results: The total score for social distance toward older adults was 3.98±0.54 out of a maximum of 5. Social distance had a statistically significant relationship with knowledge (r=.20, p=.022), attitudes toward older adults (r=-.31, p<.001), and elderly stigma (r=-.27 p=.008). The factors affecting social distance were education in geriatrics (β=.33, p=.004), grade (β=-.29, p=.014), attitudes (β=-.21, p=.018), academic major satisfaction (β=.19, p=.028), and knowledge (β=.15, p=.048); the explanatory power of the model was 34%. Conclusion: There is a need for departmental efforts that nursing students acquire correct knowledge about the life and health of the elderly with the aging process and develop positive attitudes toward older adults through various experiences in gerontological nursing practicum and community senior-college student link programs.

A Segmentation of Rural Tourism Village's Selection Attributes which affects Experience Programs Preferences and Behavior Intention in 6th Industry (6차산업 농어촌관광마을 선택속성 세분시장에 따른 체험프로그램 선호도 및 행동의도 연구)

  • Yoon, Yoo Shik;Yang, Jong Im;Jang, Lae Yang
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.3
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    • pp.755-775
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    • 2013
  • The study aims to segment rural tourism villages' selection attributes that affect experiences programs preferences and behavior intention in 6th industry. Based on the literature review, the measurement scales were developed and the data collected from on-site survey in 6th industry trade. Cluster analysis with rural tourism villages' selection attributes were conducted and MDA was run to verify segmented group rate. T-tests were conducted to see if there were any differences between segmented groups in terms of experiences programs preferences and behavior intention. More detailed discussion were provided in the conclusion.

Development of the Nursing Practice Capacity Scale for Evaluating Achievement of Nursing Education Objectives (일 대학의 간호교육목표 달성도 평가를 위한 간호실무능력 평가도구 개발)

  • Hyun, Myung Sun;Yoo, Moon Sook;Song, Mi Sook;Park, Jin
    • Journal of Home Health Care Nursing
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    • v.22 no.2
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    • pp.246-255
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    • 2015
  • Purpose: The study was conducted to develop the Nursing Practice Capacity scale for evaluating achievement of education objectives among students in nursing school. Methods: This was a methodological study. The scale development process included generation of initial items, verification of content validity, selections of secondary items, preliminary study, and extraction of final items. The participants were five graduates 1 to 4 years after graduation (for the preliminary study) and 125 graduates 1 to 4 years after graduation from the nursing school at A University, South Korea. Item analysis, criterion validity, and internal consistency were used to analyze the data. Results: Twenty-six items were selected for the final scale. The scores on the scale were significantly correlated with the Nursing Competency Scale(r=.62, p<.001) and Nursing Performance Scale(r=.63, p<.001). Chronbach's alpha coefficient for the 26 items was .87. Conclusion: The Nursing Practice Capacity scale for evaluating achievement of nursing education objectives has good validity and reliability. The measurement scale can be useful for evaluating the nursing practice capacity of nurses as well as measuring the extent to which graduates have achieved the established education objectives in the education fields.

Inter-Rater and Intra-Rater Reliability of the Modified Ashworth Scale and the Modified Tardieu Scale: A Comparison Study (수정된 Ashworth 척도와 수정된 Tardieu 척도의 검사자간, 검사자내 신뢰도 비교 연구)

  • Choi, Yul-Jung;Lee, Jung-Ah;Shin, Hwa-Kyung
    • The Journal of Korean Physical Therapy
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    • v.22 no.4
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    • pp.29-33
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    • 2010
  • Purpose: The purpose of this study was to assess and compare the reliability of the Modified Tardieu Scale (MTS) with the Modified Ashworth Scale (MAS) in patients with hemiplegia. Methods: Two experienced physical therapists examined twenty six patients (17 male and 9 female) with an age range of 19-83 years (mean=51.9 SD=15.2). They assessed the elbow flexor/extensor muscle spasticity in the affected side. Interand intra-rater reliability of the MAS and the MTS were calculated using kappa statistics. Intraclass correlation coefficient (ICC) was calculated to determine the inter- and intra-rater reliability of the angle of muscle reactions (R2-R1). Results: The intra-rater reliability of the MAS (K=0.39-0.55) and MTS (K=0.33-0.55) was fair to moderate. The inter-rater reliability was significantly higheras measured with MTS (K=0.54-0.66) in comparison with MAS (K=0.52). Intra-rater reliability of R2-R1 was moderate to almost perfect (ICC=0.52-0.86), and inter-rater reliability was substantial (ICC=0.74-0.76). Conclusion: The MTS provides higher inter-rater reliability compared with the MAS in hemiplegia patient analysis, but intra-rater reliability of both scales was not significantly different. Thus further research is needed to examine not only reliability, but also validity of these measurement systems.

A Study on the Relationships among Experience, Perceived Value, and Satisfaction of Rural Tourism - The Moderating Effect of Length of Stay - (농촌체험의 체험요인이 지각된 가치와 만족에 미치는 영향 - 체류기간의 조절효과 -)

  • Kim, Kyung-Hee;Lee, Sun-Min
    • Journal of Agricultural Extension & Community Development
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    • v.23 no.1
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    • pp.1-14
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    • 2016
  • The purpose of this study was to examine the relationships among experience, perceived value, and satisfaction of rural tourists based on the experience economy(Pine, & Gilmore, 1998; 1999). In addition, this study included the moderating effect of length of stay on the proposed relationships. This study was attempt to develop measurement scales based on the theory of experience economy(Pine, & Gilmore, 1998). Data were collected from 481 visitors by field survey from the 10 rural tourism communities. SPSS 20.0 and Amos 18.0 statistical package were used for frequency, reliability, confirmatory factor, and structural equation modelling analysis. The results of a confirmatory factor analysis yielded four dimensions of experience(esthetics, education, escape, and entertainment). The results of structural equation modeling indicated that entertainment, esthetics, and education had positive effects on perceived value, which in turn had a positive effect on satisfaction. In addition, length of stay moderated the relationships among experience, perceived value, and satisfaction. The entertainment and esthetics among experience factor had an effects on perceived value in the group of day visit group, and the entertainment, education, and esthetics among experience factor had an effects on perceived value in the group of stay night group. And the perceived value had a positive effect on satisfaction in the all group. Therefore, in order to increase rural tourists' satisfaction effectively, practitioners needs to develop rural tourism products by considering area of experience economy including tourists' length of stay.

Depression and the Risk of Breast Cancer: A Meta-Analysis of Cohort Studies

  • Sun, Hui-Lian;Dong, Xiao-Xin;Cong, Ying-Jie;Gan, Yong;Deng, Jian;Cao, Shi-Yi;Lu, Zu-Xun
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.8
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    • pp.3233-3239
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    • 2015
  • Background: Whether depression causes increased risk of the development of breast cancer has long been debated. We conducted an updated meta-analysis of cohort studies to assess the association between depression and risk of breast cancer. Materials and Methods: Relevant literature was searched from Medline, Embase, Web of Science (up to April 2014) as well as manual searches of reference lists of selected publications. Cohort studies on the association between depression and breast cancer were included. Data abstraction and quality assessment were conducted independently by two authors. Random-effect model was used to compute the pooled risk estimate. Visual inspection of a funnel plot, Begg rank correlation test and Egger linear regression test were used to evaluate the publication bias. Results: We identified eleven cohort studies (182,241 participants, 2,353 cases) with a follow-up duration ranging from 5 to 38 years. The pooled adjusted RR was 1.13(95% CI: 0.94 to 1.36; $I^2=67.2%$, p=0.001). The association between the risk of breast cancer and depression was consistent across subgroups. Visual inspection of funnel plot and Begg's and Egger's tests indicated no evidence of publication bias. Regarding limitations, a one-time assessment of depression with no measure of duration weakens the test of hypothesis. In addition, 8 different scales were used for the measurement of depression, potentially adding to the multiple conceptual problems concerned with the definition of depression. Conclusions: Available epidemiological evidence is insufficient to support a positive association between depression and breast cancer.

Development of Measurement Standard Scale for Festival Basic Quality(BASICQUAL) (지역축제 기초품질(BASICQUAL) 척도 개발)

  • Maeng, Hae-Yeong;Jang, Hyeong-Yu
    • The Journal of the Korea Contents Association
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    • v.13 no.2
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    • pp.108-126
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    • 2013
  • The purpose of this study is to develop the basic scales of festival quality. We conducted a content analysis in the discourse of KINDS(Korea Integrated News Database System) and derived five constituent factors, basic quality measures of local festivals through the extensive literature review. We named these qualities "Festival BASICQUAL" that is consist of Infrastructure, Connectedness, Passion, Theme, Culture. We conducted the empirical analysis for the participants in "Geumsan Insam Festival" to verify the "Festival BASICQUAL" As the result, Infrastructure, Connectedness, Culture affected positively on Festival Attachment among all BASICQUALs. However, Passion and Theme did not positively affected on the dependent variable. And then, Festival Attachment positively affected on Festival Satisfaction, while Festival Satisfaction also affected positively on Behavior Intention. This study developed the basic quality concerned with local festivals which is crucial fundamentals to quantify Festival BASICQUAL through empirical study. The proper applications and usage of these newly introduced local festival qualities enable to acquire the sustainable competitive advantage in local festival.

Implementation of a Layer-7 Web Clustering System on Linux with Performance Enhancements via Recognition of User Request Rate Variations (리눅스에서 레이어-7 웹 클러스터링 시스템의 구현 및 사용자 요청률 차이의 인식에 기반한 성능 개선)

  • Hong Il-gu;Noh Sam H.
    • Journal of KIISE:Information Networking
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    • v.32 no.1
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    • pp.68-79
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    • 2005
  • The popularity of Web service is ever increasing. As the number of services and clients continue to increase, the problem of providing a system that scales with this increase is becoming more difficult. A costly and ineffective method is to buy a new system that is more powerful every time the load becomes unbearable. h more cost effective solution is to expand the system as the need arises. This is the approach taken in Web cluster systems. However, providing effective scalability in a Web cluster system is stil1 an open issue. In this study, we implement a Web cluster system based on Layer 7 switching technique on Linux. The implementation is based on a design proposed and implemented by Aron et al., but on the FreeBSD. Though the design li the same, due to the vast difference between the FreeBSD and Linux, the implementation presented in this paper is totally new. We also propose the Dual Scheduling (DS) load distribution algorithm that distributes the requests to the system resources by observing the variations in the request rate. We show through measurement on our implementation that the DS alorithm performs considerably bettor than previous algorithms.

Comparison of the Response Inhibitory Event Related Potential between Suicide Attempt and Ideation (자살 시도와 자살 사고 간 반응억제 사건유발전위 비교 연구)

  • Kim, Ji Sun;Kwon, Young Joon;Shim, Se-hoon
    • Anxiety and mood
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    • v.16 no.1
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    • pp.41-48
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    • 2020
  • Objective : There have been limited scientific studies differentiating those who attempt suicide from those who think about suicide but do not attempt suicide. Altered event-related potential (ERP) performance, such as GoNogo ERP has been regarded as the neurocognitive processes associated with behavioral inhibition and poor impulse control. The purpose of this study was to investigate the association between Nogo ERP and suicide attempt. Methods : A total of 63 participants (33 participants with suicide ideation and 30 with suicide attempt) were recruited, and performed GoNogo tasks during the electroencephalogram measurement. Depression, anxiety, emotional regulation and impulsivity were evaluated by self-rating scales. The clinical measures and Nogo P3 component were compared between the groups. The correlational analyse was conducted to evaluate the relationship between the clinical characteristics and the Nogo P3 component. Results : Participants with suicide attempt significantly decreased the Nogo P3 amplitudes at the frontal-central electrode than participants with suicide ideation (p=0.004, FDR adjusted p=0.032). In the correlation analysis, the Nogo P3 amplitude at frontal-central electrode was correlated with the total score of the Barrett impulsivity scale (r=-0.383, p=0.002), attentional impulsivity (r=-0.365, p=0.003) and motor impulsivity (r=-0.389, p=0.002) subscales of the Barrett impulsivity scale. Conclusion : These findings suggest that the decreased Nogo P3 amplitude may be one of the candidates of biological marker for poor impulse control in those who attempt suicide.