• 한방안이비인후피부과학회지
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• 제30권4호
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• pp.97-103
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• 2017

Objectives : To identify whether pattern identification using nasal endoscopy for rhinitis can be applied as a tool for evaluating rhinitis in routine care setting, we performed a inter-rater reliability study on this pattern identification. Methods : Two Korean medicine doctors assessed 290 left/right nasal endoscopy photograph cases of rhinitis patients with pattern identification using nasal endoscopy. This pattern identification consist of four assessment items, nasal membrane color(pale/hyperemia), nasal membrane humidity(dryness/dampness), rhinorrhea(watery/yellow), and turbinate membrane edema(atrophic/edematous). Cohen's kappa statistic and Percentage agreement were used to evaluate the inter-rater reliability. Results : Inter-rater percentage agreement and Kappa coefficient for left nasal endoscopy photograph cases was from 'slight' to 'moderate'(% agreement: 40.00-67.59%/Kappa: 0.06-0.407). Only the agreement of 'rhinorrhea (watery/yellow)' item was moderate(% agreement: 67.59%/Kappa: 0.407). Inter-rater percentage agreement and Kappa coefficient for right nasal endoscopy photograph cases was also from 'slight' to 'moderate'(% agreement: 42.41-68.97%/Kappa: 0.109-0.465). Only the agreement of 'rhinorrhea(watery/yellow)' item was moderate(% agreement: 68.97%/Kappa: 0.465). Conclusions : It is necessary to resolve problems such as cut-off value setting, bipolar evaluation values(pale/hyperemia, dryness/dampness, watery/yellow, atrophic/edematous) and weighting items. Further rigorous studies that overcome the limitations of the current research are warranted.

• 동의생리병리학회지
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• 제32권5호
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• pp.341-346
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• 2018

The aims of this study were to evaluate the reliability and validity of the cold and heat pattern identification questionnaire (CHPIQ). From July 2015 to December 2015, 120 participants, university faculties, filled out CHPIQ by the way of self-reporting. Then two Korean medical doctors independently diagnosed them whether they belonged to cold pattern (CP) or not, and heat pattern (HP) or not. We evaluated the internal consistency using Cronbach's alpha coefficient, and the validity using the sensitivity and specificity through receiver operating characteristic-curve. The internal consistency (Cronbach's alpha coefficient) showed 0.754 (CP) and 0.753 (HP). The area under the curve was recorded with 0.884 (CP) and 0.786 (HP). The agreements between CHPIQ and experts were 82.8% (CP) and 72.9% (HP). The sensitivities showed 0.707 (CP) and 0.719 (HP), and the specificities were 0.935 (CP) and 0.736 (HP). This study suggests that CHPIQ is a reliable and valid instrument for estimating cold-heat pattern identification.

• 동의생리병리학회지
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• 제22권2호
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• pp.453-458
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• 2008

This study aimed to develop an evaluation reliability of Korean pattern identification for wind stroke. We studied 643 patients with stroke and made a list of registry for each of them. The present study analyzed 553 cases, in which the resident’s pattern identification agreed with the specialist’s one, and the cases included five differentiation pattern: the fire-heat pattern (114), the dampness-phlegm pattern (157), the static blood pattern (11), the Yin deficiency pattern (81), and the Qi deficiency pattern (190). This study showed that none of the Cronbach's alpha reached 0.700, which is the general reliable level. The average Cronbach's alpha of each symptoms was 0.353 for the dampness-phlegm pattern, 0.571 for the fire-heat pattern, 0.443 for the Qi deficiency pattern, 0.451 for the Yin deficiency pattern, and 0.302 for the static blood pattern. This suggests the possibility that each pattern identification could be coincided with other symptoms, and it also shows the limits of pattern identification of this study that narrows the symptoms of paralysis patients into only a single pattern. Continuous compliments and researches should be done referring to this matter. However, the internal consistency analysis of all the pattern identification showed that every Cronbach's alpha were within the range of 0.670 to 0.703, and the Cronbach's alpha of the whole symptoms was evaluated as 0.692, which makes the reliability of the pattern identification as itself almost satisfactory to the general reliable level, and therefore, significant. In the future, continuous clinical research to develope this pattern identification for wind stroke actually applicable to stroke patients needs to be made through accumulating more cases, improving the objectivity.

• 동의신경정신과학회지
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• 제24권4호
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• pp.331-342
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• 2013

Objectives: The purpose of this study is to examine the validity, the test-retest reliability and to provide guidelines for the Instrument on Pattern Identifications for Hwa-byung. Methods: Participants are 97 patients with Hwa-byung who were diagnosed by Hwa-Byung Diagnostic Interview Schedule. Participants were tested twice within one week. Results: The test-retest reliability of the Instrument on Pattern Identifications for Hwa-byung was examined for 97 patients and calculated to be 0.3146. The reliability of the Instrument on Pattern Identifications for Hwa-byung was 0.605 with a difference of 5% or more for the first and the second. To confirm the validity of the Instrument on Pattern Identifications for Hwa-byung, we analyzed the relevance between symptoms, Pattern Identifications that belong to the group and other Pattern Identifications that do not belong. Conclusions: It can be diagnosed in the first pattern identification by the Instrument of Pattern Identifications for Hwa-byung when there is a difference of 5% or more in the first and second pattern identification. Based on this result, we derived an Instrument for Pattern Identifications of Hwa-byung that has been further modified through additional studies.

• 동의생리병리학회지
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• 제32권3호
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• pp.171-177
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• 2018

The purpose of this study was to evaluate the reliability and the validity of Deficiency and Excess Pattern Identification Questionnaire. The number of subjects enrolled in this study was 248, from July 2015 to March. 2016. The surveys was conducted two times with 3 month interval. The Cronbach's ${\alpha}$ analysis for internal reliability, Pearson Correlation Coefficient analysis for test-retest reliability were conducted. Factor analysis with varimax rotation for construct validity was used. Kappa analysis for diagnostic reliability were used. The significant p-value was < .05. The Cronbach's ${\alpha}$ was .929 in Deficiency and .932 in Excess questionnaire. The reliabilities between test and retest Intra Correlation Coefficient (ICC) was .71-.762 in the Deficiency, and .58-.786 in Excess questionnaire, respectively. Deficiency was divided by five factors, and Excess four factors. The factor convergence was 72.54% in the Deficiency and 67.5% in Excess questionnaire. The test-retest agreement of four pattern was 68.5% and Kappa was .530. This study reveals that Deficiency and Excess Pattern Identification Questionnaire is a reliable and valid. However, further study to validate the questionnaire is needed.

• 동의생리병리학회지
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• 제29권3호
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• pp.246-255
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• 2015

The purpose of this study is to investigate the reliability and validity of the questionnaire of pattern identification (PI) in traditional chinese medicine (TCM), through the systematic review of china national knowledge infrastructure (CNKI) database. We searched the articles related with reliability and validity of the questionnaire of PI and published from January 1994 to December 2013. Seventeen questionnaires were analyzed in this study. The twelve (70.6%) questionnaires were developed on the base of specific disease, and five (29.4%) ones were developed on the base of non-specific disease. Three of PI questionnaires showed low inter-item consistency reliability. Exploratory factor analysis of construct validity, content validity, and criterion validity analysis were commonly used on the assessment of validity, but none of them was analysed at the same study. There was only one questionnaire of the ischemic stroke that examined the sensitivity and specificity of both training and test groups in spite of the absence of a gold standard.

• 동의신경정신과학회지
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• 제24권4호
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• pp.435-450
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• 2013

Objectives: The purpose of this study is to develop a standard tool for pattern identifications in Korean Medicine for depression. Methods: The advisor committee for this study was organized by 15 Korean Medicine neuropsychiatry professors from 11 Colleges of Korean Medicine. The items and structure of the tools were based on reviews of published literature. In order to develop the tool, we took the consultation from discussions with the advisor committee twice and also incorporated additional advices from e-mail correspondences. Results: 1) We divided the symptoms and signs of depression into 11 pattern identifications. 2) We obtained the mean weights which reflected the standard deviations from each symptoms of the 11 pattern identifications which were scored on a 100-point scale by 15 experts. 3) We designed the Korean medicine pattern identification tool for depression. It was composed of 66 questions in the question- and-answer format. Conclusions: There are some points which should be considered in this study. First, we couldn't reach a complete agreement on the concept of 11 patterns. Second, each pattern identification has a different number of symptoms and signs. In addition, the items of symptoms and signs of each pattern identification are unequal. Third, as we did not set any clinical trials when using this tool, it was not possible to test its validity and reliability. Although there are some limits in this study, the development of pattern identification tools for depression through discussions with the advisor committee is meaningful. If the validity and reliability of the Korean Medicine pattern identification tools for depression are confirmed through clinical trial,s this tool is expected to be applied to the subsequent researches in the future.

• 동의신경정신과학회지
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• 제31권1호
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• pp.1-12
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• 2020

Objectives: The purpose of this study was to evaluate the reliability and validity of the instrument on pattern identification for insomnia (PIT-Insomnia) and verify the correlation between PIT-Insomnia and psychological tests. Methods: Two evaluators examined the pattern identification of the participants who met insomnia disorder diagnostic criteria of the Diagnostic and Statistical Manual of Mental Disorder, Fifth Edition (DSM-5) and took the Insomnia Severity Index (ISI) score over 15 once manually and twice using the PIT-Insomnia to measure the inter-rater and test-retest reliability. We also conducted the following surveys: the Pittsburgh Sleep Quality Index (PSQI), the Korean version of Beck's depression inventory (K-BDI), the Korean version of the State-Trait Anxiety Inventory (STAI-K), the Korean Symptom checklist-95 (KSCL-95), and the EuroQol-5 dimension (EQ-5D), to measure concurrent validity and correlation between the PTI-Insomnia and psychological tests. Results: 1. The test-retest reliability analysis of the pattern identification results showed moderate agreement, and test-retest reliability analysis of each pattern identification score showed agreements from poor to moderate. 2. The inter-rater reliability analysis of the pattern identification results via manual showed slight agreement, when analysis was performed with calibration, the inter-rater reliability analysis of the pattern identification results via manual showed fair agreement. 3. The concordance analysis between results via manual and the PIT-Insomnia showed poor agreement, when the analysis was performed with calibration, concordance analysis showed fair agreement. 4. The concordance analysis between the PIT-Insomnia and the PSQI showed positive linear correlation. 5. The concordance analysis between the PIT-Insomnia and the PSQI, K-BDI, STAI-K, KSCL-95, and EQ-5D showed that non-interaction between the heart and kidney have positive linear correlation with the K-BDI, anxiety item of KSCL-95, dual deficiency of the heart-spleen have positive linear correlation with somatization item of KSCL-95, paranoia item of KSCL-95, heart deficiency with timidity have positive linear correlation with stress vulnerability item of KSCL-95, parania item of KSCL-95, phlegm-fire harassing the heart have positive linear correlation with K-BDI, paranoia item of KSCL-95, depressed liver qi transforming into fire have positive linear correlation with the anxiety item of KSCL-95, parania item of KSCL-95, all pattern identification have negative linear correlation with EQ-5D. Conclusions: The PIT-Insomnia has moderate agreement of reliability and reflects the severity of insomnia since it has some concurrent validity with the PSQI. There are some correlations between the PTI-Insomnia with specific psychological tests, so we could suggest it can be used appropriately in the clinical situation.

• 한방비만학회지
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• 제16권1호
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• pp.1-10
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• 2016

Objectives: The purpose of this study was to develop Russian version of Korean obese pattern identification questionnaire (KOPIQ) and classify the pattern of Uzbekistan obese patients. Methods: This study was conducted from 10 September 2014 to 10 December 2014 in Korea-Uzbekistan Oriental Hospital. The KOPIQ was translated to Russian language with the help of local expert in Russia and Korean Medicine. The patients who visited obese clinic in hospital were guided to join this study and informed consent was obtained. The inclusion criteria was >$23kg/m^2$ in body mass index. The Cronbach's alpha was used for it's inter consistency reliability and the KOPIQ result was compared with the experts one. Results: The Russian version of KOPIQ was developed. The 103 patient (25 males, 78 females; average age 57.2 years) joined in this study. The Cronbach's alpha of questionnaire was 0.787~0.883 according to individual pattern. The agreement rate of pattern Identification between local expert and KOPIQ was 13%. This developed questionnaire was realized as web version, which could be easily used in Uzbekistan. Conclusions: The Russian version of KOPIQ is developed in this study with suitable reliability. Further study is needed for KOPIQ to be applied in Uzbekistan with high validity.

• 동의생리병리학회지
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• 제23권6호
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• pp.1226-1233
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• 2009

Common cold occurs frequently and occupies an important position in medical treatment however obvious treatment is not suggested. There has been no agreement of pattern identification for common cold in oriental medicine. The purpose of this study is to develop a standard instrument of pattern identification for common cold which will be applied to clinical research. The items and structure of the instrument were based on review of published literature. The advisor committee on this study was organized by 9 oriental respiratory internal medicine professors of 11 oriental medical colleges nationwide. The experts attended 3 consultation meetings and discussed developing the instrument, and we also took professional advices by e-mail. The results were as follows; First, we divided the pattern identification of common cold into nine pattern: Wind-cold type, Wind-heat type, Contain summerheat type, Contain dampness type, Qi deficiency type, Blood deficiency type, Yang deficiency type, Yin deficiency type, Influenza. Second, we got the mean weights to each symptom of nine pattern identification which had been scored on a 5-point scale - ranging from 0 to 4 by the 9 experts. Third, we made out the Korean instrument of the pattern identification for common cold. It was composed self reporting questionnaire and researcher reporting questionnaire. Though this study is not proved about validity, reliability, the instrument of pattern identification for common cold is meaningful and expected to be applied to the subsequent research. And also, we hope to improve the instrument and make up for this study through various research and discussion.