• 한국융합학회논문지
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• 제9권3호
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• pp.23-29
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• 2018

21세기의 새로운 지식, 기술, 능력의 요구에 따라서 새롭게 강조되고 있는 인식론적 프레임(Epistemic Frame)을 컴퓨터를 통해서 학습할 수 있는 교육프로그램에 대한 관심이 높아지고 있다. 그러나 인식론적 프레임의 이론적 모형은 컴퓨터를 활용한 교육프로그램에 적합하게 적용하기에는 아직 미비하며, 이를 교육할 수 있는 교육프로그램을 설계하기 위한 디자인이 거의 제시되지 않았다. 또한 교육프로그램을 통하여 학습한 내용을 평가할 수 있는 측정이론 혹은 학습분석에 대한 고찰이 거의 없다. 본 연구는인식론적 프레임의 개념을 학습할 수 있는 컴퓨터를 활용한 교육프로그램의 디지인의 핵심적 요소를 제시함을 목적으로 하고 교육프로그램을 통하여 학습한 내용을 측정 및 평가할 수 있는 측정이론(학습분석)의 방법을 탐색한다. 이는 추후 컴퓨터를 활용하여 인식론적 프레임 학습과 이를 평가할 수 있는 통합적 교육프로그램 개발을 위한 방법론으로 활용될 것으로 기대된다.

• 여성건강간호학회지
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• 제17권5호
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• pp.463-473
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• 2011

Purpose: Cervical cancer can be prevented by regular cervical screening. Embarrassment has been reported as one important barrier to cervical screening uptake. The absence of appropriate instrumentation, however, has limited our understanding of the links between embarrassment and health care outcomes. The purpose of this study was to evaluate psychometric attributes of the uterine cervical cancer screening embarrassment questionnaire. Methods: A convenience sample for field study was recruited from four gynecological clinics in Gyeongju, Korea. Within a cross-sectional descriptive design, 339 women who had cervical screening completed self-administered measures of embarrassment including a visual analogue, general medical embarrassment, dispositional embarrassment, and Pap smear related negative emotion. Results: Rasch analysis of items demonstrated the evidence of one-dimensional construct and good 7-point rating scales functioning. Factor analysis revealed that uterine cervical cancer screening embarrassment was comprised of two domains-bodily manifestations and perceiving an undesirable social face. Construct validity was demonstrated by a high subscale-to-subscale correlation. Convergent and discriminant validity was evidenced by significant correlations with a 100 mm VAS scale, general medical embarrassment, and Pap smear related negative emotion. Known-group validity was established by comparing women with high versus low trait embarrassment. Both two sub-scales and overall scale demonstrated good internal reliability. Conclusion: The Uterine uterine cervical cancer screening questionnaire is a reliable and valid instrument suited to assessing the manifestations of embarrassment during screening. The use of instrument can be extended to understand the client's embarrassment undergoing health examinations which require the exposure of their private parts.

• 대한불안의학회지
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• 제14권2호
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• pp.127-134
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• 2018

Objective : The aim of this study was to examine the psychometric features of the Korean version of the Eating Disorder Diagnostic Scale-the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (K-EDDS DSM-5). Methods : A total of 72 patients diagnosed with eating disorders participated in the study. The diagnosis was based on the Korean version of the Eating Disorder Examination (KEDE) interview. All participants completed the K-EDDS and the Eating Disorder Examination Questionnaire version 6.0 (EDE-Q 6.0) for this study. The psychometric features of the K-EDDS were examined using exploratory factor analysis, convergent validity of agreement between the K-EDDS and the KEDE, and internal consistency. Results : The exploratory factor analysis initially extracted 6-factor structures which were reconstructed into 4 factors of body dissatisfaction, binge behavior, binge frequency, and compensatory behavior based on appropriateness of the items. The internal consistency of the K-EDDS was fairly acceptable (Cronbach's alpha=0.72). The diagnostic agreement between the K-EDDS and the KEDE was high (98.61%). The 4 factors of the K-EDDS showed significant correlation with the 4 subscales of the EDE-Q 6.0. Conclusion : Our data suggests that the K-EDDS is a reliable and valid tool for the diagnosis of eating disorders based on the DSM-5.

• The Korean Journal of Pain
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• 제34권4호
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• pp.501-508
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• 2021

Background: Yellow flags are psychosocial factors shown to be indicative of long-term chronicity and disability. The purpose of the study was to evaluate the psychometric properties of the Turkish Yellow Flag Questionnaire (YFQ) in patients with chronic musculoskeletal pain (CMP). Methods: The cross-cultural adaptation was conducted with translation and back-translation of the original version. Reliability (internal consistency and test-retest) was examined for 231 patients with CMP. Construct validity was assessed by correlating the YFQ with the Hospital Anxiety and Depression Scale (HADS), Orebro Musculoskeletal Pain Questionnaire (OMPQ), and Tampa Kinesiophobia Scale (TKS). Factorial validity was examined with both exploratory and confirmatory factorial analysis. Results: The YFQ showed excellent test/retest reliability with an Intraclass correlation coefficient of 0.82. The internal consistency was moderate (Cronbach's alpha of 0.797). As a result of the exploratory factor analysis, there were 7 domains compatible with the original version. As a result of confirmatory factor analysis, the seven-factor structure of YFQ was confirmed. There was a statistically significant correlation between YFQ-total score and OMPQ (r = 0.57, P < 0.001), HADS-anxiety (r = 0.32, P < 0.001), HADS-depression (r = 0.44, P < 0.001), and TKS (r = 0.37, P < 0.001). Conclusions: This study's results provide considerable evidence that the Turkish version of the YFQ has appropriate psychometric properties, including test-retest reliability, internal consistency, construct validity and factorial validity. It can be used for evaluating psychosocial impact in patients with CMP.

• 한국융합학회논문지
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• 제10권9호
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• pp.323-332
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• 2019

본 연구는 전겸구 등(2000)이 개발한 개정판 다차원적 대처척도(Revised Multidimensional Coping Scale; MCS-R)의 타당도와 신뢰도를 평가하기 위하여 실시된 방법론적 연구이다. 자료 수집은 금연집단상담에 참여한 대학생 198명을 대상으로 실시되었고, 탐색적 요인분석을 통해 구성타당도, 우울과 극복력 도구를 이용하여 수렴타당도를 확인하였다. MCS-R의 요인구조를 주성분 분석방법, 직교 회전으로 분석한 결과, 동일하게 13개의 요인이 확인되었으나, 정서적 진정, 긍정적 해석, 적극적 망각 3개의 요인에서 요인을 구성하는 문항이 다르게 나타났다. 그러나 13개의 요인 모두 요인적재량이 0.40이상으로 나타났고, 13의 요인에 의해 설명된 총 분산은 69.7%로 높았고, 각 하위영역의 내적 일관성(0.66-0.94)과 검사-재검사 신뢰도(0.44-0.85)는 적절하였다. 개정판 다차원적 대처척도는 개인의 대처방식을 측정하기에 적합한 도구이며, 향후 스트레스 대처를 위한 효과적 개입을 위한 계획 수립에 기여할 것으로 기대된다.

• 대한간호학회지
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• 제51권6호
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• pp.769-781
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• 2021

Purpose: Health literacy is a significant determinant of health and health behaviors such as cancer screening. Despite its significance, there are limited instruments available to assess health literacy targeting Koreans. The purpose of this study was to test the psychometric properties of Korean translation of a validated health literacy instrument in cancer screening-Korean version of assessment of health literacy in breast and cervical cancer screening (K-AHL-C). Methods: A total of 555 women aged 20~65 participated in the online survey study. Of 52 items addressing five domains included in the original version, we focused on 36 items addressing three key domains closely associated with cancer screening: familiarity, health navigation, and comprehension. Results: During content validation, two items from the health navigation domain were removed, yielding 34 items. Using Rasch analysis and confirmatory factor analysis, we found the evidence of construct validity of K-AHL-C. The Korean version was also significantly correlated with measures of Functional Health Literacy scale, cancer prevention behaviors, and subjective health status, suggesting convergent validities respectively. Finally, K-AHL-C had acceptable reliability coefficients (α) ranging from 0.71 to 0.92 for each domain and the total scale. Conclusion: These psychometric properties support the K-AHL-C is a valid and reliable instrument for measuring Koreans' health literacy in cancer screening. Also it is expected to use the instrument to detect breast and cervical cancer early and improve the screening rate, and ultimately to contribute to the promotion of women's health and women's health nursing practice.

• 대한중풍순환신경학회지
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• 제23권1호
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• pp.1-12
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• 2022

Persistent hiccups persist for more than 48 hours. Those can often occur in cancer patients after chemotherapy or high dose of corticosteroids. A 52-year-old male patient undergoing Non-small cell lung cancer(NSCLC), recently suffered presistent hiccups and dyspnea. He was treated with herbal medicine for 56days and acupuncture for 9days. No side effects were observed during treatment. The severity of hiccups was measured in every hospital visit and psychometric symptoms were evaluated periodically through the Edmonton Symptom Assessment System(ESAS). The severity of hiccups and psychometric symptoms were alleviated and the effect persisted during the treatment. The patient took no other nervous system drugs in the end of the treatment. In conclusion, Korean medicine like Hyeongbangjihwang-tang and Jeongcheonhwadamgangki-tang can be effective for patients with persistent hiccups and dyspnea who cannot use alternative drugs or treatment because of other complications.

• 디지털융복합연구
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• 제19권11호
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• pp.415-424
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• 2021

본 연구는 노년의 행복을 측정하기 위해 개발된 주관적 에이징웰 척도(Subjective Agingwell Scale: SAS)를 타당화하고자 하였다. 척도의 타당성을 검증하기 위해, 수도권에 거주하는 노인을 대상으로 주관적 에이징웰, 주관적 안녕감, 낙관주의, 지각된 통제력, 건강준수 행동을 측정하는 질문지를 실시하였다. 자료 분석에는 최종 342명의 응답결과가 사용되었다. 결과를 살펴보면, 첫째, 신뢰도 분석결과, 11문항의 SAS의 전체 및 하위 척도 신뢰도는 수용할만한 수준이었다. 둘째, 확인적 요인분석 및 상관분석 결과, SAS는 구성타당도가 있는 것으로 나타났다. 3요인(인지, 정서, 영) 구조의 적합도는 양호한 편이었고, 주관적 에이징웰과 주관적 안녕감, 낙관성은 정적 상관을 보였다. 마지막으로 회귀분석 결과, 주관적 에이징웰은 건강행동 준수를 예측하였고 준거타당도가 지지되었다. 본 연구는 주관적 관점의 에이징웰 측정도구를 국내 노인에게 적용할 수 있도록 타당화했다는 점에서 의미가 있다.

• 대한간호학회지
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• 제53권1호
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• pp.12-27
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• 2023

Purpose: This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability. Methods: Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale. Results: The final scale consisted of 17 items and 3 factors. The three distinct factors were 'self-deprecation, worry about future health, and withdrawal from society' and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to 'duration since diagnosis' (t = 2.65, p = .009), 'presence of sequela' (t = 10.16, p < .001), and 'awareness of distress' (t = 12.09, p < .001). The internal consistency of the scale using Cronbach's α for the total items was .93. Conclusion: The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.

• 복식문화연구
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• 제31권3호
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• pp.277-295
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• 2023

The Body Appreciation Scale-2 (BAS-2) measures the extent to which individuals feel, accept, and respond to their own bodies in a positive manner. Given the research need to explore positive body image and its associations with various sociocultural factors and related consequences among individuals with various cultural backgrounds, several studies have established the psychometric properties and factor structures of the BAS-2 in different languages and samples with different characteristics. The current study investigated the psychometric properties and measurement invariance of a Korean version of the BAS-2 in an older Korean adult population (599 older Korean adults with the average age of 70 years). Data were collected using both online and offline (paper-based) survey questionnaires. The results of exploratory factor analyses and confirmatory factor analysis evidenced the unidimensional factor structure and measurement invariance of the Korean BAS-2 among older Korean men and women, after dropping item 1. Scalar invariance was supported across gender, and men and women did not significantly differ in observed mean scores of the Korean BAS-2. The results also supported good convergent validity and criterion validity. Incremental validity was demonstrated by predicting self-esteem over and above measures of age, BMI, subjective financial and health status, body esteem, and ageism. High internal reliability and test-retest reliability over a 2-week period were confirmed. Overall, the results of this study support the reliable use of a Korean BAS-2 to measure positive body image among older Koreans after excluding item 1.