Developing a Korean Version of the Scale for the Observation of Agitation in Persons with Dementia of Alzheimer-Type

다국어 초록 (Multilingual Abstract)

Purpose: The aim of this study was to develop a Korean version of the Scale for Observation of Agitation in Persons with Dementia of the Alzheimer-Type [DAT] (K-SOAPD) that reflects the Korean context of this problematic behavior and to evaluate its reliability and validity. Methods: This study was prepared based on the guidelines for translation and application of measurement scales presented by the World Health Organization. A total of 200 subjects from two nursing homes were included in this study. Exploratory factor and confirmatory factor analyses were performed to verify validity. Results: In the exploratory factor analysis (EFA), the K-SOAPD consisted of seven items with two factors: "physical movement" and "negative word". The K-SOAPD presented satisfactory validity and reliability (Cronbach’s ⍺=.86 (p<.001), test-retest=0.83 (p<.001), inter-rater=.91 (p<.001)). This finding shows the K-SOAPD is a valid and reliable scale for measuring agitation, the behavioral problem of dementia. Conclusion: This research can contribute toward establishing global standards by enabling international comparative studies of agitation among patients with dementia.

참고문헌 (Reference)

1 최창호, "탐색적요인분석과 확인적요인분석의 비교에 과한 연구" 한국디지털정책학회 15 (15): 103-111, 2017

2 신희영, "지역사회 거주 치매환자에서 한국판 삶의 질-알쯔하이머병 척도 개발을 위한 예비연구" 대한예방의학회 39 (39): 243-248, 2006

3 이영신, "장기요양시설 거주 노인 대상 한국어판 코넬 치매 우울척도(K-CSDD) 검증" 한국노인간호학회 17 (17): 142-151, 2015

4 강민숙, "요양시설 치매 환자의 초조행동에 미치는 영향요인" 한국노인간호학회 18 (18): 41-52, 2016

5 강현철, "구성타당도 평가에 있어서 요인분석의 활용" 한국간호과학회 43 (43): 587-594, 2013

6 Griffiths AW, "Validation of the Cohen-Mansfield Agitation Inventory Observational(CMAI-O)tool-ERRATUM" 32 (32): 75-85, 2020

7 Tabachnick BG, "Using multivariate statistics" Pearson/Allyn & Bacon 2007

8 Won CW, "The validity and reliability of Korean Instrumental Activities of Daily Living (K-IADL) scale" 6 (6): 273-280, 2002

9 Katz S, "Studies of illness in the aged : the index of ADL, a standard measure of biological and psychosocial function" 185 (185): 914-919, 1963

10 Park J, "Standardization of Korean version of Mini-Mental State Examination (MMSE-K) for use in the elderly. Part II. diagnosis validity" 28 (28): 508-513, 1989

11 DeVellis RF, "Scale development: theory and applications" Sage Publications 2017

12 Song GJ, "SPSS/AMOS statistical analysis method" 21cbook 2016

13 World Health Organization, "Process of translation and adaptation of instruments" World Health Organization

14 Volicer L, "Outcome measures for dementia in the advanced stage and at the end of life" 1-10, 2014

15 Algae DL, "Need-driven dementia-compromised behavior : an alternative view of disruptive behavior" 11 (11): 10-19, 1996

16 Folstein MF, "Mini-mental state A practical method for grading the cognitive state of patients for the Clinican" 12 (12): 189-198, 1975

17 Hurley AC, "Measurement of observed agitation in patients with dementia of the Alzheimer type" 5 (5): 117-133, 1999

18 Livingston G, "Long-term clinical and cost-effectiveness of psychological intervention for family carers of people with dementia:a single-blind, randomized, controlled trial" 1 (1): 539-548, 2014

19 Joong-Ang Dementia Center, "Korean dementia observatory 2018" Joong-Ang Dementia Center

20 Health Insurance Review & Assessment Service, "Key statistics for medical expenses in 2019" Health Insurance Review & Assessment Service

21 Cho MS, "Development of measurement scale for Korean Scaling Fear-1.0 and related factors" 9 (9): 327-338, 2009

22 Livingston PG, "Dementia prevention, intervention, and care" 390 (390): 2673-2734, 2017

23 Jason Weller, "Current understanding of Alzheimer’s disease diagnosis and treatment" F1000 Research Ltd 7 (7): 1161-, 2018

24 Alexopoulos GS, "Cornell scale for depression in dementia" 23 (23): 271-284, 1988

25 Lee KS, "Behavioral and psychological symptoms of dementia and antipsychotic drug use in the elderly with dementia in Korean long-term care facilities" 2 (2): 363-368, 2015

26 Cerejeira J, "Behavioral and psychological symptoms of dementia" 3 (3): 1-21, 2012

27 Logsdon RG, "Assessing quality of life in older adults with cognitive impairment" 64 (64): 510-519, 2002

28 Cohen-Mansfield J, "An observational study of agitation in agitated nursing home residents" 1 (1): 153-165, 1989

29 Cohen-Mansfield J, "Agitated behaviors in the elderly:I. A conceptual review" 34 (34): 711-721, 1986

30 DeVon HA, "A psychometric toolbox for testing validity and reliability" 39 (39): 155-164, 2007