아동 및 청소년을 위한 참여와 환경 평가(Participation and Environment Measure-Children and Youth)의 평정척도 분석 연구 = Analysis of Rating Scale of Korean Participation and Environment Measure for Children and Youth Using the Rasch Model

국문 초록 (Abstract)

목적 : 본 연구는 라쉬모델을 적용하여 아동 및 청소년을 위한 참여와 환경평가(Participation andEnvironment Measure-Children and Youth; PEM-CY)의 평정척도를 개발하고자 하였다.
연구방법 : 5~13세 비장애 및 장애 아동을 양육하는 부모 184명을 대상으로 PEM-CY의 자료를 수집하였다. 원 자료는 라쉬모델을 적용하여 PEM-CY의 가정, 학교 및 지역사회 영역 척도(참여빈도, 몰입도,환경적 촉진/방해요인)에 대한 평정척도 분석을 실시하였다.
결과 : 참여빈도 7점 척도는 가정 영역에서 3점 척도, 학교 및 지역사회 영역에서 4점 척도가 적합하였다.
몰입도 5점 척도는 가정, 학교 및 지역사회 영역 모두 3점 척도가 적합하였다. 환경적 촉진/방해요인 3점 척도는 모든 영역에서 적합한 것으로 분석되었으나, 4점 척도는 학교 영역에서만 적합하였으며, 가정및 지역사회 영역에서는 3점 척도가 적합한 것으로 분석되었다.
결론 : 라쉬모델을 적용하여 PEM-CY의 영역별 측정 변수에 따른 평정척도를 개발하였다. 새롭게 개발한PEM-CY의 평정척도가 평가 과정에서 유용하게 적용되길 기대하며, 향후에는 다양한 대상자 및 인구학적 특성을 고려하여 활동참여 양상 및 환경적 촉진/방해 요인에 대한 연구가 필요하다.

다국어 초록 (Multilingual Abstract)

Objective: The aim of this study was to develop a rating scale of the Korean Participation and Environment Measurefor Children and Youth (KPEM-CY) by applying the Rasch model.
Methods: The KPEM-CY data were collected from 184 parents of children 5 to 13 years in age. The KPEM-CYrating scales (participation frequency, involvement, and environmental support/barriers at home, school, and in thecommunity) were analyzed using the Rasch model.
Results: The results of the Rasch model showed that it is appropriate to change the 7-point rating scale of homeparticipation frequency to a 3-point rating scale and the 7-point school and community frequency rating scales to4-point rating scales. In terms of the involvement rating scale under three settings, it was considered suitable tochange from a 5-point to a 3-point rating scale. In addition, the 3-point rating scales of environmentalsupport/barriers under three settings were deemed reasonable. However, the 4-point rating scales of theenvironmental support/barriers at home and under a community setting need to be changed into 3-point ratingscales.
Conclusion: The KPEM-CY rating scale was developed based on measurement variables using the Rasch model, andcan be applied for an occupational therapy evaluation. It is necessary to analyze the participation patterns ofchildren and the environmental support/barriers according to demographic characteristics and environmentalfactors.

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