DOI QR코드

DOI QR Code

Development of Korean Occupational Balance Assessment(K-OBA) Tool

한국형 작업균형 평가도구 개발

  • Hong, So-Young (Dept. of Occupational therapy, Kosin university) ;
  • Hong, Deok-Gi (Dept. of Occupational therapy, Wonkwang university, Institution of Health Improvement)
  • 홍소영 (고신대학교 작업치료학과) ;
  • 홍덕기 (원광대학교 작업치료학과, 건강증진연구소)
  • Received : 2019.07.31
  • Accepted : 2019.08.27
  • Published : 2019.08.31

Abstract

Objective : The purpose of this study was to develop an assessment tool to measure Korean occupational balance. Methods : From March 2017 to July 2019, preliminary questionnaire was prepared through analysis of previous research and expert focus meeting, and preliminary questions were selected through the Delphi survey. In order to verify the validity of the items, Rash analysis was conducted to analyze the persons and items fitness, the distribution of item difficulty, separation reliability, and the appropriateness of the rating scale. Results : Among 141 subjects, 9 (6.38%) in time use and 11 (7.80%) in the occupation area were inappropriate subjects. As a result of analyzing the appropriateness of the items except for the inappropriate subjects, the 3 items were judged as ineligible items, but 1 item of the occupation characteristics was finally deleted based on the theoretical and clinical grounds. In the analysis of the scale, 4 points were more appropriate than the 5 point scale, and the separation reliability was .86~.94. Finally, 3 categories (time use, occupation area, occupation characteristics) and 18 items were selected. Conclusion : The occupational balance assessment tool was selected three categories and 18 questions finally, three categories and 18 questions, and was developed on a four-point Likert scale. Further research needs to prove the concurrent validity of the K-OBA and to analyze the factors that influence the occupational balance.

목적 : 본 연구는 한국형 작업균형을 측정할 수 있는 평가도구를 개발하고자 실시되었다. 연구방법 : 2017년 3월부터 2019년 7월까지 선행연구 분석, 전문가 포커스 회의를 통해 예비문항을 작성하였고, 2차의 델파이조사를 통해 예비문항을 선정하였다. 문항의 타당성 검증을 위해 라쉬분석을 실시하여 대상자 및 문항적합도, 문항난이도, 평정척도, 분리신뢰도를 분석하여 최종문항을 도출하였다. 결과 : 조사대상자 141명 중 시간사용에서 9명(6.38%), 작업영역에서 11명(7.80%)이 부적합 대상자로 나타났다. 시간사용 적합대상자 132명, 작업영역 적합대상자 130명을 대상으로 문항의 적합도를 분석한 결과 3개 문항이 부적합 문항으로 판정되었으나, 이론 및 임상적 근거에 기초하여 최종적으로 작업특성 영역의 1개 문항을 삭제하였다. 문항의 난이도 분석에서 당신은 가정 내에서 다른 사람을 위한 활동에 사용하는 시간의 양은 어떠합니까?, 당신은 정규교육이나 관심분야를 위한 교육을 받고 있습니까? 문항이 높은 난이도를 보였다. 평정척도 분석결과에서는 5점 척도보다 4점 척도가 적합한 것으로 나타났고, 분리신뢰도는 .86~.94이었다. 최종적으로 3개 범주(시간사용, 작업영역, 작업특성), 18개 문항이 최종 선정되었다. 결론 : 작업균형 평가도구는 3개 범주 영역, 18개 문항을 최종 선정하였고, 4점 리커트 척도로 개발되었다. 추후 연구에서는 작업균형을 측정하는 다른 평가도구와의 상관관계를 통해 공인타당도를 입증하고, 작업균형에 영향을 미치는 요인을 분석하는 추가연구가 필요할 것이다.

Keywords

References

  1. American Occupational Therapy Association. (2014). Occupational therapy practice framework: Domain and process (3rd ed.). American Journal of Occupational Therapy, 68(1), 1-48.
  2. Anaby, D. R., Backman, C. L., & Jarus, T. (2010). Measuring occupational balance: A theoretical exploration of two approaches. Canadian Journal of Occupational Therapy, 77(5), 280-288. https://doi.org/10.2182/cjot.2010.77.5.4
  3. Backman, C. L. (2004). Occupational balance: Exploring the relationships among daily occupations and their influence on well-being. Canadian Journal of Occupational Therapy, 71(4), 202-209. https://doi.org/10.1177/000841740407100404
  4. Bejerholm, U. (2010). Occupational balance in people with schizophrenia. Occupational Therapy in Mental Health, 26(1), 1-17. https://doi.org/10.1080/01642120802642197
  5. Bond, T. G., & Fox, C. M. (2007). Applying the rasch model: Fundamental measurement in the human sciences(2nd ed.). Mahwah, NJ: Lawrence Erlbaum associates.
  6. Bryden, P., & McColl, M. A. (2003). The concept of occupation: 1900 to 1974. in McColl, M. A., Law, M., Stewart, D., Doubt, L., Pollock, N., & Thorofare, K. D. Theoretical basis of occupational therapy (pp.27-37, eds.). NJ: Slack.
  7. Christiansen, C. H. (1996). Three perspectives on balance in occupation. In R. Zemke & F. Clark (Eds.), Occupational science: The evolving discipline (pp. 431-451). Philadelphia: F. A. Davis.
  8. Christiansen, C., & Matuska, K. (2006). Lifestyle balance: A review of concepts and research. Journal of Occupational Science, 13(1), 49-61. https://doi.org/10.1080/14427591.2006.9686570
  9. Custer, J. W. H., Hoijtink, H., & Net, J. (2000). Cultural differences in functional status measurement: Analyses of person fit according to the Rasch model. Quality of Life Research, 9, 571-578. https://doi.org/10.1023/A:1008949108089
  10. Dur, M., Steiner, G., Fialka-Moser, V., Kautzky-Willer, A., Dejaco, C., Prodinger, B., et al. (2014). Development of a new occupational balance-questionnaire: incorporating the perspectives of patients and healthy people in the design of a self-reported occupational balance outcome instrument. Health and Quality of Life Outcomes, 12(1), 45. https://doi.org/10.1186/1477-7525-12-45
  11. Dur, M., Unger, J., Stoffer, M., Drăgoi, R., Kautzky-Willer, A., Fialka-Moser, V., et al. (2015). Definitions of occupational balance and their coverage by instruments. British Journal of Occupational Therapy, 78(1), 4-15. https://doi.org/10.1177/0308022614561235
  12. Eakman, A. M. (2015). The meaningful activity wants and needs assessment: A perspective on life balance. Journal of Occupational Science, 22(2), 210-227. https://doi.org/10.1080/14427591.2013.769405
  13. Eklund, M., Orban, K., Argentzell, E., Bejerholm, U., Tjornstrand, C., Erlandsson, L., & & Hakansson, C. (2016). The linkage between patterns of daily occupations and occupational balance: Applications within occupational science and occupational therapy practice. Scandinavian Journal of Occupational Therapy, 24(1), 41-56.
  14. Farnworth, L. (2000). Time use and leisure occupations of young offenders. American Journal of Occupational Therapy, 54(3), 315-325. https://doi.org/10.5014/ajot.54.3.315
  15. Forhan, M., & Backman, C. (2010). Exploring occupational balance in adults with rheumatoid arthritis. OTJR: Occupation, Participation and Health, 30(3), 133-141. https://doi.org/10.3928/15394492-20090625-01
  16. Hong, S. P., & Lee, J. Y. (2010). Time use of areas of occupation according to the periods of life in koreans. The Journal of Korean Society of Occupational Therapy, 18(1), 95-106.
  17. Kim, Y. J., Hong, S. P., & Park, H. Y. (2017). Analysing Korean occupational time changing trend based on ages using 2004, 2009, 2014 time use survey. The Journal of Korean Society of Occupational Therapy, 25(3), 13-25. https://doi.org/10.14519/jksot.2017.25.3.02
  18. Lawshe, C. H. (1975). A quantitative approach to content validity 1. Personnel Psychology, 28(4), 563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
  19. Linacre, J. M. (2002). Optimizing rating scale category effectiveness. Journal of Applied Measurement, 3(1), 85-106.
  20. Matuska, K. (2012a). Description and development of the Life Balance Inventory. OTJR: Occupation, Participation and Health, 32(1), 220-228. https://doi.org/10.3928/15394492-20110610-01
  21. Matuska, K. M., & Christiansen, C. H. (2008). A proposed model of lifestyle balance. Journal of Occupational Science, 15(1), 9-19. https://doi.org/10.1080/14427591.2008.9686602
  22. Meyer, A. (1922). The philosophy of occupation therapy. American Journal of Occupational Therapy, 31(10), 639-642. (Reprinted from Archives of Occupational Therapy, 1(1), 1-10, 1922).
  23. Nilsson, A. L., Sunnerhagen, K. S., & Grimby, G. (2005). Scoring alternatives for FIM in neurological disorders applying Rasch analysis. Acta Neurologica Scandinavica, 111(4), 264-273. https://doi.org/10.1111/j.1600-0404.2005.00404.x
  24. Park, S. M., Park, H. Y., & Park, J. H. (2017). A review on concept and measurement of occupational balance: Trend and therapeutic prospects. Journal of the Korean society for Wellness, 12(3), 115-125. https://doi.org/10.21097/ksw.2017.08.12.3.115
  25. Pizzi, M. A., & Richards, L. G. (2017). Promoting health, well-being, and quality of life in occupational therapy: A commitment to a paradigm shift for the next 100 years. American Journal of Occupational Therapy, 71(4), 7104170010p1-7104170010p5. https://doi.org/10.5014/ajot.2017.028456
  26. Powell, J. M., Rich, T. J., & Wise, E. K. (2016). Effectiveness of occupation-and activity-based interventions to improve everyday activities and social participation for people with traumatic brain injury: A systematic review. American Journal of Occupational Therapy, 70(3), 7003180040p1-7003180040p9. https://doi.org/10.5014/ajot.2016.020909
  27. Seo, K. H. (2007). Stress of the korean aging adults. The Korean Journal Of Stress Research, 15(4), 271-278.
  28. Wagman, P., & Hakansson, C. (2014). Introducing the occupational balance questionnaire (OBQ). Scandinavian Journal of Occupational Therapy, 21(3), 227-231. https://doi.org/10.3109/11038128.2014.900571
  29. Wagman, P., Hakansson, C., & Bjorklund, A. (2012). Occupational balance as used in occupational therapy: A concept analysis. Scandinavian Journal of Occupational Therapy, 19(4), 322-327. https://doi.org/10.3109/11038128.2011.596219
  30. Wagman, P., Hakansson, C., & Jonsson, H. (2015). Occupational balance: A scoping review of current research and identified knowledge gaps. Journal of Occupational Science, 22(2), 160-169. https://doi.org/10.1080/14427591.2014.986512
  31. Westhorp, P. (2003). Exploring balance as a concept in occupational science. Journal of Occupational Science, 10(2), 99-106. https://doi.org/10.1080/14427591.2003.9686516
  32. Wilcock A. (2006). An occupational perspective of health (2nd ed.). Thorofare, NJ: Slack
  33. Wilcock, A. A. (1998). An occupational perspective of health. Thorofare, NJ: Slack.
  34. Wilcock, A., & Townsend, E. (2009). Occupational Justice. In Willard & Sparckman's occupational therapy (11th ed.). Philadelphia: Lopponcott Williams & Wilkins.
  35. World Health Organization. (2001). The international classification of functioning, disability, and health: ICF. Geneva, Switzerland: World Health Organization.

Cited by

  1. 한국형 작업균형 평가(Occupational Balance Assessment)의 동시타당도 연구 vol.10, pp.2, 2019, https://doi.org/10.18598/kcbot.2020.10.2.01