DOI QR코드

DOI QR Code

The Validity of Activity Participation Assessment for School-Age Children

학령기 아동을 위한 활동 참여 평가도구(Activity Participation Assessment)의 타당도 연구

  • Kim, Se-Yun (Dept. of Physical Therapy, Woosuk University)
  • 김세연 (우석대학교 물리치료학과)
  • Received : 2019.05.21
  • Accepted : 2019.06.21
  • Published : 2019.06.30

Abstract

Objective : The aim of this study was to verify validity of the Activity Participation Assessment for school-age children. Methods : A questionnaire consisting of 30 items from the APA, 75 items from the PACS, and 55 items from the CAPE was administered to elementary school students. A total of 207 questionnaires were analyzed. Confirmatory factor analysis was performed to confirm the construct validity of the APA. Convergence validity and discriminant validity were verified with the average variance extracted (AVE) and the square of the correlation coefficient. The discriminant validity was the Pearson correlation coefficient of the APA, PACS, and CAPE. Results : The results of the analysis were as follows: 1) For construct validity, the goodness of fit of the modified hierarchical second-order factor model was found to be appropriate (p < .001), 2) For convergent validity, the AVE was higher than .50 for all latent variables, 3) For discriminant validity, the AVE of the latent variable was greater than the square of the correlation coefficient (0.239), 4) For concurrent validity, the correlation between the total sum of the APA and PACS scores showed a positive correlation in all domains, and the correlation coefficient ranged from .303 to .647 at a statistically significant level (p < .01), 5) The correlation coefficient between the total sum of the APA and CAPE scores was .490 for recreational activities, .329 for physical activities, .571 for social activities, .401 for skill-based activities, and .390 for self-improvement activities. All domains showed a positive correlation, and were statistically significant (p < .01). Conclusion : APA can be used as a valid assessment tool to measure the participation of school aged children.

목적 : 본 연구의 목적은 학령기 아동을 위한 활동 참여 평가도구(Activity Participation Assessment; APA)의 타당도를 알아보는 것이다. 연구방법 : 초등학생 207명을 대상으로 APA 30문항, PACS(Pediatric Activity Card Sort) 75문항, CAPE(Children's Assessment of Participation and Enjoyment) 55문항으로 구성된 설문지를 실시하였다. APA의 구인타당도를 알아보기 위해 확인적 요인분석을 실시하였으며, 수렴타당도와 판별타당도는 평균분산추출과 상관계수 제곱값을 통해 검증하였으며, 공인타당도는 APA와 PACS 및 CAPE의 피어슨의 상관계수를 통해 검증하였다. 연구결과 : 구인타당도는 확인적 요인분석 결과 수정된 위계적 2차 모형이 적합한 수준으로 나타났으며(p<.001), 수렴타당도는 모든 하위요인에서 평균분산 추출값이 .50이상으로 나타나 입증되었으며, 판별타당도는 평균분산 추출값이 결정계수인 0.239보다 더 크게 나타나 입증되었다. 공인타당도 분석에서 APA 항목 전체와 PACS의 자기관리는 .494(p<.01), 학교/생산성 .575(p<.01), 취미/사회 활동 .647(p<.01), 스포츠 .303(p<.01)으로 모두 정적 상관이 있는 것으로 나타났다. 또한 APA 항목 전체와 CAPE의 여가활동은 .490(p<.01), 신체적 활동 .329(p<.01), 사회 활동 .571(p<.01), 기술에 기초한 활동 .401(p<.01), 자기계발 활동 .390(p<.01)으로 모두 정적 상관관계를 보였다. 결론 : APA는 구인타당도, 수렴타당도, 변별타당도와 공인타당도가 입증되어 국내 학령기 아동의 활동 참여를 측정하는 검사로써 타당한 도구로 사용될 수 있다.

Keywords

References

  1. American Occupational Therapy Association. (2002). Occupational Therapy Practice Framework: Domain and Process. American Journal of Occupational Therapy, 56, 609-639. http://dx.doi.org/10.5014/ajot.56.6.609
  2. Bedell, G., & McDougall, J. (2015). The child and adolescent scale of environment(CASE): Further validation with youth who have chronic conditions. Developmental Neurorehabilitation, 18(6), 375-382. http://dx.doi.org/10.3109/17518423.2013.855273
  3. Bentler, P. M. (1990). Comparative fit indices in structural models. Psychological Bulletin, 107(2), 238-246. https://doi.org/10.1037/0033-2909.107.2.238
  4. Bowman, K. (1999). Development of Activity Card Sort for children: Does parental report on the Activity Card Sort reflect similar results of their children. Unpublished master's degree, University of Western Ontario, London.
  5. Dahan-Oliel, N., Shikako-Thomas, K., & Majnemer, A. (2012). Quality of life and leisure participation in children with neurodevelopmental disabilities: A thematic analysis of the literature. Quality of Life Research, 21(3), 427-439. https://doi.org/10.1007/s11136-011-0063-9
  6. Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 39-50.
  7. Goncu, A., Tuermer, U., Jain, J., & Johnson, D. (1999). Children's play as cultural activity. In A. Goncu (Ed.), Children's engagement in the world: Sociocultural perspectives (pp. 148-170). Cambridge: Cambridge University Press.
  8. Hair, J. E. Jr., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, T. L. (2006). Multivariate Data Analysis(6th ed.), Practice-Hall International.
  9. Henry, A. D. (2000). Pediatric interest profiles: Surveys of play for children and adolescents. San Antonia, TX: Therapy Skill Builders.
  10. Khetani, M., Marley, J., Baker, M., Albrecht, E., Bedell, G., Coster, W., Anaby, D., & Law, M. (2014). Validity of the participation and environment measure for children and youth (PEM-CY) for health impact assessment (HIA) in sustainable development projects. Disability and Health Journal, 7, 226-235. http://dx.doi.org/10.1016/j.dhjo.2013.11.003
  11. King, G., Law, M., Kings, S., Hurley, P., Hanna, S., Kertoy, M., et al. (2004). Children's Assessment of Participation and Enjoyment (CAPE) and Preferences for Activities of Children (PAC). San Antonio, TX: Harcourt Assessment.
  12. King, G. A., Baldwin, P. J., Currie, M., & Evans, J. (2005). Planning successful transitions from school to adult roles for youth with disabilities. Children's Health Care, 34, 193-216. http://dx.doi.org/10.1207/s15326888chc3403_3
  13. Kim, J. H., Kim, M. G., & Hong, S. H. (2009). Writing articles using structural equations. Seoul: Communication books.
  14. Kim, S. Y., Yoo, E. Y., Jung, M. Y., Park, S. H., Lee, J. S., & Lee, J. Y. (2013). Development of Activity Participation Assessment for school-age children. Journal of Korean Society of Occupational Therapy, 21(2), 13-23. https://doi.org/10.14519/jksot.2013.21.4.02
  15. Kim, S. Y., Yoo, E. Y., Jung, M. Y., Park, S. H., Lee, J. S., & Lee, J. Y. (2016). Reliability and validity of the activity participation assessment for school-age children in Korea. Hong Kong Journal of Occupational Therapy, 28, 33-42. http://dx.doi.org/10.1016/j.hkjot.2016.08.001
  16. Kim, S. Y., Hong, D. G., & Lee, J. S. (2018). Validation of the Activity Participation Assessment for School Age Children. Journal of Korean Society of Occupational Therapy, 26(1), 119-132. http://dx.doi.org/10.14519/jksot.2018.26.1.09
  17. Lau, E. Y. H., & Cheng, D. P. W. (2016). An exploration of the participation of kindergarten-aged Hong Kong children in extra curricular activities. Journal of Early Children Research, 14(3), 294-309. https://doi.org/10.1177/1476718X14552873
  18. Lollar, D., & Simeonsson, R. (2005). Diagnosis to function: Classification for children and youth. Journal of Developmental & Behavioral Pediatrics, 26(4), 323-330. https://doi.org/10.1097/00004703-200508000-00012
  19. Mandich, A. D., Polatajko, H. J., Miller, L. T., & Baum, C. (2004). Paediatric Activity Card Sort (PACS). Ottawa, Ontario: CAOT Publications ACE.
  20. Pontes, T. B., Silva, B. M., Sousa, J. G., Almeida, P. H. T. Q., Davis, J., & Polatajko, H. (2016). Measuring children activity repertoire: Is the paediatric activity card sort a good tool for Brazilian therapists?, cadernos de Terapia Occupacional, 24(3), 435-445. http://dx.doi.org/10.4322/0104-4931.ctoAO0754
  21. Rosenberg, L., Jarus, T., & Bart, O. (2010). Development and initial validation of the Children Participation Questionnaire (CPQ). Disability and Rehabilitation, 32(20), 1633-1644. http://dx.doi.org/10.3109/09638281003611086
  22. Rosenblum, S., Sachs, D., & Schreuer, N. (2010). Reliability and validity of the children's leisure assessment scale. American Journal of Occupational Therapy, 64, 633-641. http://dx.doi.org/10.5014/ajot.2010.08173
  23. Steiger, J. H. (1990). Structural model evaluation and modification: An interval estimation approach. Multivariate Behavioral Research, 2592, 80-173.
  24. Stevenson, C. J., Pharoah, P. O. D., & Stevenson, R. (1997). Cerebral palsy-the transition from youth to adulthood. Developmental Medicine and Child Neurology, 39, 336-342. https://doi.org/10.1111/j.1469-8749.1997.tb07441.x
  25. Stoffel, A., & Berg, C. (2008). Spanish Translation and validation of the preschool activity card sort. Physical & Occupational Therapy in Pediatrics, 28(2), 171-189. https://doi.org/10.1080/01942630802031859
  26. Shin, S. K., Choi, T. J., Park, S. M., Lee, E. Y., & Kim, Y. M. (2011). Theory and practice of psychological testing. Gyeonggi: Seohyunsa.
  27. Sung, T. J., & Si, G. J. (2016). Research methodology (2nd ed.). Seoul: Hakjisa.
  28. Tonkin, B. L., Ogilvie, B. D., Greenwood, S. A., Law, M. C., & Anaby, D. R. (2014). The participation of children and youth with disabilities in activities outside of school: A scoping review, Canadian Journal of Occupational Therapy, 81(4), 226-236. https://doi.org/10.1177/0008417414550998
  29. Woo, J. P. (2012). Concept and understanding of structural equation modeling. Seoul: Hannarae.
  30. World Health Organization. (2007). International classification of Functioning, Disability, and Health: Children and Youth Version. Geneva, Swtizerland: Author.