Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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Development of Korean Version of the Dementia Eating Evaluation Tool based on Behavioral Observation

행동관찰 기반 치매 식이 평가 도구의 한국판 개발

  • Seo, Sang-Min (Dept. of Occupational Therapy, Semyung University) ;
  • Woo, Hee-Soon (Dept. of Occupational Therapy, School of Medicine, Wonkwang University)
  • 서상민 (세명대학교 보건바이오대학 작업치료학과) ;
  • 우희순 (원광대학교 의과대학 작업치료학과 / 원광대학교 건강증진연구소)
  • Received : 2019.06.12
  • Accepted : 2019.08.26
  • Published : 2020.02.28
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Abstract

Objective : This study introduces domestic and overseas systematic assessment tools that can identify eating problems of dementia patients based on abnormal behavior observations and turns them into Korean through the verification of content placement by expert groups. Methods : Three types of assessment tools were selected for final development in Korean version through several meetings based on a wide range of relevant literature searches. The 3 selected assessment tools were first translated by the researchers, and a 9-person expert team was used to verify the Content Validity Index. Results : The EBS content equivalence calculation shows that all 6 questions and 1 response item had a CVI value 0.9, and all items were included in Korean EBS without modification. The EdFED content equivalence calculation showed that all 11 questions had CVI value 0.9, which was included in the Korean edition of EdFED without modification. The content equivalence calculation of the FDI showed that all 19 questions had a CVI of 0.8 or higher, and all items were included in the Korean version of the FDI without modification of the item. Conclusion : Korean versions of the EBS, EdFED and FDI, which are based on behavioral observation and diet tools for people with dementia, have been developed. Early determination of problems related to diet in dementia patients and providing proper intervention through observational Korean version assessment tools is vital in terms of strengthening patient nutrition and reducing caregivers' burden.

목적 : 본 연구는 치매로 인한 이상행동으로 인하여 음식물의 섭취에 영향을 보이는 환자들을 대상으로 행동관찰에 기반하여 식이 문제를 파악할 수 있는 국외의 체계화된 평가 도구들을 소개하고, 전문가 집단에 의한 내용타당도 검증을 통하여 한국화 하는 데 있다. 연구 방법 : 폭넓은 관련 문헌 검색에 기초한 수차례의 회의를 통하여 최종으로 한국판으로 개발할 평가도구 3종(Eating Behavior Scale; EBS, Edinburgh Feeding Evaluation in Dementia Scale; EdFED, Feeding Difficulty Index; FDI)을 선택하였다. 수정된 평가 도구 3종은 연구진들에 의하여 1차 번역되었으며, 9인으로 구성된 전문가팀을 대상으로 내용타당도지수(Content Validity Index; CVI)를 검증 하였다. 결과 : EBS 내용타당도 산출 결과 6개의 질문 항목 및 1개의 응답 항목 모두에서 CVI가 0.9 이상인 것으로 나타나 항목의 수정 없이 모든 항목을 한국판 EBS에 수록하였다. EdFED 내용타당도 산출 결과 11개의 질문 항목 모두에서 CVI값 0.9 이상인 것으로 나타나 항목의 수정 없이 모든 항목을 한국판 EdFED에 수록하였다. FDI의 내용타당도 산출 결과 19개의 질문 항목 모두에서 CVI값 0.8 이상인 것으로 나타나 항목의 수정 없이 모든 항목을 한국판 FDI에 수록하였다. 결론 : 국외에서 많이 활용되고 있는 치매 환자 대상의 행동 관찰기반 식이 평가도구 인 EBS, EdFED, FDI의 한국판을 개발하였다. 관찰기반의 한국판 평가 도구를 통하여 치매 환자들의 식이 관련 문제점들을 조기에 판단하고, 적절한 중재를 제공하는 것은 환자의 영양섭취 강화와 보호자의 부담 저하 측면에서 매우 중요하게 활용될 수 있을 것이다.

Keywords

References

  1. Alzheimer's Society. (2000). Food for thought. London: Alzheimer's society.
  2. Amella, E. J. (2002). Resistance at mealtimes for persons with dementia. Journal of Nutrition and Health in Aging, 6(2), 117-122.
  3. Amella, E. J. (2004). Feeding and hydration issues for older adults with dementia. Nursing Clinics of North America, 39(3), 607-623. doi:10.1016/j.cnur.2005.11.002
  4. Berry, E. M., & Marcus, E. (2000). Disorders of eating in the elderly. Journal of Adult Development, 7(2), 87-99. doi:10.1023/A:1009575706990
  5. Chalmers, J. M., Carter, K. D., & Spencer, A. J. (2002). The oral health of community-dwelling older adults with dementia. Australian: Australian institute of health and welfare dental statistics and research unit.
  6. Chalmers, J. M., Carter, K. D., Fuss, J. M., Spencer, A. J., & Hodge, C. P. (2002). Caries experience in existing and new nursing home residents in Adelaide, Australia. Gerodontology, 19(1), 30-40. doi:10.1111/j.1741-2358.2002.00030.x
  7. Chang, C. C., & Roberts, B. L. (2008). Feeding difficulty in older adults with dementia. Journal of Clinical Nursing, 17(17), 2266-2274. doi:10.1111/j.1365-2702.2007.02275.x
  8. Dolan, T. A., & Atchison, K. A. (1993). Implications of access, utilization and need for oral health care by the non-institutionalized and institutionalized elderly on the dental delivery system. Journal of Dental Education, 57(12), 876-887. https://doi.org/10.1002/j.0022-0337.1993.57.12.tb02819.x
  9. Hawkins, R. J. (1999). Functional status and untreated dental caries among nursing home residents aged 65 and over. Special Care in Dentistry, 19(12), 158-163. doi:10.1111/j.1754-4505.1999.tb01379.x
  10. Herne, S. (1995). Research on food choice and nutritional status in elderly people: A review. British Food Journal, 97(9), 12-29. doi:10.1108/00070709510100136
  11. Ikeda, M., Brown, J., Holland, A. J., Fukuhara, R., & Hodges, J. R. (2002). Changes in appetite, food preference and eating habits in frontotemporal dementia and Alzheimer's disease. Journal of Neurosurgery and Psychiatry, 73(4), 371-376. doi:10.1136/jnnp.73.4.371
  12. Kai, K., Hashimoto, M., Amano, K., Tanaka, H., Fukuhara, R., & Ileda, M. (2015). Relationship between eating disturbance and dementia severity in patients with Alzheimer's disease. PLOS ONE, 10(8), e0133666. doi:10.1371/journal.pone.0133666
  13. Liu, M. F., Miao, N. F., Chen, I. H., Lin, Y. K., Ho, M. H., Roberts, B. L., & Chang, C. C. (2015). Development and psychometric evaluation of the Chinese Feeding Difficulty Index(Ch-FDI) for people with dementia. PLOS ONE, 10(7), e0133716. doi:10.1371/journal.pone.0133716
  14. Liu, W., Cheon, J., & Thomas, S. A. (2014). Interventions on mealtime difficulties in older adults with dementia: A systematic review. International Journal of Nursing Studies, 51(1), 14-27. doi:10.1016/j.ijnurstu.2012.12.021
  15. Magri, F., Borza, A., del Vecchio, S., Chytiris, S., Cuzzoni, G., Busconi, L. ... Ferrari, E. (2003). Nutritional assessment of demented patients: A descriptive study. Aging Clinical and Experimental Research, 15(2), 148-153. doi:10.1007/bf03324493
  16. Manthorpe, J., & Watson, R. (2003). Poorly served? eating and dementia. Journal of Advanced Nursing, 41(2), 162-169. doi:10.1046/j.1365-2648.2003.02520.x
  17. Nunnally, J. C. (1994). Psychometric theory. New York: McGraw-Hill.
  18. Priefer, B. A., & Robbins, J. (1997). Eating changes in mild-stage Alzheimer's disease: A pilot study. Dysphagia, 12(4), 212-221. doi:10.1007/pl00009539
  19. Seoul National University Hospital. (2008). Nationwide study on the prevalence of dementia in Korean elders. Seoul: Seoul National University Hospital
  20. Tully, M. W., Matrakas, K. L., Muir, J., & Musallam, K. (1997). The eating behavior scale: A simple method of assessing functional ability in patients with Alzheimer's disease. Journal of Gerontological Nursing, 23(7), 9-15. doi:10.3928/0098-9134-19970701-08
  21. Woo, H. S., Chang, K. Y., Cha, T. H., & Oh, J. C. (2009). A study of the status of dysphagia rehabilitation conducted by occupational therapists in Korea. Journal of Korean Society of Occupational Therapy, 17(3), 67-77.
  22. Watson, R. (1993). Measuring feeding difficulty in patients with dementia: Perspectives and problems. Journal of Advanced Nursing, 18(1), 25-31. doi:10.1046/j.1365-2648.1993.18010025.x
  23. Watson, R. (1994). Measuring feeding difficulty in patients with dementia: Developing a scale. Journal of Advanced Nursing, 19(2), 257-263. doi:10.1111/j.1365-2648. 1994.tb01079.x
  24. Watson, R. (1994). Measuring feeding difficulty in patients with dementia: Replication and validation of the EdFED Scale #1. Journal of Advanced Nursing. 19(5), 850-855. doi:10.1111/j.1365-2648.1994.tb01160.x
  25. Watson R. (1997), Undernutrition, weight loss and feeding difficulty in elderly patients with dementia: A nursing perspective. Reviews in Clinical Gerontology, 7(4), 317-326. doi:10.1017/s0959259897007454

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  1. Eating Difficulties among Older Adults with Dementia in South Korean Long-Term Care Facilities: A Scoping Review vol.28, pp.4, 2020, https://doi.org/10.7739/jkafn.2021.28.4.470