• 한국사회복지학
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• 제59권4호
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• pp.273-296
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• 2007

본 연구는 장애정체감을 평가하는 도구로 개발된 23문항의 척도를 Rasch 모형을 적용하여 문항을 재구성한 연구이다. 척수손상 장애인 397명을 대상으로 개발한 장애정체감 척도(이익섭 신은경, 2006)는 요인분석으로 타당도를 검증한 것으로 문항의 적합도나 난이도 및 응답범주의 적절성을 평가하지는 못하였다. 본 연구에서는 요인분석 절차에서 파생될 수 있는 한계를 보완하고자 문항반응이론(item response theory)의 하나인 Rasch 모형을 각 하위차원별로 적용하여 장애정체감 척도를 재검토하였다. 결과로는 4개차원의 20문항으로 축소되는 것이 문항의 적합도가 높은 것으로 나타났으며, 문항의 난이도 측면에서는 평균수준의 문항이 많은 것으로 드러났다. 응답범주는 4점 척도가 적절했다고 평가되었다. 이러한 척도의 재구성을 통하여 장애정체감의 문항 적합도와 난이도 및 응답범주의 적절성을 객관적으로 평가할 수 있었다.

• 동서간호학연구지
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• 제22권2호
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• pp.158-169
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• 2016

Purpose: This study is a qualitative research on the adaptation of the spinal cord injury after fortuitous the accident. Methods: The subjects are fifteen spinal cord injuries. As a study method, this author employed Grounded theory, one of the qualitative research methods. For data analysis, the procedures of Grounded theory methodology was adopted, and then the data collection were collected for six months from March to September 2009. Concerning the frequence of interviewing, each participants went through individual interviewing twice at least and up to four times if necessary. Results: As a result of open coding, total thirty six concepts and twenty categories were drawn. To synthesize these categories, they came to choose 'Going into the new self-made spinal cord injury' as a nuclear category. Typological analysis based on the result of the paradigm model divided them into a reality-avoiding, passive coping, reality-maintaining, reality-overcoming, and self-fulfillment type. Conclusion: As a result of this study, family support to those with spinal cord disability is an important factor for their motive for rehabilitation and adjustment, spinal disabilities were accepted to mostly the disabilities in relations with colleagues. Thus it is necessary to give them a nursing intervention through disability group for successful adjustment to life with disability.

• 한국전문물리치료학회지
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• 제19권3호
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• pp.124-131
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• 2012

Most conventional instruments measuring disability rely on total score by simply adding individual item responses, which is dependent on the items chosen to represent the underlying construct (test-dependent) and a test statistic, such as coefficient alpha for the estimate of reliability, varying from sample to sample (sample-dependent). By contrast, item response theory (IRT) method focuses on the psychometric properties of the test items instead of the instrument as a whole. By estimating probability that a respondent will select a particular rating for an item, item difficulty and person ability (or disability) can be placed on same linear continuum. These estimates are invariant regardless of the item used (test-free measurement) and the ability of sample applied (sample-free measurement). These advantages of IRT allow the creation of invariantly calibrated large item banks that precisely discriminate the disability levels of individuals. Computer adaptive testing (CAT) method often requiring a testing algorithm promise a means for administering items in a way that is both efficient and precise. This method permits selectively administering items that are closely matched to the ability level of individuals (measurement precision) and measuring the ability without the loss of precision provided by the full item bank (measurement efficiency). These measurement properties can reasonably be achieved using IRT and CAT method. This article aims to investigate comprehensive overview of the existing disability instrument for back pain and to inform physical therapists of an alternative innovative way overcoming the shortcomings of conventional disability instruments. An understanding of IRT and CAT method will equip physical therapist with skills in interpreting the measurement properties of disability instruments developed using the methods.

• 한국사회복지학
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• 제58권3호
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• pp.269-294
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• 2006

이 연구는 장애인복지학의 이론적 패러다임에 따라 한국장애인복지학의 연구동향에 관한 분석을 목적으로 한다. 즉, 장애인복지학의 기술적 이론적 분석을 통해 한국장애인복지학의 변화를 점검하고 향후 지향해야 할 방향성에 대한 논의의 장을 마련하고자 한다. 이를 위해 이 연구는 첫째, 사회복지학이 주 전공인 학회 중 학술진흥재단 등재지나 등재후보지로 등록된 학술지 9종을 대상으로 1979년부터 2005년에 이르기까지 연구동향에 관한 기술적 분석을 실시하였다. 둘째, 장애의 복합성에 기초한 사분모델을 이용하여 한국장애인복지학의 이론적 경향을 분석하였다. 이 연구의 결과 다음과 같이 두 가지를 제언한다. 첫째, 장애 현장의 다양한 이슈와 장애당사자의 욕구 반영, 장애종별 특수성과 장애인복지학 고유의 역사성 등 다양한 주제에 관한 장애 연구가 활성화되어 한국장애인복지학의 이론구축(theory-building)을 해야 한다. 둘째, 한국의 장애인복지학의 이론적 연구동향은 개인적-관념론이 우세하나 사회적-유물론이 증가하는 경향을 보이며, 이러한 이론적 경향성은 최근 장애인복지 현장 및 학계에서 이루어지고 있는 사회적 모델 및 자립생활 모델에 대한 논의와 맞물리는 것으로 이에 대한 좀 더 밀도 있는 학계 및 현장의 성찰이 필요하다.

• 디지털융복합연구
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• 제20권2호
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• pp.431-446
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• 2022

본 연구는 장애인 근로자의 주관적 안념감을 예측하고, 개선 방안을 모색하기 위하여 통합된 사회인지진로이론의 적용 가능성을 조사하였다. 연구 참여자는 2016년부터 2018년까지 장애인 고용패널조사에 참여한 근로자 중에서 3년 동안 계속 근로중인 만 18세 이상의 성인 952명이다. SPSS와 AMOS 프로그램을 사용하여 직업 만족과 삶의 만족의 종단적인 관계에 대한 교차지연 패널 모형을 분석하고, 장애수용이 직업적 자기효능감, 직업 만족, 삶의 만족에 영향을 미치는 직접효과와 직업적 자기효능감을 거쳐서 직업 만족에 영향을 미치는 간접효과의 유의성을 검토하였다. 연구결과, 장애수용은 직업적 자기효능감과 직업 만족 및 삶의 만족에 유의한 정적 영향을 미치는 것으로 나타났으며 직업적 자기효능감은 직업 만족과 장애수용의 관계를 부분 매개하는 것으로 나타났다. 아울러 장애수용과 직업 만족 간의 자기회기 효과와 교차지연 효과 모두 유의한 것으로 나타났다. 이는 장애수용과 직업적 자기효능감이 장애인 임금근로자의 주관적 안녕감을 높이기 위한 중요한 지표로 고려될 수 있음을 시사한다.

• Journal of Acupuncture Research
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• 제19권2호
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• pp.137-148
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• 2002

Objective : The low back pain was the main reason of receiving acupuncture treatment. Despite its widespread prevalence, objective data assessing the pain and the results of various forms of treatment were difficult to find in korea. In order to compare the value of different types of treatment, it was necessary to use standard and meaningful forms of assessment. Methods : Pain and functional disability scales for low back pain were reviewed for contents, measurement properties and current methodological issues. Results and Conclusions : 1. The SF-36 Bodily Pain Scale and the Graded Chronic Pain Scale were commonly used for the standard pain scale. 2. The Oswestry Disability Questionnaire and the Roland-Morris Disability Questionnaire were commonly used for the standard function scale. 3. When evaluated, there was no definite answer to the results of the treatment. In the literature, the responsiveness of the Roland-Morris Disability Questionnaire ranged from 2 to 8 points but clinically, the ranges should be minimally changed from 2 to 3 points. 4. In the future, scale for low back pain should be standardized in multiple dimension so that the computerized adaptive testing by Item Response Theory could be widely used.

• 디지털융복합연구
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• 제14권1호
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• pp.479-489
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• 2016

본 연구에서는 융합적 장애학의 시각에 근거해 중도 시각장애인의 장애 자부심 구축에 관해 일본 TV드라마 "챌린지드"를 중심으로 주인공 塙와 주변 인물로 나누어 그들의 장애관의 실체를 분석하였다. 이 경우, 연구방법 고론으로서 Priestley(1998)의 장애다중패러다임에 의거한 융합적 장애학을 도모하고자 하였다. 중도시각장애인의 장애자부심 구축과 장애 수용의 패러다임은 근본적으로 상이하다. 그런 면에서 장애수용 이론에 대한 비판은 의료모델에 대한 비판과 통한다. 드라마상에서 장애 자부심의 본질이 가장 두드러진 인물로는 주인공 塙와 교사회장, 교장으로 이들은 사회적 관념론이 체화된 인물로서의 공통점을 보인다. 그 외 인물들의 경우, 초기에는 시각장애교사인 塙의 신체성과 장애 정체성을 부정하지만 이윽고 장애에 대한 사회적 관념론적 시각으로 전화하게 되며, 드라마의 인물들은 완전히 융화된다. 마지막으로 본 연구의 시사점으로는 드라마 자체에 관한 인문학적 사회과학적 분석이라는 내재적 시사와 더불어 드라마를 수단으로 한 교육적 효과와 같은 외재적 시사로 제시하였다.

• 보건행정학회지
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• 제30권3호
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• pp.335-344
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• 2020

Background: The purpose of this study was to identify factors inhibiting access of people with disability to health check-ups as well as identify pertinent solutions for improvement. Methods: Twenty-three people with disability older than the age of 19 who took respective health check-ups within the last 3 years were selected as participants. For the data collection, the 1:1 intensive interview was used. The data were analyzed by the grounded theory by Corbin and Strauss. Results: The results comprised nine categories, 23 subcategories, and 179 concepts. The central phenomenon was 'failure to obtain check-ups.' Causal conditions were observed as a 'lack of communication method,' 'physical difficulties,' and 'staff unfamiliar with people with disability,' Interventional conditions comprised 'physical accessibility,' 'staffs' competency,' and 'assistant manpower.' The active strategy was included 'to investigate the professional medical institution,' 'to find the medical institution of convenient traffic accessibility,' 'to overcome communication difficulties through equipment,' and 'to overcome linguistic barriers through sufficient communication.' Whereas, 'utilization of ancillary equipment,' 'the education of staffs on people with disability,' 'universal design manual,' and 'customized check-ups' were included in the passive strategy. Such processes arose in the contextual conditions of 'lack of expectations for daily lives' and 'lack of government support.' As a consequence, the subjects participated experienced the 'disadvantages,' 'discrimination,' and 'reduced reliability of the health check-ups.' Conclusion: The subjects who participated in this study emphasized 'staffs familiar with people with disability' and 'systems customized for people with disability' are mandatory to secure complete health check-ups for people with disability.

• 한국전문물리치료학회지
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• 제20권4호
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• pp.22-31
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• 2013

The aim of the present study was to compare measurement precisions of the Oswestry Back Pain Disability Questionnaire (ODQ) and a computer adaptive testing (CAT) method. The ODQ has been regarded as one of the most reliable condition-specific measure for back pain for decades. Cross-sectional study was carried out with two independent convenient samples from two out-patient rehabilitation clinics for back pain ($n_1=42$) and non-back pain group ($n_2=42$). Participants were asked to fill out the ODQ and CAT of International Classification of Functioning, Disability and Health-Activity Measure (ICF-AM). A series of Rasch analyses were performed to calculate person ability measures. The CAT measures had greater relative precision in discriminating the groups than did the ODQ measure in comparisons of the relative precision. The CAT measure appears to be more effective than did the ODQ measure in terms of measurement precision. By administering test items calibrated in a way, CAT measures using item response theory may promise a means with measurement precision as well as efficiency.

• 디지털산업정보학회논문지
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• 제14권4호
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• pp.205-218
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• 2018

The purpose of this study is to examine the factors that the characteristics of Protection Motivation Theory affects the addiction of social game users in Korea and then, to verify how these factors make an impact on the addiction through the immersion. The characteristics of protection motivation theory are vulnerability, severity, efficiency, and disability, and we want to study the influence of each characteristic on social game flow and the relationship leading to addiction. The results of this research can be useful for 'social game addiction prevention education'. This study was conducted to survey the users who had experienced using the social game to verify the suggested hypothesis. As the results of the survey, first of all, vulnerability appeared to have a positive effect on the flow. Secondly, severity appeared not to have a positive impact on the flow. Thirdly, efficiency turned out to affect the flow. Fourthly, disability turned out to have a positive impact upon the flow. Lastly, flow was revealed to make a positive impact on the addiction. The results of this study will help to construct the content of 'social game addiction prevention education program'.