• Title/Summary/Keyword: statistical validity test

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The Reliability and Validity of a Portable Hand-held Spirometer for the Measurement of Various Lung Functions in Healthy Adults

  • Merve Nur Uygun;Jun-Min Ann;Byeong-Hyeon Woo;Hyeon-Myeong Park;Ha-Im Kim;Dae-Sung Park;In-Beom Jeong
    • Physical Therapy Rehabilitation Science
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    • v.13 no.2
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    • pp.179-186
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    • 2024
  • Objective: This study aims to assess the reliability and validity of the new hand-held spirometer as a potential substitute for traditional pulmonary function testing (PFT) devices. Design: Cross-sectional study. Methods: In this study, thirty healthy adults underwent spirometry using both the new hand-held spirometer and the MIR spirometer, which is a standard PFT device. Parameters including peak expiratory flow (PEF), forced expiratory volume in one second (FEV1), and forced vital capacity (FVC) were measured and analyzed for validity and reliability. Inter-rater reliability and validity were evaluated through 95% limits of agreement (LOA) and intraclass correlation coefficients (ICC). Statistical analyses, including the Bland-Altman plots and the ICC, were utilized to assess agreement between the two devices. Results: The new hand-held spirometer exhibited a good agreement with intra-class coefficient (ICC [2,1]) ranging 0.762 to 0.956 and 95% LOA of -1.94 to 1.80 when compared with MIR. The test-retest reliability of the hand-held spirometer analyzed using - ICC [2,1] demonstrated a good level of consistency (ICC [2,1] =0.849-0.934). Conclusions: In conclusion, the study aimed to assess the potential of the new hand-held spirometer as a viable alternative to traditional PFT devices, with a specific focus on its reliability and validity in spirometric measurements. The new hand-held spirometer exhibited good test-retest reliability across all measured variables, suggesting its potential as a valid and reliable tool for simultaneous PFT measurements.

Testing the Validity and Reliability of FIPS(Face Interval Pain Scale) with Children림s Pain from Intramuscular Injection (환아에게 적용한 얼굴그림 동통척도의 타당도 및 신뢰도 연구)

  • 김주희;김분한
    • Journal of Korean Academy of Nursing
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    • v.24 no.3
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    • pp.461-472
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    • 1994
  • The main purpose of this study was to test the validity and reliability of FIPS as an assessment tool for pain in children. The subject were 81 children whose ages ranged from 3 to 14 years old who were experiencing pain from an intramuscular injection. 40 were being seen in a local primary hospital and 41 in a university hospital. The data were collected in two settings at a 6 month interval, the first was on Nov. 5th 1991 in a local clinic by one doctor, the second was on May 1st. 1992 in a university hospital by two nurse. McGrath's(1985) face interval cards and weight box scale which is a numeral scale that contains from one to five boxes of cards were used as measures. To analyze the subject's ability to use the face scale and weight box scale, statistical frequency was employed. To determine the difference in the rated pain in-tensity on the face interval scale and the weight box, Pearson correlation coefficient and t-test were employed. To compare the difference in the rated pain intensity of the face interval scale and the weight box scale according to subject's general characteristics, X²-test was employed. The findings were as follows : 1. The subject's ages were from 3 to 14 with a mean age of 8.3 years old. There were 54(66.7%) male children and 27(33.3%) female children. 2. The number of subjects who correctly displayed cards ranging from none to severe pain was 66(81.5%) and the number who correctly compared two cards 3 times was 73(90.l%). 3. Correlation coefficients between each level card of the FIPS and WBS (Weight Box Scale) were r=.52∼.80 P<0.01. 4. There was no statistical difference in rating of the intensity on the FIPS and WBS.(t=1.12∼l.02, P<0.22∼0.45). 5. The differences in rating pain intensity according to the children's general characteristics were re-lated to age(X²=8.94, P<0.05), but not to sex (X²=0.23, P=0.80).

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Development of the Korean Geriatric Loneliness Scale (KGLS) (한국 노인의 외로움 측정도구 개발)

  • Lee, Si Eun
    • Journal of Korean Academy of Nursing
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    • v.49 no.5
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    • pp.643-654
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    • 2019
  • Purpose: The purpose of this study was to develop and psychometrically test the Korean Geriatric Loneliness Scale (KGLS). Methods: The initial items were based on in-depth interviews with 10 older adults. Psychometric testing was then conducted with 322 community-dwelling older adults aged 65 or older. Content, construct, and criterion-related validity, classification in cutoff point, internal consistency reliability, and test-retest reliability were used for the analysis. Results: Exploratory factor analysis showed three factors, including 15 items explaining 91.6% of the total variance. The three distinct factors were loneliness associated with family relationships (34.3%), social loneliness (32.4%), and a lack of belonging (24.9%). As a result of confirmatory factor analysis, 14 items in the three-factor structure were validated. Receiver operating characteristic analysis demonstrated that the KGLS' cutoff point of 32 was associated with a sensitivity of 71.0%, specificity of 80.2%, and area under the curve of .83. Reliability, as verified by the test-retest intraclass correlation coefficient, was .89, and Cronbach's ${\alpha}$ was .90. Conclusion: As its validity and reliability have been verified through various methods, the KGLS can contribute to assessing loneliness in South Korean older adults.

A Validation Study of the Korean Child Behavior Checklist 1.5-5 in the Diagnosis of Autism Spectrum Disorder and Non-Autism Spectrum Disorder

  • Cho, Han Nah;Ha, Eun Hye
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.30 no.1
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    • pp.9-16
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    • 2019
  • Objectives: The purpose of this study was to analyze the discriminant validity and the clinical cut off scores of the Child Behavior Checklist 1.5-5 (CBCL 1.5-5) in the diagnosis of autism spectrum disorder (ASD) and non-ASD. Methods: In total, 104 ASD and 441 non-ASD infants were included in the study. T-test, discriminant analysis, receiver operating characteristic (ROC) curve analysis, and odds ratio analysis were performed on the data. Results: The discriminant validity was confirmed by mean differences and discriminant analysis on the subscales of Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, and Total problems, along with the Diagnostic and Statistical Manual of Mental Disorders (DSM)-oriented scales between the two groups. ROC analysis showed that the following subscales significantly separated ASD from normal infants: Emotionally reactive, Somatic complaints, Withdrawn, Sleep problems, Attention problems, Aggressive behavior, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Moreover, the clinical cut off score criteria adopted in the Korean-CBCL 1.5-5 were shown to be valid for the subscales Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems. Conclusion: The subscales of Withdrawn, Internalizing problems, Externalizing problems, Total problems, and DSM pervasive developmental problems significantly discriminated infants with ASD.

Evaluation of the Validity of a Simple Screening Test Developed for Identifying Korean Elderly at Risk of Undernutrition (우리 나라 노인의 영양부족위험 진단을 위해 개발된 간이조사표의 타당성 평가)

  • 이정원;김경은;김기남;현태선;현화진;박영숙
    • Journal of Nutrition and Health
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    • v.33 no.8
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    • pp.864-872
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    • 2000
  • This study intended to evaluate the validity of the simple nutrition screening test that had been developed with the elderly living in Cheongju as a subject. Nutrition screening score(NSS) and reference standards for nutritional and health status(nutrient intakes, mean adequacy ratio, perceive health, and serum albumin, hematocrit, and hemoglobin) were estimated by using the date obtained in 1996 from the 174 elderly living in Taejon, Statistical analysis showed significant correlations between mean adequacy ratio(MAR) and NSS(r=0.341) and also between NSS and biological indices such as albumin and hematocrit, Around 65-75% of the elderly with perceive health and low level of serum albumin, hemoglobin and hematocrit had NSS$\leq$ll. Sensitivity, specificity, and positive predictive values(PPV) were calculated from the crosstabulation of the three categories of NSS(high, moderate, and low nutritional risk) and low categories MAR(< 0.75, undernutrition;$\geq$0.75, normal) to validate the cut-off point for high or low nutritional risk by NSS. It was suggested that point l1 was appropriate as a criterion to determine high risk of undernutrition, but point 16 was better than 17 as criterion to determine low nutritional risk in the Taejon elderly. When point ll was used as a criterion of high nutritional risk, sensitivity, specificity, and PPV are 59.5, 60.5 and 82.1 respectively. When point 16 was used as a criterion of low nutritional risk, sensitivity, specificity, and PPV are 25.6, 95.4, and 64.7%, respectively. In conclusion, nutrition screening test that had been developed can be a simple, easy, and proper instrument to classify the high risk group of undernutrition. A further validation study seems to be required among other groups of individuals for the screening test to the finalized as a more valid instrument identifying Korean elderly at nutrition and health risk(Korean J Nutrition 33(8) : 864-872, 2000)

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A Study on the Statistical Distribution of Ultrasonic Velocities for the Condition Evaluation of Concrete Wide Beam (콘크리트 넓은 보의 상태평가를 위한 초음파 속도의 통계학적 분포에 대한 연구)

  • Yoon, Young-Geun;Lee, In-Bok;Sa, Min-Hyung;Oh, Tae Keun
    • Journal of the Korean Society of Safety
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    • v.32 no.2
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    • pp.98-104
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    • 2017
  • The ultrasonic pulse velocities of pressure, shear, and Rayleigh waves ( P-, S-, and R- waves) have been used for the condition evaluation of various concrete structures, but the statistical distribution according to the wave type has not been studied clearly in view of data reliability and validity. Therefore, this study analyzed the statistical distribution of P-, S-, R-wave velocities in concrete wide beams of $800{\times}3100mm$ (width ${\times}$ length) with a thickness of 300 mm. In addition, we investigated an experimental consistency by the Kolmogorov-Smirnov goodness-of-fit test. The experimental data showed that the R-, S- and P- wave velocities in order have better statistical stability and reliability for in situ evaluation because R- and S-waves are less sensitive to confinement and boundary conditions. Also, good correlations between wave velocities and strength and modulus of elasticity were found, which indicate them as appropriate techniques for estimating the mechanical properties.

Validity and Reliability of the Korean Version of the Couple Satisfaction Index (한국어판 부부 만족도 측정도구 및 단축형의 타당도와 신뢰도)

  • Kim, Suk-Sun;Gil, Minji;Kim, Daeun;Kim, Sunhai;Heo, Dayeon;Moon, Nan Young
    • Journal of Korean Academy of Nursing
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    • v.52 no.2
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    • pp.228-243
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    • 2022
  • Purpose: The study aimed to translate the Couple Satisfaction Index (CSI 32) into Korean, to evaluate the reliability and validity of CSI 32 and short-form (CSI 16, 4) in the Korean context, and to determine a cut-off score for Korean couples. Methods: Korean Versions of the Couple Satisfaction Index (K-CSI) 32 was translated, back-translated, and reviewed by five bilingual experts. Confirmatory factor analysis (CFA) was conducted with data from a sample of 218 couples (N = 436) to test construct validity. Validity and reliability were evaluated. The receiver's operating characteristics curve analysis was used to obtain the cut-off score. Results: The construct validities of K-CSI 32, 16, and 4 were verified using one-factor structures. The results of CFA showed a slightly better fit for K-CSI 16 and 4 than for K-CSI 32. Convergent validity was supported by significant positive correlations of K-CSI with Kansas Marital Satisfaction Scale, Dyadic Adjustment Scale, and Family Relationship Assessment Scale. Moreover, the significant differences in K-CSI between normal and depressive group demonstrated known-group validity. Cut-off scores of 105.5 on K-CSI 32, 50.25 on K-CSI 16, and 13.25 on K-CSI 4 were validated to identify distressed couple relationships. Conclusion: For clinical practice, the reliable and valid K-CSI 32 has the potential to measure changes in couple satisfaction after couple therapy or interventions. Applying K-CSI 32 may facilitate research on couple and family relationships in nursing and contribute to the discussion on the role of couple satisfaction in mental health.

Development and Psychometric Evaluation of the Ischemic Stroke Distress Scale (ISDS) (허혈성 뇌졸중 환자의 디스트레스 측정도구 개발 및 평가)

  • Kang, Jaejin;Yoo, Yang-Sook
    • Journal of Korean Academy of Nursing
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    • v.53 no.1
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    • pp.12-27
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    • 2023
  • Purpose: This study aimed to develop a scale to measure distress in patients with ischemic stroke and verify its validity and reliability. Methods: Preliminary items were developed from literature review and in-depth interviews. The final preliminary scale was confirmed through a content validity test of eight experts and a preliminary survey of 10 stroke patients. The participants for psychometric testing were 305 stroke patients in the outpatient clinic. Validity and reliability analyses included item analysis, exploratory and confirmatory factor analysis, convergent validity, known-group validity, and internal consistency of the scale. Results: The final scale consisted of 17 items and 3 factors. The three distinct factors were 'self-deprecation, worry about future health, and withdrawal from society' and this structure was validated using a confirmatory factor analysis. Convergent validity was supported by comparison with the Center for Epidemiologic Studies Depression Scale (r = .54, p < .001) and Brief Illness Perception Questionnaire (r = .67, p < .001). Known-groups validity was verified by dividing groups according to 'duration since diagnosis' (t = 2.65, p = .009), 'presence of sequela' (t = 10.16, p < .001), and 'awareness of distress' (t = 12.09, p < .001). The internal consistency of the scale using Cronbach's α for the total items was .93. Conclusion: The Ischemic Stroke Distress Scale is a valid and reliable tool that reflects stroke distress effectively. It is expected to be used as a basic tool to develop various intervention strategies to reduce distress in ischemic stroke patients.

A Preliminary Study on the Sexual Development Assessment Scale for Adolescents (청소년 성발달 평가척도 개발을 위한 예비연구)

  • Ha, Eun-Hye;Yoo, Mee-Sook;Cho, You-Jin
    • Korean Journal of Child Studies
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    • v.26 no.1
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    • pp.279-297
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    • 2005
  • The purpose of this preliminary study was to test the validity and reliability Sexual Development Assessment Scale for Adolescents. Subjects were 579 middle school and 504 high school students in Seoul and Gyeonggido. Statistical analyses were by factor analyses, Cronbach's ${\alpha}$, $x^2$ value and Cramer's V. Construct validity was composed with 10 factors on sexual Development Assessment Scale for middle school students and 12 factors for high school students. Reliability of each subscale was high and the item discrimination, $x^2$ value and Cramer's V were also meaningful.

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The Development of a Scale for the Measurement of Children's Temperament (아동용 기질 측정도구의 개발연구)

  • Chon, Hee Young
    • Korean Journal of Child Studies
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    • v.12 no.2
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    • pp.78-93
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    • 1991
  • The purpose of this study was to develop a rating scale for measuring children's temperament. The subjects were 622(324 boys and 298 girls) 3-to 7-year-old children. The temperament rating scale was composed of 50 items(4-point Liken scales) was based on mother's interview, RITQ and PTQ. The raters were the subjects' mothers. The data were analysed on dimensions of validity, reliability, and item discrimination. Statistical methods were factor analysis, ${\chi}^2$-test, and calculations of Pearson's r Cramer's V and Cronbach's $\alpha$. On validity 5 factors were extracted, which explained 84% of the total common variance. The 5 factors were named 'malleability', 'activity', 'sensitive reactivity', 'eating habits & physical constraints', 'physiological rhythmicity'. Regarding reliability, Cronbach's $\alpha$ appeared between .66 and .81 among the 5 factors. Regarding item discrimination, the degree of discrimination on all 50 items was significant and acceptable.

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