논문 상세보기
pp.31-43
목적 : 본 연구는 노인의 건강 증진 생활양식을 파악하고자 한글판 건강 증진 생활양식 프로파일(Korean Version of Health Enhancement Lifestyle Profile; K-HELP)을 개발하고 K-HELP의 신뢰도를 검 증하고자 하였다.
연구방법 : 작업치료사 Hwang에 의해 미국에서 개발된 Health Enhancement Lifestyle Profile (HELP)의 한글판 개발을 위해 번안과정 및 내용타당도 검증을 거치고 국내 상황에 맞게 문항을 수정하여 K-HELP를 완성하였다. 완성된 K-HELP의 신뢰도 검증을 위해 내적일치도 및 검사-재검사 신뢰도 검증을 실시하였다.
결과 : 완성된 한글 번역본 HELP을 보건의료전문가 9인에게 회부하여 검증받은 56문항에 대한 내용타당 도지수(Content Validity Index; CVI)는 .97로 높게 나타났다. 정상 노인 483명을 대상으로 한 신뢰도 검증 결과 전체 문항에 대한 내적일치도는 .82로 높은 수준으로 나타났고, 검사-재검사 신뢰도는 .99로 매우 높은 상관관계를 보였다(p<.01).
결론 : 본 연구는 K-HELP의 개발과 신뢰도 검증을 통해 K-HELP가 노인의 생활양식과 건강수준을 측 정하는데 신뢰도가 입증된 도구임을 증명하였다. 본 연구를 토대로 K-HELP가 노인 건강 증진에 대한 질병 예방 및 적절한 중재를 제공하기 위해 사용되는 유용한 평가도구로 활용될 수 있을 것이다.
Objective : The purposes of this study were to develop a Korean version of the Health Enhancement Lifestyle Profile (K-HELP), to evaluate the overall lifestyles and health behaviors of the elderly, and to verify the reliability of K-HELP.
Methods : The original Health Enhancement Lifestyle Profile (HELP) was developed in the U.S.A. by Jengliang Eric Hwang, who is an occupational therapist. To develop K-HELP, a series of steps were taken; First, translation and reverse-translation processes were conducted by an expert committee. To establish the content validity, a modification process was taken for adaptation to the Korean circumstances by health professionals. Second, for a validation of the reliability, the internal consistency and test-retest reliability of the content were measured.
Results : The value of the Content Validity Index (CVI) was .97. The CVI was derived from an assessment by nine health care experts, which aimed to determine the suitability of 56 questions. 483 healthy elderly people participated in this reliability study. The value of internal consistency (Cronbach’s α) was .82. In addition, there was a very high and statistically significant test-retest reliability (r=.99)(p<.01).
Conclusion : This study proved that K-HELP is a reliable tool to evaluate a senior's lifestyle and health status through the development of K-HELP and a verification of its reliability. Based on this study, K-HELP can be used as a useful assessment tool in the health related field of the elderly by increasing the understanding of the lifestyles, health behaviors, and health levels of the elderly in preventing diseases and providing appropriate rehabilitation programs.
