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| 題 名 | 發展及驗證適用於中風個案之短版特定活動平衡信心量表=Development of a Stroke-Specific Short-form Activities-Specific Balance Confidence Scale |
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| 作 者 | 李沛綺; 王怡晴; 李士捷; 王三平; 謝清麟; | 書刊名 | 臺灣職能治療期刊 |
| 卷 期 | 42:2 2024.08[民113.08] |
| 頁 次 | 頁141-157 |
| 分類號 | 179 |
| 關鍵詞 | 中風; 平衡自信; 短版; 特定活動平衡信心量表; 心理計量特性; Stroke; Balance confidence; Short form; Specific Activity Balance Confidence Scale; Psychometric properties; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6594/TJOT.202408_42(2).0004 |
| 中文摘要 | 目的:特定活動平衡信心量表 (Activities-specific Balance Confidence Scale, ABC16) 為目前在研究領域中廣泛使用的平衡自信程度評估工具。然而,由於 ABC16 題數多且評估時間長,影響評估效能。本研究目的為發展適用於中風個案之 短 版 ABC 量 表 (Stroke-specific short-Form Activities-specific Balance Confidence Scale, SFABC),並驗證其同時效度和反應性。 方法:本研究為次級資料分析。共收錄 406 位美國中風個案的資料納入分析。 研究分為二個階段:(1) 發展 5 個題數不同(4–8 題)的 SFABC 版本,使用題目 同質性與反應性相乘之綜合指標進行項目選擇。(2) 驗證所有 SFABC 版本的同 時效度及反應性,並挑選最佳之版本。 結果:第一階段,研究者依據綜合指標之數值排序,製成 5 個不同題數之版本 (SFABC-4、-5、-6、-7、-8)。第二階段,每個版本的 SFABC 與 ABC-16 有高度 相關 (r = 0.93–0.98)。每個版本的SFABC的標準化反應平均值為0.45–0.47。最終, SFABC-8 因具有良好之同時效度 (r = 0.98) 及與 ABC-16 有相似之標準化反應平 均值 (SRM = 0.45),故被選擇為最佳版本。 結論:SFABC-8 僅納入 ABC-16 一半之題目,可提升評估效能,具有於臨床及 研究環境中廣泛應用的潛力。未來研究可進一步驗證 SFABC-8 應用於不同疾病 群體之心理計量特性。 |
| 英文摘要 | Purpose: The 16-item Activities-specific Balance Confidence Scale (ABC-16) is a commonly used measure to assess balance confidence in research. However, the large number of items and time-consuming nature of the ABC impact assessment efficacy. The study aimed to develop and validate a Stroke-specific short-Form Activities-specific Balance Confidence Scale (SFABC) and to determine the most effective version by comparing their concurrent validity and responsiveness with the ABC-16. Method: This secondary data analysis included 406 American patients with stroke and comprised two phases: (1) Developing five versions of the SFABC, each with different numbers of items (4–8 questions), by using an overall index that considered item homogeneity and responsiveness, and (2) Examining concurrent validity and responsiveness of each SFABC version to select the most suitable version. Results: In the first phase, the five versions of the SFABC (SFABC-4, -5, -6, -7, and -8) were created based on the overall index ranking. In the second phase, we observed a high correlation between the scores of each SFABC version and the ABC-16 (r = 0.93–0.98). The standardized response means (SRM) for each SFABC version ranged from 0.45 to 0.47. Ultimately, the SFABC-8 was selected as the optimal version due to its high concurrent validity (r = 0.98) and similar SRM (0.45) to the original version. Conclusions: The SFABC-8, with only half the items of the ABC-16, improves assessment efficacy and holds promise for broad application in clinical and research settings. Future studies can validate the psychometric properties of the SFABC-8 in various patient populations. |
本系統中英文摘要資訊取自各篇刊載內容。