DOI QR코드

DOI QR Code

Evaluation of Reliability and Validity for Deficiency and Excess Pattern Identification Questionnaire

한방 건강검진에서 허실 변증 진단 설문지 개발 -신뢰도와 구성 타당도를 중심으로-

  • Jang, Eun Su (College of Korean Medicine, Daejeon University) ;
  • Yoon, Ji Hyeon (College of Korean Medicine, Daejeon University) ;
  • Baek, Young Hwa (Future Medicine Division, Korea Institute of Oriental Medicine) ;
  • Lee, Si Woo (Future Medicine Division, Korea Institute of Oriental Medicine)
  • 장은수 (대전대학교 한의과대학) ;
  • 윤지현 (대전대학교 한의과대학) ;
  • 백영화 (한국한의학연구원 미래의학부) ;
  • 이시우 (한국한의학연구원 미래의학부)
  • Received : 2018.03.07
  • Accepted : 2018.06.19
  • Published : 2018.06.25

Abstract

The purpose of this study was to evaluate the reliability and the validity of Deficiency and Excess Pattern Identification Questionnaire. The number of subjects enrolled in this study was 248, from July 2015 to March. 2016. The surveys was conducted two times with 3 month interval. The Cronbach's ${\alpha}$ analysis for internal reliability, Pearson Correlation Coefficient analysis for test-retest reliability were conducted. Factor analysis with varimax rotation for construct validity was used. Kappa analysis for diagnostic reliability were used. The significant p-value was < .05. The Cronbach's ${\alpha}$ was .929 in Deficiency and .932 in Excess questionnaire. The reliabilities between test and retest Intra Correlation Coefficient (ICC) was .71-.762 in the Deficiency, and .58-.786 in Excess questionnaire, respectively. Deficiency was divided by five factors, and Excess four factors. The factor convergence was 72.54% in the Deficiency and 67.5% in Excess questionnaire. The test-retest agreement of four pattern was 68.5% and Kappa was .530. This study reveals that Deficiency and Excess Pattern Identification Questionnaire is a reliable and valid. However, further study to validate the questionnaire is needed.

Keywords

References

  1. Lee BK, Park YB, Kim TH. Oriental medicine diagnostics. Seoul: Sungbosa. 2012; p 349.
  2. WHO(World Health Organization). WHO traditional medicine. Strategy 2014-2023, Geneva: WHO Press;2013.
  3. Jang ES, Kim YY, Lee EJ, Yoo HR, Jung IC. Review on the development state and utilization of pattern identification questionnaire in Korean medicine by U code of Korean classification of disease. J Physiol & Pathol Korean Med. 2016;30(2):124-30. https://doi.org/10.15188/kjopp.2016.04.30.2.124
  4. Son JH, Kim JS, Park JW, Ryu BH. A Proposal for Standardization of Tongue Diagnosis Based on Diagnostic Criteria of Tongue Coating Thickness. Korean J, Oriental Med. 2012;33(1):1-13.
  5. Kim JH. A Comparative Research of Eight Principle Pattern Identification - based on Zhang Jie-Bin, Cheng Guo-Peng, and Jiang Han-Tun-. J Oriental Medical Classics. 2013;26(2):47-59.
  6. Choi JY, Lee JS, Jeong SY, Lee JS, Lee KY, Jeong SY, Lee KK, Jung HJ, Rhee HK, Jung SK. An Analysis of Therapeutic Effects of Gamichuongsangboha-tang in 30 Asthmatics Based on Criteria for Defiency-Excess Differentiating Syndromes of Asthma. Journal of korean oriental internal medicine. 2004;25(3):379-87.
  7. The division of Korean medical pathology in Korea. Pathology of Korean Medicine. Seoul. Iljungsa. 2004;186-436.
  8. Na CS, Kang JS, Kwon YG, Kim KJ, Kim KO, Kim DH. et al. Chongkang of Korean medicine. 5th ed. Eusungdang. 2013.
  9. Korea institute of oriental medicine(KIOM). Development of diagnostic guide of Mibyeong in Integrated medicine. Daejeon:KIOM. 2013.
  10. Lee J, Dong SO, Lee Y, et al. Recognition of and interventions for Mibyeong(subhealth) in South Korea: a national web-based survey of Korean medicine practitioners. Integrative Medicine Research. 2014;3(2):60-6. https://doi.org/10.1016/j.imr.2013.09.001
  11. Kim KH. Survey using Questionnaire. Korean Studies Information. 2014;12-20,
  12. Jang ES, Lee EJ, Yun YG, Park YC, Jung IC. Suggestion of Standard Process in Developing Questionnaire of Pattern Identification. J Physiol & Pathol Korean Med. 2016;30(3):190-200. https://doi.org/10.15188/kjopp.2016.06.30.3.190
  13. Kwon OS, Kim JE, Lee JW, Seo CW, Han HY, Hong SH. Analytic Study of Diagnostic Validity by the Measure of Cold-Heat & Deficiency-Excess for Oriental Medical Examination. J Physiol & Pathol Korean Med 2009;23(1):180-5.
  14. Cho HS, Bae GM. Research in Developing Diagnosis Questionnaires on Cold Heat, Deficiency and Excess. J Physiol & Pathol Korean Med. 2009;23(2):288-93.
  15. Ryu HH, Jang ES, Lee SW, Lee GS, Kim JY. Study on Deficiency-Excess Pattern Questionnaire Development Possibility. Korean J Physiol & Pathol Korean Med. 2009;23(3):534-9.
  16. Ryu JM, Yoon SH, Lim JJ, Han SY, Jang SY, Kim HK, Lee JS, Kim JS, Ryu BH, Ruy KW. The Usefulness of Electrogastrography on the Differential Diagnosis of Deficiency or Excess Condition in Patients with Functional Dyspepsia. Korea J of Oriental Int Med. 2004;25(4-2):346-55.
  17. Heo EJ, Lee SW, Jeon WK, Lyu YS, Kang HW. The Evaluation of Instrument for Cold-Heat & Deficiency-Excess Pattern Identification of Dementia. J of Oriental Neuropsychiatry. 2015;26(3):283-92. https://doi.org/10.7231/jon.2015.26.3.283
  18. Lee IS, Park KE, Hong HJ, Song IJ, Sung KK, Lee SK. Correlation between Post-Stroke Depression and Cold, Heat, Deficiency and Excess Patterns. Korean J Orient Int Med. 2014;35(1):50-8. https://doi.org/10.13048/jkm.14005
  19. Kim SY, Lee JS, Oh DS, Kang BK, Ko MM, Kim JC, Kwon SB, Bang OS. Study on the Relationship between Korean Standard of Pattern Identification (II) and Pattern Identification of Cold-Heat and Deficiency-Excess. Korean J of Physiology and Pathology. 2010;24(1):15-21.
  20. Kim SC, Lee JD, Lee SK, Lee SY, Moon HC, Choi SM, Chung YH. The Study on the Questionnaire Analysis and Agreement Diagnosis of the Same Patients Using Differentiation of Symptoms and Signs on Chronic Knee Joint Pain Including Osteoarthritis of Knee Joint. The J of Korean Acupuncture & Moxibustion Society. 2006;23(1):71-93.
  21. Ryu HH, Lee HJ, Jang ES, Choi SM, Lee SG, Lee SW. Study on Development of Cold-Heat Pattern Questionnaire. Journal of physiology & pathology in Korean Medicine. 2008;22(6):1410-5.
  22. Yang KS et al. The Standardized Research of Korean Medical Diagnostic Name and Diagnostic Condition(I). Korean Institution of Korean Medicine. 1995.
  23. Yang KS et al. The Standardized Research of Korean Medical Diagnostic Name and Diagnostic Condition(II). Korean Institution of Korean Medicine. 1995.
  24. Yang K.S. et al. The Standardized Research of Korean Medical Diagnostic Name and Diagnostic Condition(III). Korean Institution of Korean Medicine. 1995.
  25. Moon JS, Park KM, Choi SM. Study on the Development of a Questionnaire Software for Health Examination in Oriental Medicine. Korean Institution of Oriental Medicine. 2007;13(2):135-42.
  26. Han SY, Kim JH, Ryu JM, Jang SY. Kim HL, Kee JS et al. Analysis of Symptom Pattern through Comprehensive Diagnosis of Qui Xui Shui in Patients with Functional Dyspepsia. Korean J Orient Int Med. 2004;25(2):224-37.
  27. Kim SH, Chang YS, Jeong SG, Kim JS, Yoon SW, Jang KY et al. Study on Development of Assessment Guideline and Endpoints for Clinical Trial with Antitumor Natural Products. Korean J Physiol & Pathol Korean Med. 2006;20(6):1678-727.
  28. Park YJ, Park JS, Kim MY, Park YB. Development of a Valid and Reliable Phlegm Pattern Questionnaire. The Journal of Alternative and Complementary Medicine. 2011;17(9).
  29. Kim BS, Lee CI, Han SD. Health Program for increasing Physical fitness of the faculties in Hallim University. Journal of physical education. 1994;22:263-72.
  30. Kim JY, Lee SW, Jang ES, Baek YH. The Effect of Lifestyle on Mibyeong for University Employees. J Physiol & Pathol Korean Med. 2017;31(3):194-9. https://doi.org/10.15188/kjopp.2017.06.31.3.194
  31. Jang WW, Jung KL, Jan YS, Soo YK, Woo SS, Park HK. The Development of Korean Health Related Quality of Life Scale(KQUOLS)-Testing Reliability and Validity-. Journal of Korean Academy of Family Medicine. 2000;21(3):382-94.
  32. Hwang IH. Research Methods of Questionaries. Journal of Korean Academy of Family Medicine. 1994;15(1):30-5.
  33. Hair JF Jr., Anderson RE, Tatham RL, Black WC. Multivariate Data Analysis (4th ed.). Upper Saddle River, NJ: Prentice Hall. 1995.
  34. Kang HC. A guide on the use of factor analysis in the assessment of construct validity. Journal of Korean Academy Nursing. 2013;43(5):587-94. https://doi.org/10.4040/jkan.2013.43.5.587
  35. YEO WS. Multi-variate Behavioral Research for Social Science & Marketing. Minyoungsa. 2000;139-41.
  36. Rosenthal R, Rosnow RL. Essentials of behavioural research: Methods and Data Analysis. New York: McGraw Hill. 1991.
  37. Cho JK. Analysis of awareness and attitudes towards the opening of oriental medicine market. Korea Health and Welfare Forum. The Korea Institute for Health and Social Affairs. 2004;98:76-93.
  38. Yeo MK, Park KH, Bae KH, Jang ES, Lee YS. Development on the Questionnaire of Cold-Heat Pattern Identification Based on Usual Symptoms for Health Promotion-Focused on Reliability Study. J Physiol & Pathol Korean Med. 2016;30(2):116-23. https://doi.org/10.15188/kjopp.2016.04.30.2.116

Cited by

  1. 검진용 허실 변증 진단 설문지 타당도 평가 vol.34, pp.3, 2020, https://doi.org/10.15188/kjopp.2020.06.34.3.142
  2. 암 환자 대상 설문지, 맥진기, 설진기 결과를 활용한 한열허실변증에 대한 예비 연구 vol.42, pp.1, 2018, https://doi.org/10.13048/jkm.21001