CAJ | 학술논문

目的确定中文版儿童作业疗法认知功能动态评定量表( DOTCA-Ch)的信度和效度，为其临床应用提供理论依据。方法将英文版DOTCA-Ch翻译成中文。选取佳木斯市某小学109名学生，分别用中文版DOTCA-Ch和中国-比内智力测验法进行评定。以中国-比内智力测验法作为校标分析校标效度，采用因子分析方法进行结构效度分析，采用组内相关系数(ICC)分析方法进行测量者内信度和测量者间信度分析，应用Cronbach α系数进行内部一致性检验。结果内部一致性检验：DOTCA-Ch总Cronbach α系数为0.8920，测量者内总ICC为0.991，测量者间总1CC为0.989。在旋转后的因子负荷阵中，各领域在一个公因子中有较高负荷。将采用中国-比内智力测验法所得智商与DOTCA-Ch评分进行相关性分析，6岁组智商与总分的相关系数为0.872,11～12岁组智商与总分相关系数为0.870。结论中文版DOTCA-Ch具有良好的信度和效度，可以作为一种有效测量工具来评定儿童认知功能。
목적 학정중문판인동작업요법인지공능동태평정량표( DOTCA-Ch)적신도화효도，위기림상응용제공이론의거。방법 장영문판DOTCA-Ch번역성중문。선취가목사시모소학109명학생，분별용중문판DOTCA-Ch화중국-비내지력측험법진행평정。이중국-비내지력측험법작위교표분석교표효도，채용인자분석방법진행결구효도분석，채용조내상관계수(ICC)분석방법진행측량자내신도화측량자간신도분석，응용Cronbach α계수진행내부일치성검험。결과 내부일치성검험：DOTCA-Ch총Cronbach α계수위0.8920，측량자내총ICC위0.991，측량자간총1CC위0.989。재선전후적인자부하진중，각영역재일개공인자중유교고부하。장채용중국-비내지력측험법소득지상여DOTCA-Ch평분진행상관성분석，6세조지상여총분적상관계수위0.872,11～12세조지상여총분상관계수위0.870。결론 중문판DOTCA-Ch구유량호적신도화효도，가이작위일충유효측량공구래평정인동인지공능。
Objective To study the reliability and validity of the Chinese version of the dynamic occupational therapy cognitive assessment for children (DOTCA-Ch).Methods The English version of the DOTCA-Ch was translated into Chinese. One hundred and nine students from the city of Jiamusi were assessed with the Chinese Binet intelligence test and the DOTCA-Ch. Intra-class correlation coefficients (ICCs) were used in inter-rater and intra-rater reliability assessments. Cronbach's alpha coefficient was used to assess internal consistency. Factor analysis was used to assess construct validity. Pearson correlation coefficients were used in assessing criterion-related validity. Results The total ICC of the DOTCA-Ch was 0. 892. Cronbach's alpha coefficients for the subtests were orientation 0. 713 ; spatial perception 0. 793 ; praxis 0. 850 ; visuomotor construction 0. 844 and thinking operations 0. 630. The ICC for intra-rater reliability was 0. 991 and for inter-rater reliability it was 0. 989. Using the Binet intelligence test as a benchmark, the Pearson correlation coefficient between the IQ values and the total DOTCA-Ch scores was 0. 872 for 6 year-olds, but 0. 870 for 11 and 12 yearolds. Factor analysis revealed an acceptable set of 5 common factors. Their cumulative contribution was 67％.Conclusions The Chinese version of the DOTCA-Ch is reliable and valid. It can be used as an effective measuring tool to evaluate children's cognitive functioning.