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Ann Geriatr Med Res > Volume 17(1); 2013 > Article
Journal of the Korean Geriatrics Society 2013;17(1):18-27.
DOI: https://doi.org/10.4235/jkgs.2013.17.1.18    Published online March 31, 2013.
Development and Validity and Reliability of Korean Comprehensive Assessment Tools for Geriatric Ambulatory Care
Belong Cho, Ki Young Son, Bumjo Oh, Seok Joong Kim, In Soon Kwon, Byung Joo Park, Duk Sun Woo, Jong Lull Yoon, Chang Won Won, Hwan Sik Hwang, Hyuk Ga
1Department of Family Medicine, Seoul National University College of Medicine, Seoul, Korea. belong@snu.ac.kr
2Functional Assessment Committee for the Elderly, Korean Geriatric Society, Seoul, Korea.
3Department of Internal Medicine, Inje University College of Medicine, Busan, Korea.
4Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, Korea.
5Korea Institute of Health and Social Affairs, Seoul, Korea.
6Department of Family Medicine, Hallym University College of Medicine, Chuncheon, Korea.
7Department of Family Medicine, Kyung Hee University School of Medicine, Seoul, Korea.
8Department of Family Medicine, Hanyang University College of Medicine, Seoul, Korea.
9Department of Family Medicine, Incheon Eunhye Hospital, Incheon, Korea.
한국형 외래노인건강평가도구의 개발 및 타당도, 신뢰도 조사
조비룡1, 손기영1, 김석중1, 오범조1, 윤종률2, 황환식3, 가혁
서울대학교 의과대학 가정의학교실1, 대한노인병학회 노인기능평가연구회2, 인제대학교 의과대학 내과학교실3,
서울대학교 의과대학 예방의학교실4, 한국보건사회연구원5, 한림대학교 의과대학 가정의학교실6, 경희대학교 의과대학 가정의학교실7, 한양대학교 의과대학 가정의학교실8, 인천은혜병원 가정의학과9
Abstract
BACKGROUND
The purpose of this study was to develop and to evaluate the applicability of the Korean comprehensive geriatric assessment tools through reliability and validity testing.
METHODS
We developed standard and short-form assessment tools comprised of questionnaires on medical, functional, mental, socioeconomic status and lifestyle information and functional tests. The tools were administered as test-retest on 111 elderly outpatients at four university hospitals and two welfare centers in Seoul. Weighted kappa value, kappa value, Pearson's correlation coefficients and overall percent agreement were calculated to evaluate reliability. Validity coefficient was estimated by using the reliability coefficient.
RESULTS
Reliability and validity coefficients were higher than 0.50 (fair or good) for 29 of 36 items. For test-retest reliability, the median was 0.66 (range, 0.29 to 1.00) for the kappa value and 0.83 (range, 0.53 to 1.00) for the Pearson's correlation coefficients. Compared to the standard form, the short-form assessment questionnaires showed to be reliable and valid.
CONCLUSION
The Korean Comprehensive Assessment Tools, both the standard form and the short form, were shown to be a reliable and valid screening medium for assessing the health status of the elderly in the ambulatory care setting. These instruments can be used conveniently for comprehensive outpatient geriatric assessment.
Key Words: Geriatric assessment, Outpatient clinics, Questionnaires, Reliability, Validity


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