- 學位論文
台灣健康成年人台大排序作業之常模研究
A Normative Study on the National Taiwan University Ordering Test in Healthy Individuals in Taiwan
摘要
背景：台大排序作業(NTUOT)是被用來為評估時序記憶與錯誤記憶的神經心理測驗工具，且可測量背外側前額葉功能，具有使用方便、測量時間短及平行副本等優點，然而，目前台灣缺乏NTUOT之常模資料。 目的：本研究主要目的為建立台灣正常人NTUOT之常模，主要目標為：一、探討人口學變相對測驗表現的影響；二、檢驗NTUOT的心理計量特性；三、本常模於台灣健康成年人之適用性。 方法：本研究共收集台灣300位16至93歲、教育程度0至18年隻健康成年人於NTUOT之常模資料，同時隨機取33位受試者進行邏輯記憶測驗、修訂版卡片分類測驗、路徑描繪測驗與語意流暢度測驗等資料以檢驗NTUOT之效度，此外，部分樣本同時收集複本資料與再測資料以進行信度檢驗。 結果：年齡與教育程度為主要影響測驗表現的人口學變相，性別則無影響，此外本研究具有良好再測信度、效標關聯效度與建構效度；本研究提供之常模資料具有良好代表性、新進性與適切性。 結論：本研究確認人口學變項對測驗表現之影響，並排除人口學變項的效果，以校正分數建立NTUOT之百分等級對照表，可供臨床工作者偵測前額葉改變，且可評估要旨記憶之復健效果，此外研究結果亦顯示NTUOT具有良好的信效度。未來應驗證NTUOT與DRM派典的關係，以及NTUOT再認測驗之複本信度。
並列摘要
Background: The National Taiwan University Ordering Test (NTUOT) is a good task for measuring temporal order memory as well as false memory in normal aging. In addition, NTUOT performance likely reflects dorsolateral prefrontal cortex function. Further, this test has several advantages, such as convenience, short administration time, and availability of multiple parallel versions. However, there is currently a lack of normative data for the NTUOT in the Taiwanese population. Objective: The present study aimed to obtain normative data for the NTUOT. The specific objectives were as follows: (1) to assess the influence of demographic variables on test performance, (2) to establish psychometric properties, and (3) to determine norm appropriacy. Methods: Participants (N = 300) were recruited through stratified sampling by current age (ranging from 16 to 93 years old), education (ranging from 0 to 18 years), and area of residence. Participants (N=33) additionally completed the Logical Memory subtests of the WMS-III, the Modified Card Sorting Test, the Trail Making Test, and the semantic Association of Verbal Fluency test. Test-retest and alternate-forms reliability were derived from a subgroup of participants. Results: Age and education, but not gender, significantly influenced NTUOT performance. The results also showed sound test-retest reliability, criterion-related validity, and construct validity for the NTUOT. The normative data showed good representativeness, recency, and relevance. Conclusion: The present study determined the influence of demographic effects on NTUOT performance, established appropriate normative data for evaluating temporal order memory, and provided a referential table for percentile ranks. Moreover, the reliability and validity of the NTUOT were further verified in an adult Taiwanese sample. The NTUOT is useful for detecting changes in the prefrontal lobe and for evaluating the effect of rehabilitation on gist memory. However, further exploration of the issue of assessing the relationship between NTUOT and DRM paradigm and the alternate-forms reliability of the NTUOT for recognition is necessary.
參考文獻
延伸閱讀
- 葉昱佐、施淑芳（2014）。健康行為群聚類別與醫療利用之關係－以台灣成年初顯期族群為例。台灣公共衛生雜誌，33(6)，649-662。https://doi.org/10.6288/TJPH201433103082
- 張筑涵（2009）。台灣地區成人健康行為對醫療利用之分析研究〔碩士論文，亞洲大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0118-1511201215455835
- 李蘭、黃美維、陸玓玲、潘怜燕、李隆安、鄧肖琳（1995）。台灣地區成人的健康行為探討：分佈情形、因素結構和相關因素。中華公共衛生雜誌，14(4)，358-368。https://doi.org/10.6288/CJPH1995-14-04-07
- 汝明麗（2014）。A Preliminary Study of Undergraduate-Level Special Translation and Interpretation Programs in Taiwan。編譯論叢，7(1)，81-126。https://doi.org/10.29912/CTR.201403_7(1).0003
- 陳美莉、呂碧琴、黃英哲、王澤惠、蔡秀華、楊裕隆、黃振紅（2000）。A Study of the Assessment Scales for the Instruction in Physical Education of National Taiwan University。臺大體育學報，()，105-130。https://doi.org/10.6569/NTUJPE.200002_(3).0006