華語版幼兒植入電子耳後溝通功能量表信效度驗證

Verification of Validity and Reliability of the Mandarin Functioning After Pediatric Cochlear Implantation Instrument (FAPCI-M)

樊家欣(Jia-Shin Fan)

指導教授 ： 鄧菊秀

中山醫學大學/醫學科技學院/語言治療與聽力學系/碩士(2019年)

https://doi.org/10.6834/CSMU201900158

摘要

「幼兒植入電子耳後溝通功能量表」（FAPCI量表）以國際健康功能與身心障礙分類（ICF）為架構編製而成，能完整地評量電子耳幼兒之溝通表現。本研究之目的為編製「華語版FAPCI量表」，以提供臺灣2～5歲電子耳幼兒溝通表現之評量工具並建立其信效度。
　　華語版FAPCI量表採用雙向翻譯，由專家進行內容效度檢定和電子耳幼兒照顧者進行表面效度之評定。收案對象為電子耳幼兒照顧者，以方便取樣之方式進行收案，收案來源橫跨全臺12個單位，最後共收到87份有效問卷。以建構效度、效標關聯效度、內部一致性信度和再測信度進行信效度驗證。
　　結果顯示，華語版FAPCI量表具有良好之建構效度和很高之效標關聯效度：建構效度採用探索性因素分析，萃取出「口語理解」和「口語表達」2個因素；華語版FAPCI量表與學齡前兒童行為發展量表（CCDI）進行相關性分析，相關係數達.958。再者，華語版FAPCI量表亦具有極佳之內部一致性和很高之再測信度：內部一致性之Cronbach’s α值達.979；前測和後測之再測信度的相關係數達.981。
　　華語版FAPCI量表以ICF為架構，採用嚴謹之翻譯流程編製而成，具有優良之信效度，建議適合於臨床應用。

關鍵字

華語版FAPCI量表 ； 電子耳幼兒 ； 溝通功能 ； ICF

並列摘要

Functioning after Pediatric Cochlear Implantation (FAPCI) instrument, based on the framework of International Classification of Functioning, Disability and Health (ICF), could comprehensively evaluate the communicative performance of the children with cochlear implants. The purposes of this study were to develop the FAPCI in Mandarin version (FAPCI-M) and verify its psychometric properties.
The FAPCI-M was translated through bidirectional translation, and invited experts and parents of cochlear implant children to separately examine its content validity and face validity. The study recruited the main caregivers of cochlear-implanted children as subjects from 12 centers around Taiwan, and finally received a total of 87 valid questionnaires. The construct validity, criterion-related validity, internal consistency, and retest reliability were analyzed respectively.
The results showed that the FAPCI-M had good construct validity and excellent criterion-related validity. The construct validity was evaluated through exploratory factor analysis and refined out 2 factors, spoken language comprehension and spoken language expression; the correlated coefficient of criterion-related validity with the Chinese Child Development Inventory (CCDI) was .958. The FAPCI-M also had excellent internal consistency and retest reliability. The Cronbach’s alpha coefficient of internal consistency was .979 and the correlated coefficient of the retest reliability between pretest and posttest was .981.
The FAPCI-M was developed on the basis of ICF model and also involved in a rigorous translation process. The study concluded that the FAPCI-M was verified as a result of excellent validity and reliability, and suggested that it could be suitable to the application in clinical practice.

並列關鍵字

FAPCI ； children with cochlear implants ； functioning ； ICF

參考文獻

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