Korean Version of the Confidence of Arm and Hand Movement Scale and Its Psychometric Properties.

IF 2.1 Q1 REHABILITATION
Annals of Rehabilitation Medicine-ARM Pub Date : 2025-04-01 Epub Date: 2025-04-30 DOI:10.5535/arm.240077
Hanna Kim, Yeajin Ham, Joon-Ho Shin
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引用次数: 0

Abstract

Objective: To investigate the impact of self-efficacy in using one's upper limbs on the overall wellbeing of stroke patients, we developed the Korean version of the Confidence of Arm and Hand Movement (K-CAHM) scale by modifying the original CAHM to suit Korean cultural conditions.

Methods: This study was conducted from May 2022 to June 2023 at a rehabilitation hospital with 54 stroke patients. Participants with sufficient cognitive and verbal abilities were included, while those with severe comorbidities were excluded. For the translation and cultural adaptation of CAHM into Korean, permission was obtained from the original author. Two translators independently translated the questionnaire, followed by a consensus discussion and expert review to create K-CAHM version 1.0. After back-translation and further review, the final Korean version was completed. Reliability and validity were assessed using Cronbach's alpha, intraclass correlation coefficient (ICC), exploratory factor analysis, Bland-Altman analysis, and Pearson correlation.

Results: The K-CAHM showed good reliability (Cronbach's alpha=0.97; ICC=0.895). Bland-Altman plot analysis showed good agreement, indicating test-retest reliability. Moreover, K-CAHM showed good concurrent validity, demonstrated by its correlation with three domains of the International Classification of Functioning, Disability and Health: Fugl-Meyer assessment, the Jebsen-Taylor Hand Function Test, personal hygiene and bathing in the modified Barthel Index, and hand and stroke recovery domain in the Stroke Impact Scale.

Conclusion: The newly developed K-CAHM could complement other outcome measures, facilitating patient-centered rehabilitation in the Korean context.

韩文手臂运动量表自信度及其心理测量学特征。
目的:为探讨上肢使用自我效能感对脑卒中患者整体幸福感的影响,我们根据韩国的文化条件,对原量表进行修改,编制了韩国版的“手臂和手运动自信量表”(K-CAHM)。方法:本研究于2022年5月至2023年6月在某康复医院对54例脑卒中患者进行研究。具有足够认知和语言能力的参与者被纳入,而那些有严重合并症的参与者被排除在外。对于《CAHM》的韩语翻译和文化改编,已经得到了原作者的许可。两名译员独立完成问卷的翻译,经过共识讨论和专家评审,最终形成K-CAHM 1.0版。经过反向翻译和进一步审查,最终的韩文版本完成了。采用Cronbach’s alpha、类内相关系数(ICC)、探索性因子分析、Bland-Altman分析和Pearson相关评估信度和效度。结果:K-CAHM具有良好的信度(Cronbach’s alpha=0.97;ICC = 0.895)。Bland-Altman图分析结果吻合良好,说明重测信度较高。此外,K-CAHM与Fugl-Meyer评估、Jebsen-Taylor手功能测验、修正Barthel指数中的个人卫生与沐浴、脑卒中影响量表中的手与脑卒中恢复相关,显示出良好的并发效度。结论:新开发的K-CAHM可以补充其他结果测量,促进韩国背景下以患者为中心的康复。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
7.70%
发文量
32
审稿时长
30 weeks
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