张善纲，范建中，陈平雁，张建宏，尹瑞雪.洛文斯顿作业疗法认知评定中文量表信度和内在效度的初步研究[J].中华物理医学与康复杂志,2004,(9):
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| 洛文斯顿作业疗法认知评定中文量表信度和内在效度的初步研究 |
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| DOI： |
| 中文关键词: 洛文斯顿作业疗法认知评定量表 信度 效度 |
| 英文关键词: Loewenstein occupational therapy cognitive assessment（LOTCA） Reliability Validity |
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| 中文摘要: |
| 目的测试洛文斯顿作业疗法认知评定（LOTCA）量表（第2版）中文译文的信度和内在效度。 方法将LOTCA（第2版）量表翻译成中文后，分别由2名评定员根据其中文译文在2周内对34例脑外伤患者（病例组）和64例无中枢神经系统疾病者（对照组）进行评定，对LOTCA量表中文译文的评定员一致性信度、重测信度、组内信度、内容效度和区分效度进行比较。 结果⑴绝大部分项目信度良好（r>0.8，P<0.001）。⑵病例组的克朗巴哈α信度系数为0.977，对照组为0.873，病例组每个领域的克朗巴哈α信度系数均>0.9。⑶病例组LOTCA量表内容效度较好，各项条目所在领域的相关性好（r=0.697~0.975，P<0.01）。⑷LOTCA量表具有较高的区分效度（P<0.001）。 结论对于我国脑外伤患者，LOTCA量表中大部分项目具有较高的信度和效度，适宜在国内临床工作中推广。 |
| 英文摘要: |
| Objective To test the reliability and the validity of the Chinese version of Loewenstein Occupational Therapy Cognitive Assessment (LOTCA) (2nd Edition). MethodsWe translated the 2nd edition of LOTCA into Chinese. And two experienced professionals scored 34 patients with TBI (patient group) independently and 64 people without central nervous system disease(control group) in two weeks, using the Chinese version of LOTCA. The test-retest reliability, the interrater reliability, the internal reliability, the contents validity and the discriminant validity of the Chinese version of LOTCA were examined in this study. Results⑴Most of the items had high reliability (r>0.8, P<0.001). ⑵Cronbach's alpha coefficients of LOTCA were 0.977 in patient group and 0.873 in control group. ⑶All items showed high correlation with its domain in patient group (r=0.697~0.975, P<0.01), which demonstrated that LOTCA had good content validity. ⑷The discriminant validity of LOTCA was high (P<0.001). ConclusionThe reliability and validity were high with most items of LOTCA when used in Chinese patients with TBI, so it can be used reliably in clinical practice in Chinese patients. |
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