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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 薛漪平(I-Ping Hsueh) | |
| dc.contributor.author | Shao-Tong Tsai | en |
| dc.contributor.author | 蔡劭彤 | zh_TW |
| dc.date.accessioned | 2022-11-24T03:04:12Z | - |
| dc.date.available | 2022-02-16 | |
| dc.date.available | 2022-11-24T03:04:12Z | - |
| dc.date.copyright | 2022-02-16 | |
| dc.date.issued | 2022 | |
| dc.date.submitted | 2022-01-26 | |
| dc.identifier.citation | 黃怡靜、林恭宏、吳姿誼、呂文賢、陳怡妙、謝清麟（2013）。中風個案自陳職能治療服務需求與滿意度之探討。臺灣職能治療研究與實務雜誌，9（2），99-112。 Arnall, F. A., Koumantakis, G. A., Oldham, J. A., Cooper, R. G. J. C. R. (2002). Between-days reliability of electromyographic measures of paraspinal muscle fatigue at 40, 50 and 60% levels of maximal voluntary contractile force. 16(7), 761-771. Atkinson, G., Nevill, A. M. J. S. m. (1998). Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. 26(4), 217-238. Bai, S., Wu, B., Yao, Z., Zhu, X., Jiang, Y., Chang, Q., . . . Tong, T. J. B. m. e. (2019). Effectiveness of a modified doctor–patient communication training Programme designed for surgical residents in China: a prospective, large-volume study at a single Centre. 19(1), 338. Basehore, P. M., Pomerantz, S. C., Gentile, M. J. M. t. (2014). Reliability and benefits of medical student peers in rating complex clinical skills. 36(5), 409-414. Beckerman, H., Roebroeck, M., Lankhorst, G., Becher, J., Bezemer, P. D., Verbeek, A. J. Q. o. L. R. (2001). Smallest real difference, a link between reproducibility and responsiveness. 10(7), 571-578. Benson, B. J. J. A. P. (2014). Domain of competence: interpersonal and communication skills. 14(2 Suppl), S55-65. Bernard, T., Stevens, A., Wagner, P., Bernard, N., Oxendine, C., Johnsen, K., . . . Duerson, M. J. S. i. H. (2006). A multi-institutional pilot study to evaluate the use of virtual patients to teach health professions students history-taking and communication skills. 1(2), 92-93. Bokken, L., Rethans, J.-J., Scherpbier, A. J., van der Vleuten, C. P. J. S. i. H. (2008). Strengths and weaknesses of simulated and real patients in the teaching of skills to medical students: a review. 3(3), 161-169. Borghi, L., Johnson, I., Barlascini, L., Moja, E. A., Vegni, E. J. S. j. o. o. t. (2016). Do occupational therapists’ communication behaviours change with experience? , 23(1), 50-56. Brown, T., Yu, M.-l., Etherington, J. (2020). Are Listening and Interpersonal Communication Skills Predictive of Professionalism in Undergraduate Occupational Therapy Students? Health Professions Education, 6(2), 187-200. doi:https://doi.org/10.1016/j.hpe.2020.01.001 Cömert, M., Zill, J. M., Christalle, E., Dirmaier, J., Härter, M., Scholl, I. J. P. o. (2016). Assessing communication skills of medical students in Objective Structured Clinical Examinations (OSCE)-A systematic review of rating scales. 11(3), e0152717. Calhoun, A. W., Rider, E. A., Meyer, E. C., Lamiani, G., Truog, R. D. J. S. i. H. (2009). Assessment of communication skills and self-appraisal in the simulated environment: feasibility of multirater feedback with gap analysis. 4(1), 22-29. Cegala, D. J., Coleman, M. T., Turner, J. W. J. H. c. (1998). The development and partial assessment of the medical communication competence scale. 10(3), 261-288. Cegala, D. J., McGee, D. S., McNeilis, K. S. J. H. C. (1996). Components of patients' and doctors' perceptions of communication competence during a primary care medical interview. 8(1), 1-27. Clayton, M. F., Latimer, S., Dunn, T. W., Haas, L. J. P. e., counseling. (2011). Assessing patient-centered communication in a family practice setting: how do we measure it, and whose opinion matters? , 84(3), 294-302. Conn, L. G., Lingard, L., Reeves, S., Miller, K.-L., Russell, A., Zwarenstein, M. J. Q. h. r. (2009). Communication channels in general internal medicine: a description of baseline patterns for improved interprofessional collaboration. 19(7), 943-953. Doros, G., Lew, R. J. A. J. B. (2010). Design based on intra-class correlation coefficients. 1(1), 1-8. Ellison, D. (2015). Communication skills. Nurs Clin North Am, 50(1), 45-57. doi:10.1016/j.cnur.2014.10.004 Flansbjer, U.-B., Holmbäck, A. M., Downham, D., Patten, C., Lexell, J. J. J. o. r. m. (2005). Reliability of gait performance tests in men and women with hemiparesis after stroke. 37(2), 75-82. Foronda, C., MacWilliams, B., McArthur, E. J. N. e. i. p. (2016). Interprofessional communication in healthcare: An integrative review. 19, 36-40. Frankel, R. M., Stein, T. J. P. J. (1999). Getting the most out of the clinical encounter: the four habits model. 3(3), 79-88. Friedman, H. S. (2015). Encyclopedia of mental health: Academic Press. Frost, M. H., Reeve, B. B., Liepa, A. M., Stauffer, J. W., Hays, R. D., Health, M. F. P. R. O. C. M. G. J. V. i. (2007). What is sufficient evidence for the reliability and validity of patient‐reported outcome measures? , 10, S94-S105. Gillis, A. E., Morris, M. C., Ridgway, P. F. J. P. m. j. (2015). Communication skills assessment in the final postgraduate years to established practice: a systematic review. 91(1071), 13-21. Ha, J. F., Longnecker, N. (2010). Doctor-patient communication: a review. The Ochsner journal, 10(1), 38-43. Haley, S. M., Coster, W. J., Faas, R. M. J. P. P. T. (1991). A content validity study of the Pediatric Evaluation of Disability Inventory. 3(4), 177-184. Hobart, J. C., Lamping, D. L., Thompson, A. J. J. J. o. n., neurosurgery,, psychiatry. (1996). Evaluating neurological outcome measures: the bare essentials. 60(2), 127. Joyce, B. L., Steenbergh, T., Scher, E. J. J. o. g. m. e. (2010). Use of the Kalamazoo essential elements communication checklist (adapted) in an institutional interpersonal and communication skills curriculum. 2(2), 165. King, G., Servais, M. J. T. S. o. L. R. M., Measures. (2017). Effective Listening and Interactive Communication Scale (ELICS) (King, Servais, Bolack, Shepherd, Willoughby, 2012). 252-258. Kline, P. (1998). The new psychometrics: Science, psychology, and measurement: Psychology Press. Koo, T. K., Li, M. Y. J. J. o. c. m. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. 15(2), 155-163. Kurtz, S., Silverman, J., Benson, J., Draper, J. J. A. M. (2003). Marrying content and process in clinical method teaching: enhancing the Calgary–Cambridge guides. 78(8), 802-809. Laidlaw, A., Hart, J. J. M. t. (2011). Communication skills: An essential component of medical curricula. Part I: Assessment of clinical communication: AMEE Guide No. 51. 33(1), 6-8. Landis, J. R., Koch, G. G. J. b. (1977). The measurement of observer agreement for categorical data. 159-174. Liaw, L.-J., Hsieh, C.-L., Lo, S.-K., Chen, H.-M., Lee, S., Lin, J.-H. J. D., rehabilitation. (2008). The relative and absolute reliability of two balance performance measures in chronic stroke patients. 30(9), 656-661. Makoul, G., Krupat, E., Chang, C.-H. J. P. e., counseling. (2007). Measuring patient views of physician communication skills: development and testing of the Communication Assessment Tool. 67(3), 333-342. Makoul, G. J. P. e., counseling. (2001). The SEGUE Framework for teaching and assessing communication skills. 45(1), 23-34. McCorry, L. K., Mason, J. (2020). Communication skills for the healthcare professional: JONES BARTLETT PUB Incorporated. Mercer, L. M., Tanabe, P., Pang, P. S., Gisondi, M. A., Courtney, D. M., Engel, K. G., . . . counseling. (2008). Patient perspectives on communication with the medical team: Pilot study using the communication assessment tool-team (CAT-T). 73(2), 220-223. Owen, K. K. (2012). The search for health information on the internet: Perceptions of patient medical communication competence during the medical appointment: The University of Texas-Pan American. Peterson, E. B., Calhoun, A. W., Rider, E. A. J. P. E., Counseling. (2014). The reliability of a modified Kalamazoo Consensus Statement Checklist for assessing the communication skills of multidisciplinary clinicians in the simulated environment. 96(3), 411-418. Petrakaki, R. P., Quinn, C., Robertson, A., Takian, A., Voutsina, K., Waring, J., Sheikh, A. (2011). The Long and Winding Road…. Portney, L. G., Watkins, M. P. (2009). Foundations of clinical research: applications to practice (Vol. 892): Pearson/Prentice Hall Upper Saddle River, NJ. Radziej, K., Loechner, J., Engerer, C., Niglio de Figueiredo, M., Freund, J., Sattel, H., . . . Wuensch, A. J. M. e. o. (2017). How to assess communication skills? Development of the rating scale ComOn Check. 22(1), 1392823. Rankin, K. P., Salazar, A., Gorno-Tempini, M. L., Sollberger, M., Wilson, S. M., Pavlic, D., . . . Miller, B. L. (2009). Detecting sarcasm from paralinguistic cues: Anatomic and cognitive correlates in neurodegenerative disease. NeuroImage, 47(4), 2005-2015. doi:https://doi.org/10.1016/j.neuroimage.2009.05.077 Rider, E. A., Nawotniak, R. H., Smith, G. (2007). A practical guide to teaching and assessing the ACGME core competencies: HC Pro, Inc. Roberts, S. (2012). Communication Skills for Adult Nurses, Foreword: Jackie Jones, Sarah Kraszewski, Abayomi McEwen (Eds.), Open University Press, Maidenhead, UK (2010), 170 pp., ISBN–13: 978-033523748-7, Price:£ 19.99. In: Churchill Livingstone. Roter, D., Larson, S. J. P. e., counseling. (2002). The Roter interaction analysis system (RIAS): utility and flexibility for analysis of medical interactions. 46(4), 243-251. Safrit, M. J., Wood, T. M. (1989). Measurement concepts in physical education and exercise science: Human Kinetics Books Champaign. Scheffer, S., Muehlinghaus, I., Froehmel, A., Ortwein, H. J. A. i. h. s. e. (2008). Assessing students’ communication skills: validation of a global rating. 13(5), 583-592. Scholl, I., Nicolai, J., Pahlke, S., Kriston, L., Krupat, E., Härter, M. J. P. e., counseling. (2014). The German version of the four habits coding scheme–association between physicians’ communication and shared decision making skills in the medical encounter. 94(2), 224-229. Sokolov, A., Krüger, S., Enck, P., Krägeloh-Mann, I., Pavlova, M. (2011). Gender Affects Body Language Reading. 2(16). doi:10.3389/fpsyg.2011.00016 Thomas, R. K. (2006). Health communication: Springer Science Business Media. Twinley, R. J. J. o. P. P. (2012). Developing communication skills in occupational therapy, and paramedic students. 4(12), 705-714. Vermeir, P., Vandijck, D., Degroote, S., Peleman, R., Verhaeghe, R., Mortier, E., . . . Vogelaers, D. (2015). Communication in healthcare: a narrative review of the literature and practical recommendations. International journal of clinical practice, 69(11), 1257-1267. doi:10.1111/ijcp.12686 Wade, D. J. N. Y. (1992). Measurement in neurological rehabilitation Oxford University Press. Zayyan, M. (2011). Objective structured clinical examination: the assessment of choice. Oman medical journal, 26(4), 219-222. doi:10.5001/omj.2011.55 | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/80308 | - |
| dc.description.abstract | "背景及目的：職能治療人員的醫病溝通技巧甚為重要，其為影響醫病關係與治療成效的關鍵之一。良好的溝通技巧評估工具，可確認治療人員溝通技巧之表現與結果之穩定度與正確性。現今評估醫療人員之醫病溝通技巧評估工具中，Gap-Kalamazoo溝通技巧評估表 (Gap-Kalamazoo Communication Skills Assessment Form, GKCSAF) 最具潛力，共有3種版本（專家版、病人版、自評版），且其評估內容完整性較高，共有9個溝通技巧，包括：建立醫病關係、開啟議題討論、收集資料、了解病人/家屬的觀點、確保病人/家屬理解訊息、達成共識、總結並結束、展現同理、傳遞正確資訊。各溝通技巧分別有2至5個參考項目，以作為各溝通技巧的評分參考，且各溝通技巧均以5點量尺計分，可分別呈現9個溝通技巧的分數與總分，因此可確認該人員於各別與整體溝通技巧之表現。由於GKCSAF的心理計量特性如信度與效度驗證較不足，為提升此工具的臨床應用性，本研究主在驗證GKCSAF中文版之專家版於生理疾患職能治療人員之評估者間信度、評估者內信度、隨機測量誤差、編碼一致性、表面效度與內容效度。 方法：評估的資料來自2個研究計畫，以錄音方式分別蒐集治療師與病人及實習生與病人間之臨床治療訪談內容，並轉譯為逐字稿，以利評估者的詳細評估。研究流程有3部分：(1) 溝通資料之收集；(2) 信度驗證，先做資料合適度篩選，再進行評估者訓練，最後為正式評估；(3) 效度驗證。本研究將使用立意取樣，共招募5位評估者（直接評分3位、編碼後評分2位）獨立評分。「直接評分」即按照原工具之評估方式評分。「編碼後評分」為使用ATLAS.ti 9，將符合特定溝通技巧之敘述編碼，再依編碼內容評分。前測完成後，研究者於該2種評分方式各選擇1位評估者完成後測，前測與後測中間間隔8週。評估者間與評估者內信度之資料分析，於整體分數以組內相關係數 (intraclass correlation coefficient, ICC) 檢驗，個別分數以一致性百分比 (Percentage agreement) 與weighted kappa檢驗。隨機測量誤差以測量標準誤 (standard error of measurement, SEM)，編碼一致性以holsti index檢驗。表面效度與內容效度均以同意百分比檢驗。 結果：本研究的「直接評分」組與「編碼後評分」於基本信度與效度的結果顯示：(1) 評估者間信度的總分的ICC值分別為0.57與0.52，均為不佳的一致性，而各大題加權kappa值分別為 -0.03 ~ 0.34與 -0.03 ~ 0.38，均為差至普通的一致性。(2) 評估者內信度的總分的ICC值分別為0.86與0.82，均為好的一致性，而各大題加權kappa值分別為 -0.02 ~ 0.49與 -0.02 ~ 0.64，「直接評分」組為差至中度的一致性，而「編碼後評分」組為差至高度的一致性。(3) 隨機測量誤差的SEM% 值於評估者間分別為8.1% 與7.0%，為可接受之標準。(4) 編碼一致性的整體結果為24.0%，而各大題的結果為10.5% ~ 63.8%；評估者內於整體結果為61.1%，而各大題的結果為56.8% ~ 80.2%。(5) 表面效度之同意百分比為80% ~ 100%，皆通過檢核，具備表面效度 (6) 內容效度之同意百分比為20% ~ 100%，其中有4個大題未達標準，其餘皆通過檢核，代表不完全具備內容效度。 結論：本研究目的為驗證GKCSAF專家版之中文版，於生理疾病職能治療人員的心理計量特性。於信度部分，此工具於各大題大部分結果顯示信度不佳，僅少部分達普通以上之一致性；總分為好的一致性；而效度部分於表面效度顯示為可接受，而內容效度則為部分可接受。此外，由於大部分的大題於「直接評分」組與「編碼後評分」組相似，因此此工具可使用「直接評分」的方式評估即可。研究者建議未來需將此工具之內容進行改良，將各項目與評分標準定義清楚，並調整可能較不適用於職能治療之項目，且未來亦需完整驗證其心理計量特性，以確認其於職能治療的適用性。" | zh_TW |
| dc.description.provenance | Made available in DSpace on 2022-11-24T03:04:12Z (GMT). No. of bitstreams: 1 U0001-1701202215142700.pdf: 3020971 bytes, checksum: 6239c008b5be60f2c9053396d7ab83a6 (MD5) Previous issue date: 2022 | en |
| dc.description.tableofcontents | 口試委員審定書 i 致謝 ii 中文摘要 iii 英文摘要 v 圖目錄 xi 表目錄 xii 第一章、醫病溝通概念介紹 1 第一節、溝通的意涵與方式 1 第二節、醫療領域的溝通與應用 1 一、醫療領域的溝通與應用情境 1 二、醫病溝通的重要性 2 第三節、職能治療的醫病溝通技巧應用 3 第二章、醫病溝通技巧之評估 5 第一節、醫病溝通的理論架構與技巧 5 第二節、醫病溝通技巧的評估類型介紹 6 一、評估情境 6 二、評估者類型 7 三、評估時間點 9 四、評估方式 10 第三節、醫病溝通技巧評估工具應具備之心理計量特性 11 一、信度 11 二、效度 11 第四節、現有醫病溝通技巧評估工具與心理計量特性介紹 12 第五節、現有醫病溝通技巧評估工具及其心理計量特性評析與比較 15 第三章、研究目的與預期結果 18 第一節、研究目的 18 第二節、預期結果 18 第四章、研究方法 19 第一節、研究對象 19 第二節、研究流程 19 一、溝通資料之收集 19 二、信度驗證 20 三、效度驗證 23 第三節、研究工具 23 第四節、資料分析 24 一、人口學變項 25 二、信度驗證 25 三、效度驗證 26 第五章、研究結果 27 第一節、溝通資料之收集 27 一、資料合適度篩選結果 27 二、樣本人口學特性 27 第二節、信度驗證結果 28 一、評估者訓練 28 二、正式評估結果 28 第三節、效度驗證結果 31 一、表面效度結果 31 二、內容效度結果 32 第六章、討論 35 第一節、本研究之特色 35 第二節、資料合適度篩選結果 35 第三節、信度驗證結果 35 一、評估者訓練 35 二、正式評估結果 36 第四節、效度驗證結果 40 第五節、研究限制 41 第七章、總結和建議 42 第一節、總結 42 第二節、未來研究建議 42 參考文獻 57 附錄一 GKCSAF中文版之專家版評估表 62 附錄二 直接評分組之評分共識 66 附錄三 編碼後評分組之評分共識 68 圖目錄 圖一 溝通的方式 43 圖二 信度驗證研究流程 44 表目錄 表一 現有醫病溝通技巧評估工具心理計量特性 45 表二 現有醫病溝通技巧評估工具之優缺點 46 表三 現有醫病溝通技巧評估完整性 47 表四 編碼原則 48 表五 職能治療師人口學基本資料 49 表六 職能治療實習生人口學基本資料 50 表七 病人人口學基本資料 51 表八 總分之信度與隨機測量誤差 52 表九 評估者間信度結果 53 表十 評估者內信度結果 55 表十一 編碼一致性 56 | |
| dc.language.iso | zh-TW | |
| dc.subject | 職能治療 | zh_TW |
| dc.subject | 溝通技巧 | zh_TW |
| dc.subject | 信度 | zh_TW |
| dc.subject | 效度 | zh_TW |
| dc.subject | validity | en |
| dc.subject | communication skills | en |
| dc.subject | reliability | en |
| dc.subject | occupational therapy | en |
| dc.title | Gap-Kalamazoo溝通技巧評估表之專家版於生理職能治療人員之心理計量特性驗證 | zh_TW |
| dc.title | Validation of the Gap-Kalamazoo Communication Skills Assessment Form-Clinical/Faculty Version in Occupational Therapy Practitioners for Adults | en |
| dc.date.schoolyear | 110-1 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 謝清麟(Ping-Chuan Hsiung),黃小玲(Li-Ying Chung) | |
| dc.subject.keyword | 溝通技巧,信度,效度,職能治療, | zh_TW |
| dc.subject.keyword | communication skills,reliability,validity,occupational therapy, | en |
| dc.relation.page | 71 | |
| dc.identifier.doi | 10.6342/NTU202200082 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2022-01-27 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 職能治療研究所 | zh_TW |
| 顯示於系所單位： | 職能治療學系 | |
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