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系統識別號 U0026-0812200915400764
論文名稱(中文) 意志量表應用於精神分裂症個案的信效度
論文名稱(英文) Reliability and Validity Test of Volitional Questionnaire in Patients with Schizophrenia
校院名稱 成功大學
系所名稱(中) 職能治療學系碩博士班
系所名稱(英) Department of Occupational Therapy
學年度 97
學期 2
出版年 98
研究生(中文) 黃珮瑄
研究生(英文) Pei-hsuan Huang
電子信箱 t7694104@mail.ncku.edu.tw
學號 t7694104
學位類別 碩士
語文別 中文
論文頁數 62頁
口試委員 口試委員-蘇純瑩
指導教授-施陳美津
口試委員-張達人
中文關鍵字 內在動機量表  意志量表  精神分裂症  動機 
英文關鍵字 Volitional Questionnaire  Intrinsic Motivation  schizophrenia  motivation 
學科別分類
中文摘要 研究背景與目的:意志量表是根據人類職能模式發展出的,可藉其來觀察評估個人在團體活動中的動機表現。意志量表曾應用於觀察兒童及成人復健的動機,但應用在評量精神疾患者的動機表現仍然闕如。意志量表的優點是即使認知能力不佳、口語表達能力不佳或是生理障礙的個人也可以使用此評估工具。本研究檢測意志量表應用於精神分裂症患者的信效度,包括施測者間信度和效標關聯效度中的同時效度。
方法:本研究計畫通過醫院臨床試驗委員會審核,50位來自於台南某公立精神科專科教學醫院的精神分裂症患者受邀簽署同意書參與此項研究。團體活動分6次舉行,每次8-9人以收集患者在意志量表的動機表現。每次活動皆全程錄影,患者在團體活動結束後立即勾選內在動機量表所描述的選項。治療師於2天內觀看錄影帶並依意志量表進行動機表現評分。
結果:意志量表的施測者間信度,具有顯著相關。意志量表中的探索因素、勝任感因素和成就因素與內在動機量表的興趣向度、勝任感向度的同時效度也達統計上的顯著相關。
結論:整體而言,本研究的意志量表的施測者間信度及同時效度良好。本研究的個案來自同一醫院復健病房,其結果可能不能代表所有的精神分裂症患者,建議增加樣本,樣本包涵不同區域和等級的急、慢性病患。
英文摘要 Background and Purpose:Volitional Questionnaire (VQ) was developed according to the Model of Human Occupation. VQ is used to score a patient’s degree of motivation involved in an activity through observation of the behaviors. VQ had been used to observe the degree of motivation involvement of children and adult with physical disabilities participating in rehabilitation programs. However, up to the present day, the studies of VQ in patients with schizophrenia were still paucity. The strength of VQ is that it can be used to measure motivation level of people who even have cognitive, oral communication, or physical disabilities. The purpose of this study was to examine the inter rater reliability and concurrent validity of VQ in patients with schizophrenia.
Methods:This research proposal has been approved by the Institutional Review Board. Fifty clients with schizophrenia who signed informed consent were recruited from a psychiatric center located in south part of Taiwan. They were invited to participate a special designed group activity. The fifty patients were divided into six groups. Each group was consisted eight to nine patients. The group activities were video taped through whole activity period. The patients’ motivation level were observed via video tape and scored by two experienced occupational therapists according to items of VQ independently to obtain inter rater reliability. Intrinsic Motivation Inventory was chosen as criteria for VQ in order to obtain concurrent validity. Therefore, after the end of the group activity, patients were asked to complete the Intrinsic Motivation Inventory (IMI).
Result:The inter-rater reliability is statistically significant. The concurrent validities also were statistical significance between VQ and several subscales of IMI.
Conclusion:In general, VQ has good inter-rater reliability and concurrent validity. However, the patients were recruited from a rehabilitation ward of a psychiatric center. The results of the study might not be able to generate to all schizophrenic conditions. We suggested to increase sample size to include different area and different stage of patients with schizophrenia in future study.
論文目次 目錄
中文摘要……………………………………………………………………………………i
英文摘要……………………………………………………………………………………ii
誌謝…………………………………………………………………………………………iv
目錄…………………………………………………………………………………………v
表目錄………………………………………………………………………………………vii
圖目錄………………………………………………………………………………………viii
附錄目錄……………………………………………………………………………………ix
第一章 緒論
第一節 研究動機………………………………………………………………………01
第二節 研究目的………………………………………………………………………02
第二章 文獻回顧
第一節 精神分裂症……………………………………………………………………03
第二節 動機……………………………………………………………………………07
第三節 評量動機的評估工具比較……………………………………………………10
第四節 評估工具的介紹………………………………………………………………13
第三章 研究方法
第一節 研究對象………………………………………………………………………19
第二節 研究工具………………………………………………………………………19
第三節 研究流程………………………………………………………………………25
第四節 資料分析………………………………………………………………………27
第四章 研究結果
第一節 人口學分析……………………………………………………………………28
第二節 施測者間信度…………………………………………………………………28
第三節 效標關聯效度中的同時效度…………………………………………………28
第五章 討論
第一節 內在動機量表的一致性和信度建立…………………………………………30
第二節 簡易志能評估與閱讀能力…..………………………………………………33
第三節 意志量表的施測者間信度……………………………………………………34
第四節 效標關聯效度中的同時效度…………………………………………………35
第六章 結論與建議……………………………………………………………………37
參考文獻…………………………………………………………………………………38
自述………………………………………………………………………………………62

表目錄
表一 評估工具比較…………………………………………………………………44
表二 人口學分析……………………………………………………………………45
表三 內在動機量表得分分析(N=50)………………………………………………46
表四 意志量表得分分析(N=50)……………………………………………………47
表五 意志量表與內在動機量表的同時效度(N=50)………………………………48
表六 意志量表與內在動機量表的同時效度(N=49)………………………………49

圖目錄
圖一 同時效度圖……………………………………………………………………50

附錄目錄
附錄一 基本資料表……………………………………………………………………51
附錄二 意志量表評分表………………………………………………………………52
附錄三 內在動機量表…………………………………………………………………54
附錄四 內在動機量表的一致性(N=21)………………………………………………56
附錄五 受測者資料(N=50)……………………………………………………………57
附錄六 臨床試驗證明書………………………………………………………………59
附錄七 研究參與同意書………………………………………………………………61
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