Reliability and Validity on Measurement Instrument for Health Status Assessment in Occupational Workers

직장인들의 건강수준 평가를 위한 측정도구의 신뢰도와 타당도 분석

  • Koh, Sang-Baek (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Chang, Sei-Jin (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Kang, Myung-Guen (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Cha, Bong-Suk (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, Jong-Ku (Department of Preventive Medicine and Institute of Occupational Medicine, Yonsei University Wonju College of Medicine)
  • 고상백 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 장세진 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 강명근 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 차봉석 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소) ;
  • 박종구 (연세대학교 원주의과대학 예방의학교실 및 직업의학연구소)
  • Published : 1997.06.01

Abstract

In order to test scaling assumption, and to assess the validity, reliability, and acceptability of the Short form 36(SF-36) health survey questionnaire, we conducted a survey. Samples were 296 workers who had been employed in small sized companies. All scale passed for item internal consistency(100% sucess rate) and item discriminant validity(100% success .ate). Reliability coefficients were ranged from the lowest 0.51 to the highest of 0.85. For 87.5% of the total workers, inconsistent responses were not observed. Only 3.0% of the total workers failed two or more checks. Factor analysis was performed using principal axis factor method and quartimax rotation. In this survey, the SF-36 retained available psychometric properties even when used in a generally healthy worker group. But further study with some consideration to develope health status measurement is expected : first, the definition of health status should be rationalized. Second, the measurement of outcome is an important consideration in evaluations of quality of care. But ambiguities hinder understanding of this important topic. Third, internal consistency should be interpreted with caution as an indication reliability because it ignores potentially important sources of variation that can occur over time.

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