Development on the Questionnaire of Cold-Heat Pattern Identification Based on Usual Symptoms for Health Promotion - Focused on Agreement Study

건강 증진을 위한 평소 증상 기반의 한열변증 설문지 개발 - 일치도를 중심으로

  • Bae, Kwang-Ho (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Yoon, Youngheum (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Yeo, Minkyung (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Kim, Ho-Seok (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Lee, Youngseop (Mibyeong Research Center, Korea Institute of Oriental Medicine) ;
  • Lee, Siwoo (Mibyeong Research Center, Korea Institute of Oriental Medicine)
  • 배광호 (한국한의학연구원 미병연구단) ;
  • 윤영흠 (한국한의학연구원 미병연구단) ;
  • 여민경 (한국한의학연구원 미병연구단) ;
  • 김호석 (한국한의학연구원 미병연구단) ;
  • 이영섭 (한국한의학연구원 미병연구단) ;
  • 이시우 (한국한의학연구원 미병연구단)
  • Received : 2016.06.01
  • Accepted : 2016.07.01
  • Published : 2016.08.31

Abstract

Objectives : We presented the results of reliability study in advance, and analyzed agreement between Korean medicine doctors(KMDs)' diagnosis and cold-heat pattern identification questionnaire(CHPI)'s diagnosis. Methods : This survey was conducted from May 16 to 17, 2015. The subjects were 93 adults living in rural society. Diagnosis of CHPI was performed by 2 KMDs who have clinical experience more than 5 years. The KMDs' diagnosis was set as a reference index, and then we compare 23 items(cold pattern 11 items and heat pattern 12 items) of CHPI questionnaire and 15 items(cold pattern 8 items and heat pattern 7 items) that were brief form of it. We had cut-off value by standard of KMDs' diagnosis using receiver operating characteristic-curve(ROC-curve), with which we calculated agreement including kappa value. Correlation analysis between CHPI evaluation score by KMDs and by the questionnaire was fulfilled as well. Results : Agreement about 11 and 8 cold pattern items showed 87.1% together, and the value of kappa each recorded 0.742 and 0.741. Agreement about 12 and 7 heat pattern items suggested 81.7% and 78.5%, and the value of kappa showed 0.634 and 0.570. Correlation coefficients were 0.803 of 11 items and 0.761 of 8 items about cold pattern. In addition, correlation coefficients were 0.789 of 12 items and 0.767 of 7 items about heat pattern. The significant probability (p-value) was under 0.001. Conclusions : We have developed CHPI questionnaire involving reliability and agreement based on usual symptoms, and hope additional complements so that Korean medicine diagnostics and Korean preventive medicine would be improved.

Keywords

References

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