華語版幼兒植入電子耳後溝通功能量表信效度驗證

The Mandarin Functioning After Pediatric Cochlear Implantation Instrument (FAPCI-M) and Its Validity and Reliability Verification

10.6143/JSLHAT.202006_(42).0003

樊家欣(Jia-Shin Fan)；鄧菊秀(Chu-Hsiu Teng)

華語版FAPCI ； 電子耳幼兒 ； 溝通功能 ； 國際健康功能與身心障礙分類系統（ICF） ； FAPCI-M ； Children with cochlear implants ； Functioning ； ICF

台灣聽力語言學會雜誌

42期（2020 / 06 / 01）

49 - 79

繁體中文

「幼兒植入電子耳後溝通功能量表」（Functioning after Pediatric Cochlear Implantation Instrument, FAPCI）是以國際健康功能與身心障礙分類系統（International Classification of Functioning, Disability and Health, ICF）為其架構所編製而成，能較完整地評量電子耳幼兒的溝通功能。本研究目的旨在編譯「華語版FAPCI」且建立其信效度，以提供台灣2至5歲電子耳幼兒日常溝通表現之評量工具。華語版FAPCI採用雙向翻譯程序，分別由專家進行內容效度檢定及電子耳幼兒照顧者進行表面效度之評定。正式收案對象為電子耳幼兒照顧者，以方便取樣方式進行收案，收案來源橫跨台灣12個單位，有效問卷共計87份。本研究分別以建構效度、效標關聯效度、內部一致性信度和再測信度來檢驗量表得分結果的信效度。研究結果顯示，華語版FAPCI具有良好的建構效度和很高的效標關聯效度：建構效度採用探索性因素分析，萃取出「口語溝通活動」和「口語溝通參與」兩個因素；華語版FAPCI與學齡前兒童行為發展量表（Chinese Child Development Inventory, CCDI）進行效標關聯效度分析，相關係數達0.958。再者，華語版FAPCI亦具有極佳的內部一致性和很高的再測信度：內部一致性之Cronbach's α值達0.979；前測和後測之再測信度的相關係數達0.981。總結而論，華語版FAPCI以ICF為架構，採用嚴謹的翻譯流程編製而成，具有優良的信效度，建議適合於臨床應用。

The Functioning after Pediatric Cochlear Implantation Instrument (FAPCI), based on the framework of International Classification of Functioning, Disability and Health (ICF), can comprehensively evaluate the communicative performance of children with cochlear implants. This study developed a Mandarin version of the FAPCI (FAPCI-M) and verified its psychometric properties. The FAPCI-M was translated through bidirectional translation, and experts and parents of cochlear implant children were invited to separately examine its content validity and face validity. The study recruited the main caregivers of cochlear-implanted children as subjects from 12 centers around Taiwan, and received a total of 87 valid questionnaires. The construct validity, criterion-related validity, internal consistency, and retest reliability were analyzed respectively. The results showed that the FAPCI-M had good construct validity and excellent criterion-related validity. The construct validity was evaluated through exploratory factor analysis and refined out two factors, spoken communication activities and spoken communication participation. The correlated coefficient of criterion-related validity with the Chinese Child Development Inventory (CCDI) was 0.958. The FAPCI-M also had excellent internal consistency and retest reliability. The Cronbach's α coefficient of internal consistency was 0.979 and the correlated coefficient of the retest reliability between pretest and posttest was 0.981. The FAPCI-M was developed on the basis of ICF model and accomplished by a rigorous translation process. The study concluded that the FAPCI-M was verified as a result of excellent validity and reliability, and suggested that it could be suitable to the application in clinical practice.

1. 王南梅,郭于靚,黃國祐,劉樹玉,劉俊榮(2009)。台灣電子耳兒童現況調查研究─電子耳使用、聽覺能力、口語溝通能力表現。台灣聽力語言學會雜誌，22，55-85。
   連結：
2. 王南梅,郭于靚,黃國祐,劉樹玉,劉俊榮(2009)。台灣電子耳兒童現況調查研究─電子耳使用、聽覺能力、口語溝通能力表現。台灣聽力語言學會雜誌，22，55-85。
   連結：
3. 周月清,張恒豪(2017)。新制身心障礙鑑定與需求評估（ICF）執行之探討：身心障礙服務使用者觀點。東吳社會工作學報，32，1-34。
   連結：
4. 柯慧貞,朱倍毅,陸偉明,高振傑,龔毅珊,邱郁雯,胡崇元(2008)。更新學齡前兒童行為發展量表的常模。測驗學刊，55，313-340。
   連結：
5. 洪惠芬(2012)。「分配正義」還是「形式正義」？身心障礙做為福利身分與歧視的雙重意涵。台灣社會福利學刊，10(2)，93-60。
   連結：
6. Aiken, L. R.(1980).Content validity and reliability of single items or questionnaires.Educational and Psychological Measurement,40,955-959.
7. Aiken, L. R.(1985).Three coefficients for analyzing the reliability and validity of ratings.Educational and Psychological Measurement,45,131-142.
8. Faramarzi, S.,Ezhiyeh, A. M.,Abtahi, S. H.,Sepehrnejad, M.(2015).Psychometric properties of the Persian version of the functioning after pediatric cochlear implantation.Auditory and Vestibular Research,24(4),171-185.
9. Fenson, L.,Dale, P. S.,Reznick, J. S.,Thal, D.,Bates, E.,Hartung, J. P.,Reilly, J. S.(1993).MacArthur communicative development inventories: User’s guide and technical manual.San Diego, CA:Singular.
10. Flansbjer, U.-B.,Holmbäck, A. M.,Downham, D.,Patten, C.,Lexell, J.(2005).Reliability of gait performance tests in men and women with hemiparesis after stroke.Journal of Rehabilitation Medicine,37,75-82.
11. Grugel, L.,Streicher, B.,Lang-Roth, R.,Walger, M.,Meister, H.(2011).Measuring communicative performance with the German version of the FAPCI-instrument: Normative data and longitudinal results.International Journal of Pediatric Otorhinolaryngology,75,543-548.
12. Grugel, L.,Streicher, B.,Lang-Roth, R.,Walger, M.,von Wedel, H.,Meister, H.(2009).Entwicklung einer deutschsprachigen version des Fragebogens Functioning after Pediatric Cochlear Implantation (FAPCI).HNO,57,678-684.
13. Ireton, H.,Thwing, E.(1976).Appraising the development of a preschool child by means of a standardized report prepared by the mother: The minnesota child development inventory.Clinical Pediatrics,15,875-882.
14. Jones, P. S.,Lee, J. W.,Phillips, L. R.,Zhang, X. E.,Jaceldo, K. B.(2001).An adaptation of Brislin’s translation model for cross-cultural research.Nursing Research,50,300-304.
15. Kaiser, H. F.(1958).The varimax criterion for analytic rotation in factor analysis.Psychometrika,23,187-200.
16. Kaiser, H. F.(1974).An index of factorial simplicity.Psychometriko,39,31-36.
17. Lin, F. R.,Ceh, K.,Bervinchak, D.,Riley, A.,Miech, R.,Niparko, J. K.(2007).Development of a communicative performance scale for pediatric cochlear implantation.Ear and Hearing,28,703-712.
18. Meister, H.,Keilmann, A.,Leonhard, K.,Streicher, B.,Müller, L.,Lang-Roth, R.(2015).Real-world verbal communication performance of children provided with cochlear implants or hearing aids.Otology & Neurotology,36,1023-1028.
19. Tonelson, S. W. (1978). A validation of the ski hi language development scale. Retrieved June 6, 2019, from https://files.eric.ed.gov/fulltext/ED202183.pdf
20. Vassoler, T. M. F.,Cordeiro, M. L.(2015).Brazilian adaptation of the Functioning after Pediatric Cochlear Implantation (FAPCI): Comparison between normal hearing and cochlear implanted children.Journal de Pediatria,91,160-167.
21. World Health Organization(2007).International Classification of Functioning, Disability and Health: Children & youth version.Geneva, Switzerland:Author.
22. Yücel, E.,Aslan, F.,Özkan, H. B.,Sennaroğlu, L.(2015).Recent rehabilitation experience with pediatric ABI users.The Journal of International Advanced Otology,11,110-113.
23. Zhong, Y.,Xu, T.,Dong, R.,Lyu, J.,Liu, B.,Chen, X.(2017).The analysis of reliability and validity of the IT-MAIS, MAIS and MUSS.International Journal of Pediatric Otorhinolaryngology,96,106-110.
24. 朱倍毅(2006)。台南市，國立成功大學。
25. 余民寧(1993)。次序性資料的內容效度係數和同質性信度係數之計算。測驗年刊，40，199-214。
26. 吳明隆(2009).SPSS操作與應用：問卷統計分析實務.台北市:五南.
27. 吳明隆(2005).SPSS統計應用學習實務：問卷分析與應用統計.台北市:知城數位.
28. 吳淑芳(2006)。國外量表之兩階段翻譯及信、效度測試。護理雜誌，53(1)，65-71。
29. 林寶貴(1996)。聽障兒童接受人工電子耳植入術的現況及意見調查研究。特殊教育研究學刊，14，103-132。
30. 徐澄清,徐梅屏(1992).小時了了：嬰幼兒智能發展的一些問題（第四次增訂再版）.台北市:健康世界.
31. 徐澄清,蘇喜,蕭淑貞,林家青,宋維村,張珏(1978)。學齡前兒童行為發展量表之修訂及初步常模之建立。中華民國小兒科醫學會雜誌，19，142-157。
32. 張光華,劉燦宏(2014)。身心障礙與復健醫學─復健專科醫師在身心障礙領域的挑戰與機會。台灣復健醫學雜誌，42(2)，71-79。
33. 陳正昌(2017).SPSS與統計分析.台北市:五南.
34. 陳新豐(2015).量化資料分析：SPSS與EXCEL.台北市:五南.
35. 陳寬裕(2017).應用統計分析：SPSS的運用.台北市:五南.
36. 楊銀興、吳鐵雄（2000）。表面效度。取自http://terms.naer.edu.tw/detail/1306986
37. 劉惠美,曹峰銘(2010).華語嬰幼兒溝通發展量表（台灣版）：指導手冊.台北市:心理.
38. 衛生福利部中央健康保險署（2020）。特材給付規定及使用規範。取自https://www.nhi.gov.tw/Content_List.aspx?n=4F1351AAFD265BCA&topn=3FC7D09599D25979

1. 羅意琪,蔡政道,劉樹玉,葉文英,張憶萍,周寶宣,何旭爵,江源泉(2020)。台灣兒童聽力篩檢指引。台灣聽力語言學會雜誌，42，15-47。