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研究生:林哲民
研究生(外文):Zhe-Min Lin
論文名稱:親子互動觀察量表運用於特殊需求兒童之觀察者間信度的探討
論文名稱(外文):Inter-Rater Reliability of Parent-Child Interaction Observational Scale on Exceptional Children
指導教授:孫世恆孫世恆引用關係
學位類別:碩士
校院名稱:中國醫藥大學
系所名稱:物理治療學系復健科學碩士班
學門:醫藥衛生學門
學類:復健醫學學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:99
中文關鍵詞:早期療育親子互動觀察者間信度組內相關係數
外文關鍵詞:Early interventionParent-child interactionInter-raterreliabilityIntra-class correlation coefficient (ICC)
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背景與目的:目前以「家庭為中心」早期療育主要服務模式下,「親子互動」的提升被視為重要的親職能力與療育成效的重要指標,本研究主要探討「親子互動觀察量表」(Parent-Child Interaction Observational Scale, PCIOS)的觀察者間信度(Inter-rater Reliability),以驗證該量表的評分結果之客觀性與穩定性。研究方法:本研究的觀察者為二名具備物理治療師執照及幼兒評估臨床經驗的研究生。研究的受試者為中部地區40對特殊需求兒童與家長,在獨立空間分別進行「積木遊戲」與「玩球遊戲」各十分鐘,觀察者各自獨立觀看錄影帶,並以「親子互動觀察量表」評分後,以組內相關係數(Intraclass Correlation Coefficient, ICC)進行分析。結果:積木遊戲與玩球遊戲的類型分數與頻率分數在認知刺激、家長正向行為、兒童行為、認知與操作刺激及總測驗總分均達到高度的相關性。結論:「親子互動觀察量表」的觀察者間信度達高度的一致性,與研究前所假設的結果一致。因此反映出,若觀察者接受研究團隊所制定標準的量表計分規則及題項的定義說明討論等等的訓練流程之後,其觀察者間評分結果會得到高度的一致性。

Background and Purpose: Family centered approach becomes the mainstream of early intervention. Promotion of parent-child interaction was considered as an indicator of parenting capacity and achievement of early intervention.The aim of this study was to investigate the inter-rater reliability, the symbol of stability and objectivity of the Parent-Child Interaction Observational Scale (PCIOS). Methods:Two licensed-physical therapists with experiences of clinical pediatric observation as evaluators, forty parents and their children with special needs recruited from Tai-chung city. Two ten-minute tasks, playing blocks and playing balls wereheld in an exclusive room,evaluators observed and scored the video-recorded tapes independently by PCIOS. Scores were analyzed by intra-class correlation coefficient (ICC).Results: Total frequency and behavior-style scores of “cognitive stimulation subscale”, “positive behaviors of parents subscale”,“child behaviors subscale”,“cognitive-operation combined subscales”, ”behaviors of parents combined scales”, “ total scale scores”reached high level of inter-rater reliability.Conclusion:The resultsindicate PCIOS reached high inter-rater reliability when evaluatorsreceived standard trainingprocedures.

第一章 緒論
第一節 研究背景與動機……………………………………………01
第二節 研究問題……………………………………………………05
第三節 研究假設……………………………………………………05
第四節 名詞釋義……………………………………………………06
第二章 文獻回顧
第一節 親子互動對於早期療育成效評估的重要性………………08
第二節 信度的考驗方法與統計方式之探討………………………11
第三節 量表之觀察者間信度………………………………………15
第四節 親子互動觀察量表於特殊兒童信度之相關研究…………17
第三章 研究方法
第一節 研究架構……………………………………………………20
第二節 研究參與者…………………………………………………22
第三節 研究工具……………………………………………………29
第四節 研究步驟……………………………………………………37
第五節 資料分析及統計方法………………………………………38
第四章研究結果
第一節 積木合併球類遊戲量表總分觀察者間信度之分析 …… 39
第二節 積木遊戲之頻率及類型各項數據分析……………………42
第三節 玩球遊戲之頻率及類型各項數據分析……………………45
第五章研究討論
第一節 「親子觀察量表」量表總分之觀察者間信度 …………50
第二節 「親子觀察量表」合併分量表之觀察者間信度 ………50
第三節 「親子觀察量表」分量表之觀察者間信度 ……………51
第四節 「親子觀察量表」題項之觀察者間信度……………… 55
第五節 導致題項低度觀察者間信度之影響因子 ……………… 62
第六章 研究結論與建議
第一節 結論……………………………………………………… 66
第二節 研究限制與建議………………………………………… 67
參考文獻………………………………………………………………69
附錄……………………………………………………………………75


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