中文化成人聽覺障礙者，功能性溝通評量工具之發展

Development of Functional Communication Assessment Instrument of the Chinese Version for Adults with Hearing Impairment

前言：本研究目的為發展適用於國內中文化聽覺障礙者之功能性溝通評估工具，從功能性的角度探討成人聽覺障礙者之功能性溝通需求及表現。方法：本研究工具為參照國內自編之ASHA-FACS中文版改編之「成人聽覺障礙功能性溝通量表」。研究方法為便利性及滾雪球抽樣，研究參與者為聽覺障礙組16位、對照組16位一般人，由2位語言治療師進行本研究量表評分，並將所得資料進行描述性統計、Pearson積差相關及獨立樣本t檢定等統計分析。結果：對照組在「社交溝通」、「基本需求」及「整體總分」領域的溝通獨立性平均分數表現，和「社交溝通」及「整體總分」領域的迅速性表現優於聽障組；量表具有良好的評分者間信度，與「功能性溝通活動量表」有高度相關。結論：本研究量表適用於國內成人聽覺障礙族群，建議後續量表可考量加入情境向度之題型。

Introduction: The purpose of this study was to develop a functional communication assessment instrument of the Chinese version for people with hearing impairment, and to explore the functional communication needs and performance of adults with hearing impairment from a functional perspective. Method: The study was applied the ''Functional Communication Scale for Adult Hearing Impairment''. The cases collect by convenience sampling and snowball sampling. Participants were 16 adults with hearing impairment, and 16 general adults were included for comparison. The data analysis by descriptive statistics, pearson product-moment correlation, and independent sample t-test. Results: The average scores of the communication independence in the areas of ''Social Communication'', ''Communication of Basic Needs'', and ''total score'', and the ''Promptness'' of qualitative score in the areas of ''Social Communication'' and ''total score'', control group also performed better than group with hearing impairment; the inter-rater reliability ranged from moderate to almost perfect agreement for ''Functional Communication Scale for Adult Hearing Impairment''. The communication independence performance of ''Social Communication'' and ''total score'' is significantly correlated. Conclusion: The functional communication assessment instrument of the Chinese version is applicable to people with hearing impairment.