新編自閉症者生活功能暨居家服務需求評估量表之研究

The Study on Revising the Living Abilities and Home-Care Needs Scale of AutisticAdolscent and Adult

本研究採用焦點團體訪談及問卷調查方式，以15~65歲自閉症者為研究對象，透過國內資深自閉症專家學者、研究者組成之研究團隊會議方式分析討論相關文獻、進行預試與正式施測、焦點團體訪談資料，並將收集之數據資料進行描述性統計、項目分析、主成分分析、Cronbach’s係數分析、單因子變異數分析、ROC曲線統計分析等，目的在修訂一個具有信效度之15歲~65歲自閉症者生活功能暨居家服務需求評估量表。其結果新編版與原量表之差異有三方面：向度與題目內容擴增與修刪、評分方式及生活失能程度之判定。本研究另發現自閉症者依年齡、性別、障礙程度及安置型態等因素而有不同程度的生活功能表現。由於修訂過程中取得良好的內部一致性信度、內容與構念效度，且切截分數係依據篩選機率、平均數及標準差訂定，建議推廣使用於篩選生活失能自閉症者，以獲得居家服務員介入生活照護與訓練，提升生活功能與生活品質。

The purpose of this study was to revise The Living Abilities and Home-Care Needs Scale of Autistic Adolscent and Adult. Semi-structured focus group interview and questionnaire were adopted and the data was analysized through descriptic statistics， principal component analysis， Cronbach's α， one-way ANOVA， ROC curve analysis and so on. Results showed the original factors and items were expaned to 6 factors and 80 items， some items were changed or omitted because of their out-dated or repeatable reasons， good reliability and validity were established. The cutpoint to decide five varied levels of living abilities were also defined by the results of ROC curve analysis and mean average score and SD. Hence， the revised version is recommended to be applied in order to screen those autistic indiduals above 15-year-old who really need home-care service and living skills training to increase their living quality.