Kim Yunju, Park Jongbae, Lee Hyejung, Bang Heejung, Park Hi-Joon
Department of Meridian & Acupoint, College of Korean Medicine, Kyung Hee University, Seoul, Korea.
J Altern Complement Med. 2008 Oct;14(8):957-63. doi: 10.1089/acm.2007.0565.
The aims of this study are to collect acupuncture sensations reflecting real-life patients' experiences using qualitative methods and to test the content validity whether their sensations are proper candidates for de qi.
The items for the Acupuncture Sensation Questionnaire (ASQ) were developed through in-depth interview, focus group discussion, and expert panel judgment for content validity. Descriptions of sensations were collected and categorized according to the three stages of acupuncture: insertion, manipulation, and retention of the needle. Those expressions chosen after review by a focus group were tested for the content validity by 10 expert panel judges. The content validity index (CVI) on each item was calculated, and the items that showed over 0.8 of CVI, representing 80% of consent by experts, were constituted for the ASQ.
Sixty-one (61) in-depth interviews from 48 patients in the acupuncture clinic were analyzed. Thirty-three (33) expressions for the needle insertion, 59 for the manipulation, and 29 for the retention were collected. After the discussion by a focus group, the expressions were consolidated into 57 items (15 for insertion, 26 for manipulation, and 16 for retention) and they were tested for the content validity. In the final version, 19 items (3, 9, and 7, respectively) were listed. The items were found to be reflecting real-life experiences and expanded from the traditional acupuncture sensations.
The newly developed ASQ incorporated real acupuncture experiences and has sufficient content validity for de qi.
本研究旨在运用定性方法收集反映现实生活中患者体验的针刺感觉，并检验这些感觉作为得气合适候选指标的内容效度。
针刺感觉问卷（ASQ）的条目通过深入访谈、焦点小组讨论以及专家小组对内容效度的判断来制定。根据针刺的三个阶段：进针、行针和留针，收集并分类感觉描述。经焦点小组审核后选定的那些表述，由10名专家小组评委进行内容效度测试。计算每个条目的内容效度指数（CVI），CVI超过0.8（即专家同意率达80%）的条目构成ASQ。
对针灸诊所48名患者的61次深入访谈进行了分析。收集到33条进针感觉表述、59条行针感觉表述和29条留针感觉表述。经焦点小组讨论后，这些表述合并为57项（进针15项、行针26项、留针16项）并进行内容效度测试。最终版本列出了19项（分别为3项进针、9项行针和7项留针）。这些条目被发现反映了现实生活中的体验，且在传统针刺感觉基础上有所扩展。
新开发之ASQ纳入了真实的针刺体验，且对得气具有足够的内容效度。
