Journals / Ergoterapi ve Rehabilitasyon Dergisi / 2019 / Cilt: 7 - Sayı: 3

urkish Adaptation of ACTIVLIM Questionnaire in Neuromuscular Diseases by Rasch Analysis

ACTIVLIM Ölçeği’nin Rasch Analizi ile Nöromusküler Hastalıklarda Türkçe Adaptasyonu

Pages
135–144
Publication Date
2022-10-11
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Discussion: ACTIVLIM is found as a reliable and valid questionnaire that can be used in the Turkish NMD population to assess activity limitation

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Purpose: The aim of this study was to assess the reliability and validity of the ACTIVLIM questionnaire for Turkish-speaking neuromuscular disease (NMD) patients with the Rasch analysis.
📊
Key Findings & Data:Material and Methods: 169 NMD patients were included in the study.
💡
Conclusion & Impact:Discussion: ACTIVLIM is found as a reliable and valid questionnaire that can be used in the Turkish NMD population to assess activity limitation
🔬Design:Survey & Empirical Study
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Purpose: The aim of this study was to assess the reliability and validity of the ACTIVLIM questionnaire for Turkish-speaking neuromuscular disease (NMD) patients with the Rasch analysis. Material and Methods: 169 NMD patients were included in the study. The independence level regarding activities of daily living was assessed using the Functional Independence Measurement (FIM) scale while activity limitation was evaluated with the Activlim questionnaire. All assessments were performed twice, at the beginning of the study and 15 days later. Statistical analysis was done by using Rasch method. Results: 95 children with a median age of 10 and 74 adults with a median age of 34.5 years were included in the study. Seventy patients (41.7%) were assessed a second time. Starting with 22 items, one item (ACTIVLIM 5- Sitting on the toilet) displayed disordered thresholds, necessitating collapsing of categories. According to test/retest reliability, none of the items showed differential item functioning. Internal consistency of the scale is sufficent (Cronbach’s alpha 0.94). The scale showed expected correlation with FIM scores (Pearson 0.95) which revealed external construct validity of the scale. Discussion: ACTIVLIM is found as a reliable and valid questionnaire that can be used in the Turkish NMD population to assess activity limitation

Özet

Amaç: Bu çalışmanın amacı, Türkçe konuşan nöromüsküler hastalığı (NMH) olan bireylerde ACTIVLIM Ölçeği’nin Rasch analizi ile güvenirlik ve geçerliğini değerlendirmektir. Gereç ve Yöntem: Çalışmaya 169 NMH hastası dahil edildi. Günlük yaşam aktiviteleri ile ilgili bağımsızlık düzeyi Fonksiyonel Bağımsızlık Ölçeği, aktivite kısıtlaması ACTIVLIM Ölçeği kulanılarak değerlendirildi. Değerlendirmeler, çalışmanın başında ve 15 gün sonra olmak üzere iki kez yapıldı. İstatistiksel analiz Rasch yöntemi kullanılarak yapıldı. Sonuçlar: Çalışmaya, ortanca yaşı 10 olan 95 çocuk ve ortanca yaşı 34,5 olan 74 yetişkin dahil edildi. Yetmiş hasta (% 41,7) ikinci kez değerlendirildi. 22 maddeden ile başlanmış olup, bir maddeye (ACTIVLIM 5- Tuvalette oturma) ilişkin eşik değerleri, ölçek kategorileri ile uyumsuzluk gösterecek şekilde sıra takip etmedi. Test / tekrar test güvenirliğine göre, maddelerden hiçbiri madde işlev farklılığı göstermedi. Ölçeğin iç tutarlılığı yeterlidir (Cronbach’ın alfa 0,94). Ölçek, dış yapı geçerliliğini oluşturan FBÖ puanları ile beklenen korelasyonu göstermiştir (Pearson 0,95). Tartışma: ACTIVLIM, Türk NMH popülasyonunda aktivite kısıtlılıklarını değerlendirmek için kullanılabilecek güvenilir ve geçerli bir anket olarak bulunmuştur.

🔖

Cite This Article

KILINÇ, M., GÖKMEN, D., DEMİRCİ, C., GÜRBÜZ, İ., YILMAZ, Ö. T., YILDIRIM, S. A., ÖKSÜZ, Ç., ABAOĞLU, H. (2022). urkish Adaptation of ACTIVLIM Questionnaire in Neuromuscular Diseases by Rasch Analysis. Ergoterapi ve Rehabilitasyon Dergisi, Cilt: 7 - Sayı: 3, 135–144. https://ajindex.com/articles/504538

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (8)

  1. Andrich, D. (1988). Rasch Models for Measurement. London: SAGE Publications Andrich, D., Sheridan, B., & Luo, G. (2004). RUMM 2020: A Windows program for analysing item response data according to Rasch Unidimensional Measurement Models. Perth, Western Australia: RUMM Laboratory. Aybay, C., Erkin, G., Elhan, A. H., Sirzai, H., & Ozel, S. (2007). ADL assessment of nondisabled Turkish children with the WeeFIM instrument. Am J Phys Med Rehabil, 86(3), 176- 182. Beaton, D. E., Bombardier, C., Guillemin, F., & Ferraz, M. B. (2000). Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 25(24), 3186- 3191. Bérard, C., Payan, C., Hodgkinson, I., Fermanian, J., & MFM Collaborative Study Group. (2005). A motor function measure scale for neuromuscular diseases. Construction and validation study. Neuromusc Disord, 15(7), 463-470.
  2. Cronbach, L. J. (1951). Coefficient alpha and the internal structure of tests. Psychometrika, 16(3), 297-334.
  3. Cup, E. H., Pieterse, A. J., ten Broek Pastoor J.M., Munneke, M., van Engelen, B. G., Hendricks, H. T., et al. (2007). Exercise therapy and other types of physical therapy for patients with neuromuscular diseases: A systematic review. Arch Phys Med Rehabil, 88(11), 1452-1464.
  4. Custers, J. W., Hoijtink, H., van der Net, J., & Helders, P. J. (2000). Cultural differences in functional status measurement: analyses of person fit according to the Rasch model. Quality of Life Res, 9(5), 571-578.
  5. Elhan, A. H., Öztuna, D., Kutlay, Ş., Küçükdeveci, A. A., & Tennant, A. (2008). An initial application of computerized adaptive testing (CAT) for measuring disability in patients with low back pain. BMC Musculoskelet Disord, 9(1), 166. Emery, M. P., Perrier, L. L., & Acquadro, C. (2005). Patient- reported outcome and quality of life instruments database (PROQOLID): frequently asked questions. Health Qual Life Out, 3(1), 12. Fisher, W. P. (1992). Reliability statistics. Rasch Measurement Transactions, 6(3), 238. Fisher, W. P. (1993). Measurement-related problems in functional assessment. Am J Occup Ther, 47(4), 331-338.
  6. Hermans, M. C., Faber, C. G., De Baets, M. H., de Die- Smulders, C. E., & Merkies, I. S. (2010). Rasch-built myotonic dystrophy type 1 activity and participation scale (DM1-Activ). Neuromusc Disord, 20(5), 310-318.
  7. Hobart, J. C., Cano, S. J., & Thompson, A. J. (2010). Effect sizes can be misleading: is it time to change the way we measure change? J Neurol Neurosurg Psychiatry, 81(9), 1044-1048.
  8. Jensen, M