Türk çocuk/ergenlerde KIDSCREEN Sağlıkla İlişkili Yaşam Kalitesi Ölçeğinin geçerlilik ve güvenilirliği

Amaç: Bu çalışmanın amacı, çocuklar ve gençler için geliştirilmiş Sağlıkla İlişkili Yaşam Kalitesi Ölçeği KIDSCREEN'i Türkçeye uyarlamak ve psikometrik özelliklerini çözümlemektir. Yöntem: Araştırma Türkiye'nin batısında yer alan Manisa ilinde 8-18 yaşları arasındaki 662 çocuk ve onların anne-babaları (s=552) üzerinde yapılmış geçerlilik ve güvenirlilik çalışmasıdır. Katılımcıların sosyodemografik özellikleri belirlenmiş, KIDSCREEN-52 ve KINDL Yaşam Kalitesi Ölçeği uygulanmıştır. Araştırmada KIDSCREEN ölçeği Türkçeye uyarlanmış ve psikometrik özellikleri belirlenmiştir. Bulgular: KIDSCREEN-52, KIDSCREEN-27 ve KIDSCREEN-10 indeks çocuk sürümünde Cronbach alfa dağılımı 0.69-0.95 arasındadır. Anne-baba sürümünde ise Cronbach alfa 0.68-0.94 arasında değişmektedir. KIDSCREEN-52 doğrulayıcı faktör analizi uyum indeksi sonuçları iyi düzeyde bulunmuştur. KIDSCREEN ile KINDL ölçeklerinin birbirine benzer yapıları arasındaki korelasyon katsayısı (r=0.45-0.62 arasında) diğer boyutlardan daha yüksek düzeydedir. Ayrıca KIDSCREEN bedensel, ruhsal iyilik ve yetersiz gelir algısını ayırt edebilecek sonuçlar vermiştir. Sonuç: Türkçeye uyarlanmış KIDSCREEN Yaşam Kalitesi Ölçeği çocuk/ergen ve anne-baba sürümleri geçerli ve güvenilir bir ölçüm aracıdır.Objective: The aim of this study is to adapt KIDSCREEN Health Related Quality of Life (HRQoL) questionnaire into Turkish and to analyze the psychometric properties of the scale. Methods: The study conducted in the city of Manisa located in western Turkey is a validity and reliability study and consisted of 662 children/adolescents between the ages of 8 and 18 and 552 parents. In the study, sociodemographic characteristics of the participants were identified, and KIDSCREEN-52 and KINDL QoL questionnaires were administered. The KIDSCREEN scale was adapted to Turkish and applied psychometric analyses. Results: Cronbach's alpha ranged between 0.69 and 0.95 for the child/adolescent version of the KIDSCREEN-52, KIDSCREEN-27 and KIDSCREEN-10 index and between 0.68 and 0.94 for the proxy version. The results of confirmatory factor analyses fit indices for KIDSCREEN were considered to be at a good level. Correlation coefficient between the dimensions of the KIDSCREEN and KINDL scales assessing similar constructs (ranging between 0.45 and 0.62) were higher than that of other dimensions. In addition, the KIDSCREEN yielded results to discriminate the physical well-being, psychological well-being and perception of insufficient income. Conclusion: Turkish version of the child/adolescent and proxy versions of KIDSCREEN is a valid and reliable measurement tool

Comparison of the self and the proxy versions of the KIDSCREEN quality of life scale: To what extend can parents predict quality of life of their children?

Amaç: Bu araştırmanın amacı KIDSCREEN sağlıkla ilişkili yaşam kalitesi (SYK) ölçeği öz bildirim yanıtları ile vekil yanıtları arasındaki uyumu karşılaştırmaktır. Yöntemler: Araştırma Manisa'da yer alan 6 okulda 8-18 yaş arası 662 çocuk/genç, 543 ebeveyn üzerinde yürütülmüş kesitsel bir araştırmadır. Araştırmada katılımcıların sosyodemografik özellikleri belirlenmiş ve KIDSCREEN yaşam kalitesi anketi uygulanmıştır. Araştırmanın analizinde temel tanımlayıcı bulgular ile öz bildirim-vekil değerlendirmesinin birlikteliğini belirlemek için korelasyon analizi, sınıfiçi korelasyon katsayıları (Intraclass Correlation Coeffience, ICC), Bland-Altman grafiği incelenmiştir. Ayrıca çocuğun/gencin yaşam kalitesi puanlarını vekil/ebeveyn ölçümünün ne kadar açıklayabildiğini belirlemek için doğrusal regresyon analizi yapılmıştır. Bulgular: Katılan çocukların %49,4'ü erkek, yaş ortalaması 13,1±2,4'tür. SYK öz bildirim ve vekil yanıtlarının korelasyon katsayısının 0,27 ile 0,52 arasında, ICC değerleri dağılımı ise 0,43 ile 0,68 arasındadır. Ebeveyn yanıtlarının çocuğun/gencin yaşam kalitesini öngörebilmedeki tanımlayıcılık katsayısının (R2) 0,10 ile 0,41 arasında belirlenmiştir. Bland-Altman grafiği KIDSCREEN-52 ve KIDSCREEN-10 için sistematik hatadan uzak, sıfırın etrafında dağılmakta ve ±2 standart sapma aralığı içerisinde yer almaktadır. Sonuç: KIDSCREEN yaşam kalitesi ölçeği öz bildirim-vekil sürümü orta düzeyde birliktelik ve uyum gösterdiği bulunmuştur. Ebeveyn-çocuk değerlendirmelerinde özellikle Sosyal kabul-zorbalık boyutunda tutarsızlık vardır. Uzun sürümde (KIDSCREEN-52), ebeveynler duygudurum ve duygulanım boyutunda çocuklarından daha yüksek skor verirken, çocuklar kendi bedensel iyilik durumlarını ebeveynlerinden daha olumlu algılamaktadırlar. İndeks sürümde (KIDSCREEN-10) ise çocuk-ebeveyn değerlendirmesi tutarlıdır.Objective: The purpose of this study is to compare the agreement between self and proxy responses of the KIDSCREEN health- related quality of life (HRQOL). Methods: This cross sectional study was carried out on 662 children/adolescents aged between 8 to 18 years and 543 parents in 6 schools of Manisa city center, Turkey. In this study sociodemographic characteristics of the participants were determined, and KIDSCREEN quality of life questionnair forms were applied. Following descriptive findings, Pearson correlation analyses, Intraclass Correlation Coefficients and Bland-Altman graphs were performed in the statistical analyses so as to determine the association between basic descriptive findings, self-, and proxy responses. In addition Linear Regression analysis was performed in order to show the extend of proxy/parents' evaluations in the explanation of children's, and adolescents! HRQOL. Results: 49.4 %of the children were male; and mean age was 13.1±2.4 years. Correlation coefficients and ICCs of self and proxy HRQOL evaluations were between 0.27 to 0.52 ranging between 0.43 to 0.68 respectively for the various dimensions of the KIDSCREEN. The range of Determination coefficients (R2) for the prediction of self-ratings by proxy ratings were between 0.10 to 0.41 for different dimensions. Bland-Altman graph showed a sound distribution (majority of the values are between ±2 standard deviation limits) around zero line of the graph devoid of systematic error for both KIDSCREEN-52 physical well-being scale and KIDSCREEN-10. Conclusion: KIDSCREEN self- and proxy ratings showed a moderate level of correlation, and agreement. A significant disagreement was detected for bullying dimension between self- and proxy ratings. Parents overestimated HRQOL in the "moods and emotions" dimension compared to their children whereas children better perceived their physical well-being than their parents for the long version (KIDSCREEN-52). A good agreement was detected between self- and proxy ratings for the short version (KIDSCREEN-10)

A novel version of Copenhagen Psychosocial Questionnaire-3: Turkish validation study.

Purpose: The aim of the study was to adapt the Copenhagen Psychosocial Questionnaire Version-3 (COPSOQ-3) into the Turkish language. Methods: This is a methodologic study. The field study occurred in four workplaces (call center, hospital, plastic and metal industries). The Kaiser-Meyer-Olkin (KMO) Measure of Sampling Adequacy and Bartlett's Test of Sphericity were used to assess the suitability of the sample for factor analysis. The principal component analysis and varimax rotation methods were used to identify the factor structure.The internal consistency was assessed using the Cronbach's alpha coefficient. Results: In total, 1076 respondents' questionnaires were evaluated. Fifty-eight percent of the participants were men and the mean age was 31.1???7.7. Sampling adequacy was considered adequate (KMO =0.929). The factor analysis of the Turkish COPSOQ (COPSOQ-TR) identified 19 factors with eigenvalues higher than one and explained 66.1% of the total variance. The Cronbach's alpha values of 23 dimensions were over 0.70. The Cronbach's alpha values of control over working time and predictability were 0.54 and 0.66, respectively. The model was an excellent fit (Chi-Square?=?8514.5, x(2)/df?=?2.48, RMSEA?=?0.038, SRMR?=?0.053, CFI?=?0.98). Conclusions: Findings show that COPSOQ-TR is a reliable and valid instrument that can be a useful tool to measure psychosocial risks in the Turkish language

Psychometric properties of the Turkish Adult Consumer version of the Primary Care Assessment Tool (PCAT-TR)

Objective: To explore the psychometric properties of the Turkish version of the “Primary Care Assessment Tool (PCAT-TR). Methods: The results of this study represent 279,000 residents who were registered in 79 Family Health Centers of the Manisa city center. The sample selection used multistage cluster sampling from 80 clusters (n=800). A confirmatory approach and SEM modeling were used during both reliability (internal consistency) and validity (structural validity, such as known groups validity; convergent-divergent validity and confirmatory factor) analyses. Data analyses were done by using SPSS 15.0 and Lisrell 8.05 softwares for univariate parametric and non-parametric tests; multivariate analyses and confirmatory factor analysis were employed during statistical analyses of this study. Results: Mean age was 40.33 ± 13.85 with a female percentage of 76.7. Chronbach alpha values were also found satisfactory (0.80-0.90) for all domains and subdomains of the PCAT except for three subdomains: Coordination (information system), First contact care (access) and Comprehensiveness (service provided). CFA revealed RMSEA :0.10, CFI:0.84 (full model); and for the derivative subdomains the CFA model generated RMSEA  as 0.12, and  CFI as 0.88. Conclusion: PCAT can be used to evaluate the performance of PHC services in Turkey. The results of the ongoing and following studies are expected to reach some more information about further reliability and validity of the Turkish PCAT.Keywords: Primary care assessment, PCAT, Turkish.</p

The Effect of Preoperative Video-assisted Patient Education on Postoperative Activities of Daily Living and Quality of Life in Patients with Femoral Fracture

Objectives: The aim of study was to determine the effect of preoperative education on the postoperative activities of daily living and quality of life (QoL) of patients with trochanteric femoral fracture (TFF) treated with internal fixation. Materials and methods: The patients were included those treated for TFF at an orthopaedic clinic in western Turkey between March and July 2014 in this randomised controlled study. The study was conducted in accordance with the Helsinki Declaration and was approved by the Ethics Committee of our university. The 56 patients were randomly divided into two groups. The intervention group was included in a preoperative education programme which is consisting of video-assisted oral presentation and education booklet, 1 day before surgery. At the end of education, one each sample of booklet and video were given to patients. The control group was informed with only routine clinical information by nurses. Data were collected using patient information form, Barthel Index (BI), Harris Hip Score (HHS) and Short-Form Health Survey (SF-36). Descriptive statistics, Student’s t-test, the Mann-Whitney U test, and a chi-square test were used to evaluate the data. Results: Age, sex, educational level and length of hospital stay were similar in both groups (p&gt;0.05). Total HHS, BI, and SF-36 scores at 1 and 3 months postoperatively were higher the intervention group than the control group (p&lt;0.05). Conclusion: Video-assisted preoperative education improves QoL and activities of daily living, in patients with TFF treated by nailing. An education programme like this could be useful for all surgical clinics

Decomposing socioeconomic inequalities in self assessed health in Turkey

Abstract Introduction This study aimed to measure socioeconomic inequalities in Self Assessed Health (SAH) and evaluate the determinants of such inequalities in terms of their contributions amongst the Turkish population. Methods We used data from the Turkish part of World Health Survey 2003 with 10,287 respondents over 18 years old. Concentration index (CI) of SAH was calculated as a measure of socioeconomic inequalities in health, and contributions of each determinant to inequality were evaluated using a decomposition method. Results In total 952 participants (9.3%) rated their health status as either bad or very bad. The CI for SAH was −0.15, suggesting that suboptimal SAH was reported more by those categorised as poor. The multiple logistic regression results indicated that having secondary, primary or less than primary school education, not being married and being in the lowest wealth quintile, significantly increased the risk of having poor SAH. The largest contributions to inequality were attributed to education level (70.7%), household economic status (9.7%) and geographical area lived in (8.4%). Conclusion The findings indicate that socioeconomic inequalities measured by SAH are apparent amongst the Turkish population. Education and household wealth were the greatest contributing factors to SAH inequality. These inequalities need to be explicitly addressed and vulnerable subgroups should be targeted to reduce the socioeconomic disparities.</p

Decomposing socioeconomic inequalities in self assessed health in Turkey

Introduction: This study aimed to measure socioeconomic inequalities in Self Assessed Health (SAH) and evaluate the determinants of such inequalities in terms of their contributions amongst the Turkish population