Yaşlı Bireylerde İkili Görev Anketinin Türkçe Versiyon, Geçerlik ve Güvenirliğinin Araştırılması

Yıl 2021, Cilt: 5 Sayı: 2, 303 - 314, 29.05.2021

Meral Sertel , Ayşe Abit Kocaman , Saniye Aydoğan Arslan , Cevher Demirci , Gözde Şengül Ayçiçek

https://doi.org/10.46237/amusbfd.870670

Cited By: 2

Öz

Amaç: Çalışmamızın amacı yaşlı bireylerde İkili Görev (Dual Task) Anketi’nin Türkçe versiyonunun geçerlik ve güvenirliğini araştırmaktır.
Yöntem: Bu çalışmaya toplumda yaşayan 118 yaşlı birey katıldı. Bireylerin ilk değerlendirmelerinde fiziksel özellikleri ve klinik durumları kaydedilerek Mini Mental Durum Testi (MMDT) uygulandı. İkili Görev Anketinin Türkçe versiyonu, geçerlik ve güvenirliğinin araştırılması için uzman kişiler tarafından çevirisi yapıldı. Çalışmada geçerliği test etmek için Zamanlı Kalk ve Yürü testi (ZKYT) hem motor hem de kognitif görevler ile birlikte ve Tinetti Denge ve Yürüme Değerlendirme Testi uygulandı. Test-tekrar test güvenirliği için, anket 1 hafta sonra aynı fizyoterapist tarafından tekrarlandı.
Bulgular: İkili Görev Anketinin ICC değeri 0.991 [95 %CI; 0.984– 0.995 (mükemmel)] idi. Yapılan korelasyon analizine göre İkili Görev Anketinin ilk ve ikinci değerlendirmeleri arasında yüksek ilişki (r= 0.982 ) bulundu. Cronbach’s alfa katsayısı 0.695 hesaplandı. On maddenin ilişki değerleri 0.90'ın üzerinde idi, bu da değerlendirici içi güvenirliği için çok yüksek bir ilişki olduğunu göstermektedir. İkili Görev Anketi ile ZKYT Motor, ZKYT Kognitif ve Tinetti ölçeğinin arasında, düşük düzeyde ilişki bulundu.
Sonuç: Çalışmamızın sonunda, yaşlı bireylerde İkili Görev Anketi’nin Türkçe versiyonunun geçerli ve güvenilir olduğu gösterildi.

Anahtar Kelimeler

Yaşlı, İkili Görev Anketi, Türkçe Versiyon, Geçerlik, Güvenirlik

Investigation of the Validity and Reliability of the Turkish Version of the Dual Task Questionnaire in Older Individuals

Öz

Objective: The aim of the study is to indicate the Turkish version of the Dual Task Questionnaire for older adults and its suitability for Turkish society.
Methods: This study included a total of 118 older adults living in the community. The Mini Mental State Examination (MMSE) was applied by recording the physical characteristics and clinical conditions of the individuals in their initial evaluation. The Turkish version of the Dual Task Questionnaire was translated by experts for its validity and reliability. The Timed Up and Go Test (TUG) were applied together with both motor and cognitive tasks and Tinetti Balance and Gait Assessment Test to test validity in the study. For test-retest reliability, retest was performed by the same physiotherapist 1 week later.
Results: ICC values on the individual test were 0.991 [95% CI; 0.984–0.995 (excellent agreement)]. According to the correlation analysis, a very high correlation (r=0.982) was found between the first assessment and second assessment of Dual Task Questionnaire. Cronbach's alpha coefficient was calculated to be 0.695. Ten items had correlation values above 0.90, which indicated a very high correlation for intra-rater reliability. A low level of correlation was revealed between the Dual Task Questionnaire and TUG Motor, TUG Cognitive, and Tinetti scales.
Conclusion: The study was indicate that the Turkish version of the Dual Task Questionnaire in older adults was valid and reliable.

Anahtar Kelimeler

Older Adults, Dual Task Questionnaire,, Turkish Version, Validity, Reliability

Kaynakça

• 1. Woollacott, M., Shumway-Cook, A. (2002). Attention and the control of posture and gait: a review of an emerging area of research. Gait & posture, 16(1), 1-14. 2. Kim, H. D., Brunt, D. (2007). The effect of a dual-task on obstacle crossing in healthy elderly and young adults. Arch. Phys. M, 88(10), 1309-1313.
• 3. Faulkner, K. A., Redfern, M. S., Cauley, J. A., Landsittel, D. P., Studenski, S. A., Rosano, C. and et al. (2007). Multitasking: association between poorer performance and a history of recurrent falls. J Am Geriatr Soc, 55(4), 570-576.
• 4. Hauer, K., Marburger, C., Oster, P. (2002). Motor performance deteriorates with simultaneously performed cognitive tasks in geriatric patients. Arch. Phys. M, 83(2), 217-223.
• 5. Hollman, J. H., Kovash, F. M., Kubik, J. J., Linbo, R. A. (2007). Age-related differences in spatiotemporal markers of gait stability during dual task walking. Gait & posture, 26(1),113-119.
• 6. Kang, H. G., Quach, L., Li, W., Lipsitz, L. A. (2013). Stiffness control of balance during dual task and prospective falls in older adults: The Mobilize Boston Study. Gait & posture, 38(4), 757-763.
• 7. Hirashima, K., Higuchi, Y., Imaoka, M., Todo, E., Kitagawa, T., Ueda, T. (2015). Dual-tasking over an extended walking distance is associated with falls among community-dwelling older adults. Clin Interv Aging, 10, 643-648.
• 8. Rankin, J. K., Woollacott, M. H., Shumway-Cook, A., Brown, L. A. (2000). Cognitive influence on postural stability a neuromuscular analysis in young and older adults. J. Gerontol. A Biol. Sci. 55(3), 112-119.
• 9. Vander Velde, T., Woollacott, M. (2008). Non-visual spatial tasks reveal increased interactions with stance postural control. Brain Res, 1208, 95-102.
• 10. Sertel, M., Tarsuslu Şimşek, T, Tütün Yümin, E., Öztürk, A., Yümin, M. (2011). The relationship between the cognitive functions, daily activities, and mobility levels of elderly people living in a nursing home compared with those in a house environment. Top Geriatr Rehabil, 27(1), 87-92.
• 11. Yümin, E. T., Tarsuslu Şimşek, T., Sertel, M., Öztürk, A., Yümin, M. (2011). The effect of functional mobility and balance on health-related quality of life (HRQoL) among elderly people living at home and those living in nursing home. Arch Gerontol Geriatr, 52(3), 180-184.
• 12. Gobbo, S., Bergamin, M., Sieverdes, J. C., Ermolao, A., Zaccaria, M. (2014). Effects of exercise on dual-task ability and balance in older adults: a systematic review. Arch Gerontol Geriatr, 58(2), 177-187.
• 13. Little, C. E., Woollacott, M. (2014). Effect of attentional interference on balance recovery in older adults. Exp. Brain Res, 232(7), 2049-2060.
• 14. Weightman, M. M., McCulloch, K. (2015). Dual-task assessment and intervention. Mild Traumatic Brain
• Injury Rehabilitation Toolkit. Weightman M. M., Rodomski M. V., Mashima P. A., Roth C. R. Chapter 8. (ss.322-324). Washington: Radomski, Pauline A. Mashima, Borden Institute.
• 15. Shumway-Cook, A., Brauer, S., Woollacott, M. (2000). Predicting the probability for falls in community- dwelling older adults using the Timed Up & Go Test. Phys Ther, 80(9), 896–903.
• 16. Ercan, İ., İsmet, K. (2004). Ölçeklerde güvenirlik ve geçerlik. Uludağ Üni Tıp Fak Derg, 30(3), 211-6.
• 17. Beaton, D. E., Bombardier, C., Guillemin, F., Ferraz, M. B. (2000). Guidelines for the process of cross- cultural adaptation of self-report measures. Spine (Phila Pa 1976). 25(24), 3186-91.
• 18. Alpar, R. (2001). Spor bilimlerinde uygulamalı istatistik. Ankara: Nobel Yayın Dağıtım.
• 19. Folstein, M. F., Folstein, S. E., McHugh, P. R. (1975). "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res, 12(3), 189-98.
• 20. Güngen, C., Ertan, T., Eker, E., Yaşar, R., Engin, F. (2002). Standardize mini mental test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Turk Psikiyatri Derg, 13(4), 273-81.
• 21. Evans, J. J., Greenfield, E., Wilson, B. A., Bateman. A. (2009). Walking and talking therapy: improving cognitive-motor dual-tasking in neurological illness. J Int Neuropsychol Soc, 15(1), 112–120.
• 22. Lin, M. R., Hwang, H.F., Hu, M. H., Isaac Wu, H. D., Wang, Y. W., Huang, F. C. (2004). Psychometric comparisons of the timed Up and Go, One&Leg stand, functional reach, and tinetti balance measures in
• community&dwelling older people. J Am Geriatr Soc, 52(8), 1343-1348.
• 23. Sertel, M., Sakızlı, E., Bezgin, S., Savcun Demirci, C., Yıldırım Şahan, T., Kurtoğlu, F. (2017). The effect of single tasks and dual tasks on balance in older adults. Cogent Soc Sci, 3(1),1-9.
• 24. Ağırcan, D. (2009). Tinetti Balance And Gait Assessment’ In (Tinetti Denge Ve Yürüme Değerlendirmesi) Türkçe’ye Uyarlanması, Geçerlilik Ve Güvenilirliği. (Yayınlanmamış Yüksek Lisans Tezi). Pamukkale Üniversitesi, Sağlık Bilimleri Enstitüsü, Denizli.
• 25. Hayran, M. (2011). Sağlık araştırmaları için temel istatistik. Omega Araştırma.
• 26. Doumas, M., Krampe, R. T. (2015). Ecological relevance determines task priority in older adults’ multitasking. J Gerontol B Psychol Sci Soc Sci, 70(3), 377-85. doi: 10.1093/geronb/gbt105.
• 27. Shumway-Cook, A., Woollacott, M., Kerns, K. A., Baldwin, M. (1997). The effects of two types of cognitive tasks on postural stability in older adults with and without a history of falls. J Gerontol A Biol Sci Med Sci, 52(4), 232–240.
• 28. Coelho, T., Fernandes, A., Santos, R., Paul, C., Fernandes, L. (2016). Quality of standing balance in community-dwelling elderly: Age-related differences in single and dual task conditions. Arch Gerontol Geriatr, 67, 34–39.
• 29. Smith, E., Walsh, L., Doyle, J., Greene, B, Blake, C. (2017). Effect of a dual task on quantitative Timed Up and Go performance in community-dwelling older adults: A preliminary study. Geriatr Gerontol Int, 17(8), 1176-1182.
• 30. Tomas-Carus, P., Biehl-Printes, C., Pereira, C., Vieiga, G., Costa, A., Collado-Mateo, D. (2019). Dual task performance and history of falls in community-dwelling older adults. Exp. Gerontol, 120, 35–39.
• 31. Brustio, P. R., Magistro, D., Zecca, M., Rabaglietti, E., Liubicich, M. E. (2017). Age-related decrements in dual-task performance: Comparison of different mobility and cognitive tasks. A cross sectional study. PLoS ONE, 12(7), e0181698
• 32. Tang, P. F., Yang, H. J., Peng, Y. C., Chen, H. Y. (2014). Motor dual-task Timed Up & Go test better identifies prefrailty individuals than single-task Timed Up & Go test. Geriatr Gerontol Int, 15, 204–210.