Ergoterapi ve Rehabilitasyon Dergisi 2147-8945 2667-6095 Hacettepe Üniversitesi 10.30720/ered.545187 Special Education and Disabled Education Özel Eğitim ve Engelli Eğitimi Turkish Adaptation of ACTIVLIM Questionnaire in Neuromuscular Diseases by Rasch Analysiz ACTIVLIM Ölçeği’nin RASCH Analizi ile Nöromusküler Hastalıklarda Türkçe Adaptasyonu https://orcid.org/0000-0001-6227-2085 Kılınç Muhammed https://orcid.org/0000-0002-3243-8897 Öksüz Çiğdem https://orcid.org/0000-0001-6266-3035 Gökmen Derya https://orcid.org/0000-0001-5556-6608 Gürbüz İpek https://orcid.org/0000-0002-8786-7496 Demirci Cevher https://orcid.org/0000-0001-8060-3730 Abaoğlu Hatice https://orcid.org/0000-0002-7276-788X Aksu Yıldırım Sibel https://orcid.org/0000-0003-0906-9242 Tunca Yılmaz Öznur 09 05 2019 7 3 135 144 03 27 2019 09 04 2019 Copyright © 2013, Ergoterapi ve Rehabilitasyon Dergisi 2013 Ergoterapi ve Rehabilitasyon Dergisi

Purpose: The aim of this study was toassess the reliability and validity of the ACTIVLIM questionnaire forTurkish-speaking neuromuscular disease (NMD) patients with the Rasch analysis. Methods: 169 NMD patients were includedto the study. The independence level regarding activities of daily living wasassessed using the Functional Independence Measurement (FIM) scale whileactivity limitation was evaluated with the Activlim questionnaire. Allassessments were performed twice, at the beginning of the study and 15 dayslater. Statistically analysis were done by using Rasch method.Results: 95 children with a median age of 10 and 74adults with a median age of 34.5 years were included to the study. Seventypatients (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, noneof the items showed differential item functioning. Internal consistency of the scale issufficent (Cronbach’s alpha 0.94). Thescale showed expected correlation with FIM scores ( Pearson 0.95) which revealed external construct validityof thescale. Conclusion: ACTIVLIM is found as areliable and valid questionnaire that can be used in the Turkish NMD populationto assess activity limitation.

Amaç: Bu çalışmanın amacı, Türkçekonuşan nöromüsküler hastalığı (NMH) olan bireylerde ACTIVLIM Ölçeği’nin Raschanalizi ile güvenirlik ve geçerliğini değerlendirmektir.Yöntem: Çalışmaya 169 NMH hastası dahiledildi. Günlük yaşam aktiviteleri ile ilgili bağımsızlık düzeyi FonksiyonelBağımsızlık Ölçeği, aktivite kısıtlaması ACTIVLIM Ölçeği kulanılarak değerlendirildi.Değerlendirmeler, çalışmanın başında ve 15 gün sonra olmak üzere iki kezyapıldı. İstatistiksel analiz Rasch yöntemi kullanılarak yapıldı.Sonuçlar: Çalışmaya, ortanca yaşı 10olan 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 ileuyumsuzluk gösterecek şekilde sıra takip etmedi. Test / tekrar testgüvenirliğine göre, maddelerden hiçbiri madde işlev farklılığı göstermedi.Ölçeğin iç tutarlılığı yeterlidir (Cronbach’ın alfa 0,94). Ölçek, dış yapıgeçerliliğini oluşturan FBÖ puanları ile beklenen korelasyonu göstermiştir(Pearson 0,95).Tartışma: ACTIVLIM, Türk NMHpopülasyonunda aktivite kısıtlılıklarını değerlendirmek için kullanılabilecekgüvenilir ve geçerli bir anket olarak bulunmuştur.

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