Romatoid Artrit Bilgi Düzeyi Anketi Türkçe Versiyonunun (RAKE-T) Psikometrik Özelliklerinin Değerlendirilmesi: Metodolojik Bir Çalışma

Öz

Romatoid artritli (RA) hastaların eğitim ihtiyaçlarını karşılamak için bilgi düzeylerini belirlemek önemlidir. Ancak, RA hastalarının bilgisini değerlendirmek için tasarlanmış güncel bir Türkçe anket bulunmamaktadır. Bu çalışmanın amacı Romatoid Artrit Bilgi Düzeyi Anketi'ni (RAKE-T) Türkçeye çevirmek ve psikometrik özelliklerini değerlendirmektir. Bu metodolojik çalışma, Şubat 2023-Eylül 2023 tarihleri arasında bir üniversite hastanesinin romatoloji polikliniğine başvuran ve RA tanısı alan 233 hasta üzerinde gerçekleştirildi. Ölçeğin psikometrik özellikleri dil geçerliliği, kapsam geçerliliği, madde geçerliliği (güçlük ve ayırt edicilik indeksi), bilinen grup geçerliliği, test-tekrar test ve iç tutarlılık güvenilirliği ile incelendi. RAKE-T için kapsam geçerlilik indeksi 0.80-1.00 arasında saptandı. Anketin toplam puanı ile alt alanları arasında 0.23 ile 0.83 arasında değişen anlamlı bir korelasyon vardı. Anketin madde analizine göre, madde güçlüğü 0.25-0.86 ve ayırt edicilik indeksi 0.27-0.70 arasında değişti. Bilinen grup geçerliliği kapsamında, bilgi düzeyi puanları eğitim düzeyi düşük, hastalık süresi beş yıldan az olan ve hastalığı hakkında eğitim almayan hasta gruplarında anlamlı olarak daha düşüktü (p<0.05). Anketin iç tutarlılığı ve test-tekrar test güvenilirliği sırasıyla 0.89 ve 0.82 olarak saptandı. Sağlık çalışanları RA hastalarının bilgi düzeyini değerlendirmek, bilgi eksikliğinin yüksek olduğu alanlara göre bir eğitim planı tasarlamak ve eğitimden sonra etkinliğini değerlendirmek için RAKE-T'yi kullanabilir.

Anahtar Kelimeler

• romatoid artrit
• bilgi
• geçerlilik
• güvenilirlik

Assessment of the Psychometric Properties of the Turkish Version of the Rheumatoid Arthritis Knowledge Questionnaire (RAKE-T): A Methodological Study

Öz

It is important to determine knowledge of patients with rheumatoid arthritis (RA) to meet their educational needs. However, there is no updated Turkish questionnaire designed to assess patient knowledge in RA. The aim of the study was to translate the Rheumatoid Arthritis Knowledge Questionnaire (RAKE) into Turkish and assess its psychometric properties. This methodological study was conducted on 233 patients diagnosed with RA who were admitted to the rheumatology outpatient clinic of a university hospital between February 2023 and September 2023. Language validity, content validity, item validity (difficulty and discrimination index), known group validity, test-retest and internal consistency reliability examined the psychometric properties of the scale. The content validity index for RAKE-T was between 0.80-1.00. There was a significant correlation between the total score of the questionnaire and its sub-domains ranging from 0.23 to 0.83. According to the questionnaire's item analysis, the item difficulty ranged from 0.25-0.86 and the discrimination index ranged from 0.27-0.70. Within the known group validity, the knowledge scores were significantly lower in the patient groups with low education, disease duration of less than five years, and patients who did not receive education about their disease (p<0.05). The internal consistency and test-retest reliability of the questionnaire were 0.89 and 0.82, respectively. Healthcare professionals can use RAKE-T to assess the level of knowledge of RA patients, design a training plan based on the areas where knowledge deficits are high, and assess the effectiveness of training by using the questionnaire after training.

Anahtar Kelimeler

• rheumatoid arthritis
• knowledge
• validity
• reliability

Kaynakça

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