土耳其老年人日常生活活动能力Katz指数的验证

Validation of Katz index of independence in activities of daily living in Turkish older adults.

作者信息

Arik Gunes, Varan Hacer Dogan, Yavuz Burcu Balam, Karabulut Erdem, Kara Ozgur, Kilic Mustafa Kemal, Kizilarslanoglu Muhammet Cemal, Sumer Fatih, Kuyumcu Mehmet Emin, Yesil Yusuf, Halil Meltem, Cankurtaran Mustafa

机构信息

Hacettepe University, Department of Internal Medicine, Division of Geriatric Medicine, Ankara, Turkey.

出版信息

Arch Gerontol Geriatr. 2015 Nov-Dec;61(3):344-50. doi: 10.1016/j.archger.2015.08.019. Epub 2015 Aug 28.

DOI:10.1016/j.archger.2015.08.019

PMID:26328478

Abstract

OBJECTIVE

Katz Index of Independence in Activities of Daily Living Scale (Katz ADL) is a widely used tool to assess the level of independency in older adults. The objective of this study was to assess the validity and reliability of the Turkish version of the six item Katz ADL in geriatric patients aged 65 years and older.

METHODS

The participants were recruited in a geriatric medicine outpatient clinic (n=211). The Katz ADL was translated to Turkish and it was administered with the Barthel index (BI) and SF-36 physical functioning subscale (SF-36 PF) which are already validated in Turkish. Reliability was assessed by internal consistency, interrater and test-retest analysis. Construct validity was assessed by Spearman correlations between the Katz ADL and other functional status indices.

RESULTS

The internal consistency was high (Cronbach's α=0.838). The test-retest reliability and inter-rater reliability were excellent (ICC 0.999 [0.999-1.000 95% CI]). Regarding the convergent validity strong associations between Katz ADL, BI and SF-36 PF were demonstrated (rs=0.988, p<0.001 and rs=0.674, p<0.001).

CONCLUSION

Validating an instrument, which has originally been developed in a different culture, is a complex but neccessary task. It provides an opportunity for comparison of information across different cultures. To our knowledge, this is the only study to demonstrate reliability and validity of the Katz ADL-six item version in the geriatric population living in Turkey. Turkish version of the Katz ADL is a valid and reliable scale to detect the disability status in the basic activities of daily living in older adults.

摘要

目的

日常生活活动能力 Katz 指数量表（Katz ADL）是评估老年人独立水平的常用工具。本研究的目的是评估 65 岁及以上老年患者中土耳其语版六项 Katz ADL 的有效性和可靠性。

方法

在老年医学门诊招募参与者（n = 211）。将 Katz ADL 翻译成土耳其语，并与已在土耳其验证的 Barthel 指数（BI）和 SF - 36 身体功能分量表（SF - 36 PF）一起使用。通过内部一致性、评分者间和重测分析评估可靠性。通过 Katz ADL 与其他功能状态指标之间的 Spearman 相关性评估结构效度。

结果

内部一致性较高（Cronbach's α = 0.838）。重测可靠性和评分者间可靠性极佳（ICC 0.999 [0.999 - 1.000 95% CI]）。关于收敛效度，Katz ADL、BI 和 SF - 36 PF 之间显示出强关联（rs = 0.988，p < 0.001 和 rs = 0.674，p < 0.001）。