Öksüz Çigdem, Alemdaroglu Ipek, Kilinç Muhammed, Abaoğlu Hatice, Demirci Cevher, Karahan Sevilay, Yilmaz Oznur, Yildirim Sibel Aksu
a Occupational Therapy Department, Faculty of Health Sciences , Hacettepe University , Ankara , Turkey.
b Physiotherapy and Rehabilitation Department, Faculty of Health Sciences , Hacettepe University , Ankara , Turkey.
Physiother Theory Pract. 2017 Oct;33(10):780-787. doi: 10.1080/09593985.2017.1346026. Epub 2017 Jul 17.
This study was performed to examine the reliability and validity of the Turkish version of ABILHAND-Kids questionnaire which assesses manual functions of children with neuromuscular diseases (NMDs). A cross sectional survey study design and Rasch analysis were used to assess the reliability and validity of the Turkish version of scale. Ninety-three children with different neuromuscular disorders and their parents were included in the study. The scale was applied to the parents with face-to-face interview twice; on their first visit and after an interval of 15 days. The test-retest reliability was assessed with intraclass correlation coefficient (ICC), and internal consistency of the multi-item subscales by calculating Cronbach alpha values. Brooke Upper Extremity Functional Classification (BUEFC) and Wee-Functional Independency Measurement (Wee-FIM) were correlated to determine the construct validity. The ICC value for the test/retest reliability was 0.94. The internal consistency was 0.81. Floor (1.1%) and ceiling (11.8%) effects were not significant. There were moderate correlations between the Turkish version of ABILHAND-Kids and Wee-FIM (0.67) and BUEFC (-0.37). Rasch analysis indicated good item fit, unidimensionality, and model fit. The Turkish version of ABILHAND-Kids questionnaire was found to be a reliable and valid scale for the assessment of the manual ability of children with NMDs.
本研究旨在检验评估神经肌肉疾病(NMDs)患儿手部功能的ABILHAND-Kids问卷土耳其语版的信度和效度。采用横断面调查研究设计和Rasch分析来评估该量表土耳其语版的信度和效度。93名患有不同神经肌肉疾病的儿童及其父母被纳入研究。该量表通过面对面访谈的方式对父母进行了两次施测,第一次就诊时以及间隔15天后。通过组内相关系数(ICC)评估重测信度,并通过计算Cronbach α值评估多项目子量表的内部一致性。将布鲁克上肢功能分类(BUEFC)和小儿功能独立性测量(Wee-FIM)进行相关性分析以确定结构效度。重测信度的ICC值为0.94。内部一致性为0.81。地板效应(1.1%)和天花板效应(11.8%)不显著。ABILHAND-Kids问卷土耳其语版与Wee-FIM(0.67)和BUEFC(-0.37)之间存在中度相关性。Rasch分析表明项目拟合良好、具有单维性且模型拟合良好。结果发现,ABILHAND-Kids问卷土耳其语版是评估NMDs患儿手部能力的可靠且有效的量表。