Ege University Faculty of Medicine, Department of Internal Medicine, Izmir, Turkey.
Ege University Faculty of Nursing, Izmir, Turkey.
Arch Gerontol Geriatr. 2018 May-Jun;76:133-137. doi: 10.1016/j.archger.2018.02.003. Epub 2018 Feb 16.
The purpose of this methodological study was to assess the validity and reliability of Turkish version of the "Edmonton Frail Scale" (EFS).
130 individuals aged 65 and over residing at the Izmir Narlıdere Nursing Home between September 2011 - April 2012 who agreed to participate in the study constituted the sample for the research. Individuals with communication problems (deafness, blindness or language barriers) and problems with manual dexterity were not included in the study. The EFS is composed of 11 items, with a minimum score of zero and a maximum score of 17. Initially, the scale was translated into Turkish and then back translated in order to ensure language equivalence. Six experts were consulted with regard to content validity and agreement among the experts was assessed using Kendall's W. When testing the reliability of the EFS, the scale was re-administered to 30 participants two-three weeks after the initial administration in order to determine its consistency over time and agreement between the first and second administration was analysed using the kappa statistic. Pearson's Moment Correlation Coefficient and Cronbach's Alpha were also used to establish reliability.
The overall Cronbach's alpha value for the scale was 0.75. An "item analysis" calculated item-total correlation coefficients of between 0.12-0.65 for scale items, and the item-total correlation for item six was found to be less than 0.20. This item solicits the number of medications used by the subject, and since the number of medications used is significant in the determination of frailty it was not removed from the scale. The scale was found to be highly consistent over time (Kappa (κ) = Min: 0.95, Max: 1.00) CONCLUSION: EFS indicators were found to be sufficiently reliable and valid for the Turkish population. Accordingly, it is recommended that this scale be used in determining the frailty of older individuals.
本方法学研究旨在评估土耳其版“埃德蒙顿虚弱量表”（EFS）的有效性和可靠性。
2011 年 9 月至 2012 年 4 月，我们对居住在伊兹密尔纳尔利代雷养老院的 130 名 65 岁及以上的老年人进行了研究，这些老年人同意参与本研究。我们没有将有沟通问题（失聪、失明或语言障碍）和手部灵巧性问题的个体纳入研究。EFS 由 11 个项目组成，最低得分为 0，最高得分为 17。最初，量表被翻译成土耳其语，然后再翻译回英语，以确保语言等效。我们咨询了 6 名专家，评估了专家之间的内容一致性和意见一致性。为了测试 EFS 的可靠性，在初始评估后 2-3 周内，我们对 30 名参与者重新评估了该量表，以确定其在时间上的一致性，并使用 Kappa 统计分析了第一次和第二次评估之间的一致性。我们还使用 Pearson 矩相关系数和 Cronbach's Alpha 来确定可靠性。
该量表的总体 Cronbach's Alpha 值为 0.75。“项目分析”计算出量表项目的项目总分相关系数在 0.12-0.65 之间，第六个项目的项目总分相关系数小于 0.20。该项目询问了受试者使用的药物数量，由于使用的药物数量在确定虚弱程度方面很重要，因此我们没有将该项目从量表中删除。该量表在时间上具有高度一致性（Kappa（κ）=最小值：0.95，最大值：1.00）。
EFS 指标在土耳其人群中具有足够的可靠性和有效性。因此，建议在确定老年人的虚弱程度时使用该量表。
