Karapinar Merve, Baskurt Ferdi, Baskurt Zeliha, Gunal Ayla, Kockar Muhammet Cem
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Suleyman Demirel University, Isparta, Turkey.
Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Tokat Gaziosmanpasa University, Tokat, Turkey.
Ann Geriatr Med Res. 2020 Dec;24(4):282-289. doi: 10.4235/agmr.20.0074. Epub 2020 Dec 24.
Activities and participation play important roles in the maintenance of healthy aging. The maintenance of these factors optimizes social life to increase the quality of life with aging. However, there is a lack of questionnaires in Turkish to evaluate activity and participation among older people. This study translated and cross-culturally adapted the Oxford Participation and Activities Questionnaire (Ox-PAQ) into Turkish and investigated its psychometric properties in the older adult population.
The Turkish version of the Ox-PAQ was produced after a translation and back-translation process. The Ox-PAQ was administered to 230 and 60 individuals for construct validity and reliability analyses, respectively. To assess the test-retest reliability of the Turkish Ox-PAQ, the questionnaire was reapplied 7 days after the first interview. Cronbach's alpha (α) was used to evaluate the internal consistency. The Ox-PAQ was compared to the Short Form-12 and the Katz Index of Independence in Activities of Daily Living Scale to determine its validity.
The Turkish Ox-PAQ showed excellent internal consistency (α=0.98) and test-retest reliability (intraclass correlation coefficient=0.98, 0.96, and 0.97 for the subscales of routine activity level, social engagement, and emotional well-being, respectively). In the validity analysis, factor analysis demonstrated a probable structure of the three factors that together explained 66.35% of the total variance. The Turkish Ox-PAQ was correlated with the other comparison measures used in this study.
The Turkish Ox-PAQ is a reliable and valid questionnaire to evaluate the participation and activity levels of older people (Clinical Trial Number: NCT04368754).
活动与参与在维持健康老龄化方面发挥着重要作用。维持这些因素可优化社会生活，以提高老龄化过程中的生活质量。然而，土耳其语中缺乏用于评估老年人活动与参与情况的问卷。本研究将牛津参与和活动问卷（Ox-PAQ）翻译成土耳其语并进行跨文化调适，同时在老年人群中调查其心理测量学特性。
Ox-PAQ的土耳其语版本是在经过翻译和回译过程后产生的。分别对230名和60名个体进行Ox-PAQ测试，以进行结构效度和信度分析。为评估土耳其语Ox-PAQ的重测信度，在首次访谈7天后再次应用该问卷。采用克朗巴哈α系数（α）评估内部一致性。将Ox-PAQ与简短健康调查问卷12项版（Short Form-12）以及日常生活活动能力的凯茨独立指数量表进行比较，以确定其效度。
土耳其语Ox-PAQ显示出出色的内部一致性（α = 0.98）和重测信度（组内相关系数分别为0.98、0.96和0.97，对应日常活动水平、社会参与和情绪幸福感子量表）。在效度分析中，因子分析显示了三个因子的可能结构，这三个因子共同解释了总方差的66.35%。土耳其语Ox-PAQ与本研究中使用的其他比较指标相关。
土耳其语Ox-PAQ是评估老年人参与和活动水平的可靠且有效的问卷（临床试验编号：NCT04368754）。
