Tuncay Duruöz Mehmet, Acer Kasman Sevtap, Gezer Halise Hande, Duruöz Evrim
Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Marmara University, Faculty of Medicine, Istanbul, Turkey.
Physical Medicine and Rehabilitation, Evrim Duruöz Clinic, Istanbul, Turkey.
Arch Rheumatol. 2021 Oct 13;37(1):119-128. doi: 10.46497/ArchRheumatol.2022.8863. eCollection 2022 Mar.
This study aims to investigate the validity and reliability of the Turkish version of the Mini-Osteoarthritis Knee and Hip Quality of Life (Mini-OAKHQoL) scale developed to assess the quality of life (QoL) in patients with knee and/or hip osteoarthritis.
Between May 2018 and May 2020, a total of 83 patients (11 males, 72 females; mean age: 58.1±10.0 years; range, 39 to 81 years) with knee and/or hip osteoarthritis were included. Demographic, clinical, and survey data (Mini-OAKHQoL, Nottingham Health Profile, Short Form-36, Western Ontario and McMaster Universities Osteoarthritis Index, Lequesne Index, and Visual Analog Scale of pain intensity) were recorded. Missing data, floor effect, and ceiling effect were calculated. For reliability analysis, internal consistency and test-retest reliability were discovered. Face, content, convergent, and divergent validities were applied.
Among the patients, 52 (62.65%) had knee osteoarthritis, 26 (31.32%) had hip osteoarthritis, and five (6.02%) had both. Mini-OAKHQoL had a good face and content validity. The average item completion rate was 96.9%, with the time needed to perform was about 4 min. None of the subscales of Mini-OAKHQoL presented floor or ceiling effect, with a good range of responses. The Cronbach alpha coefficients and intraclass correlation coefficient (ICC) analysis of the subscales ranged from 0.927 to 0.676 and 0.987 to 0.843, respectively. Regarding convergent validity, the physical activities, mental health, and pain subscales of Mini-OAKHQoL had moderate to high correlations with the topic-related subset of the other QoL surveys. There were no or weak correlations between Mini-OAKHQoL and non-QoL parameters, indicating its divergent validity.
The Turkish version of Mini-OAKHQoL is a valid, reliable, simple, practical, accurate, completable, comprehensive, and disease-specific self-report instrument to assess QoL in patients with knee and/or hip osteoarthritis.
本研究旨在探讨为评估膝关节和/或髋关节骨关节炎患者的生活质量（QoL）而编制的土耳其语版《小型骨关节炎膝关节和髋关节生活质量量表》（Mini - OAKHQoL）的有效性和可靠性。
在2018年5月至2020年5月期间，共纳入83例膝关节和/或髋关节骨关节炎患者（11例男性，72例女性；平均年龄：58.1±10.0岁；范围为39至81岁）。记录人口统计学、临床和调查数据（Mini - OAKHQoL、诺丁汉健康量表、简短健康调查问卷36项、西安大略和麦克马斯特大学骨关节炎指数、勒凯斯内指数以及疼痛强度视觉模拟量表）。计算缺失数据、地板效应和天花板效应。进行可靠性分析，发现内部一致性和重测信度。应用表面效度、内容效度、收敛效度和区分效度。
在这些患者中，52例（62.65%）患有膝关节骨关节炎，26例（31.32%）患有髋关节骨关节炎，5例（6.02%）两者皆有。Mini - OAKHQoL具有良好的表面效度和内容效度。平均项目完成率为96.9%，完成所需时间约为4分钟。Mini - OAKHQoL的各子量表均未呈现地板效应或天花板效应，反应范围良好。各子量表的克朗巴哈α系数和组内相关系数（ICC）分析分别在0.927至0.676以及0.987至0.843之间。关于收敛效度，Mini - OAKHQoL的身体活动、心理健康和疼痛子量表与其他生活质量调查问卷中与主题相关的子集具有中度至高度相关性。Mini - OAKHQoL与非生活质量参数之间无相关性或相关性较弱，表明其具有区分效度。
土耳其语版Mini - OAKHQoL是一种有效、可靠、简单、实用、准确、可完成、全面且针对疾病的自我报告工具，用于评估膝关节和/或髋关节骨关节炎患者的生活质量。
