Department of Nursing, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
Department of Community Medicine, Babol University of Medical Sciences, Babol, Mazandaran, Iran.
PLoS One. 2024 Aug 22;19(8):e0298773. doi: 10.1371/journal.pone.0298773. eCollection 2024.
Epilepsy, particularly in older people, is associated with significant changes in physical activities, social and occupational functions, and diet. It is associated with significant changes in physical activities, social and occupational functions, and diet. Valid and reliable instruments are needed to assess these changes. This study aimed to develop and validate a questionnaire to assess lifestyle in older people with epilepsy, named the Epilepsy Lifestyle Questionnaire (ELQ). This methodological study was conducted in 2022. The primary ELQ items were generated through reviewing the literature. Then, its face, content, construct, convergent, and discriminant validity, internal consistency, and test-retest stability were evaluated. Older patients aged ≥ 60 years were recruited from the Iranian Epilepsy Association to assess construct validity using confirmatory factor analysis (CFA). Data were analyzed using the SPSS (v. 26.0), AMOS (v. 24.0), and JASP software. The primary ELQ had 99 items with five subscales, namely health-oriented self-care, risk-averse behavior, emotional and psychosocial adaptation, epilepsy stigma, and intimacy and sexual behaviors. Sixty five items were deleted during psychometric evaluation. CFA showed the good fitting of the five-factor structure of the 34-item ELEQ (PCFI = 0.741, PNFI = 0.693, CMIN/DF = 0.073, IFI = 0.917, CFI = 0.916, AND GFI = 0.902). The values of internal consistency based on Cronbach's alpha and test-retest reliability based on intraclass correlation coefficient (ICC) of ELQ were 0.89 and 0.95, respectively. The ELQ is a valid and reliable self-report instrument. The results suggest that the ELQ is a useful clinical tool for assessing the lifestyle of patients with epilepsy.
癫痫，尤其是在老年人中，与身体活动、社会和职业功能以及饮食的重大变化有关。它与身体活动、社会和职业功能以及饮食的重大变化有关。需要有效的和可靠的工具来评估这些变化。本研究旨在开发和验证一种评估老年癫痫患者生活方式的问卷，命名为癫痫生活方式问卷（ELQ）。这项方法学研究于 2022 年进行。主要的 ELQ 项目是通过审查文献产生的。然后，评估了其表面、内容、结构、收敛和判别有效性、内部一致性和重测信度。从伊朗癫痫协会招募年龄≥60 岁的老年患者，使用验证性因子分析（CFA）评估结构效度。使用 SPSS（v.26.0）、AMOS（v.24.0）和 JASP 软件进行数据分析。主要的 ELQ 有 99 个项目，分为五个子量表，即健康导向的自我护理、避险行为、情绪和心理社会适应、癫痫耻辱感以及亲密和性行为。在心理测量评估过程中删除了 65 个项目。CFA 显示 34 项 ELQ 的五因素结构具有良好的拟合度（PCFI=0.741，PNFI=0.693，CMIN/DF=0.073，IFI=0.917，CFI=0.916，AND GFI=0.902）。基于 Cronbach's alpha 的内部一致性和基于组内相关系数（ICC）的重测信度的 ELQ 值分别为 0.89 和 0.95。ELQ 是一种有效的、可靠的自评工具。结果表明，ELQ 是评估癫痫患者生活方式的有用临床工具。
