Kızılay Deniz Özalp, Tepe Derya, Ersoy Betül, Sapmaz Şermin Yalın
Department of Pediatric Endocrinology and Diabetes, Ege University Faculty of Medicine, İzmir, Türkiye.
Division of Pediatric Endocrinology, Department of Pediatrics, Yıldırım Beyazıt University Yenimahalle Training and Research Hospital, Ankara, Türkiye.
Turk Arch Pediatr. 2025 May 2;60(3):334-340. doi: 10.5152/TurkArchPediatr.2025.24196.
Objective: Investigating the validity and reliability of the Turkish versions of the obesity-specific health-related quality of life perception scales for children and parents , Sizing Me Up/Sizing Them Up (SMU/STU), was the aim of this study. Materials and Methods: Sizing me up/sizing them up were translated into Turkish following a standardized translation procedure. Test-retest reliability, internal consistency, discriminant and convergent validity, as well as confirmatory factor analysis (CFA) were all assessed. Results: Sizing me up /sizing them up had a total scale Cronbach's alpha of 0.873, 0.872. In the test-retest evaluations, significant correlation was found in the SMU (except the Teasing/ Marginalization subscale), while no correlation was found in the Physical Functioning, Teasing/ Marginalization, School and Mealtime Difficulties subscales in the STU. The Pediatric Quality of Life Generic Core Scales (PedsQL) total mean score and the SMU/STU total mean scores exhibited a significant correlation (r=0.671, P < .0001/r=0.663, P < .001). Regarding the SMU total scale score and other subscale scores, excluding the Social Avoidance subscale, and the STU total scale score and other subscale scores, excluding Mealtime and School Functioning, a significant difference was found between the OB and non-OB samples. In CFA, the com- parative fit index (CFI) and root mean square error of approximation (RMSEA) values were not compatible with the expected values. Conclusion: The results demonstrated that both scales are suitable for use in the Turkish context and showed the validity and reliability of the Turkish versions of the SMU/STU; however, some inconsistencies were found in the items related to social avoidance in the SMU scale and posi- tive social attributes, mealtime challenges, and school functioning in the STU, so it is recom- mended that these items should be interpreted separately and carefully when evaluating scale scores by researchers or clinicians.
本研究旨在调查儿童及家长肥胖特异性健康相关生活质量感知量表土耳其语版本“打量自己/打量他们”(SMU/STU)的有效性和可靠性。材料与方法:按照标准化翻译程序将“打量自己/打量他们”翻译成土耳其语。对重测信度、内部一致性、区分效度和聚合效度以及验证性因素分析(CFA)进行了评估。结果:“打量自己/打量他们”量表总体Cronbach's α系数分别为0.873、0.872。在重测评估中,SMU量表(除取笑/边缘化子量表外)存在显著相关性,而在STU量表的身体功能、取笑/边缘化、学校和用餐困难子量表中未发现相关性。儿童生活质量通用核心量表(PedsQL)总平均分与SMU/STU总平均分呈现显著相关性(r = 0.671,P <.0001/r = 0.663,P <.001)。关于SMU总量表得分及其他子量表得分(不包括社交回避子量表),以及STU总量表得分及其他子量表得分(不包括用餐和学校功能),肥胖(OB)样本与非肥胖样本之间存在显著差异。在CFA中,比较拟合指数(CFI)和近似均方根误差(RMSEA)值与预期值不相符。结论:结果表明这两个量表均适用于土耳其语环境,显示了SMU/STU土耳其语版本的有效性和可靠性;然而,在SMU量表中与社交回避相关的项目以及STU量表中与积极社会属性、用餐挑战和学校功能相关的项目中发现了一些不一致之处,因此建议研究人员或临床医生在评估量表得分时应分别仔细解读这些项目。