YUTMA YAŞAM KALİTESİ ANKETİ’NİN TÜRKÇE VERSİYONUNUN GÜVENİRLİK VE GEÇERLİLİĞİ

Yıl 2016, Cilt: 27 Sayı: 1, 19 - 24, 15.04.2016

Numan Demir , Selen Serel Arslan , Özgü İnal Nezahat Özgül Ünlüer , Aynur Ayşe Karaduman

https://doi.org/10.21653/tfrd.271061

Cited By: 7

Öz

Amaç: Bu çalışmanın amacı; Yutma Yaşam Kalitesi Anketi (SWAL-QOL)’nin Tükçe’ye çevrilmesi ve

nörojenik yutma güçlüğü olan hastalar arasıda güvenirlik ve geçerliliğinin test edilmesidir.

Yöntemler: Yüz beş hasta (ortalama yaş= 57±15.4 yı, ortalama ağılı= 69.5±16.3 kg, ortalama

boy=162.8±22.4 cm) SWAL-QOL’ı Tükçe versiyonu (T-SWAL-QOL) ve World Health Organization

Quality of Life Questionnaire (WHO QOL-BREF)’ı kısa formunu tamamladı T-SWAL-QOL’ı

içtutarlıığı test-tekrar test güvenirliği ve kriter geçrliliğ psikometrik analizler olarak araşııdı

Güenirlik; içtutarlıı ve test-tekrar test güenilirliğ testleri kullanıarak değrlendirildi. Kriter geçrliliğ

değrlendirmek içn T-SWAL-QOL ve WHO-QOL-BREF arasıdaki korelasyon hesaplandı

Sonuçlar: T-SWAL-QOL’in içtutarlıığıtest içn Cronbach’s alpha değri 0.88, tekrar test içn 0.91

olmak üzere yüksek bulundu. Genel yakıma, yeme zamanı yeme isteğ ve sosyal alt başlıkları

test-tekrar test güvenirliği iyi (sırasıla; r=0.696, r=0.790, r=0.787, r=0786, p<0.001) ve besin seçmi,

yeme korkusu, uyku, yorgunluk, iletişim ve mental sağı test-tekrar test güenirliği mükemmel

bulundu (sıarsıyla; r=0.832, r=0.833, r=0.841, r=0.839, r=0.883, r=0.847, p<0.001). T-SWAL-QOL ve

WHO-QOL-BREF arasında zayı/orta düzeyde korelasyon bulundu (p<0.05).

Tartışma: T-SWAL-QOL’in disfaji değerlendirmesinde geçerli ve güvenilir bir ölçek olduğu gösterildi.

Bu çalışma; Tükiye’de disfajiye öel yaşam kalitesini değrlendiren ölçek eksikliği ile ilgili

problemin çözümüne katkı sağladı

Anahtar Kelimeler

Deglüsyon, deglüsyon bozuklukları, yaşam kalitesi

RELIABILITY AND VALIDITY OF THE TURKISH VERSION OF THE SWALLOW QUALITY OF LIFE QUESTIONNAIRE

Öz

Purpose: The purpose of this study was to translate the Swallow Quality of Life Questionnaire

(SWAL-QOL) into Turkish and to test its reliability and validity among patients with neurogenic

swallowing disorders.

Methods: One hundred and five patients (mean age= 57±15.4 years, mean weight= 69.5±16.3 kg,

mean height=162.8±22.4 cm) completed the Turkish version of the SWAL-QOL (T-SWAL-QOL) and

short form of the World Health Organization Quality of Life Questionnaire (WHO QOL-BREF). The

internal consistency, test-retest reliability and criterion validity of T-SWAL-QOL as psychometric

analysis were explored. Reliability was estimated using tests of internal consistency and test–

retest reliability. The correlation between T-SWAL-QOL and WHO-QOL-BREF was calculated to

evaluate criterion validity.

Results: The internal consistency of T-SWAL-QOL was found to be high with 0.88 Cronbach’s

alpha value for test and 0.91 Cronbach’s alpha value for retest. General burden, eating duration,

eating desire and social subscales were found to have good test-retest reliability (r=0.696,

r=0.790, r=0.787, r=0786, p<0.001; respectively) and, food selection, fear of eating, sleep, fatigue,

communication and mental health were found to have excellent test-retest reliability (r=0.832,

r=0.833, r=0.841, r=0.839, r=0.883, r=0.847, p<0.001; respectively). A weak/moderate correlation

was found between the T-SWAL-QOL and WHO-QOL-BREF (p<0.05).

Discussion: The T-SWAL-QOL was shown to be a valid and reliable questionnaire in dysphagia

evaluation. This study will contribute to solve the problem about the lack of a scale to measure the

dysphagia specific quality of life in Turkey.

Anahtar Kelimeler

Deglutition, deglutition disorders, quality of life

Kaynakça

• 1. Gotay CC, Moore TD. Assessing quality of life in head and neck cancer. Qual Life Res. 1992;1(1):5-17.
• 2. Davis LA. Quality of life issues related to dysphagia. Top Geriatr Rehabil. 2007;23(4):352-65.
• 3. Chen AY, Frankowski R, Bishop-Leone J, Hebert T, Leyk S, Lewin J, et al. The development and validation of a dysphagia-specific quality of life questionnaire for patients with head and neck cancer: the M.D. Anderson dysphagia inventory. Arch Otolaryngol Head Neck Surg 2001;127(7):870-6.
• 4. Wallace KL, Middleton S, Cook IJ. Development and validation of a self-report symptom inventory to assess the severity of oralpharyngeal dysphagia. Gastroenterology. 2000;118(4):678-87.
• 5. Rosen CA, Lee AS, Osbome J, Zullo T, Murry T. Development and validation of the Voice Handicap Index-10. Laryngoscope. 2004;114(9):1549-56.
• 6. Belafsky PC, Mouadeb DA, Rees CJ, Pryor JC, Postma GN, Allen J, et al. Validity and reliability of the Eating Assessment Tool (EAT-10). Ann Otol Rhinol Laryngol. 2008;117(12):919-24.
• 7. McHorney CA, Bricker DE, Robbins J, Kramer AE, Rosenbek JC, Chignell KA. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: II. Item reduction and preliminary scaling. Dysphagia.2000;15(3):122-33.
• 8. McHorney CA, Robbins J, Lomax K, Rosenbek JC, Chignell KA, Kramer AE, et al. The SWAL-QOL outcomes tool for
• 10. Khaldoun E, Woisard V, Verin E. Validation in French of the SWAL-QOL scale in patients with oropharyngeal dysphagia. Gastroenterol Clin Biol. 2009;33(3):167-71.
• 11. Bogaardt HC, Speyer R, Baijens LW, Fokkens WJ. Cross-cultural adaptation and validation of the Dutch version of SWAL-QOL. Dysphagia. 2009;24(1):66-70.
• 12. Lam PM, Lai CK. The validation of the Chinese version of the Swallow Quality-of-Life questionnaire (SWAL-QOL) using exploratory and confirmatory factor analysis. Dysphagia. 2011;26(2):117-24.
• 13. Finizia C, Rudberg I, Bergqvist H, Ryden A. A cross-sectional validation study of the Swedish version of SWAL-QOL. Dysphagia. 2012;27(3):325-35.
• 14. Eser E, Fidaner H, Fidaner C, Yalçın Eser S, Elbi H, Göker E. WHOQOL -100 ve WHOQOL-Bref ‘in psikometrik özellikleri. 3P Dergisi. 1999;7:23-40.
• 15. Hayran M, Hayran M. Sağlık araştırmaları için temel istatistik. 1st ed. Ankara Omega Araştırma Ltd;2011.
• 16. McHorney CA, Bricker DE, Kramer AE, Rosenbek JC, Robbins J, Chignell KA, et al. The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia. 2000;15(3):115-21.
• 17. Leow LP, Huckabee ML, Anderson T, Beckert L. The impact of dysphagia on quality of life in ageing and Parkinson’s disease as measured by the swallowing quality of life (SWAL-QOL) Questionnaire. Dysphagia. 2000;25(3):216-20.
• 18. Zheng Y, Liu M, Li M, Zhang J, Ge J, Sun Y, et al. The influence of the ‘Patient-to-Patient Model’ on swallowing problems in patients with supraglottic laryngeal cancer. ORL J Otorhinolaryngol Relat Spec. 2014;76(3):171-7.
• 19. Rinkel RN, Verdonck-de Leeuw IM, van den Brakel N, de Bree R, Eerenstein SE, Aaronson N, et al. Patient-reported symptom questionnaires in laryngeal cancer: voice, speech and swallowing. Oral Oncol. 2014;50(8):759-64.
• Rinkel RN, Verdonck-de Leeuw IM, Langendijk JA, van Reij EJ, Aaaronson NK, Leemans CR. The psychometric and clinical validity of the SWAL-QOL questionnaire in evaluating swallowing problems experienced by patients with oral and oropharyngeal cancer. Oral Oncol. 2009;45(8):67-71.
• 21. Timmerman AA, Speyer R, Heijnen BJ, Klijn-Zwijnenberg IR. Psychometric characteristics of health-related quality-of life questionnaires in oropharyngeal dysphagia. Dysphagia. 2014;29(2):183-98.