Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure

Uzun, Gulay; Calik Kutukcu, Ebru; karaş, ezgi; Erturk, Nurel; Sayın, Muhammet Raşit

doi:10.5543/tkda.2022.22383

Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure

Nurel ERTÜRK, (Sağlık Üniversitesi Bilimler, Ahi Evren Göğüs ve Kalp Damar Cerrahisi Eğitimi ve Araştırma Hastanesi, Kardiyopulmoner Bölümü Rehabilitasyon, Trabzon, Türkiye)

Ezgi KARAŞ, (Avrasya Üniversitesi Meslek Yüksekokulu Sağlık Hizmetleri, Trabzon, Türkiye)

Gulay Uzun, (Ahi Evren Göğüs ve Kalp Damar Cerrahisi Eğitimi ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, Üniversitesi Sağlık Bilimleri, Trabzon, Türkiye)

Muhammet Raşit SAYIN, (Sağlık Bilimleri Üniversitesi, Ahi Evren Göğüs ve Kalp Damar Cerrahisi Eğitimi ve Araştırma Hastanesi, Kardiyoloji Anabilim Dalı, Trabzon, Türkiye)

Ebru ÇALIK KÜTÜKÇÜ (Hacettepe Üniversitesi, Fizik Tedavi ve Rehabilitasyon Bölümü, Kardiyorespiratuar Bölümü Fizyoterapi ve Rehabilitasyon, Ankara Türkiye)

Türk Kardiyoloji Derneği Arşivi

19 3

Yıl: 2022 Cilt: 50 Sayı: 7 Sayfa Aralığı: 512 - 517 Metin Dili: İngilizce DOI: 10.5543/tkda.2022.22383 İndeks Tarihi: 01-11-2022

Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure

Öz:

Objective: The Performance Measure for Activities of Daily Living-8 (PMADL-8) for patients with congestive heart failure is an International Classification of Functioning, Disability, and Health-based Activities of Daily Living (ICF) questionnaire to evaluate disease-specific functional limitations in chronic heart failure (CHF). The purpose of this study was to investigate the reliability and validity of the Turkish version of the PMADL-8 in CHF patients. Methods: In this study, 50 patients with CHF were included. Test–retest reliability of the PMADL-8 was assessed by intraclass correlation coefficient and Cronbach’s alpha was calculated for internal consistency. Correlation coefficients between the PMADL-8 and New York Heart Association (NYHA) functional class, Chronic Heart Failure Questionnaire (CHQ), Nottingham Health Profile (NHP) were analyzed for construct validity. Results: The Cronbach’s alpha value of the PMADL-8 test and retest scores were recorded as 0.996, indicating that the scale is highly reliable. Test–retest reliability results of the PMADL-8 (mean intraclass correlation coefficient = 0.996) were excellent. The PMADL-8 score was moderately correlated with the NHP total score (r = 0.629, P < .001) and NHP physical abilities score (r = 0.517, P < .001). The PMADL-8 score was weakly correlated with the NYHA functional class (r = 0.385, P < .006), CHQ dyspnea (r = −0.475, P < .001), CHQ fatigue (r = −0.340, P = .016), and total score (r = −0.367, P = .009). Conclusion: The Turkish version of PMADL-8 is a reliable and valid assessment tool that could be used to determine activity limitations in CHF. The PMADL-8 is also useful for health professionals during the ICF evaluation of CHF patients.

Anahtar Kelime:

Hafif Semptomatik Kalp Yetersizliği Olan Hastalar İçin Günlük Yaşam Aktiviteleri-8 Performans Ölçümü Türkçe Versiyonunun Güvenilirliği ve Geçerliliği

Öz:

Amaç: Konjestif kalp yetersizliği hastaları için Günlük Yaşam Aktiviteleri-8 Performans Ölçümü (PMADL-8), kronik kalp yetersizliğinde (KKY) hastalığa özgü fonksiyonel kısıtlanmaları değerlendirmek için İşlevsellik, Yetiyitimi ve Sağlığın Uluslararası Sınıflandırması (ICF) tabanlı bir ankettir. Çalışmanın amacı; PMADL-8 anketi Türkçe versiyonunun KKY’li hastalarda geçerlilik ve güvenilirliğini araştırmaktır. Yöntemler: 50 KKY’li hasta çalışmaya dahil edildi. PMADL-8’in test-tekrar test güvenilirliği sınıfiçi korelasyon katsayısı (ICC) ile değerlendirildi ve iç tutarlılık için Cronbach alfa hesaplanmıştır. Yapı geçerliliği için PMADL-8 ve New York Kalp Derneği (NYHA) fonksiyonel sınıfı, Kronik Kalp Yetersizliği Anketi (CHQ), Nottingham Sağlık Profili (NHP) arasındaki korelasyon katsayıları analiz edilmiştir. Bulgular: PMADL-8 test ve tekrar test puanlarının Cronbach alfa değeri 0,996 olarak kaydedilmiş olup, ölçeğin yüksek düzeyde güvenilir olduğunu göstermektedir. PMADL-8'in test-tekrar test güvenilirlik sonuçları (ortalama ICC = 0.996) çok iyiydi. PMADL-8 skoru NHP total skoru (r = 0,629, P < ,001) ve NHP fiziksel yetenekler skoru (r = 0,517, P < ,001) ile orta derece koreleydi. PMADL-8 skoru NYHA fonksiyonel sınıfı (r = 0.385, P < ,006), CHQ dispne (r = −0,475, P < ,001), CHQ yorgunluk (r = −0.340, P = ,016) ve total skoru (r = −0,367, P = ,009) zayıf düzeyde ilişkiliydi. Sonuç: Geçerli ve güvenilir değerlendirme aracı olan PMADL-8’in Türkçe versiyonu, KKY’de aktivite limitasyonlarını belirlemekte kullanılabilir. PMADL-8, KKY hastalarının ICF tabanlı klinik değerlendirmesi sırasında sağlık profesyonelleri için de yararlıdır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Sopek Merkaš I, Slišković AM, Lakušić N. Current concept in the diagnosis, treatment and rehabilitation of patients with congestive heart failure. World J Cardiol. 2021;13(7):183-203. [CrossRef] 2. Degertekin M, Erol C, Ergene O, et al. Heart failure prevalance and predictors in Turkey: HAPPY Study. Arch Turk Soc Cardiol. 2012;40:298-308.
3. Pihl E, Fridlund B, Mårtensson J. Patients' experiences of physical limitations in daily life activities when suffering from chronic heart failure; a phenomenographic analysis. Scand J Caring Sci. 2011;25(1):3-11. [CrossRef]
4. Pandey A, Patel KV, Vaduganathan M, et al. Physical activity, fitness, and obesity in heart failure with preserved ejection fraction. JACC Heart Fail. 2018;6(12):975-982. [CrossRef]
5. Del Buono MG, Arena R, Borlaug BA, et al. Exercise intolerance in patients with heart failure: JACC state-of-the-art review. J Am Coll Cardiol. 2019;73(17):2209-2225. [CrossRef]
6. Hoffmann JM, Finke JB, Schächinger H, Schulz A, Vögele C, Spaderna H. Modulation of startle and heart rate responses by fear of physical activity in patients with heart failure and in healthy adults. Physiol Behav. 2020;225:113044. [CrossRef]
7. Olímpio Júnior H, Lopes AJ, Guimarães FS, da Cunha Chermont SLSM, de Menezes SLS. Association between ventilatory efficiency, oxygen uptake, and Glittre-ADL test results in patients with chronic heart failure: a preliminary study. BMC Res Notes. 2021;14(1):62. [CrossRef]
8. Tang WH, Francis GS. The difficult task of evaluating how to monitor patients with heart failure. J Card Fail. 2005;11(6):422-424. [CrossRef]
9. Goldman L, Hashimoto B, Cook EF, Loscalzo A. Comparative reproducibility and validity of systems for assessing cardiovascular functional class: advantages of a new specific activity scale. Circulation. 1981;64(6):1227-1234. [CrossRef]
10. Catchpool M, Ramchand J, Hare DL, Martyn M, Goranitis I. Mapping the Minnesota Living with Heart Failure Questionnaire (MLHFQ) onto the assessment of quality of life 8D (AQoL-8D) utility scores. Qual Life Res. 2020;29(10):2815-2822. [CrossRef]
11. Fathipour-Azar Z, Akbarfahimi M, Vasaghi-Gharamaleki B, Naderi N. Evaluation of activities of daily living instruments in cardiac patients: narrative review. J Mod Rehabil. 2016;10:139-143.
12. Shimizu Y, Yamada S, Suzuki M, et al. Development of the performance measure for activities of daily living-8 for patients with congestive heart failure: a preliminary study. Gerontology. 2010;56(5):459-466. [CrossRef]
13. Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11(Suppl 1):S80-S89. [CrossRef]
14. McDonagh TA, Metra M, Adamo M, et al. 2021 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. Eur Heart J. 2021;42(36):3599-3726. [CrossRef]
15. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-3191. [CrossRef]
16. Yılmaz E, Eser E, Gürgün C, Kültürsay H. Reliability and validity of the Turkish version of the Chronic Heart Failure Questionnaire. Anadolu Kardiyol Derg. 2010;10(6):526-538. [CrossRef]
17. Kücükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-38. [CrossRef]
18. Spor AR. Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik-Güvenirlik. 6th ed. Ankara: Detay Yayıncılık; 2020. 19. Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res. 2005;19(1):231-240. [CrossRef]
20. Plichta SB, Kelvin E. Munro's Statistical Methods for Health Care Research. 6th ed. China: Lippincott Williams & Wilkins; 2013.
21. Wu JR, Lennie TA, Frazier SK, Moser DK. Health-related quality of life, functional status, and cardiac event-free survival in patients with heart failure. J Cardiovasc Nurs. 2016;31(3):236-244. [CrossRef]
22. Yamada S, Shimizu Y, Suzuki M, Izumi T, PTMaTCH Collaborators. Functional limitations predict the risk of rehospitalization among patients with chronic heart failure. Circ J. 2012;76(7):1654-1661. [CrossRef]
23. Kono Y, Yamada S, Iwatsu K, et al. Predictive value of functional limitation for disease severity in patients with mild chronic heart failure. J Cardiol. 2012;60(5):411-415. [CrossRef]
24. Shimizu Y, Yamada S, Miyake F, Izumi T, PTMaTCH Collaborators. The effects of depression on the course of functional limitations in patients with chronic heart failure. J Card Fail. 2011;17(6):503-510. [CrossRef]
25. Hamazaki N, Kamiya K, Miida K, et al. Forced vital capacity is an independent determinant for decreased activities of daily living in patients with chronic heart failure. Eur Heart J. 2013;34(suppl 1):P3364-P3364. [CrossRef]
26. Caraballo C, Desai NR, Mulder H, et al. Clinical implications of the New York Heart Association classification. J Am Heart Assoc. 2019;8(23):e014240. [CrossRef]

APA	Erturk N, karaş e, Uzun G, Sayın M, Calik Kutukcu E (2022). Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. , 512 - 517. 10.5543/tkda.2022.22383
Chicago	Erturk Nurel,karaş ezgi,Uzun Gulay,Sayın Muhammet Raşit,Calik Kutukcu Ebru Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. (2022): 512 - 517. 10.5543/tkda.2022.22383
MLA	Erturk Nurel,karaş ezgi,Uzun Gulay,Sayın Muhammet Raşit,Calik Kutukcu Ebru Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. , 2022, ss.512 - 517. 10.5543/tkda.2022.22383
AMA	Erturk N,karaş e,Uzun G,Sayın M,Calik Kutukcu E Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. . 2022; 512 - 517. 10.5543/tkda.2022.22383
Vancouver	Erturk N,karaş e,Uzun G,Sayın M,Calik Kutukcu E Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. . 2022; 512 - 517. 10.5543/tkda.2022.22383
IEEE	Erturk N,karaş e,Uzun G,Sayın M,Calik Kutukcu E "Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure." , ss.512 - 517, 2022. 10.5543/tkda.2022.22383
ISNAD	Erturk, Nurel vd. "Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure". (2022), 512-517. https://doi.org/10.5543/tkda.2022.22383

APA	Erturk N, karaş e, Uzun G, Sayın M, Calik Kutukcu E (2022). Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. Türk Kardiyoloji Derneği Arşivi, 50(7), 512 - 517. 10.5543/tkda.2022.22383
Chicago	Erturk Nurel,karaş ezgi,Uzun Gulay,Sayın Muhammet Raşit,Calik Kutukcu Ebru Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. Türk Kardiyoloji Derneği Arşivi 50, no.7 (2022): 512 - 517. 10.5543/tkda.2022.22383
MLA	Erturk Nurel,karaş ezgi,Uzun Gulay,Sayın Muhammet Raşit,Calik Kutukcu Ebru Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. Türk Kardiyoloji Derneği Arşivi, vol.50, no.7, 2022, ss.512 - 517. 10.5543/tkda.2022.22383
AMA	Erturk N,karaş e,Uzun G,Sayın M,Calik Kutukcu E Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. Türk Kardiyoloji Derneği Arşivi. 2022; 50(7): 512 - 517. 10.5543/tkda.2022.22383
Vancouver	Erturk N,karaş e,Uzun G,Sayın M,Calik Kutukcu E Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure. Türk Kardiyoloji Derneği Arşivi. 2022; 50(7): 512 - 517. 10.5543/tkda.2022.22383
IEEE	Erturk N,karaş e,Uzun G,Sayın M,Calik Kutukcu E "Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure." Türk Kardiyoloji Derneği Arşivi, 50, ss.512 - 517, 2022. 10.5543/tkda.2022.22383
ISNAD	Erturk, Nurel vd. "Reliability and Validity of the Turkish Version of the Performance Measure for Activities of Daily Living-8 for Patients with Mild Symptomatic Heart Failure". Türk Kardiyoloji Derneği Arşivi 50/7 (2022), 512-517. https://doi.org/10.5543/tkda.2022.22383