“Çocuk Sağlığı ve Hastalık Profili-CHIP-AE” Yaşam Kalitesi Ölçüm Aracının 12-17 Yaş Arası Ergenler için Geçerlik ve Güvenilirliği

Amaç: Bu araştırmada 1993 yılında Starfield tarafından geliştirilmiş olan Child Health an Illness Profile-CHIP-AE ölçüm aracının ergenler için kültürel adaptasyonu ile beraber, Türkçe versiyonunun geçerlilik ve güvenirliliğinin yapılması amaçlanmıştır. Gereç ve Yöntem: Araştırma örneklemini ESOGÜ Tıp Fakültesi Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniğinde yatan ergenler ile, özel bir okulda eğitime devam eden 12–17 yaş ergen oluşturmuştur. CHIP-AE İngilizce orijinal versiyonunun ileri ve geri çevirileri yapılmıştır. Kültürel uyarlama süreci için tüm adımlar bir uzman komite tarafından gerçekleştirilmiştir. Geçerliliğin belirlenmesinde LİSREL istatistiksel program ile doğrulayıcı faktör analizi yapılmıştır. Bulgular: Çalışmada CHIP-AE (12-17) yaş Türkçe versiyonu; 252 hasta ergene [148 (%58,7) kız; 104 (%41,3) erkek], 223 [109 (%48,9) kız; 114 (%51,1) erkek] sağlıklı ergene uygulanmıştır. Yaş ortalamaları hasta ergenlerde 14,32±1,70; sağlıklı ergenlerde 14,57±1,51 olarak gerçekleşmiştir. Kullanılan CHIP-AE formunun güvenirlilik değerlendirilmesi hasta ergenlerde Cronbach’s α değerli 0,852; Sağlıklı ergenlerde 0,807 olarak gerçekleşmiştir. Bu değerin mükemmel güvenirlilik gösteren nitelikte olduğunu söyleyebiliriz. Yapı geçerliliği bağlamında Doğrulayıcı Faktör Analizi (DFA) uygulanmıştır. DFA ölçüm modeli uyum sonuçları: hasta ergenlerde x2=1622,07, df=1061, p-value=0,000, RMSEA=0,046; sağlıklı ergenlerde x2=2082,33, df=1208, p-value=0,000 RMSEA=0,057 olarak geçerlilik ölçümleri standartlara uygun olarak değerlendirilmiştir. Sonuç: Bu çalışma, Türk ergen grubu için geliştirilen versiyonun hem sağlıklı hem de hasta ergenler için yüksek geçerliliğe sahip olduğunu göstermektedir.

Anahtar Kelimeler:

Çocuk Sağlığı ve Hastalıkları Profili-CHIP-AE, Çocuklarda Yaşam Kalitesi, Adölesanlar

Validity and Reliability Testing of a Quality of Life Measurement Instrument “Child Health and Illness Profile-CHIP-AE” For Adolescents Aged Between 12 and 17

Objective: In this study, it was aimed to make a cultural adaptation of the Child Health and Illness Profile- Adolescents (CHIP-AE) measurement tool for adolescents, which was developed by Starfield in 1993, to analyze whether the Turkish version is reliable, valid and applicable. Material and Methods: The sample of the study consisted of adolescents aged between 12 and 17, receiving inpatient treatment in the Children’s Health and Diseases Clinic in the Faculty of Medicine at Eskisehir Osmangazi University, and adolescents aged between 12 and 17, studying in a private school. The original version of CHIP-AE in English was first translated into Turkish, and then back translated. All stages of the cultural adaptation were performed by a specialized committee. Confirmatory Factor Analysis was conducted on LISREL to test the validity of the instrument. Results: For the purpose of this study, the Turkish version of the CHIP-AE (12-17 years) was administered to 252 adolescents receiving inpatient treatment [148 (58.7%) female; 104 (41.3%) male] and 223 healthy adolescents [109 (48.9%) female; 114 (51.1%) male]. The average age was 14.32±1.70 in the group of ill adolescents, and 14.57±1.51 in the group of healthy adolescents. With regard to reliability, Cronbach’s was 0.852 in the group of ill adolescents, and 0.807 in the group of healthy adolescents. These values refer to perfect reliability. Confirmatory Factor Analysis (CFA) was conducted to test construct validity. Model fit results obtained in CFA were as follows: x2=1622.07, df=1061, p-value=0.000 RMSEA=0.046 in the group of ill adolescents; and x2=2082.33, df=1208, p-value=0.000 RMSEA=0.057 in the group of healthy adolescents. Thus, validity results comply with the standards. Conclusion: This study suggests that the version developed for Turkish adolescents has high validity for the groups of both healthy and ill Turkish adolescents.

Keywords:

Child Health and Illness Profile-CHIP-AE, Quality of Life For Children, Adolescents,

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