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Research ArticleOriginal Article
Open Access

Reliability and validity of the turkish translation of pedsql™ multidimensional Fatigue scale in Duchenne Muscular Dystrophy

Ipek Alemdaroglu-Gürbüz, Numan Bulut, Sibel Bozgeyik, Naime Ulug, Selen S. Arslan, Öznur Yilmaz and Ayse Karaduman
Neurosciences Journal October 2019, 24 (4) 302-310; DOI: https://doi.org/10.17712/nsj.2019.4.20190035
Ipek Alemdaroglu-Gürbüz
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
PT, PhD
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Numan Bulut
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
PT, MSc
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Sibel Bozgeyik
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
PT, MSc
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Naime Ulug
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
PT, PhD
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Selen S. Arslan
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
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Öznur Yilmaz
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
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Ayse Karaduman
From Faculty of Physical Therapy and Rehabilitation (Alemdaroğlu-Gürbüz, Bulut, Bozgeyik, Arslan, Yilmaz, Karaduman), Hacettepe University, and from Physical Therapy and Rehabilitation Department (Bulut), Faculty of Health Sciences, Atılım University, Ankara, Turkey.
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    Figure 1

    Bland-Altman Plot for test-retest reliability of child self-report.

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    Figure 2

    Bland-Altman Plot for test-retest reliability of parent proxy report.

Tables

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    Table 1

    Demographic characteristics of the patients (n=71).

    Demographic CharacteristicsMinMaxX±SD
    Age (month)55.0161.0102.94±23.23
    Height (cm)95.0152.0123.41±11.31
    Weight (kg)14.046.026.42±7.23
    BMI (kg/m²)10.9024.7917.15±2.98
    • View popup
    Table 2

    Test-retest reliability of the Turkish version of PedsQL Multidimensional Fatigue Scale.

    ItemsChild Self ReportParent Proxy Report
    Mean (SD)ICCScaleMean (SD)ICC
    Q165.66 (31.17)0.60Q154.04 (24.48)0.74
    Q272.88 (32.95)0.53Q255.45 (27.79)0.74
    Q376.58 (31.68)0.39Q370.24 (29.61)0.74
    Q482.04 (29.97)0.51Q472.18 (28.57)0.79
    Q576.05 (31.35)0.57Q563.20 (28.82)0.83
    Q678.34 (32.37)0.37Q665.84 (27.52)0.81
    General75.26 (20.04)0.80General63.49 (22.51)0.89
    Q765.49 (36.79)0.68Q772.88 (26.37)0.80
    Q879.40 (31.12)0.64Q879.92 (22.91)0.81
    Q973.94 (34.06)0.80Q970.77 (25.95)0.84
    Q1063.90 (35.29)0.71Q1068.83 (27.80)0.81
    Q1180.63 (33.07)0.53Q1181.86 (24.39)0.83
    Q1278.16 (32.46)0.63Q1280.80 (24.31)0.84
    Sleep/rest73.59 (20.86)0.86Sleep/rest75.85 (18.86)0.89
    Q1374.47 (31.57)0.57Q1365.85 (29.99)0.69
    Q1472.35 (32.02)0.42Q1475.52 (24.63)0.77
    Q1571.30 (34.71)0.76Q1577.64 (23.38)0.80
    Q1668.13 (34.48)0.60Q1675.00 (26.12)0.74
    Q1771.65 (33.97)0.73Q1775.00 (25.78)0.82
    Q1866.73 (33.89)0.40Q1875.88 (25.33)0.73
    Cognitive70.69 (24.03)0.83Cognitive74.14 (21.90)0.86
    Total73.33 (17.92)0.87Total70.61 (19.23)0.91
    Q - Question
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    Table 3

    3-factor model results of confirmatory factor analysis.

    Scalesx2dfx2/dfRMSEACFINFIGFIAGFI
    Child Self Report209.111321.580.0920.810.620.760.69
    Parent Proxy Report233.151321.760.1050.880.770.740.67
    RMSEA - root mean squared error of approximation, CFI - comparative fit index, NFI - normative fit index, GFI - goodness-of-fit index, AGFI - adjusted GFI
    • View popup
    Table 4

    The Turkish Version of PedsQL Multidimensional Fatigue Scale Factor Loadings.

    Scale/itemsFactor 1Factor 2Factor 3
    General fatigue
    1. I feel tired.417.223.138.635.350.323
    2. I feel physically weak (not strong).087.086.453.731.244.420
    3. I feel too tired to do things that I like to do.504.126.538.866.121.124
    4. I feel too tired to spend time with my friends.522.269.216.783.186.239
    5. I have trouble finishing things.527.498.440.649.286.192
    6. I have trouble starting things.585.425.408.689.084.188
    Sleep/rest fatigue
    7. I sleep a lot-.043.399.246.417.611.469
    8. It is hard for me to sleep through the night.160.335-.112.334.690.369
    9. I feel tired when I wake up in the morning.361.509.075.327.737.571
    10. I rest a lot.079.318.168.476.645.603
    11. I take a lot of naps.049.091.758.139-.078.833
    12. I spend a lot of time in bed.079.257.527.333.368.716
    Cognitive fatigue
    13. It is hard for me to keep my attention on things.451.710.738.289.039.232
    14. It is hard to for me to remember what people tell me.733.759.135.267.031.170
    15. It is hard for me to remember what I just heard.695.779.125.157.229.318
    16. It is hard for me to think quickly.820.696.139.278.132.323
    17. I have trouble remembering what I was just thinking.762.849.045.222.013.160
    18. I have trouble remembering more than one thing at a time.676.915.038.112.088.043
    • View popup
    Table 5

    Correlation between the Turkish version of PedsQL-Multidimensional Fatigue Scale and other outcome measures.

    ScalesChild Self ReportParent Proxy Report
    TotalGeneralSleep/RestCognitiveTotalGeneralSleep/RestCognitive
    PedsQL-Neuromuscular Module-Child0.62**0.50**0.49**0.53**0.44**0.36**0.42**0.40**
    PedsQL-Neuromuscular Module-Parent0.31**0.050.39**0.26*0.79**0.74**0.76**0.60**
    10 Minute Walk Test-0.15-0.11-0.74-0.11-0.15-0.15-0.12-0.65
    Standing from supine-0.70-0.09-0.030.00-0.08-0.05-0.56-0.07
    Ascending 4 steps-0.38-0.11-0.050.02-0.03-0.03-0.01-0.01
    Descending 4 steps-0.20-0.20-0.09-0.24-0.12-0.11-0.06-0.07
    6 Minute Walk Test0.130.090.130.080.220.180.160.16
    North Star Ambulatory Assessment-0.140.110.130.100.160.130.100.13
    *p<0.05, **p<0.01
    • View popup
    Table 6

    Inter-correlations between the child-self and parent proxy reports of Turkish version of PedsQL Multidimensional Fatigue Scale.

    Child-Self ReportParent Proxy Report
    TotalGeneralSleep/RestCognitive
    Total0.46**0.45**0.43**0.35**
    General0.29*0.24*0.27*0.25*
    Sleep/Rest0.45**0.46**0.36**0.34**
    Cognitive0.43**0.34**0.44**0.33**
    *p<0.05, **p<0.01
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Neurosciences Journal: 24 (4)
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Reliability and validity of the turkish translation of pedsql™ multidimensional Fatigue scale in Duchenne Muscular Dystrophy
Ipek Alemdaroglu-Gürbüz, Numan Bulut, Sibel Bozgeyik, Naime Ulug, Selen S. Arslan, Öznur Yilmaz, Ayse Karaduman
Neurosciences Journal Oct 2019, 24 (4) 302-310; DOI: 10.17712/nsj.2019.4.20190035

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Reliability and validity of the turkish translation of pedsql™ multidimensional Fatigue scale in Duchenne Muscular Dystrophy
Ipek Alemdaroglu-Gürbüz, Numan Bulut, Sibel Bozgeyik, Naime Ulug, Selen S. Arslan, Öznur Yilmaz, Ayse Karaduman
Neurosciences Journal Oct 2019, 24 (4) 302-310; DOI: 10.17712/nsj.2019.4.20190035
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