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Yıl:2015; Cilt: 52; Sayı: 1>> Özet
Nöropsikiyatri Arşivi; 2015;52(1):47-53
Epilepsili Çocuklarda Nöbet Öz-Yeterlik Ölçeği Geçerlik ve Güvenirlik Çalışması
ŞT Güven, A İşler
Antalya Eğitim ve Araştırma Hastanesi, Antalya
Amaç: Bu çalışma Epilepsili Çocuklarda Nöbet Öz-Yeterlik Ölçeği (Seizure Self-Efficacy Scale For Children)’ni Türkçe’ye uyarlayarak, geçerlik ve güvenirliğini belirlemek amacıyla yapılmıştır. Yöntem: Araştırmanın örneklemini, Temmuz 2012-Mart 2013 tarihleri arasında Akdeniz Üniversitesi Hastanesi, Antalya Eğitim ve Araştırma Hastanesi ve Bursa Dörtçelik Çocuk Hastanesi Çocuk Nöroloji Poliklinikleri’ne gelen 9-17 yaş grubu 166 epilepsi hastalığı olan çocuk oluşturmuştur. Veriler araştırmacı tarafından yüz-yüze görüşme yöntemiyle, Çocuk Tanıtım Formu, Epilepsili Çocuklarda Nöbet Öz-Yeterlik Ölçeği ve Çocuk Depresyon Ölçeği kullanılarak toplanmıştır. Epilepsili Çocuklarda Nöbet Öz-Yeterlik Ölçeği Caplin ve ark. (2002) tarafından geliştirilen 15 maddelik, 5’li Likert tipinde bir ölçektir. Bulgular: Ölçeğin dil geçerlik çalışması yedi uzman tarafından yapılmıştır. Ölçeğin kapsam geçerliği için on uzmandan alınan görüşlerin, ölçek maddelerinin uygulanabilirliği açısından istatistiksel olarak uyumlu olduğu belirlenmiştir. (Kendall’s W=0,411, p<0,001, ki-kare: 57,495). Açıklayıcı faktör analizinde faktör yükü %40 ve büyük olan maddeler analize dahil edilmiş ve analiz sonucunda toplam varyansın %49,67’sinin açıklandığı iki faktörlü bir yapı elde edilmiştir. Ölçeğin iç tutarlığını belirlemek için hesaplanan Cronbach alfa katsayısı ölçek toplam puanı için 0,89 olarak bulunmuştur. Güvenirlik çalışmaları kapsamında, ölçeğin iki alt boyutu (nöbetin bireysel kontrolü ve nöbeti kontrol etmede çevrenin etkisi) için sırasıyla 0,98-0,74 değerinde korelasyonlar belirlenmiştir. Test-tekrar test korelasyonları anlamlı düzeyde (p<0,01) ve yüksek (r=0,99) bulunmuştur. Yordama-Kestirim geçerliğinde, Epilepsili Çocuklarda Nöbet Öz-Yeterlik Ölçeği ile Çocuk Depresyon Ölçeği arasındaki korelasyonlar negatif yönde, orta derecede ve istatistiksel olarak anlamlı bulunmuştur (r=-0,58, p<0,001). Sonuç: Epilepsili Çocuklarda Nöbet Öz-Yeterlik Ölçeği’nin Türkçe versiyonundan elde edilen ölçümlerin orijinal ölçek yapısıyla uyumlu, Türk toplumu için geçerli ve güvenilir olduğu bulunmuştur.
Validity and Reliability of the Seizure Self-Efficacy Scale for Children with Epilepsy
Introduction: This study aims to adapt the Seizure Self-Efficacy Scale for Children (SSES-C) into Turkish and then assess its validity and reliability in children with epilepsy. Methods: The study sample consisted of 166 children (aged 9-17 years) with epilepsy who attended of Akdeniz University Hospital, Antalya Training and Research Hospital, and Bursa Dortcelik Children’s Hospital Pediatric Neurology Clinics between July 2012 and March 2013. All research data were collected by a researcher in face-to-face interviews using Child Information Form, Seizure Self-Efficacy Scale for Children and Children’s Depression Scale. The Seizure Self-Efficacy Scale for Children is a 15-item, 5-point Likert scale designed by Caplin et al. (2002). Results: The linguistic adaptation and validation of the scale was conducted by seven experts. To evaluate the content validity of the scale, we elicited judgments from a panel of 10 content experts. The expert judgments showed that the correlation between the items on the scale was fairly good (Kendall’s W=0.411, p<0.001, ki-kare: 57.495). Load factor of 40% and a large factor analysis included analysis of substances and two factors accounting for 49.67% of the total variance explained. We calculated Cronbach’s alpha coefficient for the internal consistency and the full-scale score showed good internal consistency (alpha 0.89). Within the context of reliability studies, it was found correlations varying between 0,98-0,74 for the two sub-factors of the scale. Test/retest correlation coefficients were significant (p<0,01) and high (r=0.99). In parallel forms reliability, the correlations between the Seizure Self-Efficacy Scale for Children and Children’s Depression Rating Scale were found to be negative, moderate and statistically significant (r=-0.58, p<0.001). Conclusion: The measurements conducted on the Turkish version of the Seizure Self-Efficacy Scale for Children showed that it is consistent with the original scale, valid and reliable for Turkish society.

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