Adaptation and psychometric testing of the Turkish evaluation of daily activity questionnaire in people with rheumatoid arthritis

Gonca Bumin; Alison Hammond; Remziye Akarsu; Yeliz Prior; Büşra Kaplan; Fatma Temizkan; Özgün Belen; Yusuf Çelik; Gözde Kübra Yardimci; Umut Kalyoncu

doi:10.1080/09638288.2023.2280067

Adaptation and psychometric testing of the Turkish evaluation of daily activity questionnaire in people with rheumatoid arthritis

Disabil Rehabil. 2023 Nov 14:1-7. doi: 10.1080/09638288.2023.2280067. Online ahead of print.

Authors

Affiliations

¹ Department of Occupational Therapy, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.
² Centre for Human Movement and Rehabilitation, School of Health and Society, University of Salford, Salford, United Kingdom.
³ Department of Occupational Therapy, Faculty of Health Sciences, Biruni University, İstanbul, Turkey.
⁴ Occupational Therapy Department, Faculty of Healthy Science, Ankara Medipol University, Ankara, Turkey.
⁵ Department of Therapy and Rehabilitation, Kütahya Health Sciences University, Kütahya, Turkey.
⁶ Biostatistics Department, Faculty of Medicine, Biruni University, Istanbul, Turkey.
⁷ Rheumatology Department, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

PMID: 37961875
DOI: 10.1080/09638288.2023.2280067

Abstract

Purpose: The aims were to translate the Evaluation of Daily Activity Questionnaire (EDAQ) into Turkish, then test validity and reliability in people with rheumatoid arthritis (RA) in Turkey.

Material and methods: Phase 1: The EDAQ was forward and backward translated, culturally adapted following cognitive debriefing interviews with participants with RA (n = 10) and finalized by an expert committee. Phase 2: Participants (n = 215) completed a questionnaire including the EDAQ, Health Assessment Questionnaire (HAQ), and Short-Form 36 v1 (SF-36v1). Two weeks later, the EDAQ was again completed for test-retest reliability (n = 82:38%). Internal construct validity was assessed using Rasch analysis. Internal consistency, concurrent validity, and test-retest reliability were assessed.

Results: Following cultural adaptation, one item was removed, and examples increased or changed. Cronbach's α values were 0.71 - 0.93 for all EDAQ domains, that is, acceptable to good. The EDAQ met Rasch model requirements for fit (excellent construct validity: p > 0.05). Concurrent validity was moderate to strong for most EDAQ domains with HAQ (r_s 0.49-0.81) and SF-36-v1 Physical Function (r_s 0.42-0.70). There was excellent test-retest reliability for all domains (ICC (2,1): 0.95-1.00).

Conclusion: The Turkish EDAQ is a valid, reliable measure of daily activity ability for use in practice and research with Turkish speakers with RA.

Keywords: Rasch analysis; Rheumatoid arthritis; activities of daily living; reliability; validity.

Plain language summary

The Evaluation of Daily Activity Questionnaire provides a comprehensive evaluation of daily activity ability for people with rheumatic and musculoskeletal diseases.The Turkish Evaluation of Daily Activity Questionnaire is a valid, reliable patient-reported outcome measure in patients with rheumatoid arthritis, who considered it easy to complete.The Turkish Evaluation of Daily Activity Questionnaire is suitable for use in clinical practice and research to evaluate daily activity ability in people with rheumatoid arthritis.