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Validity and reliability of the Turkish version of "the Dyspnea-ALS-Scale (DALS-15)".
Neurol Sci. 2022 Mar; 43(3):1823-1829.NS

Abstract

AIM

The aim of this study was to investigate the validity and reliability of the Turkish version of The Dyspnea-ALS-Scale (DALS-15).

METHODS

Forward translation, back translation, and cross-cultural adaptation were used to ensure the equivalency of translated version of the scale. Then, patients with amyotrophic lateral sclerosis (ALS) who have dyspnea or orthopnea that develops with effort or at rest were evaluated using DALS-15 via online surveys. The respiratory subscale of ALS Functional Rating Scale-Revised (ALSFRS-R) and Modified Borg Dyspnea Scale (MBDS) was used to investigate the construct validity of the Turkish DALS-15. Reliability was assessed with Cronbach's α and inter-item correlation matrix (internal consistency).

RESULTS

We have included 52 ALS patients in the study. Findings showed that Turkish version of DALS-15 was highly correlated with respiratory subscale of ALSFRS-R (r = - 0.668; p = < 0.0001) and MBDS (for upright position: r = 0.728; p = < 0.0001 and for supine: r = 0.78; p = < 0.0001). The scale did not show any ceiling or floor effect. Also, DALS-15 had a high level of Cronbach's α (0.95) and internal consistency (ICC: 0.949; 95%CI: 0.92-0.96). Test-re-test reliability of the questionnaire was (ICC: 0.909; 95% CI: 0.81-0.95). The standard error of measurement value was 2.76, whereas the minimal detectable change score was 7.66 points for the translated version of the scale.

CONCLUSIONS

The Turkish version of DALS-15 possesses strong psychometric properties with excellent validity and reliability. It is shown to be useful for online self-assessment, outside of the clinical settings, especially in hard times such as a pandemic.

Authors+Show Affiliations

Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpaşa, Istanbul, Turkey. Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul Medeniyet University, Istanbul, Turkey.Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpaşa, Istanbul, Turkey.Department of Physiotherapy and Rehabilitation, Institute of Graduate Studies, Istanbul University-Cerrahpaşa, Istanbul, Turkey.Division of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istanbul University-Cerrahpaşa, Istanbul, Turkey. goksenkuran@yahoo.com. Istanbul Üniversitesi - Cerrahpaşa, Sağlık Bilimleri Fakültesi, Fizyoterapi ve Rehabilitasyon Bölümü, Büyükçekmece Yerleşkesi Alkent 2000 Mah. Yiğittürk Cad. No:5/9/1, Büyükçekmece/İstanbul, Türkiye. goksenkuran@yahoo.com.Department of Pulmonary Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34387755

Citation

Kolbaşı, Esma Nur, et al. "Validity and Reliability of the Turkish Version of "the Dyspnea-ALS-Scale (DALS-15)"." Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, vol. 43, no. 3, 2022, pp. 1823-1829.
Kolbaşı EN, Açıkbaş E, Akşimşek GP, et al. Validity and reliability of the Turkish version of "the Dyspnea-ALS-Scale (DALS-15)". Neurol Sci. 2022;43(3):1823-1829.
Kolbaşı, E. N., Açıkbaş, E., Akşimşek, G. P., Aslan, G. K., & Kıyan, E. (2022). Validity and reliability of the Turkish version of "the Dyspnea-ALS-Scale (DALS-15)". Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 43(3), 1823-1829. https://doi.org/10.1007/s10072-021-05516-4
Kolbaşı EN, et al. Validity and Reliability of the Turkish Version of "the Dyspnea-ALS-Scale (DALS-15)". Neurol Sci. 2022;43(3):1823-1829. PubMed PMID: 34387755.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Validity and reliability of the Turkish version of "the Dyspnea-ALS-Scale (DALS-15)". AU - Kolbaşı,Esma Nur, AU - Açıkbaş,Ece, AU - Akşimşek,Gamze Polen, AU - Aslan,Gökşen Kuran, AU - Kıyan,Esen, Y1 - 2021/08/13/ PY - 2021/05/05/received PY - 2021/07/18/accepted PY - 2021/8/14/pubmed PY - 2022/2/24/medline PY - 2021/8/13/entrez KW - Amyotrophic Lateral sclerosis KW - Dyspnea KW - Reproducibility of results KW - Validation study SP - 1823 EP - 1829 JF - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JO - Neurol Sci VL - 43 IS - 3 N2 - AIM: The aim of this study was to investigate the validity and reliability of the Turkish version of The Dyspnea-ALS-Scale (DALS-15). METHODS: Forward translation, back translation, and cross-cultural adaptation were used to ensure the equivalency of translated version of the scale. Then, patients with amyotrophic lateral sclerosis (ALS) who have dyspnea or orthopnea that develops with effort or at rest were evaluated using DALS-15 via online surveys. The respiratory subscale of ALS Functional Rating Scale-Revised (ALSFRS-R) and Modified Borg Dyspnea Scale (MBDS) was used to investigate the construct validity of the Turkish DALS-15. Reliability was assessed with Cronbach's α and inter-item correlation matrix (internal consistency). RESULTS: We have included 52 ALS patients in the study. Findings showed that Turkish version of DALS-15 was highly correlated with respiratory subscale of ALSFRS-R (r = - 0.668; p = < 0.0001) and MBDS (for upright position: r = 0.728; p = < 0.0001 and for supine: r = 0.78; p = < 0.0001). The scale did not show any ceiling or floor effect. Also, DALS-15 had a high level of Cronbach's α (0.95) and internal consistency (ICC: 0.949; 95%CI: 0.92-0.96). Test-re-test reliability of the questionnaire was (ICC: 0.909; 95% CI: 0.81-0.95). The standard error of measurement value was 2.76, whereas the minimal detectable change score was 7.66 points for the translated version of the scale. CONCLUSIONS: The Turkish version of DALS-15 possesses strong psychometric properties with excellent validity and reliability. It is shown to be useful for online self-assessment, outside of the clinical settings, especially in hard times such as a pandemic. SN - 1590-3478 UR - https://www.unboundmedicine.com/medline/citation/34387755/Validity_and_reliability_of_the_Turkish_version_of_ DB - PRIME DP - Unbound Medicine ER -