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Translation and validation of the Turkish version of the Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire

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Abstract

The Ankylosing Spondylitis Quality of Life (ASQoL) questionnaire is a disease-specific measure of needs-based quality of life developed in the UK and the Netherlands. This study describes translation, validation, and reliability of the scale into Turkish population. The ASQoL was translated into Turkish using the dual-panel process. Content validity was assessed via cognitive debriefing interviews with ankylosing spondylitis (AS) patients. Patients with AS according to modified New York criteria were recruited into the study from 12 hospitals of all part of Turkey. Psychometric and scaling properties were assessed via a two administration survey involving the ASQoL, the Nottingham Health Profile (NHP), Bath AS Functional Index (BASFI), and Bath AS Disease Activity Index (BASDAI). Classical psychometrics assessed reliability, convergent validity (correlation of ASQoL with NHP, BASFI, and BASDAI) and discriminative validity (correlation of ASQoL with perceived AS-severity and general health). Cognitive debriefing showed the new Turkish ASQoL to be clear, relevant, and comprehensive. Completed survey questionnaires were received from 277 AS patients (80 % Male, mean age 42.2/SD 11.6, mean AS duration 9.4 years/SD 9.4). Test–retest reliability was excellent (0.96), indicating low random measurement error for the scale. Correlations of ASQoL with NHP sections were low to moderate (NHP Sleep 0.34; NHP Emotional Reactions 0.83) suggesting the measures assess related but distinct constructs. The measure was able to discriminate between patients based on their perceived disease severity (p < 0.0001) and self-reported general health (p < 0.0001). The Turkish version of ASQoL has good reliability and validity properties. It is practical and useful scale to assess the quality of life in AS patients in Turkish population.

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References

  1. Sieper J, Braun J, Rudwaleit M, Boonen A, Zink A (2002) Ankylosing spondylitis: an overview. Ann Rheum Dis 61(Suppl 3):iii8–iii18

    PubMed  Google Scholar 

  2. Bodur H, Sivas F, Yılmaz O, Özgöçmen S, Günaydın R, Kaya T et al (2011) Turkish league against rheumatism national recommendations for the management of ankylosing spondylitis. Turk J Rheumatol 26:173–186

    Article  Google Scholar 

  3. Gran JT, Husby G (1998) Ankylosing spondylitis: prevalence and demography. In: Klippel JH, Dieppe PA (eds) Rheumatology, vol 6. Mosby, St Louis, pp 15.1–15.6

    Google Scholar 

  4. Khan MA (1994) Ankylosing spondylitis: clinical features. In: Klippel JH, Dieppe PA (eds) Rheumatology, vol 3. Mosby, St Louis, pp 25.1–25.10

    Google Scholar 

  5. Ozgocmen S, Duruöz MT (2009) Turkish translation and patient evaluation of the ASAS/EULAR recommendations-patient version for the management of ankylosing spondylitisturk. J Rheumatol 24:190–195

    Google Scholar 

  6. Ozgul A, Peker F, Taskaynatan MA, Tan AK, Dincer K, Kalyon TA (2006) Effect of ankylosing spondylitis on health-related quality of life and different aspects of social life in young patients. Clin Rheumatol 25(2):168–174

    Article  PubMed  Google Scholar 

  7. Ward MM (1999) Health-related quality of life in ankylosing spondylitis: a survey of 175 patients. Arthritis Care Res 12(4):247–255

    Article  PubMed  CAS  Google Scholar 

  8. Ariza–Ariza R, Hernandez-Cruz B, Navarro-Sarabia F (2003) Physical function and health-related quality of life of Spanish patients with ankylosing spondylitis. Arthritis Rheum 49:483–487

    Article  PubMed  Google Scholar 

  9. Chorus AM, Miedema HS, Boonen A, Van Der Linden S (2003) Quality of life and work in patients with rheumatoid arthritis and ankylosing spondylitis of working age. Ann Rheum Dis 62:1178–1184

    Article  PubMed  CAS  Google Scholar 

  10. Turan Y, Duruöz MT, Cerrahoglu L (2007) Quality of life in patients with ankylosing spondylitis: a pilot study. Rheumatol Int 27(10):895–899

    Article  PubMed  Google Scholar 

  11. Uludag M, Unalan H, Tuzun S, Kocabasoglu N, Aydin FY, Palamar D, Ozdemir S, Akarirmak U (2011) Assessment of quality of life and depression in spouses of patients with ankylosing spondylitis. Rheumatol Int. 2011 Nov 10

  12. Doward LC, Spoorenberg A, Cook SA et al (2003) Development of the ASQoL: a quality of life instrument specific to ankylosing spondylitis. Ann Rheum Dis 62:20–26

    Article  PubMed  CAS  Google Scholar 

  13. Ariza–Ariza R, Hernández-Cruz B, López-Antequera G, Toyos FJ, Navarro-Sarabia F (2006) Cross-cultural adaptation and validation of a Spanish version of a specific instrument to measure health-related quality of life in patients with ankylosing spondylitis. Reumatol Clin 2(2):64–69

    Article  PubMed  Google Scholar 

  14. Doward LC, McKenna SP, Meads DM, Twiss J, Revicki D, Wong RL, Luo MP (2007) Translation and validation of non-english versions of the Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire. Health Qual Life Outcomes 5:7

    Article  PubMed  Google Scholar 

  15. Zhao LK, Liao ZT, Li CH, Li TW, Wu J, Lin Q, Huang F, Yu DT, Gu JR (2007) Evaluation of quality of life using ASQoL questionnaire in patients with ankylosing spondylitis in a Chinese population. Rheumatol Int 27(7):605–611

    Article  PubMed  CAS  Google Scholar 

  16. Pham T, van der Heijde DM, Pouchot J, Guillemin F (2010) Development and validation of the French ASQoL questionnaire. Clin Exp Rheumatol 28(3):379–385

    PubMed  Google Scholar 

  17. Jenks K, Treharne GJ, Garcia J, Stebbings S (2010) The Ankylosing Spondylitis Quality of Life questionnaire: validation in a New Zealand cohort. Int J Rheum Dis 13(4):361–366

    Article  PubMed  Google Scholar 

  18. van der Linden S, Valkenburg HA, Cats A (1984) Evaluation of diagnostic criteria for ankylosing spondylitis. A proposal for modification of the New York criteria. Arthritis Rheum 27(4):361–368

    Article  PubMed  Google Scholar 

  19. Garrett SL, Jenkinson TR, Kennedy LG, Whitelock HC, Gaisford P, Calin A (1994) A new approach to deWning disease status in ankylosing spondylitis: the bath ankylosing spondylitis disease activity index. J Rheumatol 21:2286–2291

    PubMed  CAS  Google Scholar 

  20. Calin A, Garrett S, Whitelock H et al (1994) A new approach to defining functional ability in ankylosing spondylitis: the development of the Bath Ankylosing Spondylitis Functional Index. J Rheumatol 21(12):2281–2285

    PubMed  CAS  Google Scholar 

  21. Akkoc Y, Karatepe AG, Akar S, Kirazli Y, Akkoc N (2005) A Turkish version of the bath ankylosing spondylitis disease activity index: reliability and validity. Rheumatol Int 25(4):280–284

    Article  PubMed  Google Scholar 

  22. Ozer HT, Sarpel T, Gulek B, Alparslan ZN, Erken E (2005) The Turkish version of the Bath Ankylosing Spondylitis Functional Index: reliability and validity. Clin Rheumatol 24(2):123–128

    Article  PubMed  Google Scholar 

  23. Hunt SM, McKenna SP, McEwen J, Williams J, Papp E (1981) The Nottingham Health Profile: subjective health status and medical consultations. Soc Sci Med 15:221–229

    CAS  Google Scholar 

  24. Kucukdeveci AA, McKenna SP, Kutlay S et al (2000) The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res 23(1):31–38

    Article  PubMed  CAS  Google Scholar 

  25. Bodur H, Ataman S, Rezvani A, Buğdaycı DS, Cevik R, Birtane M, Akıncı A, Altay Z, Günaydın R, Yener M, Koçyiğit H, Duruöz T, Yazgan P, Cakar E, Aydın G, Hepgüler S, Altan L, Kırnap M, Olmez N, Soydemir R, Kozanoğlu E, Bal A, Sivrioğlu K, Karkucak M, Günendi Z (2011) Quality of life and related variables in patients with ankylosing spondylitis. Qual Life Res 20(4):543–549

    Article  PubMed  Google Scholar 

  26. Bostan EE, Borman P, Bodur H, Barça N (2003) Functional disability and quality of life in patients with ankylosing spondylitis. Rheumatol Int 23(3):121–126

    PubMed  Google Scholar 

Download references

Conflict of interest

The authors declare that they have no conflict of interest.

Author information

Authors and Affiliations

  1. Rheumatology Division, PMR Department, Celal Bayar University Medical School, Manisa, Turkey

    M. T. Duruöz

  2. Epidemiology Division, Galen Research, Manchester, UK

    L. Doward

  3. PMR Department, Adnan Menderes University Medical School, Aydin, Turkey

    Y. Turan, O. Sendur & G. Gurer

  4. PMR Department, Celal Bayar University Medical School, Manisa, Turkey

    L. Cerrahoglu

  5. Rheumatology Division, PMR Department, Uludag University Medical School, Bursa, Turkey

    M. Yurtkuran & U. Bingol

  6. PMR Department, Erciyes University Medical School, Kayseri, Turkey

    M. Calis & M. Kirnap

  7. PMR Department, Gazi University Medical School, Ankara, Turkey

    N. Tas & G. Celik Erturk

  8. Rheumatology Division, PMR Department, Erciyes University Medical School, Kayseri, Turkey

    S. Ozgocmen

  9. PMR Department, Ataturk Training Hospital, Izmir, Turkey

    O. Yoleri & A. Memis

  10. PMR Department, Ege University Medical School, Izmir, Turkey

    B. Durmaz & F. Atamaz

  11. PMR Department, Dokuz Eylul University Medical School, Izmir, Turkey

    S. Oncel & R. Kizil

  12. PMR Department, Akdeniz University Medical School, Antalya, Turkey

    T. Tuncer

  13. PMR Department, Trakya University Medical School, Edirne, Turkey

    M. Birtane & K. Uzunca

  14. PMR Department, Istanbul University Cerrahpasa Medical School, Istanbul, Turkey

    F. Tuzun & H. Sari

  15. Rheumatology Division, PMR Department, Akdeniz University Medical School, Antalya, Turkey

    C. Kacar

  16. PMR Department, Atatürk Training and Research Hospital, Ankara, Turkey

    O. Ardicoglu

  17. Romatoloji Bilim Dalı Başkanı, Celal Bayar Üniversitesi Tıp Fakultesi, Manisa, Turkey

    M. T. Duruöz

Authors
  1. M. T. Duruöz
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  2. L. Doward
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  3. Y. Turan
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  4. L. Cerrahoglu
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  6. M. Calis
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  7. N. Tas
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  8. S. Ozgocmen
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  9. O. Yoleri
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  10. B. Durmaz
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  11. S. Oncel
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  12. T. Tuncer
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  13. O. Sendur
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  14. M. Birtane
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  15. F. Tuzun
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  16. U. Bingol
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  17. M. Kirnap
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  18. G. Celik Erturk
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  19. O. Ardicoglu
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  20. A. Memis
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  21. F. Atamaz
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  22. R. Kizil
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  23. C. Kacar
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Corresponding author

Correspondence to Y. Turan.

Appendix

Appendix

Turkish version of ASQOL

Lütfen her ifadeyi dikkatlice okuyunuz. Eğer ifade sizin durumunuza uygunsa “Evet”, uygun değilse “Hayır” seçeneğini işaretleyiniz. Lütfen her soruyu dikkatlice okuyunuz ve sizin şu anki durumunuza en uygun olan tek seçeneği işaretleyiniz.

 

Evet

Hayır

1. Hastalığım gidebileceğim yerleri kısıtlıyor

I__I

I__I

2. Bazen içimden ağlamak geliyor

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3. Giyinmede zorluk çekiyorum

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4. Evdeki işleri yapmakta zorlanıyorum

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5. Hastalığımdan dolayı uyumak imkansız

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I__I

6. Ailem veya arkadaşlarımla birlikte etkinliklere katılmam çok zor oluyor

I__I

I__I

7. Her zaman yorgunum

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I__I

8. Bir iş yaparken dinlenmek için sık sık ara veriyorum

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9. Dayanılmaz ağrım var

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10. Sabahları kendimi toparlayıp güne başlamam uzun süre alıyor

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11. Evdeki işleri yapmam imkansız

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12. Kolayca yoruluyorum

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13. Kendimi sık sık engellenmiş ve çaresiz hissediyorum

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14. Her zaman ağrım var

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15. Hastalığımdan dolayı çok şey kaçırdığımı hissediyorum

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16. Saçımı yıkamakta zorlanıyorum

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17. Hastalığım moralimi bozuyor

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18. Hastalığımın başkalarının planlarını bozmasından endişe ediyorum

I__I

I__I

 

Toplam: I__I__I

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Duruöz, M.T., Doward, L., Turan, Y. et al. Translation and validation of the Turkish version of the Ankylosing Spondylitis Quality of Life (ASQOL) questionnaire. Rheumatol Int 33, 2717–2722 (2013). https://doi.org/10.1007/s00296-013-2796-y

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  • DOI: https://doi.org/10.1007/s00296-013-2796-y

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