F-3-17-01
ADAPTATION OF NOTTINGHAM HEALTH PROFILE FOR USE IN TURKEY
Ayse A. Kucukdeveci*, Sehim Kutlay*, Yesim Gursel*, Stephen P. McKenna**, Tansu Arasil* (* Ankara University, Ankara, Turkey; ** Galen Research, Manchester, UK)
Recently, there has been increasing interest in Turkey in the evaluation of the perceived impact of disease on patients. The Nottingham Health Profile (NHP) is a measure of perceived distress in the physical, emotional and social domains that is widely used in Europe. The aim of this study was to adapt the NHP for Turkey and to determine the new version's reliability and validity. After the translation process, 50 patients with osteoarthritis (mean age 65, 82% female) taking part in a physical therapy and exercise program were recruited for the validation study. Patients were interviewed twice with a two-week interval between the assessments. Each session included administration of the NHP and assessment of functional disability with the Stanford Health Assessment Questionnaire (HAQ).
The test-retest reliability of Turkish version of the NHP was satisfactory and at least as good as for the other language versions. Spearman correlation coefficients ranged from 0.67 to 0.91 for the six sections. As predicted, high correlations were found between the HAQ and the physical mobility, pain and energy level sections of the NHP and low correlations between the HAQ and emotional reactions, social isolation and sleep, confirming the divergent and convergent validity of the NHP. The sample was divided about the median HAQ score. Clear differences in NHP scores between the two groups were found for the physical mobility, pain and energy level sections, confirming the sensitivity of the new measure.
It is concluded that the adaptation of the NHP for use in Turkey was successful and that is a reliable and valid instrument for use with osteoarthritis patients.
F-3-17-02
PREDICTIVE VALIDITY OF THE NEWCASTLE INDEPENDENCE ASSESSMENT FORM-RESEARCH (NIAF-R): FURTHER DEVELOPMENT OF AN ALTERNATIVE MEASURE.
Joanna. K. SemLyen, Sharon. J. Summers, Michacl. P. Barnes. (Hunters Moor Regional Rehabilitation Centre, Newcastle upon Tyne, UK.)
Abstract: The Newcastle Independence Assessment Form - Research (NIAF-R) is a real-life, global functional independence measure developed for use with a severe head injured adult population which can provide details for rehabilitation planning, evaluation and prognosis. Previous research has demonstrated its sensitivity to change over time, level of inter-rater reliability and concurrent validity established with the Barthel Index and the Functional Independence Measure (FIM) using the refined scoring procedure, the Adjusted Severity Indicator (ASI)*. Scoring can now provide data in 55 individual areas of function for each subject or alternatively give an overall measure of severity of functional dependence.
This paper recounts the development of this scale and demonstrates its expediency, acknowledging the presence of other, less suitable extended ADL, and global functional assessment measures. Furthermore, it provides evidence tot the predictive validity of the NIAF-R. Results showed that logistic regression analyses established that the NIAF-R ASI predicts return to work (RTW) up to and including two years post injury in a predictive model with age and severity. The authors conclude that the NIAF-R can be recommended as a standardised, appropriate global functional assessment tool.
* Joanna K Semlyen, E Hurrell, S Carter, M P Barnes. (1996) The Newcastle Independence Assessment Form (Research): development of an alternative functional measure. Journal of Neurologic Rehabilitation; 10(4):251-257.
