https://doi.org/10.4081/reumatismo.2024.1684
Cross-cultural adaptation, reliability, and validity of the Turkish version of the Exercise Therapy Burden Questionnaire for individuals with chronic diseases
Submitted: 22 November 2023
Accepted: 24 March 2024
Published: 24 June 2024
Accepted: 24 March 2024
Abstract Views: 1892
PDF: 477
SUPPLEMENTARY MATERIAL: 299
SUPPLEMENTARY MATERIAL: 299
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
Authors
Objective. Chronic diseases, which caused 36 million deaths in 2008, are the most common cause of death worldwide. Exercise is one of the non-pharmacological treatment methods. Although exercise benefits are well known, more than half of the population does not exercise due to the burden of exercise. The objectives of the current study were to evaluate the Turkish version of the Exercise Therapy Burden Questionnaire (ETBQ-T) and to investigate its reliability and validity.
Methods. A total of 100 participants (female: 69, male: 31) who were diagnosed with at least one chronic disease participated in the translation validity and reliability analysis of the study. Cross-cultural adaptation of the ETBQ-T was performed according to Beaton’s guidelines. The ETBQ-T, the European Quality of Life 5 Dimensions (EQ-5D), pain, satisfaction, and self-efficacy were applied for convergent validity. The ETBQ-T was retested to examine its reliability after 7 days.
Results. The internal consistency and reliability were excellent (intraclass correlation coefficient=0.959; Cronbach’s α=0.919). The standard error of measurement was reported as 5.35. The minimum detectable difference was also demonstrated at 1.35. The ETBQ-T had a good correlation with pain (r=0.545, p<0.001), satisfaction (r=-501, p<0.001), and self-efficacy (r=-0.579, p<0.001). However, the correlation of the ETBQ-T with EQ-5D (r=0.340, p=0.001) was weak. A factor was extracted, accounting for 58.289% of the total variation. There were no floor or ceiling effects.
Conclusions. The ETBQ-T is a reliable and valid tool to evaluate the exercise burden in the Turkish population with chronic disease.
Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet 2012; 380: 2224-60.
DOI: https://doi.org/10.1016/S0140-6736(12)61766-8
Fernandes L, Hagen KB, Bijlsma JW, Andreassen O, Christensen P, Conaghan PG, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 2013; 72: 1125-35.
DOI: https://doi.org/10.1136/annrheumdis-2012-202745
World Health Organization. Prevention of cardiovascular disease. Pocket guidelines for assessment and management of cardiovascular risk. Africa: WHO/ISH cardiovascular risk prediction charts for the African region. World Health Organization, 2007.
Hayden J, Van Tulder MW, Malmivaara A, Koes BW. Exercise therapy for treatment of non‐specific low back pain. Cochrane Database Syst Rev 2005; 2005: CD000335.
DOI: https://doi.org/10.1002/14651858.CD000335.pub2
Mishra SI, Scherer RW, Snyder C, Geigle PM, Berlanstein DR, Topaloglu O. Exercise interventions on health‐related quality of life for people with cancer during active treatment. Cochrane Database Syst Rev 2012; 2012: CD008465.
DOI: https://doi.org/10.1002/14651858.CD008465.pub2
Thomas D, Elliott EJ, Naughton GA. Exercise for type 2 diabetes mellitus. Cochrane Database Syst Rev 2006; 2006: CD002968.
DOI: https://doi.org/10.1002/14651858.CD002968.pub2
Sari F, Oskay D, Tufan A. Effects of a telerehabilitation-based exercise program in patients with systemic sclerosis. Z Rheumatol 2023; Epub ahead of print: 1-8.
DOI: https://doi.org/10.1007/s00393-023-01346-1
O’Dwyer T, Durcan L, Wilson F. Exercise and physical activity in systemic lupus erythematosus: a systematic review with meta-analyses. Semin Arthritis Rheum 2017; 47: 204-15.
DOI: https://doi.org/10.1016/j.semarthrit.2017.04.003
Eton DT, Oliveira DR, Egginton J, Mair FS, May C, Montori VM, editors. Understanding the burden of treatment in patients with multiple chronic conditions: Evidence from exploratory interviews. Qual Life Res 2010; 30.
Brod M, Hammer M, Christensen T, Lessard S, Bushnell DM. Understanding and assessing the impact of treatment in diabetes: the treatment-related impact measures for diabetes and devices (TRIM-diabetes and TRIM-diabetes device). Health Qual Life Outcomes 2009; 7: 83.
DOI: https://doi.org/10.1186/1477-7525-7-83
Pifferi M, Bush A, Di Cicco M, Pradal U, Ragazzo V, Macchia P, et al. Health-related quality of life and unmet needs in patients with primary ciliary dyskinesia. Eur Respir J 2010; 35: 787-94.
DOI: https://doi.org/10.1183/09031936.00051509
Haynes RB, McDonald HP, Garg AX. Helping patients follow prescribed treatment: clinical applications. JAMA 2002; 288: 2880-3.
DOI: https://doi.org/10.1001/jama.288.22.2880
Logan AG, Milne B, Achber C, Campbell W, Haynes R. Cost-effectiveness of a worksite hypertension treatment program. Hypertension 1981; 3: 211-8.
DOI: https://doi.org/10.1161/01.HYP.3.2.211
Tran V-T, Montori VM, Eton DT, Baruch D, Falissard B, Ravaud P. Development and description of measurement properties of an instrument to assess treatment burden among patients with multiple chronic conditions. BMC Med 2012; 10: 68.
DOI: https://doi.org/10.1186/1741-7015-10-68
Friedrich M, Gittler G, Halberstadt Y, Cermak T, Heiller I. Combined exercise and motivation program: effect on the compliance and level of disability of patients with chronic low back pain: a randomized controlled trial. Arch Phys Med Rehabil 1998; 79: 475-87.
DOI: https://doi.org/10.1016/S0003-9993(98)90059-4
Hughes SL, Seymour RB, Campbell R, Pollak N, Huber G, Sharma L. Impact of the fit and strong intervention on older adults with osteoarthritis. Gerontologist 2004; 44: 217-28.
DOI: https://doi.org/10.1093/geront/44.2.217
Martin W, Palazzo C, Poiraudeau S. Development and preliminary psychometrics of the exercise therapy burden questionnaire for patients with chronic conditions. Arch Phys Med Rehabil 2017; 98: 2188-95.e6.
DOI: https://doi.org/10.1016/j.apmr.2017.03.015
Wolfe F, Hawley DJ, Wilson K. The prevalence and meaning of fatigue in rheumatic disease. J Rheumatol 1996; 23: 1407-17.
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phil Pa 1976) 2000; 25: 3186-91.
DOI: https://doi.org/10.1097/00007632-200012150-00014
Terwee CB, Bot SD, de Boer MR, van der Windt DA, Knol DL, Dekker J, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 2007; 60: 34-42.
DOI: https://doi.org/10.1016/j.jclinepi.2006.03.012
Kahyaoğlu Süt H. Akut koroner sendromlu hastalarda yaşam kalitesi: EQ-5D ölçeğinin geçerlilik ve güvenirlik çalışması. Available from: https://dspace.trakya.edu.tr/xmlui/bitstream/handle/trakya/821/Hatice%20KAHYAO%c4%9eLU%20S%c3%9cT.pdf?sequence=1&isAllowed=y. [Text in Turkish].
Sayin YY, Akyolcu N. Comparison of pain scale preferences and pain intensity according to pain scales among Turkish Patients: a descriptive study. Pain Manag Nurs 2014; 15: 156-64.
DOI: https://doi.org/10.1016/j.pmn.2012.08.005
Weir JP. Quantifying test-retest reliability using the intraclass correlation coefficient and the SEM. J Strength Cond Res 2005; 19: 231-40.
DOI: https://doi.org/10.1519/00124278-200502000-00038
Charter RA. Revisiting the standard errors of measurement, estimate, and prediction and their application to test scores. Percept Mot Skills 1996; 82: 1139-44.
DOI: https://doi.org/10.2466/pms.1996.82.3c.1139
Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine 2001; 26: 78-87.
DOI: https://doi.org/10.1097/00007632-200101010-00015
McTiernan A. Mechanisms linking physical activity with cancer. Nat Rev Cancer 2008; 8: 205-11.
DOI: https://doi.org/10.1038/nrc2325
Hills AP, Andersen LB, Byrne NM. Physical activity and obesity in children. Br J Sports Med 2011; 45: 866-70.
DOI: https://doi.org/10.1136/bjsports-2011-090199
Sigal RJ, Kenny GP, Wasserman DH, Castaneda-Sceppa C. Physical activity/exercise and type 2 diabetes. Diabetes Care 2004; 27: 2518-39.
DOI: https://doi.org/10.2337/diacare.27.10.2518
U.S. Department of Health and Human Services. Physical activity and health: a report of the Surgeon General. Available from: https://www.cdc.gov/nccdphp/sgr/pdf/sgrfull.pdf.
Schutzer KA, Graves BS. Barriers and motivations to exercise in older adults. Prev Med 2004; 39: 1056-61.
DOI: https://doi.org/10.1016/j.ypmed.2004.04.003
Navarro-Albarracín C, Poiraudeau S, Chico-Matallana N, Vergara-Martín J, Martin W, Castro-Sánchez AM, et al. Spanish validation of the Exercise Therapy Burden Questionnaire (ETBQ) for the assessment of barriers associated to doing physical therapy for the treatment of chronic illness. Med Clín (Barc) 2018; 150: 428-31.
DOI: https://doi.org/10.1016/j.medcli.2017.11.028
Marx RG, Menezes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiol 2003; 56: 730-5.
DOI: https://doi.org/10.1016/S0895-4356(03)00084-2
How to Cite
Sari, F., & Sari, S. (2024). Cross-cultural adaptation, reliability, and validity of the Turkish version of the Exercise Therapy Burden Questionnaire for individuals with chronic diseases. Reumatismo, 76(2). https://doi.org/10.4081/reumatismo.2024.1684
Copyright (c) 2024 the Author(s)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
Similar Articles
- A. Zabotti, P. Della Siega, L. Picco, L. Quartuccio, M. Bassetti, S. De Vita, Gitelman syndrome disclosed by calcium pyrophosphate deposition disease: early diagnosis by ultrasonographic study , Reumatismo: Vol. 68 No. 1 (2016)
- M. Di Franco, M.P. Guzzo, F.R. Spinelli, F. Atzeni, P. Sarzi-Puttini, F. Conti, C. Iannuccelli, Pain and systemic lupus erythematosus , Reumatismo: Vol. 66 No. 1 (2014)
- G. Biasi, V. Di Sabatino, A. Ghizzani, M. Galeazzi, Chronic pelvic pain: comorbidity between chronic musculoskeletal pain and vulvodynia , Reumatismo: Vol. 66 No. 1 (2014)
- C. Chatzigeorgiou, S.L. Mackie, Comorbidity in polymyalgia rheumatica , Reumatismo: Vol. 70 No. 1 (2018): Monographic issue on Polymyalgia Rheumatica
- S.M. Gamal, A.K. Alkemary, M.A. Abdo, A.H.M. El Dakrony, Low body mass index in long standing rheumatoid arthritis: relation to RA disease activity and functional indices , Reumatismo: Vol. 70 No. 2 (2018)
- F. Lioté, Treatment of hyperuricemia, gout and other crystalline arthritidies , Reumatismo: Vol. 63 No. 4 (2011): Special issue • Microcrystalline Arthritis
- N. Belfeki, M. Smiti Khanfir, F. Said, A. Hamzaoui, T. Ben Salem, I. Ben Ghorbel, M. Lamloum, M.H. Houman, Successful treatment of refractory adult onset Still’s disease with rituximab , Reumatismo: Vol. 68 No. 3 (2016)
- S. Chandrashekara, V. Shobha, B.G. Dharmanand, R. Jois, S. Kumar, K.M. Mahendranath, V. Haridas, S. Prasad, Y. Singh, M.A. Daware, A. Swamy, R. Subramanian, S.A. Somashekar, A.M. Shanthappa, K.R. Anupama, Comorbidities and related factors in rheumatoid arthritis patients of south India- Karnataka Rheumatoid Arthritis Comorbidity (KRAC) study , Reumatismo: Vol. 69 No. 2 (2017)
- L. Magnani, A. Versari, D. Salvo, M. Casali, G. Germanò, R. Meliconi, L. Pulsatelli, D. Formisano, G. Bajocchi, N. Pipitone, L. Boiardi, C. Salvarani, Disease activity assessment in large vessel vasculitis , Reumatismo: Vol. 63 No. 2 (2011)
- M. Colaci, D. Giuggioli, M. Sebastiani, A. Manfredi, F. Lumetti, F. Luppi, S. Cerri, C. Ferri, Predictive value of isolated DLCO reduction in systemic sclerosis patients without cardio-pulmonary involvement at baseline , Reumatismo: Vol. 67 No. 4 (2015)
<< < 1 2 3 4 5 6 7 8 9 10 > >>
You may also start an advanced similarity search for this article.
