Search Results (60)

In order to promote healthy aging, it is important to know older people’s perceptions of healthy aging. The aim of this study is to conduct a Turkish validity and reliability study of the Healthy Aging Perception Scale for Older People with Chronic Diseases. This study was conducted between November and December 2023 with older adult people living in a region in eastern Turkey. A total of 210 older people were included in the sample for the exploratory factor analysis and 214 for the confirmatory factor analysis. A Sociodemographic Information Form and Healthy Aging Perception Scale was used to collect the data of the study. The collected data were analyzed using SPSS 27.0 and AMOS 22.0. Confirmatory factor analysis for the 18-item scale, a four-factor structure with an eigenvalue exceeding 1, was obtained, and it was determined that the factor loadings ranged between 0.834 and 0.637 and the total variance explained was 64.619%. The confirmatory factor analysis of the goodness of fit indices was found to be at an acceptable level. CMIN/DF = 2.834, RMSEA = 0.05, CFI = 0.929, TLI = 0.910, NFI = 0.920, and GFI = 0.901. Cronbach’s alpha of the scale was determined to be 0.826, and the test–retest reliability coefficient was determined to be 0.822. Factor analysis showed a better model fit, and it was determined that the Healthy Aging Perception Scale is a valid and reliable measurement tool in determining the perceptions of the healthy aging of older people with chronic diseases. Full article

Background/Objectives: Occupational stress is a common issue among academics. This study aims to determine the level of work stress experienced by academics depending on their titles and the relationship between this stress and eating behaviors. Methods: The data for the study were collected through an online survey from 649 academicians working in universities in Türkiye between January and February 2025. This is a cross-sectional study, and the snowball sampling method was used to facilitate high participation rates. Data were collected using a demographic questionnaire, the General Work Stress Scale (GWSS) to assess work stress levels, and the Turkish version of the Adult Eating Behavior Questionnaire (AEBQ-TR) to evaluate eating behaviors. Results: Among the participants, 47.6% were of normal weight, with an average BMI of 25.85 ± 4.56 kg/m². The median work stress score of male academicians (17.00) was significantly lower than that of female academicians (21.00) (p < 0.001). Similarly, the median eating behavior score was lower in male academicians (18.55) compared to females (19.78) (p < 0.001). Work stress levels decreased with increasing academic title, with professors reporting the lowest levels of stress (p < 0.001). Conclusions: The findings indicate that female academics are more likely to engage in emotional eating under stress, whereas male academics tend to alter their dietary preferences by avoiding certain foods. These results underscore the importance of stress management and the promotion of healthy eating habits among academics. Full article

Objective: The mother’s birth experience is crucial in identifying her care needs. The “Questionnaire for Assessing the Childbirth Experience” (QACE) consists of four subscales designed to assess a mother’s childbirth experience. However, psychometric evaluations of the QACE have not been conducted in Turkey. This study aims to adapt and assess the validity and reliability of the “Questionnaire for Assessing the Childbirth Experience” short version for the Turkish maternal population. Methods: This methodological study included 205 mothers who gave birth in a public hospital. Data were collected using an Introductory Information Form and the Questionnaire for Assessing the Childbirth Experience (QACE). Results: The content validity index (CVI) for Item 9 was calculated as 0.875, while the remaining 12 items obtained a CVI of 1.00. The internal consistency of the scale, as measured by Cronbach’s alpha coefficient (α = 0.758), indicated an acceptable level of reliability across all items. During the Exploratory Factor Analysis (EFA), one item (Item 13) was excluded due to cross-loading. The remaining 12 items were grouped into four distinct subscales. Conclusions: The short version of the QACE demonstrates acceptable psychometric properties and serves as a valid and reliable instrument for assessing childbirth experiences among Turkish women. Full article

Background: Previous proteomic studies provided valuable information about cataracts, but unclarified issues, such as sex and ethnicity-associated differences, remain. This study aimed to provide additional data on cataract-related proteins regarding age, sex, and cataract type. Methods: Twenty-six female and seven male Turkish cataract patients were screened for visual acuity and dysfunctional lens index. A nano-LC-MS/MS system and Progenesis QI software v3.0 were used for protein identification and quantification. The remaining data were evaluated with SPSS Version 29.0 software. Results: Proteins that showed age-associated changes were mainly involved in cytoskeletal organization. A glyoxalase enzyme, caveolin 1, and HS90B were lower, and RAB8B and ATP6V1B1 were higher in lenses in women. Proteins with lower levels in cataractous lenses than in transparent lenses included filensin and phakinin, concurrent with previous publications, and LCTL, GDI, HSPB1, and EIF4A2, not reported before. Corticonuclear cataracts constituted the only group showing depletions in putatively protective proteins, while the cortical type was the least influenced. ANXA1 and DNHD1 positively, and TCPD, SEC14L2, and PRPS1 proteins negatively correlated with visual acuity. Conclusions: This study revealed cataract-related proteins concurrent with earlier studies and new ones hitherto unreported. Despite the low number of patients investigated, the results merit further research, as these new proteins are highly likely to be involved in cataractogenesis. Full article

Background/Objectives: Organizing nurses’ work is crucial for ensuring patient care quality and efficiency. Nurses’ work methods directly influence patient safety and healthcare outcomes, making them vital for effective health services. Assessing these methods helps identify effective practices, enhance work organization, and improve both professional satisfaction and patient safety. This study aims to translate, adapt, and validate the Nurse Work Method Assessment Scale (NWMAS) for Turkish. Methods: Methodological study with a non-probabilistic sample of 209 hospital nurses, conducted between June and July 2024. The linguistic adaptation involved translation and back-translation with the participation of bilingual experts. Statistical analyses included exploratory and confirmatory factor analyses, item-total correlation tests, test-retest reliability, and internal consistency assessment using Cronbach’s alpha. Results: One item was removed due to cultural incompatibility, resulting in a 24-item Turkish version of the NWMAS. During the adaptation process, expert evaluations led to the removal of one item from the original scale, as it referenced nursing practices that are either not widely implemented or considered culturally incompatible with the structure of the Turkish healthcare system. Content Validity Index values ranged from 0.85 to 0.95. Exploratory factor analysis confirmed a five-factor structure explaining 55.65% of total variance. Confirmatory factor analysis supported this structure with acceptable fit indices (χ²/df = 1.89; RMSEA = 0.06; GFI = 0.86). Cronbach’s alpha for the overall scale was 0.87, with subscale alphas ranging from 0.52 to 0.82. Test-retest reliability coefficients ranged from 0.95 to 0.98, indicating high stability over time. Conclusions: The Turkish version of the NWMAS demonstrated adequate validity and reliability and can be used to evaluate nurses’ work methods in Turkish hospital settings. The study highlights the importance of cultural adaptation in scale development to ensure conceptual relevance in local healthcare systems. Full article

Background: Patients with inflammatory bowel disease (IBD) experience disproportionately high rates of anxiety and depressive symptoms, representing a 2–3-fold increased risk versus the general population. While psychological morbidity is well-documented, the relative contributions of disease activity (active vs. inactive), IBD subtype (ulcerative colitis [UC] vs. Crohn’s disease [CD]), and sociodemographic factors remain clinically contested. This study aimed to quantify these relationships to guide targeted interventions. Methods: We conducted a cross-sectional, single-center study comparing 94 consecutive IBD patients (61 UC, 33 CD; mean age 34.2 ± 11.1 years) with 79 age- and sex-matched healthy controls. The psychological status was assessed using the validated Turkish version of the Hospital Anxiety and Depression Scale (HADS), with 14 items (7 per subscale, 0–21 range) and established cutoffs (≥10 for anxiety, ≥7 for depression). Disease activity was objectively classified: UC patients via the Truelove–Witts Index (inactive, mild, moderate, or severe) and CD patients via the Crohn’s Disease Activity Index (CDAI < 150 inactive, ≥150 active). Statistical analyses employed SPSS 20.0 (IBM Corp., Armonk, NY, USA), including Student’s t-tests, Mann–Whitney U tests, and chi-square tests, with p < 0.05 as the significance threshold. Results: Disease activity was the strongest predictor: active IBD patients exhibited 64% higher anxiety symptom scores (11.2 ± 3.1 vs. 6.8 ± 2.4, p < 0.001) and 107% higher depressive symptom scores (8.9 ± 2.7 vs. 4.3 ± 1.9, p < 0.001) than inactive patients. Gender and education modulated the risk: females showed 23% elevated anxiety (OR 1.23, 95% CI 1.06–1.43; p = 0.008), while college education correlated with 31% lower depression odds (OR 0.69, 95% CI 0.51–0.93; p = 0.026). Strikingly, 32.1% of IBD patients met depressive symptom thresholds versus 17.7% of controls (p = 0.028). No UC/CD subtype differences emerged (p > 0.05). Conclusions: Our findings confirm that active IBD inflammation—not the disease subtype (UC/CD)—is the strongest predictor of anxiety and depressive symptoms, with one in three patients meeting clinical depression thresholds. Women and those with less education face heightened risks, underscoring the need for routine mental health screening during flares and targeted psychosocial support. These results advocate for integrated psychiatric care in IBD management to address this invisible burden. Full article

In recent years, the role of flourishing in mental health has gained growing recognition, making the establishment of psychometrically and culturally validated instruments crucial for advancing theory and practice. The aim of this study is twofold: first, to adapt the Multidimensional Flourishing Scale for use in Turkey and investigate its psychometric properties; second, to explore the interrelationships between indicators of flourishing and psychological distress symptoms using network analysis. A total of 529 undergraduate students, comprising 316 females (59.7%) and 213 males (40.3%), with a mean age of 21.65 years (SD = 1.67), participated in the study. The Multidimensional Flourishing Scale, the Flourishing Scale, and the Kessler Distress Scale (K10) were utilized for data collection. Confirmatory factor analysis, Pearson correlation analysis, and the EBICglasso algorithm for network analyses were performed. The findings revealed that the Turkish version of the Multidimensional Flourishing Scale demonstrated a three-dimensional structure consistent with its original version, with satisfactory psychometric properties, including structural and convergent validity as well as reliability. Domain-level network analysis demonstrated that psychological well-being emerged as the most central node within the network, closely followed by psychological distress. Additionally, psychological distress was negatively associated with all domains of flourishing. At the item level, two symptoms of psychological distress, feeling depressed and feeling restless or fidgety, as well as three indicators of flourishing, feeling positive, feeling happy, and perceiving life as full of meaning, emerged as the most central nodes. These findings provide valuable insights into the central features of flourishing and psychological distress, which could potentially guide clinical practice. Further discussion and implications are elaborated upon in the study. Full article

Objective: The aim of the study was to evaluate the effect of postural stabilization exercises, in addition to cervical stabilization (CS), on the craniovertebral angle (CVA), pain, neck disability index (NDI), and quality of life in people with chronic neck pain. Methods: This study was performed on 60 women with chronic neck pain, aged 20–60 years, who were randomly divided into two groups. Individuals in the first group underwent CS exercises, in addition to scapular and lumbopelvic stabilization (SLPS) exercises, three times a week for 6 weeks. The individuals in the second group underwent only CS exercises for the same period. Moreover, stretching exercises and a 20 min hot pack were applied to the muscles around the neck of all patients. The CVA was measured using photogrammetry. The visual analog scale (VAS) was used to assess pain. The disability level was measured using the NDI. The Turkish version of the 36-Item Short-Form Health Survey (SF-36) was used to assess quality of life. The assessments were conducted before treatment, after treatment, and at the 2-month follow-up. To assess changes over time and between groups, a two-way repeated measures analysis of variance (ANOVA) was conducted. Results: Post-treatment measurements revealed significant differences favoring the SLPS group. The VAS and NDI scores were markedly lower in the SLPS group than in the CS group, both post-treatment (p < 0.001) and at follow-up (p < 0.001). The CVA was significantly greater in the SLPS group at both the post-treatment (p < 0.001) and follow-up (p < 0.001) assessments. However, in all sub-parameters except the SF-36 general health subscale, the SLPS group reported higher scores than the CS group post-treatment and at follow-up. Effect sizes for between-group comparisons ranged from moderate to very large (Cohen’s d = 0.65 to 2.31), and partial eta-squared (η²) values indicated moderate to large effect magnitudes (η² = 0.09 to 0.48), supporting the clinical relevance of the findings. Conclusion: In individuals with neck pain, including SLPS exercises in the treatment program, rather than just exercises for the cervical region, provides more positive results in terms of reducing disability and pain and increasing functionality. Clinical Trial Registration Number: NCT06578481. Full article

Introduction: Patient participation is a critical element in enhancing patient safety. Involving patients in safety practices improves communication, reduces errors, and optimizes treatment outcomes. However, there is no standardized instrument that measures patient participation in safety practices. Methods: This study was designed as a scale development and psychometric validation study to create the Patient Participation in Patient Safety Practices Scale (PPPSPS). The methodological research was conducted with 424 inpatients in a Turkish public hospital between June 2021 and February 2022. The scale development process included item generation, expert review, a pilot study, and statistical validation. Content validity was assessed using Lawshe’s content validity ratio (CVR). Structural validity was tested through exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Internal consistency reliability was evaluated using Cronbach’s alpha and item–total correlations. Results: The final version of the scale included 32 items under 4 subscales (general, infection, falls, and drugs). Cronbach’s alpha coefficient was 0.90 for the whole scale, 0.90 for the general subscale (11 items), 0.90 for the infection subscale (10 items), 0.81 for the fall subscale (6 items), and 0.80 for the drug subscale (5 items). EFA revealed four factors explaining 70.61% of the total variance. CFA confirmed a good model fit: χ² (457) = 1053.15; p < 0.001; χ²/df = 2.3; GFI = 0.930; AGFI = 0.920; CFI = 1.000; TLI = 0.981; RMSEA = 0.079; SRMR = 0.079. Cronbach’s alpha was 0.922 for the total scale and ranged between 0.799 and 0.932 for the subscales. Conclusions: The Patient Participation in Patient Safety Practices Scale is a valid and reliable tool for assessing patient participation in safety practices. It is recommended for use in clinical settings and further testing in different patient populations and healthcare systems. Full article

Background/Objectives: The Physical Activity and Social Support Scale (PASSS) is used to evaluate the physical activity and social support in a multidimensional way, but it has not yet been translated or culturally adapted for Turkish-speaking individuals. The aim of this study is to evaluate the validity and reliability of the Turkish version of the PASSS, which evaluates social support for physically active, healthy young adults. Methods: Two hundred and two individuals (98 females, 104 males; mean ± SD age, 26.5 ± 6.1 years; BMI, 23.3 ± 3.2 kg/m²) participated in the study. The PASSS was translated into Turkish using the Beaton guidelines. Multidimensional Scale of Perceived Social Support (MSPSS), International Physical Activity Questionnaire-Short Form (IPAQ-SF), and Short Form-12 Health Survey (SF-12) were used for construct, convergent, and divergent validity. Results: The PASSS demonstrated good internal consistency (Cronbach’s α = 0.84) and excellent reliability (ICC = 0.90; 95% CI = 0.86–0.93). The PASSS showed good correlation with the MSPSS (r = 0.378, p = 0.001), fair correlation with the IPAQ-SF (r = 0.271, p = 0.001), and poor correlation with the SF-12 physical component score (PCS-12) (r = 0.15, p = 0.03); it was not correlated with the SF-12 mental component score (MCS-12) (r = 0.102 p = 0.15). We observed no ceiling and floor effects. Conclusions: The results show that the PASSS Turkish version is reliable and valid and can be utilized for physically active, healthy young Turkish adults. Full article

The Consultation and Relational Empathy (CARE) measure was developed to create a means of evaluating a physician’s consultation process based on an extensive and meaningful definition of empathy, independent of a patient’s socioeconomic background. The aim of this study was to adapt the valid and reliable CARE measure into Turkish and to confirm the measure’s validity and reliability in the Turkish language. The measure reached its final version after the processes of translation, back-translation, and a pilot study. The final version of the measure was administered to 300 individuals between the ages of 18 and 83 who were patients at Akdeniz University Hospital. The internal consistency, homogeneity, and construct of the measure were assessed. The internal consistency and homogeneity of the measure were found to be very high (Cronbach’s alpha = 0.973; the corrected item–total correlation coefficient for all items > 0.816). The measure was found to have a single-factor structure with a high level of construct validity. It was additionally found that the CARE score was not affected by the patients’ demographic characteristics. The Turkish version of the CARE measure can be used as a valid and reliable measuring tool. The CARE measure is a tool with which patients can assess the level of empathy shown by a healthcare provider. Full article

Background/Objectives: Several complications and drawbacks have been described for the endoscopic release of carpal tunnel syndrome as well as for other traditional open and mini-open release techniques. The purpose of this study was to introduce our newly developed minimally invasive technique and report our surgical outcomes. Methods: Seventy-five eligible patients with carpal tunnel syndrome who underwent directly visualized carpal tunnel release via proximal mini-transverse incisions were enrolled. Turkish versions of the Quick-DASH, BCTSQ, and VAS were used to quantify the functional quality and pain intensity before surgery, at the third month, and at the final follow-up. In addition, the maximum preoperative and postoperative grip strength were evaluated. Results: At the three-month follow-up, there was a significant improvement in the mean VAS score and Quick-DASH score from 5.2 ± 1.4 and 27.46 ± 7 to 1.4 ± 1.1 and 10.2 ± 3.8, respectively. Additionally, significant improvements were observed in both BCTSQ components, the SSS and FSS, with mean preoperative scores of 3.6 ± 1.2 and 3.8 ± 0.9 and postoperative scores of 1.75 ± 0.6 and 2 ± 1, respectively. The Quick-DASH, BCTSQ scores, and VAS scores were further improved at the final follow-up. The mean grip strength gradually increased from 24.2 ± 8.9 kg to 28.2 ± 2.6 kg at the final follow-up. No complications occurred during or after the operation. Conclusions: Directly visualized carpal tunnel release via a proximal mini-transverse incision is a viable option for patients with moderate to severe CTS, as it has shown high levels of satisfaction, improved grip strength, and minimal complications. Full article

Feeling autonomous is a fundamental psychological need for personal growth, integration, development, mental health, and overall well-being. This need is closely linked to the level of support perceived by the environment. This study aimed to analyze the psychometric properties of the Turkish version of the Perceived Multidimensional Autonomy Support in Physical Education Scale (MD-PAS-PE) for Turkish seventh–tenth grade students. The participants comprised a total of 1092 students (606 girls and 486 boys). For obtaining data, the Multi-Dimensional Perceived Autonomy Support Scale for Physical Education, the Basic Psychological Needs Scale in Physical Education, and the Personal Information Form to identify the participants were used. In this study, internal consistency, exploratory factor analysis (EFA), confirmatory factor analysis (CFA), criterion validity, and measurement invariance for gender and age groups statistical analyses were used for data analysis. The extracted factors explained 54.47% of the variance among the 15 items. A fifteen-item, three-factor structure was implemented, as in the original language. In addition, the structural equation model results indicated that cognitive, procedural, and organizational autonomy support sub-dimension scores significantly predicted basic psychological need satisfaction scores. Measurement invariance was examined with gender and age variables, and invariance was observed according to these two factors. It was concluded that the data obtained from the form adapted into Turkish were similar to the original scale, explained by the theoretical structure, and was a valid and reliable scale for measuring autonomy perceptions of seventh–tenth grade students. Full article

Introduction: Hypoglycemia is a significant complication in diabetes management and presents an even greater risk for older adults. These individuals are particularly vulnerable to hypoglycemic episodes, which can result in serious health consequences. The Hypoglycemia Problem-Solving Scale (HPSS) evaluates problem-solving skills related to hypoglycemia; however, it has not yet been validated in Türkiye. This study aimed to evaluate the validity and reliability of the Turkish adaptation of the HPSS. Materials and Methods: A descriptive, methodological, and cross-sectional study was conducted with 623 older adults (aged 65 and above) diagnosed with Type 2 diabetes and with a history of hypoglycemic episodes. The HPSS was adapted into Turkish, and its psychometric properties were assessed through content validity, Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and reliability analyses. Results: The mean age of participants was 72 ± 5.5 years. Expert agreement on the items was high (Kendall’s W = 0.83, p < 0.05), and all items had a Content Validity Ratio (CVR) above 0.56. The overall Content Validity Index (CVI) was 0.97. Exploratory Factor Analysis (EFA) revealed seven factors explaining 74.22% of the total variance. The Kaiser–Meyer–Olkin (KMO) value was 0.85, and Bartlett’s test of sphericity was significant (χ² = 7590.85, p < 0.001). Confirmatory Factor Analysis (CFA) demonstrated acceptable model fit (CFI = 0.952; χ²/df = 2.536). The scale demonstrated high internal consistency (Cronbach’s alpha = 0.88) and excellent test–retest reliability (r = 0.99, p < 0.001). Discussion/Conclusions: The Turkish version of the Hypoglycemia Problem-Solving Scale is a valid and reliable instrument for evaluating problem-solving skills related to hypoglycemia in older adults with diabetes. It can be effectively utilized in clinical practice to support better hypoglycemia management and improve overall diabetes care. Full article

The MPMA is a performance-based evaluation designed to quickly and accurately screen for motor planning challenges in children between 3 and 12 years old. This test is currently unavailable in Turkish. A systematic, multistage translation process is essential for preserving equivalence between a test’s source and target versions. This study aimed to create a culturally adapted Turkish research version of the MPMA for forthcoming normative data collection, reliability, and validity studies. Based on the literature review and recommendations, a seven-step protocol for translation and cross-cultural adaptation was followed. The procedure encompasses forward and backward translations, expert linguistic evaluation, cognitive interviews, and pilot testing. This seven-step process for translating and culturally adapting the MPMA was completed. Despite the necessity for certain modifications in the synthesis and linguistic analysis stage, there were no semantic or conceptual discrepancies in the forward translations. Some discrepancies occurred between the backward translation and the original version; however, this did not influence the standard administration and scoring of the test. The Turkish adaptation of the MPMA will be a valuable tool for clinical practice and research with the Turkish population. Appropriately translated and culturally adapted assessments, such as the MPMA, will influence both practical applications and research opportunities concerning motor planning in Turkey. Full article