Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Validity and Reliability of a Turkish Version of the Alzheimer's Disease Knowledge Scale (ADKS)
Alzheimer Hastalığı Bilgi Ölçeği'nin Türkçe Geçerlik ve Güvenilirlik Çalışması
Fikriye YILMAZa, Meriç YAVUZ ÇOLAKb
aDepartment of Healthcare Management, Başkent University Faculty of Health Sciences, Ankara, TURKEY
bDepartment of Biostatistics, Başkent University Faculty of Medicine, Ankara, TURKEY
Turkiye Klinikleri J Health Sci. 2020;5(3):594-602
doi: 10.5336/healthsci.2020-74195
Article Language: EN
Full Text
ABSTRACT
 Objective: The aim of the study is to evaluate the validity and reliability of Turkish version of the Alzheimer's Disease Knowledge Scale (ADKS). Material and Methods: In this methodological study, the data of the study were collected by a questionnaire consisting of socio-demographic information, questions about dementia experience and ADKS Turkish form. The sample of the study is a total of 600 people consisting of university students, adults aged 50 years and over and caregivers of Alzheimer's patient. Results: Participants' ADKS scores ranged from 7 to 26, with an average of 16,17 ± 2,93. Kendall's W coefficient was calculated as 0.79 (p<0.05). ADKS score was found to be higher in the subgroup of caregivers, among people who had family members with dementia, and among caregivers of dementia patients (p<0.05). The difficulty indices of the items are between 0.24 and 0.75; the discrimination indices are above 0.10. The results of reliability analysis showed that the test-retest reliability correlation coefficient was 0.81, the Kuder-Richardson 20 coefficient was 0.74, and the correlations of the items with the total score were above the standard value of 0.20. Conclusion: It was concluded that Turkish version of ADKS was a reliable and valid scale with adequate psychometric properties.

Keywords: Alzheimer's disease; knowledge; health education; reliability and validity
ÖZET
 Amaç: Çalışmanın amacı, Alzheimer Hastalığı Bilgi Ölçeğinin (ADKS) Türkçe geçerlilik ve güvenilirliğini değerlendirmektir. Gereç ve Yöntemler: Metodolojik araştırma olarak planlanan çalışmanın verileri sosyo-demografik bilgiler, demans deneyimi ile ilgili sorular ve ADKS Türkçe formundan oluşan anket ile toplanmıştır. Çalışmanın örneklemi üniversite öğrencileri, 50 yaş ve üzeri yetişkinler ve Alzheimer hastasına bakım verenler alt gruplarından oluşan toplam 600 kişidir. Ölçeğin geçerliliği; kapsam geçerliliği ve yordama geçerliliği ile değerlendirilmiştir. Ölçeğin madde analizleri kapsamında madde güçlük ve madde ayırt edicilik indeksleri hesaplanmıştır. Ölçeğin güvenilirliğini test etmek için test-tekrar test güvenilirliği, iç tutarlılık katsayısı ve düzeltilmiş madde-toplam korelâsyonu katsayıları hesaplanmıştır. Bulgular: Katılımcıların ADKS puanı 7 ile 26 arasında dağılım göstermekte olup ortalaması 16,17±2,93 olarak hesaplanmıştır. Ölçeğin Kendall's W sayısı 0,79 olarak hesaplanmıştır (p<0,05). ADKS ölçek puanının bakım verenler alt grubunda, ailesinde demanslı birey bulunanlarda ve demanslı bireye bakım verenlerde daha yüksek olduğu belirlenmiştir (p<0,05). Ölçekteki maddelerin güçlük indeksleri 0,24 ile 0,75 arasında; ayırt edicilik indeksleri 0,10'un üzerindedir. Ölçeğin üvenilirliğinin değerlendirilmesinde incelenen test-tekrar test güvenilirliği korelasyon katsayısı 0,81, Kuder'Richardson 20 katsayısı 0,74 olarak hesaplanmış, maddelerin toplam puanla korelâsyonları da standart değer 0,20'nin üzerinde belirlenmiştir. Sonuç: ADKS'nin Türkçe versiyonunun yeterli psikometrik özelliklere sahip güvenilir ve geçerli bir ölçek olduğu sonucuna ulaşılmıştır.

Anahtar Kelimeler: Alzheimer hastalığı; bilgi; sağlık eğitimi; güvenilirlik ve geçerlilik
REFERENCES:
  1. Lonie JA, Tierney KM, Herrmann LL, Donaghey C, O'Carroll RE, Lee A, et al. Dual task performance in early Alzheimer's disease, amnestic mild cognitive impairment and depression. Psychol Med. 2009;39(1):23-31. [Crossref]  [PubMed] 
  2. Du L, Hu J. The effects of health education on knowledge about Alzheimer's disease and health-promoting behaviours of older Chinese adults in a nursing home: A pilot study. Int J Nurs Pract. 2016;22(1):31-42. [Crossref]  [PubMed] 
  3. Prince M, Wimo A, Guerchet M, Ali GC, Wu YT, Prina M. World Alzheimer Report 2015- The Global Impact of Dementia: an analysis of prevalence, incidence, cost and trends. London: Alzheimer's Disease International, 2017. [Link] 
  4. World Health Organization [WHO]. Dementia: A public health priority. Geneva: World Health Organization, 2002. [online]. Available at: Accessed September 20, 2016. [Link] 
  5. Türkiye Alzheimer Derneği [TAD]. Türkiye'de 600.000 aile Alzheimer hastalığı ile mücadele ediyor. Basın Bülteni, 2016. [online]. Available at: Accessed February 17, 2017. [Link] 
  6. Türkiye Psikiyatri Derneği [TPD]. Dünya Alzheimer hastalığı günü: Dünyada en fazla Alzheimer hastalığı görülecek olan dört ülkeden biri Türkiye. Basın Bülteni, 2014. [online]. Available at: Accessed February 17,2017. [Link] 
  7. Lowe DA, Balsis S, Hughes ML, Shine HE, Carpenter BD. [Misconceptions of Alzheimer's disease]. Clin Gerontol 2015;38(2):149-56. [Crossref] 
  8. Amano T, Yamanaka K, Carpenter BD. Reliability and validity of the Japanese version of the Alzheimer's Disease Knowledge Scale. Dementia (London). 2019;18(2):599-612. [Crossref]  [PubMed] 
  9. Sahin HA, Gurvit IH, Emre M, Hanagasi HA, Bilgic B, Harmanci H. The attitude of elderly lay people towards the symptoms of dementia. Int Psychogeriatr. 2006;18(2):251-8. [Crossref]  [PubMed] 
  10. Nielsen TR, Waldemar G. Knowledge and perceptions of dementia and Alzheimer's disease in four ethnic groups in Copenhagen, Denmark. Int J Geriatr Psychiatry. 2016;31(3):222-30. [Crossref]  [PubMed] 
  11. Ergin A, Uzun SU, Gültekin H, Bozkurt Aİ, Ergin N. [Denizli il merkezinde birinci basamakta çalışan hekimlerin ve Pamukkale Üniversitesi'ndeki intörnlerin Alzheimer hastalığı hakkındaki bilgi düzeyi]. TAF Preventive Medicine Bulletin 2015;14(2):131-6. [Crossref] 
  12. Ardıç Çobaner A, Öğüt Yıldırım P. [Alzheimer and Alzheimer's patients representation in media]. Online Journal of the Faculty of Communication Sciences. 2017;25(2)1-22. [Link] 
  13. Jackson EM, Cherry KE, Smitherman EA, Hawley KS. Knowledge of memory aging and Alzheimer's disease in college students and mental health professionals. Aging Ment Health. 2008;12(2):258-66. [Crossref]  [PubMed] 
  14. McParland P, Devine P, Innes A, Gayle V. Dementia knowledge and attitudes of the general public in Northern Ireland: an analysis of national survey data. Int Psychogeriatr. 2012;24(10):1600-13. [Crossref]  [PubMed] 
  15. Scerri A, Scerri C. Nursing students' knowledge and attitudes towards dementia - a questionnaire survey. Nurse Educ Today. 2013;33(9):962-8. [Crossref]  [PubMed] 
  16. Yuri Jang, Kim G, Chiriboga D. Knowledge of Alzheimer's disease, feelings of shame, and awareness of services among Korean American elders. J Aging Health. 2010;22(4):419-33. [Crossref]  [PubMed]  [PMC] 
  17. Galvin JE, Meuser TM, Morris JC. Improving physician awareness of Alzheimer disease and enhancing recruitment: the Clinician Partners Program. Alzheimer Dis Assoc Disord. 2012;26(1):61-7. [Crossref]  [PubMed]  [PMC] 
  18. Carpenter BD, Balsis S, Otilingam PG, Hanson PK, Gatz M. The Alzheimer's Disease Knowledge Scale: development and psychometric properties. Gerontologist. 2009;49(2):236-47. [Crossref]  [PubMed]  [PMC] 
  19. Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental test'in türk toplumunda hafif demans tanisinda geçerlik ve güvenilirliği [Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population]. Turk Psikiyatri Derg. 2002;13(4):273-81. Turkish. [PubMed] 
  20. Aksayan S, Gözüm S. [Kültürlerarası ölçek uyarlaması için rehber I: ölçek uyarlama aşamaları ve dil uyarlaması]. Hemşirelik Araştırma Dergisi 2002;4(1):9-14. [Link] 
  21. Prokopiadou D, Papadakaki M, Roumeliotaki T, Komninos ID, Bastas C, Iatraki E, et al. Translation and validation of a questionnaire to assess the diagnosis and management of dementia in Greek general practice. Eval Health Prof. 2015;38(2):151-9. [Crossref]  [PubMed] 
  22. Eshbaugh EM. [Gaps in Alzheimer's knowledge among college students]. Educ Gerontol 2014;40(9):655-65. [Crossref] 
  23. Nordhus IH, Sivertsen B, Pallesen S. Knowledge about Alzheimer's disease among Norwegian psychologists: the Alzheimer's disease knowledge scale. Aging Ment Health. 2012;16(4):521-8. [Crossref]  [PubMed] 
  24. Smyth W, Fielding E, Beattie E, Gardner A, Moyle W, Franklin S, et al. A survey-based study of knowledge of Alzheimer's disease among health care staff. BMC Geriatr. 2013;13:2. [Crossref]  [PubMed]  [PMC] 
  25. Kada S. [Knowledge of Alzheimer's disease among Norwegian undergraduate health and social care students: a survey study]. Educ Gerontol 2015;41(6):428-39. [Crossref] 
  26. Annear MJ, Toye CM, Eccleston CE, McInerney FJ, Elliott KE, Tranter BK, et al. Dementia Knowledge Assessment Scale: Development and Preliminary Psychometric Properties. J Am Geriatr Soc. 2015;63(11):2375-81. [Crossref]  [PubMed] 
  27. Toye C, Lester L, Popescu A, McInerney F, Andrews S, Robinson AL. Dementia Knowledge Assessment Tool Version Two: development of a tool to inform preparation for care planning and delivery in families and care staff. Dementia (London). 2014;13(2):248-56. [Crossref]  [PubMed] 
  28. Shanahan N, Orrell M, Schepers AK, Spector A. The development and evaluation of the DK-20: a knowledge of dementia measure. Int Psychogeriatr. 2013;25(11):1899-907. [Crossref]  [PubMed] 

.: Up To Date

Login

 Forgot your password?

 New Registration  

Contact

Ortadoğu Reklam Tanıtım Yayıncılık Turizm Eğitim İnşaat Sanayi ve Ticaret A.Ş.

.: Address

Turkocagi Caddesi No:30 06520 Balgat / ANKARA
Phone: +90 312 286 56 56
Fax: +90 312 220 04 70
E-mail: info@turkiyeklinikleri.com

.: Manuscript Editing Department

Phone: +90 312 286 56 56/ 2
E-mail: yaziisleri@turkiyeklinikleri.com

.: English Language Redaction

Phone: +90 312 286 56 56/ 145
E-mail: tkyayindestek@turkiyeklinikleri.com

.: Marketing Sales-Project Department

Phone: +90 312 286 56 56/ 142
E-mail: reklam@turkiyeklinikleri.com

.: Subscription and Public Relations Department

Phone: +90 312 286 56 56/ 118
E-mail: abone@turkiyeklinikleri.com

.: Customer Services

Phone: +90 312 286 56 56/ 118
E-mail: satisdestek@turkiyeklinikleri.com

1. TERMS OF USE

1.1. To use the web pages with http://www.turkiyeklinikleri.com domain name or the websites reached through the sub domain names attached to the domain name (They will be collectively referred as "SITE"), please read the conditions below. If you do not accept these terms, please cease to use the "SITE." "SITE" owner reserves the right to change the information on the website, forms, contents, the "SITE," "SITE" terms of use anytime they want.

1.2. The owner of the "SITE" is Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. (From now on it is going to be referred as "Turkiye Klinikleri", shortly) and it resides at Turkocagi cad. No:30, 06520 Balgat Ankara. The services in the "SITE" are provided by "Turkiye Klinikleri."

1.3. Anyone accessing the "SITE" with or without a fee whether they are a natural person or a legal identity is considered to agree these terms of use. In this contract hereby, "Turkiye Klinikleri" may change the stated terms anytime. These changes will be published in the "SITE" periodically and they will be valid when they are published. Any natural person or legal identity benefiting from and reaching to the "SITE" are considered to be agreed to any change on hereby contract terms done by "Turkiye Klinikleri."

1.4. The "Terms of Use" hereby is published in the website with the last change on March 30th 2014 and the "SITE" is activated by enabling the access to everyone. The "Terms of Use" hereby is also a part of the any "USER Contract" was and/or will be done with the users using "Turkiye Klinikleri" services with or without a fee an inseparable.

2. DEFINITIONS

2.1. "SITE": A website offering different kind of services and context with a certain frame determined by "Turkiye Klinikleri" and it is accessible on-line on http://www.turkiyeklinikleri.com domain name and/or subdomains connected to the domain name.

2.2. USER: A natural person or a legal identity accessing to the "SITE" through online settings.

2.3. LINK: A link enabling to access to another website through the "SITE", the files, the context or through another website to the "SITE", the files and the context.

2.4. CONTEXT: Any visual, literary and auditory images published in the "Turkiye Klinikleri", "SITE" and/or any website or any accessible information, file, picture, number/figures, price, etc.

2.5. "USER CONTRACT": An electronically signed contract between a natural or a legal identity benefiting from special services "Turkiye Klinikleri" will provide and "Turkiye Klinikleri".

3. SCOPE OF THE SERVICES

3.1. "Turkiye Klinikleri" is completely free to determine the scope and quality of the services via the "SITE".

3.2. To benefit the services of "Turkiye Klinikleri" "SITE", the "USER" must deliver the features that will be specified by "Turkiye Klinikleri". "Turkiye Klinikleri" may change this necessity any time single-sided.

3.3. Not for a limited number, the services "Turkiye Klinikleri" will provide through the "SITE" for a certain price or for free are;

- Providing scientific articles, books and informative publications for health industry.

- Providing structural, statistical and editorial support to article preparation stage for scientific journals.

4. GENERAL PROVISIONS

4.1. "Turkiye Klinikleri" is completely free to determine which of the services and contents provided in the "SITE" will be charged.

4.2. People benefiting from the services provided by "Turkiye Klinikleri" and using the website can use the "SITE" only according to the law and only for personal reasons. Users have the criminal and civil liability for every process and action they take in the "SITE". Every USER agrees, declares and undertakes that they will not proceed by any function or action infringement of rights of "Turkiye Klinikleri"s and/or other third parties', they are the exclusive right holder on usage, processing, storage, made public and revealing any written, visual or auditory information reported to Turkiye Klinikleri" and/or "SITE" to the third parties. "USER" agrees and undertakes that s/he will not duplicate, copy, distribute, process, the pictures, text, visual and auditory images, video clips, files, databases, catalogs and lists within the "SITE", s/he will not be using these actions or with other ways to compete with "Turkiye Klinikleri", directly or indirectly.

4.3. The services provided and the context published within the "SITE" by third parties is not under the responsibility of "Turkiye Klinikleri", institutions collaborated with "Turkiye Klinikleri", "Turkiye Klinikleri" employee and directors, "Turkiye Klinikleri" authorized salespeople. Commitment to accuracy and legality of the published information, context, visual and auditory images provided by any third party are under the full responsibility of the third party. "Turkiye Klinikleri" does not promise and guarantee the safety, accuracy and legality of the services and context provided by a third party.

4.4. "USER"s cannot act against "Turkiye Klinikleri", other "USER"s and third parties by using the "SITE". "Turkiye Klinikleri" has no direct and/or indirect responsibility for any damage a third party suffered or will suffer regarding "USER"s actions on the "SITE" against the rules of the hereby "Terms of Use" and the law.

4.5. "USER"s accept and undertake that the information and context they provided to the "SITE" are accurate and legal. "Turkiye Klinikleri" is not liable and responsible for promising and guaranteeing the verification of the information and context transmitted to "Turkiye Klinikleri" by the "USER"s, or uploaded, changed and provided through the "SITE" by them and whether these information are safe, accurate and legal.

4.6. "USER"s agree and undertake that they will not perform any action leading to unfair competition, weakening the personal and commercial credit of "Turkiye Klinikleri" and a third party,  encroaching and attacking on personal rights within the "SITE" in accordance with the Turkish Commercial Code Law.

4.7. "Turkiye Klinikleri" reserves the right to change the services and the context within the "SITE"  anytime. "Turkiye Klinikleri" may use this right without any notification and timelessly. "USER"s have to make the changes and/or corrections "Turkiye Klinikleri" required immediately. Any changes and/or corrections that are required by "Turkiye Klinikleri", may be made by "Turkiye Klinikleri" when needed. Any harm, criminal and civil liability resulted or will result from changes and/or corrections required by "Turkiye Klinikleri" and were not made on time by the "USER"s belongs completely to the users.

4.8. "Turkiye Klinikleri" may give links through the "SITE" to other websites and/or "CONTEXT"s and/or folders that are outside of their control and owned and run by third parties. These links are provided for ease of reference only and do not hold qualification for support the respective web SITE or the admin or declaration or guarantee for the information inside. "Turkiye Klinikleri" does not hold any responsibility over the web-sites connected through the links on the "SITE", folders and context, the services or products on the websites provided through these links or their context.

4.9. "Turkiye Klinikleri" may use the information provided to them by the "USERS" through the "SITE" in line with the terms of the "PRIVACY POLICY" and "USER CONTRACT". It may process the information or classify and save them on a database. "Turkiye Klinikleri" may also use the USER's or visitor's identity, address, e-mail address, phone number, IP number, which sections of the "SITE" they visited, domain type, browser type, date and time information to provide statistical evaluation and customized services.

5. PROPRIETARY RIGHTS

5.1. The information accessed through this "SITE" or provided by the users legally and all the elements (including but not limited to design, text, image, html code and other codes) of the "SITE" (all of them will be called as studies tied to "Turkiye Klinikleri"s copyrights) belongs to "Turkiye Klinikleri". Users do not have the right to resell, process, share, distribute, display or give someone permission to access or to use the "Turkiye Klinikleri" services, "Turkiye Klinikleri" information and the products under copyright protection by "Turkiye Klinikleri". Within hereby "Terms of Use" unless explicitly permitted by "Turkiye Klinikleri" nobody can reproduce, process, distribute or produce or prepare any study from those under "Turkiye Klinikleri" copyright protection.

5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com