Osteoporosis Knowledge Assessment Tool - Tamil (OKAT-T) in postmenopausal women: A validity and reliability study.

Q2 Medicine Journal of Clinical Orthopaedics and Trauma Pub Date : 2024-12-04 eCollection Date: 2025-01-01 DOI:10.1016/j.jcot.2024.102845

Lalithambigai Chellamuthu, J Jenifer Florence Mary, Suvathi Palanichamy

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Abstract

Introduction: Osteoporosis is a silent disease that is more prevalent among postmenopausal women (PMW) due to hormonal transition. Various toolkits, including the Osteoporosis Knowledge Assessment Tool (OKAT), were available for the knowledge assessment. The Osteoporosis-related knowledge is crucial for preventing osteoporosis, but there is no validated, reliable questionnaire in Tamil to measure this knowledge.

Aim: To validate the Tamil version of the OKAT (OKAT-T) and its psychometric properties to measure the knowledge of osteoporosis for use in postmenopausal women.

Methodology: This cross-sectional study was done in two phases, as translation of OKAT in Tamil and validation of OKAT-T among 430 postmenopausal women in both rural and urban regions. Reliability was examined by the Flesch reading ease (FKRE&G) and McNemar's test, along with difficulty index, item discrimination and item-total correlations, inter-item consistency (Cronbach's alpha coefficient).

Result: The overall mean age of the 430 PMW was 59.53 ± 9.83 years. The results showed a good and satisfactory face validity and FKRE&G score (55.9). The Cronbach's alpha for the overall scale was calculated as 0.85 and considered to be good and satisfactory. As per the difficulty index, 19 items had a 0.3 to 0.7, implying that the questionnaire was easy to understand and satisfactory. Similarly, a test-retest was assessed, which was statistically significant for only six items out of 26, showing that the tool has stable reliability.

Conclusion: The management of chronic disorders such as osteoporosis has become more challenging for patients especially among PMW and healthcare professionals due to the increasing life expectancy and urbanization. The use of an Osteoporosis Knowledge Assessment tool that has been tailored to people's understanding and developed in the local language can raise awareness levels about osteoporosis, encourage the adoption of osteoprotective strategies, and provide guidance on treatment options.

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绝经后妇女骨质疏松知识评估工具-泰米尔（OKAT-T）：效度和信度研究。

骨质疏松症是一种沉默的疾病，在绝经后妇女（PMW）中由于激素的转变更为普遍。各种工具包，包括骨质疏松知识评估工具（OKAT），可用于知识评估。骨质疏松相关知识对预防骨质疏松至关重要，但泰米尔没有有效的、可靠的问卷来衡量这一知识。目的：验证泰米尔语版本的OKAT （OKAT- t）及其心理测量特性，以测量绝经后妇女对骨质疏松症的认识。方法：这项横断面研究分为两个阶段，分别是泰米尔语的OKAT翻译和在农村和城市地区430名绝经后妇女中OKAT- t的验证。信度采用Flesch reading ease （FKRE&G）和McNemar’s test，以及难度指数、项目辨析和项目总量相关性、项目间一致性（Cronbach’s alpha系数）进行检验。结果：430例PMW患者总体平均年龄为59.53±9.83岁。结果显示，面部效度较好，FKRE&G评分为55.9分。总体量表的Cronbach's alpha计算为0.85，认为是良好和满意的。从难度指数来看，有19个项目的难度指数在0.3到0.7之间，说明问卷容易理解，令人满意。同样地，对测试-重测试进行了评估，在26个项目中只有6个项目具有统计显著性，表明该工具具有稳定的可靠性。结论：随着预期寿命的延长和城市化进程的加快，骨质疏松等慢性疾病的管理对患者，尤其是女性和医疗保健专业人员来说变得越来越具有挑战性。骨质疏松知识评估工具是根据人们的理解量身定制并以当地语言开发的，它的使用可以提高人们对骨质疏松症的认识水平，鼓励采用骨保护策略，并为治疗方案提供指导。

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来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.