The Turkish Version of Functional Disability Inventory

NCT ID: NCT05422456

Last Updated: 2023-06-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Total Enrollment

250 participants

Study Classification

OBSERVATIONAL

Study Start Date

2022-09-08

Study Completion Date

2023-08-12

Brief Summary

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The goal of this study is to determine the validity and reliability of the Turkish version of the Functional Disability Inventory (FDI), which assesses functional disability in daily life, school, and home activities of children aged 8 to 18, as well as to ensure cultural adaptation of this measurement. Chronic pain is the most frequent type of pain in children and adolescents, affecting one-quarter of the population. Children and adolescents with chronic pain have difficulty completing activities such as walking, jogging, and participating in sports, as well as daily activities. There is no valid and reliable measurement that measures pain-related disability in everyday life, at home, or at school from the perspective of a child in the literature. This study hypothesizes that the Functional Disability Inventory is a valid and reliable measurement for measuring functional disability in the Turkish population of children with chronic pain.

Detailed Description

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Chronic pain in children and adolescents is defined as pain that lasts longer than three months and is unabsorbable. Approximately 5% of the children said they were suffering from moderate to severe chronic pain, as well as impairments in their physical and psychosocial functions. Children and adolescents with chronic pain have difficulty completing activities such as walking, jogging, and participating in sports, as well as daily activities. Schoolchildren with chronic pain, for example, were shown to be five times more likely than their classmates without pain to miss school (13.9 percent vs. 2.4 percent), and it has been observed that absenteeism from school increases the likelihood of grade repeat in children with chronic pain.

Headaches affect between 57 and 82 percent of children and adolescents aged 7 to 15. It is wrong to believe that a headache with this frequency and associated concomitant conditions does not result in functional disability and limitations in everyday activities. When compared to their peers without headaches, 62 percent of children and adolescents with headaches reported more functional disability due to moderate to severe headache, limitation in daily activities, and absenteeism from school. Pain and functional incapacity caused by pain cannot be assumed to have no impact on a person's ability to participate in activities. The term "participation" refers to a person's involvement in the circumstances of his or her life. Participation in daily activities is critical for all children's healthy development, regardless of their age.

The fundamental goal of functional evaluation is to demonstrate a person's ability to function in society independently. This skill is employed in everyday activities such as personal care, social contact, housework, and recreational activities. The importance of these functions in daily life in pediatric patients, on the other hand, receives less emphasis (5). Walker and Greene (1991) developed the Functional Disability Inventory (FDI) to assess impairments in children and adolescents caused by a variety of pediatric health conditions (6). There are fifteen items in the FDI category. These tasks are used to assess how difficult it is for the youngster to walk, climb stairs, eat, do household chores, go to school, participate in sports, read and write, and watch television.

On a four-point Likert scale, (0=no issue, 4=impossible), each item is rated. With the child's own report, FDI assesses the difficulty in physical and psychological functions caused by the child's physical health. It is determined by taking into account the child's activity restrictions throughout the previous two weeks. The scale runs from 0 to 60. The total score is calculated by summing the individual item scores. A higher score indicates a higher level of disability. The purpose of this study is to see if the Turkish version of the Functional Disability Inventory (FDI) is valid and reliable in a Turkish sample of children with chronic pain.

Conditions

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Chronic Pain

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

CROSS_SECTIONAL

Study Groups

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Chronic pain group

children are diagnosed with chronic headache by pediatric neurologist

No interventions assigned to this group

Health group

children without chronic pain

No interventions assigned to this group

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of chronic pain
* Age between 8-18 years
* Native language is Turkish


* Not diagnosed of chronic pain and psychiatric and neurological disease
* Aged at 8-18 years old
* Native language is Turkish

Exclusion Criteria

\- Diagnosis of autism spectrum disorder and attention deficit and hyperactivity disorder, psychotic symptoms, depression, etc.


* Children whose parents or themselves refused to participate
* Native language is not Turkish
Minimum Eligible Age

8 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Akdeniz University

OTHER

Sponsor Role lead

Responsible Party

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Ozgun Kaya Kara

Assoc. Prof. PhD

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ozgun Kaya Kara

Role: STUDY_DIRECTOR

Akdeniz University

Locations

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Akdeniz University

Antalya, , Turkey (Türkiye)

Site Status RECRUITING

Countries

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Turkey (Türkiye)

Central Contacts

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Ishak Isik, MD

Role: CONTACT

02422494400

Ozgun Kaya Kara, Assoc. Prof.

Role: CONTACT

Facility Contacts

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Ozgun KAYA KARA, Assoc. Prof. PhD

Role: primary

References

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Murphy NA, Carbone PS; American Academy of Pediatrics Council on Children With Disabilities. Promoting the participation of children with disabilities in sports, recreation, and physical activities. Pediatrics. 2008 May;121(5):1057-61. doi: 10.1542/peds.2008-0566.

Reference Type RESULT
PMID: 18450913 (View on PubMed)

Sonagra M, Jones J, McGill M, Gmuca S. Exploring the intersection of adverse childhood experiences, pediatric chronic pain, and rheumatic disease. Pediatr Rheumatol Online J. 2022 Feb 14;20(1):14. doi: 10.1186/s12969-022-00674-x.

Reference Type RESULT
PMID: 35164793 (View on PubMed)

Offenbacher M, Kohls N, Walker L, Hermann C, Hugle B, Jager N, Richter M, Haas JP. Functional limitations in children and adolescents suffering from chronic pain: validation and psychometric properties of the German Functional Disability Inventory (FDI-G). Rheumatol Int. 2016 Oct;36(10):1439-48. doi: 10.1007/s00296-016-3504-5. Epub 2016 Jun 4.

Reference Type RESULT
PMID: 27262712 (View on PubMed)

Groenewald CB, Tham SW, Palermo TM. Impaired School Functioning in Children With Chronic Pain: A National Perspective. Clin J Pain. 2020 Sep;36(9):693-699. doi: 10.1097/AJP.0000000000000850.

Reference Type RESULT
PMID: 32487871 (View on PubMed)

Ferracini GN, Dach F, Speciali JG. Quality of life and health-related disability in children with migraine. Headache. 2014 Feb;54(2):325-34. doi: 10.1111/head.12251. Epub 2013 Oct 29.

Reference Type RESULT
PMID: 24512577 (View on PubMed)

Claar RL, Walker LS. Functional assessment of pediatric pain patients: psychometric properties of the functional disability inventory. Pain. 2006 Mar;121(1-2):77-84. doi: 10.1016/j.pain.2005.12.002. Epub 2006 Feb 9.

Reference Type RESULT
PMID: 16480823 (View on PubMed)

Koklukaya HN, Kaya Kara O, Karademir S, Dogan M, Kutluk MG, Kara K. An evaluation of the validity, reliability, and psychometric properties of the Turkish version of the functional disability inventory in children and adolescents with chronic pain. J Pediatr Nurs. 2025 May-Jun;82:e126-e133. doi: 10.1016/j.pedn.2025.04.005. Epub 2025 Apr 17.

Reference Type DERIVED
PMID: 40251104 (View on PubMed)

Other Identifiers

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2022-126

Identifier Type: -

Identifier Source: org_study_id

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