Tesis

Uji Validitas dan Reliabilitas Skor Evaluasi Klinis dan Kualitas Hidup (Hemifacial Spasm Score) Versi Bahasa Indonesia = Validity and Reliability Test of Clinical Evaluation and Quality of Life Score (Hemifacial Spasm Score) Indonesian Version.

Latar Belakang: Spasme hemifasial merupakan kelainan gerak yang dikarakteristikan kontraksi involunter otot wajah. Spasme hemifasial bukanlah penyakit yang mengancam jiwa, meskipun demikian dapat menyebabkan rasa malu secara sosial dan berdampak besar pada kualitas hidup. Sampai dengan saat ini belum ada penilaian yang seragam untuk menilai derajat beratnya gejala klinis dan kualitas hidup spasme hemifasial, oleh karean itu diperlukan suatu instrumen khusus seperti kuesioner Hemifacial Spasm Score. Kuesioner ini sudah mulai dipergunakan untuk menilai kondisi pasien dengan spasme hemifasial, tetapi belum ada yang mengadaptasi ke dalam Bahasa Indonesia. Penelitian ini bertujuan untuk melakukan uji validitas dan reliabilitas kuesioner Hemifacial Spasm Score ke dalam Bahasa Indonesia Metode: Studi potong lintang dilakukan pada populasi pasien terdiagnosis spasme hemifasial di RSUPN Dr. Cipto Mangunkusumo Jakarta pada Juli-September 2024. Penelitian diawali dengan proses translasi dan adaptasi lintas budaya sesuai dengan panduan WHO, kemudian dilakukan uji validitas dan reliabilitas kuesioner Hemifacial Spasm Score versi Bahasa Indonesia. Uji validitas dinilai menggunakan Pearson correlation dan uji reliabilitas internal dengan Cronbach’s Alpha serta reliabilitas eksternal dengan metode inter-rater. Hasil: Total sampel pada penelitian ini berjumlah 30 orang. Berdasarkan uji validitas yang dilakukan, didapatkan nilai 0.854 hingga 0.970 dengan seluruh r-hitung berada di atas nilai rtabel 5% (0.349). Pada pengujian uji reliabilas dilakukan dengan menilai Cronbach’s Alpha dan Interclass Correlation Coefficient. Hasil uji reliabilitas didapatkan Cronbach’s Alpha 0.997 pada skor klinis dan 0.995 pada skor kualitas hidup. Pada pengujian Interclass Correlation Coefficients, nilai skor klinis 0.994 dan skor kualitas hidup 0.991 . Kesimpulan: Kuesioner Hemifacial Spasm Score versi Bahasa Indonesia merupakan kuesioner yang valid dan reliabel untuk menilai klinis dan kualitas hidup penderita spasme hemifasial pada populasi di Indonesia
Kata Kunci: Kuesioner spasme hemifasial, uji validitas, uji reliabilitas


Background: Hemifacial spasm is movement disorder characterized by involuntary contractions of the facial muscles. Hemifacial spasm is not a life-threatening disease, although it can cause social embarrassment and have a major impact on quality of life. Until now, there has been no uniform assessment to assess the severity of clinical symptoms and quality of life of hemifacial spasm, therefore a special instrument is needed such as the Hemifacial Spasm Score questionnaire. This questionnaire has bagun to be used to assess the condition of patients wits hemifacial spasm, but no Indonesian version of this questionnaire has been adapted. This study aims to test the validity and reliability of the Hemifacial Spasm Score questionnaire into Indonesian. Method: A cross-sectional study was conducted on population of patients diagnosed with hemifacial spasm at Dr. Cipto Mangunkusumo National Hospital in July-September 2024. The study began with a process of translation and cross-cultural adaptation in accordance with WHO guidelines, then a validity and reliability test was carried out on the Indonesian version of the Hemifacial Spasm Score questionnaire.. The validity test was assessed using Pearson correlation and internal reliability test with Cronbach’s Alpha, also external reliability with inter-rater method. Results: The total sample in this study was 30 people. Based on the validity test carried out, rcounts of 0.854 to 0.970 was obtained and all r-counts abouve the r-table value of 5% (0.349). The reliability test was carried out by assessing Cronbach’s Alpha and interclass Correlation Coefficient. The results of the Cronbach’s Alpha 0.997 on the clinical score and 0.995 on the quality of life score. In the Interclas Correlation Coeffients test, the clinical score value was 0.994 and the quality of life score was 0.991. Conclusion: The Indonesia version onf Hemifacial Spasm Score questionnaire is a valid and reliable questionnaire to assess the clinical and quality of life people with hemifacial spasm in Indonesian population.
Keywords: Hemifacial spasm questionnaire, validity test, reliability test