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    A POPULATION-BASED STUDY: THE APPROPRIATENESS OF DRUG USE IN THE ELDERLY ACCORDING TO BEERS CRITERIA
    (Gunes Kitabevi Ltd Sti, 2018) Cibik, Birol; Şahin, Erkan Melih; Kilincarslan, Mehmet Goktug
    Introduction: The elderly population has the highest rates of drug use and is more sensitive to drug effects. Inappropriate drug use can cause unwanted effects in such a population. We aimed to evaluate inappropriate drug use in the elderly population according to Beers criteria. Materials and Method: This cross-sectional, descriptive study used a simple systematic method to select individuals aged. 65 years residing in Kepez district of Canakkale. All medicines used by participants were identified and evaluated according to Beers criteria. Results: The mean age of the participants was 74.1 +/- 6.5 (65-91) years. In our study, 95.7% of the participants had at least one chronic illness and 84.5% had at least three chronic illnesses. The mean total number of drugs used was 5.0 +/- 3.2 (0-15). According to Beers criteria, inappropriate drug use was detected in 35 (30%) instances. Non-steroidal anti-inflammatory drugs were the most frequent inappropriately used drugs in the study population [n=13 (11.2%)]. Conclusion: In this study, the rates of inappropriate drug use (35; 30%) were lower than those previously reported. Our findings underline the importance of adhering to guidelines for rational drug use in prescribing medications to elderly.
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    Development of Valid and Reliable Scale of Vaccine Hesitancy in Turkish Language
    (Duzce Univ, Fac Medicine, 2020) Kilincarslan, Mehmet Goktug; Sarigul, Banu; Toraman, Cetin; Şahin, Erkan Melih
    Objective: Anti-vaccine movement has been increasing in recent years, leading to poor health outcomes. There are some scales to measure the vaccine hesitancy but most of them have limitation and may not be proper for Turkey. The aim of this study is to develop a Turkish scale of vaccine hesitancy. Methods: Two cross sectional studies were conducted. Purposive sampling method was used to reach participants in hospital and its surroundings. Study1: Explanatory factor analysis involved 315 participants, whose 61.3% were female mean age was 33.3 +/- 11.6 years. The draft scale with 36 items were applied face to face. Study 2: Confirmatory factor analysis involved 214 participants for the long form and 200 for short form. Of the participants, 62.0% was female and the mean age was 33.9 +/- 11.3 for short form. Of the participants, 65.4% was female and the mean age was 34.5 +/- 11.4 for the long form. Goodness of fit indexes of both forms were compared with literature. Results: The long form with 21 items in 4 factors and the short form with 12 items in 3 factors were selected as they best explained the data. Explained variance by long form and short form were 57.4% and 65.3% respectively. Cronbach Alpha values for long form and short form were 0.905 and 0.855, respectively. Conclusions: It is important to understand vaccine hesitancy at local levels because differences in sociocultural structure have major effect. In this study, two forms reliable vaccine hesitancy scale were presented in Turkish as first in literature.
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    Impact of being a relative of a patient with epilepsy on the association of attitudes toward epilepsy and disease knowledge levels
    (Academic Press Inc Elsevier Science, 2024) Kilincarslan, Mehmet Goktug; Bayrambey, Funda Buse; Duzgun, Ulkuhan; Şahin, Erkan Melih; Sari, Oktay
    Objective: The social prognosis for individuals with epilepsy is often poorer than their clinical prognosis, highlighting the significant influence of social factors on the progression of the disease. Relatives of patients with epilepsy (RPEs) generally have more positive attitudes towards epilepsy compared to the general population. This study aimed to examine the effect of being an RPE on the relationship between attitudes toward epilepsy and levels of disease knowledge. Methods: This cross-sectional analytical study included 217 adult participants, comprising 93 RPEs and 124 controls (non-RPEs), selected through convenience sampling. Data were collected via face-to-face interviews using a questionnaire that included sections on socio-demographic characteristics, the Epilepsy Knowledge Scale, and the Public Attitudes Toward Epilepsy (PATE) Scale. Path analysis was conducted using the Maximum Likelihood method. Due to the non-normal distribution of exogenous variables, the robust Huber/White/sandwich estimator method was used to calculate confidence intervals and fit indices. Results: The mean age of the participants was 34.7 +/- 11.5 years, with 128 (59.0 %) being female. RPEs scored an average of 26.8 +/- 9.9 on the PATE Scale, which was significantly lower than the average score of 29.7 +/- 11.0 for non-RPEs (p = 0.047). Path analysis indicated that being an RPE indirectly fosters a positive attitude through increased knowledge levels. While the direct effect of being an RPE on attitudes was not statistically significant, the indirect effect mediated by knowledge was significant. Significance: This study highlights that the level of knowledge about epilepsy, a key predictor of positive attitudes, remains important even among RPEs. In kinship contexts where neurobiological and psychosocial factors are at play, the primary determinant of attitudes toward epilepsy is still the level of knowledge about the condition. Consequently, focusing on increasing knowledge about epilepsy should be the main strategy to promote positive attitudes, providing a more promising avenue for future research and interventions.
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    Investigating the Factors Behind Patients' Desire and Decision to be Accompanied: A Cross-Sectional Analysis
    (Wiley, 2025) Kilincarslan, Mehmet Goktug; Donmez, Busra; Bestepe, Yasemin Kaya; Kirikcioglu, Busra Nur; Akbasoglu, Merve; Karakaya, Bezar; Şahin, Erkan Melih
    IntroductionMedical education typically focuses on the dyadic interaction between patient and physician. However, there is another significant presence in the room that can also impact the patient's health outcomes: caregivers. This topic has been relatively underexplored until now, and there is insufficient information available regarding situations in different cultures. In this study, we aimed to separately examine the characteristics of patients that influence the frequency of being accompanied and those that affect patients' preferences regarding the presence of a companion.MethodsThis cross-sectional study was conducted in family medicine clinic of a tertiary hospital. During a period of 15 days, a total of 285 patients who visited the clinic were administered the questionnaire face-to-face. Two logistic regression models were used for dependent variables of actual and desired situations of admitting to healthcare service with companion.ResultsOf the participants, 167 (58.6%) were female, and the mean age was 36.8 +/- 16.2 The sole significant factor, influencing actual visits to be occurred with a companion, was the solution for transportation issues (odds ratio [OR]: 26.25). It was found that unmarried individuals (single/divorced/widowed) (OR: 5.47), those with higher income (OR: 1.84), and older individuals (OR: 1.04) had a higher tendency to prefer visiting the clinic with companion while female are as opposite (OR: 0.50). Anxiety, perceived social support, and health literacy weren't associated with actual situation or desire to have companion.ConclusionPatients have companions to address tangible issues. However, different factors may influence the desire to have a companion. There is a large group of individuals who, are accompanied at clinic visits against their wishes, indicating a conflict between being accompanied and the desire for one.Patient or Public ContributionOur study was inspired by the unsolicited comments of patients made about their companions during clinical visits. Additionally, community provided valuable feedback during the pilot application phase, particularly in the development of the data form.
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    Prevalence and associated factors of inappropriate repeat test
    (Oxford Univ Press, 2019) Kilincarslan, Mehmet Goktug; Şahin, Erkan Melih; Korkmazer, Basak
    Background The rate of laboratory test utilisation has been increasing unsustainably. Evaluating inappropriately repeated laboratory tests is promising because objective criteria are available to measure the rates while causes can be manipulated easily. In this study, we aimed to evaluate the prevalence, associated factors and financial burden of inappropriate repeat tests. Methods A cross-sectional study was conducted on the results of 26 types of laboratory tests recorded in a laboratory database of a tertiary hospital between 1 July 2014 and 30 June 2017. Minimum retest intervals were determined from the literature for each type of tests. If the time interval between the two tests was shorter than the minimum retest interval, then the later test was accepted an inappropriate repeat test. Binary logistic regression was performed after univariate analyses. Results Of a total of 673 794 tests, 109 370 (16.2%) were inappropriate repeat tests. Male gender, being >= 65 years old, being an inpatient, high-volume test and surgical clinic as the test-requesting clinic were associated with inappropriate repeat tests. Also, it was determined that US$66 761.3 had been wasted on inappropriate repeat tests for 3 years. Discussion There are several factors that increase the rate of inappropriate repeat tests. They should be considered during health policy making or planning interventions to reduce inappropriate repeat tests.