Translation, cross-cultural adaptation, validity, and reliability of the Indonesian version of the Oxford Shoulder Score for patients with shoulder pain

Q2 Medicine JSES International Pub Date : 2024-08-24 DOI:10.1016/j.jseint.2024.08.175

Romy Deviandri MD, PhD , Afrianto Daud PhD , Iman W. Aminata MD , Putri Octarina BMed , Nasywa D. Mecca , Hugo C. van der Veen MD, PhD , Inge van den Akker-Scheek MD, PhD

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Abstract

Background

No questionnaire is currently available for use in patients with shoulder pain in an Indonesian-speaking population. This study aimed to translate the Oxford Shoulder Score (OSS) into Indonesian and assess its validity and reliability for use in Indonesian-speaking patients with shoulder pain.

Methods

After a forward and backward translation procedure, the validity and reliability of the questionnaire were investigated. All patients who were treated in a hospital in Indonesia for shoulder pain during the inclusion period were asked to complete 3 questionnaires: the Indonesia-OSS (I-OSS), the Medical Outcomes Study 12-Item Short-Form Health Survey, and the American Shoulder and Elbow Surgeons questionnaire. Participants were asked to complete the I-OSS a second time after a 1-week interval. Following Consensus-Based Standards for the Selection of Health Measurement Instruments guidelines, construct validity, test-retest reliability, internal consistency, floor and ceiling effects, and measurement error were determined. The Bland-Altman method was used to explore systematic bias.

Results

Data of 100 patients could be used to determine validity, and data of 87 patients to determine test-retest reliability. Construct validity can be considered good, as more than 75% of the predefined hypotheses on correlations between the I-OSS and the other questionnaires could be confirmed. An intraclass correlation coefficient value of 0.99 was found, indicating good test-retest reliability. A Cronbach’s α of 0.95 implied good internal consistency, and no floor or ceiling effects were found. The standard error of measurement was 1.8, with minimal detectable change at the individual level was 5.1, and at the group level was 0.5. Bland-Altman analysis showed no systematic bias.

Conclusion

The I-OSS can be considered a valid and reliable questionnaire for Indonesian-speaking patients with shoulder pain.

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针对肩痛患者的印尼版牛津肩关节评分的翻译、跨文化适应性、有效性和可靠性

背景目前还没有调查问卷可用于印尼语人群中的肩痛患者。本研究旨在将牛津肩关节评分（OSS）翻译成印尼语，并评估其在印尼语肩痛患者中使用的有效性和可靠性。所有在纳入期间因肩部疼痛在印尼一家医院接受治疗的患者都被要求填写 3 份问卷：印尼-OSS（I-OSS）、医疗结果研究 12 项短式健康调查以及美国肩肘外科医生问卷。要求受试者在间隔一周后再次完成 I-OSS。按照《基于共识的健康测量工具选择标准》的指导原则，对构建有效性、重复测试可靠性、内部一致性、下限效应和上限效应以及测量误差进行了测定。结果 100 名患者的数据可用于确定有效性，87 名患者的数据可用于确定重测可靠性。由于 I-OSS 与其他问卷之间的相关性有 75% 以上的预设假设得到了证实，因此可以认为结构效度良好。类内相关系数为 0.99，表明测试-再测可靠性良好。Cronbach's α 为 0.95，表明内部一致性良好，没有发现下限或上限效应。测量的标准误差为 1.8，在个人层面可检测到的最小变化为 5.1，在群体层面为 0.5。结论 I-OSS 可被视为印尼语肩痛患者的有效、可靠问卷。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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