Cross-cultural adaptation, reliability, validity and responsiveness of the hand assessment tool (HAT-Sp) in Spain.

IF 2.2 3区医学 Q1 REHABILITATION Musculoskeletal Science and Practice Pub Date : 2025-02-01 Epub Date: 2024-12-23 DOI:10.1016/j.msksp.2024.103250

María Visitación Martínez-Fernández, Carmen María Sarabia-Cobo, Nuria Sánchez-Labraca

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Abstract

Purpose: The HAT is a questionnaire designed to measure activity limitations in patients with hand and wrist injuries, without assistance. This study aimed to translate, culturally adapt, and validate the psychometric properties of the HAT-validity, reliability, and responsiveness-for different hand conditions in Spain.

Methods: Cultural adaptation followed recommendations from the American Academy of Orthopaedic Surgeons (AAOS). Validation adhered to the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) guidelines and involved 262 hand patients. Reliability was assessed with Cronbach's alpha and intraclass correlation coefficient (ICC) (2,1), for test-retest reliability, the standard error of measurement (SEM) and the smallest detectable change (SDC) were used to assess measurement error. Confirmatory factor analysis (CFA) and construct validity using Pearson's correlation coefficient evaluated validity. Responsiveness was measured using effect size (ES) and standardised response mean (SRM).

Results: The adaptation process showed no significant changes, with strong expert agreement (Kendall's W = 0.81, p < 0.001) and patient difficulty below 15%. Reliability was confirmed with an excellent Cronbach's alpha of 0.91, ICC values of 0.99, and low measurement error (SEM of 0.72 and SDC of 1.41). CFA showed a good model fit (RMSEA of 0.04, SRMR of 0.05). HAT showed a high correlation with DASH (r = 0.78, p < 0.001) and a weak correlation with EQ-5D (r = -0.07, p > 0.05). Responsiveness, assessed in 222 patients, yielded a moderate ES of -0.62 and an SRM of -0.72.

Conclusions: The HAT-Sp is a well-adapted and widely accepted tool among both Spanish patients and experts. The study demonstrated its strong reliability, validity, and responsiveness in activity limitation without assistance in patients with various hand and wrist injuries following physiotherapy.

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西班牙手部评估工具（HAT-Sp）的跨文化适应、信度、效度和反应性。

目的：HAT是一份问卷，旨在测量手和手腕损伤患者在没有辅助的情况下的活动限制。本研究旨在翻译，文化适应，并验证西班牙不同手条件下hat的心理测量特性-效度，信度和反应性。方法：文化适应遵循美国骨科医师学会（AAOS）的建议。验证遵循基于共识的健康测量仪器选择标准（COSMIN）指南，涉及262名手部患者。信度采用Cronbach’s alpha和类内相关系数（ICC）（2,1）评估，重测信度采用测量标准误差（SEM）和最小可检测变化（SDC）评估测量误差。验证性因子分析（CFA）和建构效度采用Pearson相关系数评估效度。反应性采用效应量（ES）和标准化反应均值（SRM）测量。结果：适应过程无明显变化，专家一致（Kendall’s W = 0.81, p 0.05）。222例患者的反应性评估结果显示，中度ES为-0.62，SRM为-0.72。结论：HAT-Sp在西班牙患者和专家中是一种适应性良好且被广泛接受的工具。该研究证明了其在无辅助活动限制的情况下对各种手部和腕部损伤患者进行物理治疗的强信度、效度和反应性。

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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来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.