Translation, Validity, and Reliability of the Indonesian Version of the Shoulder Pain and Disability Index (SPADI).

IF 2.4 3区医学 Q2 ORTHOPEDICS Orthopaedic Journal of Sports Medicine Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI:10.1177/23259671241304656

Romy Deviandri, Afrianto Daud, Tania Nugrah Utami, Putri Octarina, Iman W Aminata, Firas Farisi Alkaff

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Abstract

Background: The Shoulder Pain and Disability Index (SPADI) is a widely used 13-item shoulder-specific patient-reported outcome measure for shoulder pain disorders. The English version of SPADI is easy to use and demonstrates excellent measurement properties for clinical and research settings.

Purpose: To translate and culturally adapt an Indonesian version of SPADI (SPADI-IDN) and then validate its use in Indonesian patients.

Study design: Cohort study (Diagnosis); Level of evidence, 2.

Methods: Through a forward and a backward translation process, the validity of the questionnaire was investigated. The study population was 100 patients with shoulder pain who were treated in a hospital in Indonesia. The patients were asked to fill out the SPADI-IDN during their visit. To evaluate the validity of SPADI-IDN, the patients were also asked to fill out the Medical Outcomes Study 12-Item Short-Form Health Survey and the Oxford Shoulder Score. To assess the test-retest reliability, the same patients were asked to fill out the SPADI-IDN questionnaire again 1 week later. The assessment of construct validity, test-retest reliability, internal consistency, floor and ceiling effect, and measurement of error followed the COSMIN (Consensus-based Standards for the selection of health Measurement Instruments) guidelines. The Bland-Altman method was used to explore absolute agreement.

Results: Of the 100 eligible patients, all were used to assess construct validity, and 87 patients (87%) were used to assess test-retest reliability. Almost every established hypothesis about the correlations between SPADI-IDN and other questionnaires could be confirmed, implying good construct validity. No floor or ceiling effects were found. The intraclass correlation value was 0.99, indicating strong test-retest reliability. A Cronbach α was 0.95, indicating a good internal consistency. The Bland-Altman analysis did not reveal any bias. The standard error of measurement and the minimal detectable change at the individual and group levels were 2.65, 7.3, and 0.7, respectively.

Conclusion: The SPADI-IDN represents a valid and reliable tool for measuring pain and disability in patients with shoulder pain disorders.

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印尼版肩痛与失能指数（SPADI）之翻译、效度与信度。

背景：肩痛与失能指数（SPADI）是一种广泛使用的肩痛疾病患者报告的13项指标。SPADI的英文版本易于使用，并且在临床和研究设置中展示了出色的测量特性。目的：翻译和适应印尼版本的SPADI (SPADI- idn)，然后验证其在印尼患者中的使用。研究设计：队列研究（诊断）；证据等级2。方法：通过前向和后向的翻译过程，对问卷的效度进行调查。研究对象是100名在印度尼西亚一家医院接受治疗的肩痛患者。患者被要求在访问期间填写SPADI-IDN。为了评估SPADI-IDN的有效性，患者还被要求填写医疗结果研究12项简短健康调查和牛津肩部评分。为了评估重测信度，同一组患者在1周后再次被要求填写SPADI-IDN问卷。结构效度评估、重测信度评估、内部一致性评估、下限和上限效应评估以及误差测量均遵循COSMIN（基于共识的健康测量工具选择标准）指南。Bland-Altman方法用于探讨绝对一致性。结果：在100例符合条件的患者中，所有患者用于评估结构效度，87例患者（87%）用于评估重测信度。关于SPADI-IDN与其他问卷之间的相关性，几乎所有已建立的假设都可以被证实，这意味着良好的结构效度。没有发现地板或天花板效应。类内相关值为0.99，重测信度强。Cronbach α为0.95，表明内部一致性较好。Bland-Altman的分析没有显示出任何偏见。个体和群体水平的测量标准误差和最小可检测变化分别为2.65、7.3和0.7。结论：SPADI-IDN是衡量肩痛患者疼痛和残疾的有效和可靠的工具。

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

Orthopaedic Journal of Sports Medicine Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

7.70%

发文量

876

审稿时长

12 weeks

期刊介绍： The Orthopaedic Journal of Sports Medicine (OJSM), developed by the American Orthopaedic Society for Sports Medicine (AOSSM), is a global, peer-reviewed, open access journal that combines the interests of researchers and clinical practitioners across orthopaedic sports medicine, arthroscopy, and knee arthroplasty. Topics include original research in the areas of: -Orthopaedic Sports Medicine, including surgical and nonsurgical treatment of orthopaedic sports injuries -Arthroscopic Surgery (Shoulder/Elbow/Wrist/Hip/Knee/Ankle/Foot) -Relevant translational research -Sports traumatology/epidemiology -Knee and shoulder arthroplasty The OJSM also publishes relevant systematic reviews and meta-analyses. This journal is a member of the Committee on Publication Ethics (COPE).