Reliability and validity of the Chinese (Queen Mary Hospital, Hong Kong version) of the Disabilities of the Arm, Shoulder and Hand on patients with upper extremity musculoskeletal disorders in Hong Kong.

Rebecca K Y Chan, Y C Leung, Frankie K L Leung, Christian X S Fang, Amy K P Cheung, Tony K C Lau, Jo Kamen K M Fung
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引用次数: 5

Abstract

Objective: This study aimed to translate, culturally adopt and validate a Chinese version of the Disabilities of the Arm, Shoulder and Hand (DASH) for use in patients with upper extremity musculoskeletal diseases in Hong Kong.

Methods: We followed a standard five-stage process: forward translation, synthesis, backward translation, expert panel review and field-testing to achieve linguistic and conceptual equivalence. The version was officially known as Chinese (Queen Mary Hospital, Hong Kong version) DASH. (Chinese QMH,HK version DASH) (http://www.dash.iwh.on.ca/sites/dash/public/translations/DASH_Chinese_HK_2013.pdf).

Results: Its internal consistency was then evaluated with 138 participants suffering from upper extremity musculoskeletal conditions. The results were high in DASH-Disability/Symptom module (DASH-DS) (Cronbach alpha 0.97), DASH-Work module (DASH-W) (Cronbach alpha 0.97) and DASH-Sports / Performing Arts module (DASH-SM) (Cronbach alpha 0.99). The test-retest reliability was evaluated with a subgroup of participants who had completed the Chinese (QMH,HK version) DASH on two occasions, with a median interval of 6.5 days. The results were excellent among DASH-DS Intraclass Correlation Coefficient (ICC) = 0.98 and DASH-W (ICC = 0.90). Good test-retest reliability was found in DASH-SM (ICC = 0.89). Construct validity of DASH-DS showed good correlation with the sub-domains of physical functioning (r = -.564) and social functioning (r = -.544) of the Short Form 36 Health Survey (SF-36). Similarly, construct validity of DASH-W also showed good correlation with the sub-domains of physical functioning (r = -.510) and bodily pain (r = -.503) of SF-36.

Conclusion: The Chinese (Queen Mary Hospital, Hong Kong version) Disabilities of the Arm, Shoulder and Hand is considered as a reliable and valid instrument that can provide a standardised measure of patient-centred outcomes for patients with upper extremity musculoskeletal disorders in Hong Kong.

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香港上肢肌肉骨骼疾病患者手臂、肩膀及手部残疾的中文(香港玛丽医院版)信度及效度研究
目的:本研究旨在为香港上肢肌肉骨骼疾病患者翻译、文化采用和验证中文版本的《手臂、肩膀和手的残疾》(DASH)。方法:我们遵循标准的五阶段流程:正向翻译、综合翻译、反向翻译、专家小组评审和实地测试,以实现语言和概念上的对等。该版本被正式称为中国(玛丽医院,香港版本)DASH。(中文QMH,香港版DASH) (http://www.dash.iwh.on.ca/sites/dash/public/translations/DASH_Chinese_HK_2013.pdf).Results:)然后对138名患有上肢肌肉骨骼疾病的参与者进行内部一致性评估。结果显示,dash -残疾/症状模块(DASH-DS)、dash -工作模块(DASH-W)和dash -体育/表演艺术模块(DASH-SM)得分较高(Cronbach α 0.99)。测试重测信度由完成两次中文(QMH,HK版本)DASH的参与者组成,中位间隔为6.5天。DASH-DS类内相关系数(ICC) = 0.98, DASH-W类内相关系数(ICC) = 0.90,结果均较好。DASH-SM具有良好的重测信度(ICC = 0.89)。DASH-DS的结构效度与SF-36的身体功能子域(r = -.564)和社会功能子域(r = -.544)具有良好的相关性。同样,DASH-W的结构效度也与SF-36的身体功能子域(r = - 0.510)和身体疼痛子域(r = - 0.503)具有良好的相关性。结论:中国(香港玛丽医院)手臂、肩膀和手的残疾被认为是一个可靠和有效的工具,可以为香港上肢肌肉骨骼疾病患者提供以患者为中心的标准化测量结果。
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