Cross-cultural adaptation and reliability of the Arabic version of Children's Hand-use Experience Questionnaire (CHEQ).

Ahmed Amer, Mahmoud A Alomari, Gustav Jarl, Majd M Ajarmeh, Fathi Migdadi, Ann-Christin Eliasson, Liselotte Hermansson
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Abstract

Background: Validated outcome measures are essential for assessment and treatment of children with disabilities. The Children's Hand-use Experience Questionnaire (CHEQ) was developed and validated for use in Western countries for children with unilateral hand dysfunction. This study aimed to perform a cross-cultural adaptation and investigate reliability for the Arabic CHEQ.

Methods: Translation and cross-cultural adaptation were performed in four phases: (i) forward-translation and reconciliation with feedback from parents and typically developing children from Jordan (n = 14); (ii) backward-translation and review; (iii) cognitive debriefing with parents and/or their children with unilateral hand dysfunction (n = 17); and (iv) review and proofreading. In the psychometric analyses, 161 children from Jordan (mean age [SD] 10y 8 m [5y 8 m]; 88 males) participated. Internal consistency was evaluated with Cronbach's alpha. Test-retest reliability was evaluated in 39 children with intraclass correlation coefficient (ICC) and weighted kappa (κ).

Results: Synonyms of four words were added to accommodate for different Arabic dialects. On average, 93% of children with unilateral hand dysfunction and their parents understood the CHEQ items. One response alternative, 'Get help', to the opening question was unclear for 70% of the respondents and need further explanation. Two items about using a knife and fork were difficult to comprehend and culturally irrelevant. High internal consistency was demonstrated (Cronbach's alphas 0.94- 0.97) and moderate to excellent ICC (0.77-0.93). For 18 individual items, κ indicated poor to good agreement (κ between 0.28 and 0.66).

Conclusions: After the suggested minor adjustments, the Arabic CHEQ will be comprehensible, culturally relevant and reliable for assessing children with unilateral hand dysfunction in Jordan.

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阿拉伯语版儿童用手体验问卷(CHEQ)的跨文化适应性和可靠性。
背景:经过验证的结果测量对于残疾儿童的评估和治疗至关重要。儿童手部使用体验问卷(CHEQ)是西方国家针对单侧手部功能障碍儿童开发和验证的。本研究旨在对阿拉伯语 CHEQ 进行跨文化改编并调查其可靠性:翻译和跨文化改编分四个阶段进行:(i) 根据来自约旦的家长和发育正常儿童的反馈进行正向翻译和调和(n = 14);(ii) 反向翻译和审查;(iii) 与单侧手部功能障碍的家长和/或其子女进行认知汇报(n = 17);(iv) 审查和校对。共有 161 名约旦儿童(平均年龄 [SD] 10 岁 8 m [5 岁 8 m];88 名男性)参与了心理测量分析。内部一致性采用 Cronbach's alpha 进行评估。使用类内相关系数(ICC)和加权卡帕(κ)评估了 39 名儿童的重测可靠性:为适应不同的阿拉伯语方言,增加了四个单词的同义词。平均而言,93% 的单侧手部功能障碍儿童及其家长能够理解 CHEQ 的项目。70%的受访者不清楚开头问题中的一个备选答案 "寻求帮助",需要进一步解释。关于使用刀叉的两个项目难以理解,而且与文化背景无关。问卷的内部一致性较高(Cronbach's alphas 0.94-0.97),ICC(0.77-0.93)为中上水平。对于 18 个单项,κ 显示了较差到良好的一致性(κ 在 0.28 到 0.66 之间):经过建议的小幅调整后,阿拉伯语 CHEQ 在评估约旦单侧手部功能障碍儿童时将具有可理解性、文化相关性和可靠性。
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