Cross-Cultural Adaptation, Validation, and Reliability Process of the Michigan Hand Outcomes Questionnaire in a Turkish Population
Purpose The Michigan Hand Outcomes Questionnaire (MHQ) is a domain-specific questionnaire that was developed to be used as a standardized instrument capable of measuring outcomes for patients with all types of hand disorders. The purpose of this study was to develop the Turkish version of the MHQ an...
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| Published in: | The Journal of hand surgery (American ed.) Vol. 36; no. 3; pp. 486 - 492 |
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01-03-2011
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| Abstract | Purpose The Michigan Hand Outcomes Questionnaire (MHQ) is a domain-specific questionnaire that was developed to be used as a standardized instrument capable of measuring outcomes for patients with all types of hand disorders. The purpose of this study was to develop the Turkish version of the MHQ and to examine whether it is a valid and reliable tool for assessing the outcomes in hand disorders. Methods Translation and back-translation of the MHQ were performed, according to published guidelines. A total of 70 patients with hand complaints completed the final version of the MHQ and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire Turkish version (DASH-T) twice, on their first visit and after an interval of 7 days. Visual analog scale (VAS) results for pain intensity and grip strength measurements of the individuals were also taken in both assessments consecutively. Results Translation and back-translation revealed no major difficulties. The Turkish version of the MHQ met set criteria of reliability and validity. The intraclass correlation coefficient of the test–retest reliability for the 6 subscales ranged from 0.79 to 0.96. The internal consistency of the MHQ, estimated by Cronbach's alpha, ranged from 0.85 to 0.96 for all subscale scores. There were high to moderate correlations between MHQ and DASH scores and VAS and grip strength scores of the injured side. Conclusions The Turkish version of the MHQ has excellent test–retest reliability and validity, and it is an adequate and useful instrument for measuring functional disability in hand disorders of Turkish-speaking patients. |
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| AbstractList | PURPOSEThe Michigan Hand Outcomes Questionnaire (MHQ) is a domain-specific questionnaire that was developed to be used as a standardized instrument capable of measuring outcomes for patients with all types of hand disorders. The purpose of this study was to develop the Turkish version of the MHQ and to examine whether it is a valid and reliable tool for assessing the outcomes in hand disorders.METHODSTranslation and back-translation of the MHQ were performed, according to published guidelines. A total of 70 patients with hand complaints completed the final version of the MHQ and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire Turkish version (DASH-T) twice, on their first visit and after an interval of 7 days. Visual analog scale (VAS) results for pain intensity and grip strength measurements of the individuals were also taken in both assessments consecutively.RESULTSTranslation and back-translation revealed no major difficulties. The Turkish version of the MHQ met set criteria of reliability and validity. The intraclass correlation coefficient of the test-retest reliability for the 6 subscales ranged from 0.79 to 0.96. The internal consistency of the MHQ, estimated by Cronbach's alpha, ranged from 0.85 to 0.96 for all subscale scores. There were high to moderate correlations between MHQ and DASH scores and VAS and grip strength scores of the injured side.CONCLUSIONSThe Turkish version of the MHQ has excellent test-retest reliability and validity, and it is an adequate and useful instrument for measuring functional disability in hand disorders of Turkish-speaking patients. Purpose The Michigan Hand Outcomes Questionnaire (MHQ) is a domain-specific questionnaire that was developed to be used as a standardized instrument capable of measuring outcomes for patients with all types of hand disorders. The purpose of this study was to develop the Turkish version of the MHQ and to examine whether it is a valid and reliable tool for assessing the outcomes in hand disorders. Methods Translation and back-translation of the MHQ were performed, according to published guidelines. A total of 70 patients with hand complaints completed the final version of the MHQ and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire Turkish version (DASH-T) twice, on their first visit and after an interval of 7 days. Visual analog scale (VAS) results for pain intensity and grip strength measurements of the individuals were also taken in both assessments consecutively. Results Translation and back-translation revealed no major difficulties. The Turkish version of the MHQ met set criteria of reliability and validity. The intraclass correlation coefficient of the test–retest reliability for the 6 subscales ranged from 0.79 to 0.96. The internal consistency of the MHQ, estimated by Cronbach's alpha, ranged from 0.85 to 0.96 for all subscale scores. There were high to moderate correlations between MHQ and DASH scores and VAS and grip strength scores of the injured side. Conclusions The Turkish version of the MHQ has excellent test–retest reliability and validity, and it is an adequate and useful instrument for measuring functional disability in hand disorders of Turkish-speaking patients. The Michigan Hand Outcomes Questionnaire (MHQ) is a domain-specific questionnaire that was developed to be used as a standardized instrument capable of measuring outcomes for patients with all types of hand disorders. The purpose of this study was to develop the Turkish version of the MHQ and to examine whether it is a valid and reliable tool for assessing the outcomes in hand disorders. Translation and back-translation of the MHQ were performed, according to published guidelines. A total of 70 patients with hand complaints completed the final version of the MHQ and the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire Turkish version (DASH-T) twice, on their first visit and after an interval of 7 days. Visual analog scale (VAS) results for pain intensity and grip strength measurements of the individuals were also taken in both assessments consecutively. Translation and back-translation revealed no major difficulties. The Turkish version of the MHQ met set criteria of reliability and validity. The intraclass correlation coefficient of the test-retest reliability for the 6 subscales ranged from 0.79 to 0.96. The internal consistency of the MHQ, estimated by Cronbach's alpha, ranged from 0.85 to 0.96 for all subscale scores. There were high to moderate correlations between MHQ and DASH scores and VAS and grip strength scores of the injured side. The Turkish version of the MHQ has excellent test-retest reliability and validity, and it is an adequate and useful instrument for measuring functional disability in hand disorders of Turkish-speaking patients. |
| Author | Akel, Burcu Semin, PtPhD Öksüz, Çigdem, PtPhD Hayran, K. Mutlu, MD, PhD Oskay, Deran, PtPhD Leblebicioğlu, Gursel, MD, PhD |
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| Cites_doi | 10.1016/S0894-1130(01)80035-1 10.1017/S0266462300008710 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L 10.1097/00007632-200012150-00014 10.1097/00007632-199409151-00003 10.1016/j.apmr.2008.06.024 10.1016/j.jhsa.2006.10.010 10.1016/j.jhsa.2006.10.003 10.1053/jhsu.2002.33706 10.1016/j.jhsb.2006.10.001 10.1177/175899830300800204 10.1016/j.jclinepi.2006.03.012 10.1016/S0363-5023(98)80042-7 10.1197/j.jht.2004.10.010 10.1016/j.apmr.2007.10.033 10.1097/01.PRS.0000057970.87632.7e 10.1016/j.jht.2008.11.003 10.1016/j.jht.2008.11.005 |
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| Keywords | Michigan Hand Outcomes Questionnaire Turkish version Cross-cultural adaptation outcome measures Prognosis Questionnaire Orthopedics Reliability Hand Adaptation |
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| SubjectTerms | Adult Biological and medical sciences Cross-Cultural Comparison Diseases of the osteoarticular system Female Hand Injuries - ethnology Hand Injuries - physiopathology Hand Injuries - surgery Humans Language Male Medical sciences Michigan Middle Aged Orthopedics Outcome Assessment (Health Care) Predictive Value of Tests Recovery of Function - physiology Reproducibility of Results Surveys and Questionnaires Turkey Young Adult |
| Title | Cross-Cultural Adaptation, Validation, and Reliability Process of the Michigan Hand Outcomes Questionnaire in a Turkish Population |
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