Sven KARSTENS
German translation, cross-cultural adaptation and validation of the Musculoskeletal Health Questionnaire: cohort study.
KARSTENS, Sven; CHRISTIANSEN, David H.; BRINKMANN, Melanie; HAHM, Magali; McCRAY, Gareth; HILL, Jonathan C.; JOOS, Stefanie
Authors
David H. CHRISTIANSEN
Melanie BRINKMANN
Magali HAHM
Gareth McCray g.mccray@keele.ac.uk
Professor Jonathan Hill j.hill@keele.ac.uk
Stefanie JOOS
Abstract
BACKGROUND: The Musculoskeletal Health Questionnaire (MSK-HQ) was developed to measure the health status of patients with various musculoskeletal conditions across multiple settings including rehabilitation. AIM: Formal translation and cross-cultural adaptation of the MSK-HQ into German (MSK-HQG), to determine test-retest-reliability, standard error of measurement (SEM), smallest detectable change (SDC), construct validity, responsiveness, minimal important change (MIC), and to test for floor or ceiling effects. DESIGN: Cohort study with six weeks follow-up. SETTING: Seven physiotherapy clinics/rehabilitation centres. POPULATION: Patients with a referral for physiotherapy indicating musculoskeletal complaints of the spine or extremities. METHODS: Translation and cross-cultural adaptation were carried out in accordance with guidelines provided by the developers. As reference standards we used pain intensity (0-10 numeric rating scale), quality of life (EQ5D-5L) and disability measures (RMDQ, NDI, WOMAC and SPADI) that were combined using z-scores. RESULTS: On 100 patients (age 44.8±13.4 years, 66% female) the test-retest-reliability intraclass correlation coefficient was 0.87 (95% CI 0.72; 0.93) and for construct validity correlation with the combined disability measure was rs = -0.81 (95% CI -0.88, -0.72), the SEM was 3.4, the SDC (individual) 9.4, and the MIC 8.5. CONCLUSIONS: Overall, the study provides evidence for good reliability and validity for the MSK-HQG. Further studies in different settings and diagnostic subgroups should follow to better understand the psychometric properties of this measure in primary care, rehabilitation and specialist care settings. CLINICAL REHABILITATION IMPACT: The results demonstrate that the MSK-HQG has sufficient psychometric properties for use in musculoskeletal research and practice. However, the SDC should be kept in mind when using the tool for individual patients. The MSK-HQG has the advantage of being a single instrument that can measure musculoskeletal health status across different pain sites, reducing the burden from the use of multiple tools.
Journal Article Type | Article |
---|---|
Acceptance Date | Sep 25, 2020 |
Online Publication Date | Sep 25, 2020 |
Publication Date | Sep 25, 2020 |
Publicly Available Date | May 26, 2023 |
Journal | European Journal of Physical and Rehabilitation Medicine |
Print ISSN | 1973-9087 |
Publisher | Edizioni Minerva Medica |
Peer Reviewed | Peer Reviewed |
Volume | 56 |
Issue | 6 |
Pages | 771-779 |
DOI | https://doi.org/10.23736/S1973-9087.20.06054-2 |
Keywords | Patient reported outcome measures; Psychometrics; Musculoskeletal diseases |
Publisher URL | https://doi.org/10.23736/S1973-9087.20.06054-2 |
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