Cross-cultural Adaptation and Validation of the Korean Version of the Michigan Hand Questionnaire
Cross-cultural Adaptation and Validation of the Korean Version of the Michigan Hand Questionnaire
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DOI：
10.1016/j.jhsa.2011.06.006
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发表时间：
2011-09-01
影响因子：
1.9
通讯作者：
Gong, Hyun Sik
中科院分区：
文献类型：
--
作者：
Rob, Young Hak;Yang, Bo Kyu;Gong, Hyun Sik
密歇根手问卷（MHQ）在一些西方和亚洲国家被越来越多地使用，并被跨文化改编，但MHQ的亚洲翻译的验证过程尚未得到很好的描述。在本研究中，我们跨文化翻译和改编了原始的MHQ，并制作了韩文版本的MHQ，然后评估了韩文版本的效度和信度。方法对176例常见手障碍患者进行韩文MHQ问卷调查和手、肩、臂残疾问卷调查。在验证过程中，我们采用视觉模拟量表评估活动时的疼痛评分、运动范围、握力测量和使用Cooney量表对功能状态的主观评估。结果MHQ正反译过程中没有出现重大的语言和文化问题，除了饮食文化差异引起的小变化，如惯用手使用勺子和筷子而不是双手使用刀叉。MHQ各分量表均表现出满意的内部一致性。重复性试验无显著性差异。建构效度显示韩国MHQ对DASH残疾和症状的各分量表之间存在中强相关。审美域和满意域是MHQ的独特域，与疼痛视觉模拟量表、握力、运动和主观功能状态的客观测量几乎没有相关性。结论韩文MHQ量表具有良好的内部一致性、重测信度和效度，且与以患者为基础的上肢问卷和临床评估具有显著的相关性。我们发现该仪器的应用和评估在韩国患者中是可行和可理解的。[J] .中华手外科杂志；2011;36(1):1497-1503。2011年美国手部外科学会版权所有。版权所有。)研究类型/证据水平
Purpose The Michigan hand questionnaire (MHQ) is increasingly being used and has been adapted cross-culturally in some Western and Asian countries, but the validation process for an Asian translation of MHQ has not been well described. In this study, we translated and adapted the original MHQ cross-culturally to produce a Korean version, and then assessed the validity and reliability of the Korean version of the MHQ.Methods A total of 176 patients with common hand disorders completed the Korean version of the MHQ and the Disabilities of the Arm, Shoulder, and Hand questionnaire. We included the pain score assessed by a visual analog scale during activity, range of motion, measurement of grip strength, and subjective assessment of the functional state by use of Cooney's scale in the validation process.Results There were no major linguistic or cultural problems during forward and backward translations of the MHQ, except for a minor change owing to cultural discrepancies in eating, such as the dominant hand using a spoon and chopsticks instead of both hands using a knife and fork. All subscales of the MHQ showed satisfactory internal consistency. The reproducibility test showed no significant difference. The construct validity revealed a moderate to strong correlation between every subscale of the Korean MHQ against DASH disabilities and symptoms. The aesthetic and satisfaction domains, unique domains of the MHQ, had little correlation with the objective measure of the pain visual analog scale, grip strength, motion and subjective functional state.Conclusions The Korean version of MHQ showed satisfactory internal consistency, test-retest reliability, and validity and demonstrated a significant correlation with the patient-based upper extremity questionnaire and clinical assessment. We found the application and evaluation of the instrument to be feasible and understandable among patients in Korea. (J Hand Surg 2011;36A:1497-1503. Copyright (C) 2011 by the American Society for Surgery of the Hand. All rights reserved.)Type of study/level of evidence Diagnostic IV.