Cross-cultural Adaptation of the Victorian Institute of Sport Assessment-Achilles (VISA-A) Questionnaire for Spanish Athletes With Achilles Tendinopathy

Hernández-Sánchez, Sergio; Poveda-Pagán, E.J.; Alakhdar-Mohmara, Yasser; Hidalgo, María Dolores; Fernández‐de‐las‐Peñas, César; Arias-Buría, José Luis

doi:10.2519/jospt.2018.7402

Cited by 19 publications

(31 citation statements)

References 36 publications

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“…In contrast with our results, other studies have found VISA-A to be valid and reliable [27]. However, a closer review of those reports reveals that the validation methods closely mirror those used in the original paper [28,29], which means they fail to satisfy the basic constraints of content validity and the psychometric measurement properties. There are two notable exceptions.…”

Section: Plos Onecontrasting

confidence: 95%

“…One group [30] found a found a 2-factor structure for items 1-6 and 7-8 using exploratory factor analysis, but with only 51 patients, and the fact that confirmatory tests were never performed, the results cannot be considered robust (although they somewhat agree with our findings). A more recent study concluded that a 1-factor solution was viable using CFA [29]. However, the analysis was based on data from just 70 patients, and the study unfortunately did not assess measurement invariance (DIF).…”

Section: Plos Onementioning

confidence: 99%

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Assessment of content validity and psychometric properties of VISA-A for Achilles tendinopathy

et al. 2021

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A recent COSMIN review found that the Victorian Institute of Sports Assessment–Achilles tendinopathy questionnaire (VISA-A) has flawed construct validity. The objective of the current study was to assess specifically the process of how VISA-A was constructed and validated, and whether the Danish version of VISA-A is a valid patient-reported outcome measure (PROM) for measuring the perceived impact of Achilles tendinopathy. The original item generation strategy for content validity and the process for confirming the scaling properties (construct validity) were examined. In addition, construct validity was evaluated directly using several psychometric methods (Rasch analysis, confirmatory factor analysis (CFA), and multivariable linear regression) in a cohort of 318 persons with Achilles tendinopathy with symptom duration groups ranging from less than 3 months to more than 1 year of chronicity, and a group of 120 healthy persons. We found that the item generation and item reduction in the original construction of VISA-A was based on literature review and clinician consensus with little or no patient involvement. We determined that 1) VISA-A consists of ambiguous conceptual item themes and thus lacks content validity, 2) there was no thorough investigation of the psychometric properties of the original version of VISA-A, which thus lacks construct validity, and 3) rigorous direct assessment of the psychometric properties of the Danish VISA-A revealed inadequate psychometric properties. In agreement with the COSMIN study, we conclude that when used as a single score, VISA-A is not an adequate scale for measuring self-reported impact of Achilles tendinopathy.

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Section: Plos Onecontrasting

confidence: 95%

Section: Plos Onementioning

confidence: 99%

Assessment of content validity and psychometric properties of VISA-A for Achilles tendinopathy

et al. 2021

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“…We calculated SEM for 'Combined', 'Healthy' and 'Injured' groups, with similar results across the groups. SEM for DFOS-Sp was slightly lower than that reported for the English-DFOS [10] and are lower than reported values for other orthopaedic outcomes tools [40][41][42].…”

Section: Discussioncontrasting

confidence: 74%

Cross-Cultural Adaptation of the Dance Functional Outcome Survey (DFOS) for Spanish Dancers

De-la-Cruz-Torres

Barrera‐García‐Martín

Romero‐Morales

et al. 2020

Diagnostics

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A growing number of research papers regarding Spanish-speaking dancers justifies the need for an adapted Spanish version of the Dance Functional Outcome Survey (DFOS). The objective of this study was to cross-culturally adapt and validate the DFOS for Spanish-speaking dancers. A sample of 127 healthy and injured professional and pre-professional dancers were recruited. Test-retest reliability of DFOS-Sp was examined using intraclass correlation coefficients. Construct validity compared DFOS-Sp to the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) using Pearson correlations. Principal component analysis identified factors and internal-item consistency. Sensitivity was evaluated by generating receiver operating characteristic and area under the curve analyses. A subgroup of 51 injured dancers were followed across three time-points to examine responsiveness using repeated measures analysis of variance. Injured scores were analyzed for floor and ceiling effects. The DFOS-Sp showed high test-retest reliability (ICC2,1 ≥ 0.92). DFOS-Sp scores had moderate construct validity compared with SF-36 physical component summary scores (r ≥ 0.56). Principal component analysis (PCA) supported uni-dimensionality explaining 58% of the variance with high internal consistency (α = 0.91).Area under the curve (AUC) sensitivity values were excellent (AUC ≥ 0.82). There were significant differences across time (p < 0.001), demonstrating responsiveness to change, with no floor or ceiling effects. The DFOS-Sp demonstrated acceptable test-retest reliability and validity in Spanish-speaking dancers, with comparable psychometric performance to the English-language version.

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“…The difference of comparative fit index values was < 0.01 [9], indicating that VISA-P scores are comparable between men and women. However, examination [18] VISA-A D D Kaux et al [33] VISA-A D De Mesquita et al [16] VISA-A D Hernandez-Sanchez et al [28] VISA-A D Beaudart et al [3] VISA-G D Jorgensen et al [31] VISA-H D Locquet et al [40] VISA-H D Hernandez-Sanchez et al [26] VISA-P D Lohrer et al [42] VISA-P I Korakakis et al [36] VISA-P D Acharya et al [1] VISA-P D of measurement invariance was performed in a model that did not met the requirements of sufficient unidimensionality [10,64]. Low-quality evidence (very serious risk of bias) indicates sufficient measurement invariance between sexes for VISA-P.…”

Section: Quality and Results Of Studies Evaluating Cross-cultural Validity/measurement Invariancementioning

confidence: 99%

Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I

Korakakis

Kotsifaki

Stefanakis

et al. 2021

Knee Surg Sports Traumatol Arthrosc

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Purpose The Victorian Institute of Sport Assessment (Achilles tendon—VISA-A, greater trochanteric pain syndrome—VISA-G, proximal hamstring tendinopathy—VISA-H, patellar tendon—VISA-P) questionnaires are widely used in research and clinical practice; however, no systematic reviews have formally evaluated their content, structural, and cross-cultural validity evidence. The measurement properties referring to content, structural and cross-cultural validity of the VISA questionnaires were appraised and synthesized. Methods The systematic review was conducted according to Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology. PubMed, Cochrane, CINAHL, EMBASE, Web of Science, SportsDiscus, grey literature, and reference lists were searched. Development studies and cross-cultural adaptations (12 languages) assessing content or structural validity of the VISA questionnaires were included and two reviewers assessed their methodological quality. Evidence for content (relevance, comprehensiveness, and comprehensibility), structural, and cross-cultural validity was synthesized. A modified Grading of Recommendations Assessment Development and Evaluation (GRADE) approach was applied to evidence synthesis. Results The VISA-A presented very-low-quality evidence of sufficient relevance, insufficient comprehensiveness, and inconsistent comprehensibility. VISA-G displayed moderate-quality evidence for sufficient comprehensibility and very-low-quality evidence of sufficient relevance and comprehensiveness. The VISA-P presented very-low-quality evidence of sufficient relevance, insufficient comprehensiveness, and inconsistent comprehensibility, while VISA-H presented very-low evidence of insufficient content validity. VISA-A displayed low-quality evidence for structural validity concerning unidimensionality and internal structure, while VISA-H presented low-quality evidence of insufficient unidimensionality. The structural validity of VISA-G and VISA-P were indeterminate and inconsistent, respectively. Internal consistency for VISA-G, VISA-H, and VISA-P was indeterminate. No studies evaluated cross-cultural validity, while measurement invariance across sexes was assessed in one study. Conclusions Only very-low-quality evidence exists for the content and structural validity of VISA questionnaires when assessing the severity of symptoms and disability in patients with lower limb tendinopathies. Level of evidence IV. Registration PROSPERO reference—CRD42019126595.

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Cross-cultural Adaptation of the Victorian Institute of Sport Assessment-Achilles (VISA-A) Questionnaire for Spanish Athletes With Achilles Tendinopathy

Cited by 19 publications

References 36 publications

Assessment of content validity and psychometric properties of VISA-A for Achilles tendinopathy

Assessment of content validity and psychometric properties of VISA-A for Achilles tendinopathy

Cross-Cultural Adaptation of the Dance Functional Outcome Survey (DFOS) for Spanish Dancers

Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I

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