Cross-Cultural Adaptation, Validation, and Reliability of the Michigan Hand Outcomes Questionnaire Among Persian Population

Ebrahimzadeh, Mohammad Ali; Birjandinejad, Ali; Kachooei, Amir Reza

doi:10.1142/s0218810415500033

Cited by 16 publications

(14 citation statements)

References 15 publications

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“…The ICC of the total score of the MHQ-Thai version showed excellent test-retest reliability for patients with hand injuries. The ICC for each domain was also good to excellent, which was a similar result to the original MHQ and the other translated MHQs [5, 16, 18, 19, 21, 22]. This indicated that the domains in the MHQ-Thai version were highly reliable in repeated testing and were stable over time.…”

Section: Discussionsupporting

confidence: 71%

“…An instrument achieves reliability if it produces consistent, reproducible results on repeated administration [17]. The MHQ-Thai version revealed high internal consistency, which was in line with the original MHQ and the MHQs in other languages [5, 16, 18, 19]. Various translations still retained similarly high Cronbach's alpha coefficient even after cross-cultural adaptation.…”

Section: Discussionmentioning

confidence: 56%

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Cross-Cultural Adaptation, Validity, and Reliability of the Patient-Rated Michigan Hand Outcomes Questionnaire for Thai Patients

Dhippayom

Trevittaya

Cheng

2018

Occupational Therapy International

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Introduction The Michigan Hand Outcomes Questionnaire (MHQ) is a patient-rated hand outcome instrument. It is widely used in orthopedic and neurological conditions of the hands and upper limbs. To gain more knowledge on hand outcomes from a Thai patient perspective, an MHQ-Thai version is required. Purpose of the Study The study is aimed at translating and cross-culturally adapting the MHQ into Thai and at examining the validity and reliability of the translated version. Methods The Beaton protocol for cross-cultural adaptation of self-reported measures was used in the translation process. Three occupational therapists were asked to assess content validity while 30 participants were asked to fill in the questionnaire in order to assess construct validity, internal consistency, and test-retest reliability. Results All six domains of the MHQ were translated into Thai without any major problems. However, items related to the characteristics of the patients were adapted to suit the Thai context. The MHQ-Thai version had good content validity (IOC 0.972). The construct validity revealed a low-to-high correlation between every subscale of the MHQ-Thai version. The intraclass correlation coefficient (ICC) of the test-retest reliability for the six domains ranged from 0.788 to 0.956, with excellent correlation (ICC = 0.953) for the total score. Cronbach's alpha was 0.835 for the total score of the MHQ-Thai version, indicating good internal consistency. Discussion and Conclusions MHQ was successfully cross-culturally adapted into Thai. The MHQ-Thai version is a valid and reliable instrument for evaluating the self-perception of Thai people who have hand and upper limb injuries.

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Section: Discussionsupporting

confidence: 71%

Section: Discussionmentioning

confidence: 56%

Cross-Cultural Adaptation, Validity, and Reliability of the Patient-Rated Michigan Hand Outcomes Questionnaire for Thai Patients

Dhippayom

Trevittaya

Cheng

2018

Occupational Therapy International

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“…This implies that measurements of capacity such as grip and key pinch forces only partially reflect the disability patients suffer, as the maximal capacity is rarely needed in normal daily activities. Compared with other language versions of the MHQ, the correlations we found were slightly stronger (10)(11)(12)(13)(14). Four MHQ subscales had a strong correlation with the DASH score, with the ADls subscale having the strongest correlation.…”

Section: Discussioncontrasting

confidence: 52%

Cross-Cultural Adaptation and Validation of the Finnish Version of the Michigan Hand Outcomes Questionnaire

et al. 2018

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Background and Aims: Michigan Hand Outcomes Questionnaire is a widely used patient-reported outcome measure in hand surgery. The aim of this study was to translate and validate the Michigan Hand Outcomes Questionnaire into Finnish for Finnish patients with hand problems following international standards and guidelines. Material and Methods: The original English Michigan Hand Outcomes Questionnaire was translated into Finnish. Altogether, 115 patients completed the Finnish Michigan Hand Outcomes Questionnaire, and reference outcomes: Disabilities of the Arm and Shoulder, EQ-5D 3L and pain intensity on a visual analog scale. Grip and key pinch forces were measured. After 1–2 weeks, 63 patients completed the Finnish Michigan Hand Outcomes Questionnaire the second time. The Michigan Hand Outcomes Questionnaire was analyzed for internal consistency, repeatability, correlations with the reference outcomes, and factor analysis. Results: Cronbach’s alpha ranged from 0.90 to 0.97 in all the Michigan Hand Outcomes Questionnaire subscales, showing high internal consistency. The intraclass correlation coefficient showed good to excellent test–retest reliability ranging from 0.66 to 0.91 in all the Michigan Hand Outcomes Questionnaire subscales. In factor analysis, the structure with six subscales was not confirmed. All the subscales correlated with Disabilities of the Arm and Shoulder score, and five subscales correlated with EQ-5D index. Conclusion: The Finnish version of the Michigan Hand Outcomes Questionnaire showed similar properties compared to the original English version and thus can be used as patient-reported outcome measure for Finnish patients with hand problems.

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“…Furthermore, this tool has been proven to be valid and has demonstrated a high standardized response mean (SRM) in many types of hand/wrist injuries and disorders [10,14,[18][19][20][21][22]. The MHQ has been translated and cross-culturally adapted into many languages including Turkish [23], Brazilian [24], Korean [25], Japanese [26], German [27], Persian [28], Polish [29], French [30], Finnish [31] and Thai [32].…”

Section: Introductionmentioning

confidence: 99%

A Thai version of the Michigan hand questionnaire (Thai MHQ): an investigation of the psychometric properties

Atthakomol

Manosroi

Sanguanrungsirikul

et al. 2020

Health Qual Life Outcomes

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Background The Michigan Hand Questionnaire (MHQ) is widely used to assess the hand/wrist conditions. We translated the original version into Thai (Thai MHQ) and evaluated its psychometric properties. Methods After receiving permission, the original MHQ was translated and cross-culturally adapted to Thai following standard guidelines. Two hundred and seventeen patients who had hand/wrist injuries or disorders were included in the study. Internal consistency was evaluated using Cronbach’s alpha. Test-retest reliability was analyzed using the intraclass correlation coefficient (ICC). Spearman’s rank correlation among the subscales of Thai MHQ, Thai DASH and Thai EQ-5D-5L and also confirmatory factor analysis (CFA) were used to explore construct validity. The standardized response mean (SRM) was used to evaluate the responsiveness of the Thai MHQ. Results All subscales showed an acceptable Cronbach’s alpha (0.79–0.98). The test-retest reliability of each subscale was good (ICC = 0.83–0.95). In related dimensions, strong correlation was demonstrated between the Activities of daily living subscale of the Thai MHQ and the Common activities subscale in the Thai DASH (r = 0.77, P < 0.0001). For unrelated dimensions, a weak correlation was found between the Aesthetics subscale in the Thai MHQ and the Mobility subscale in the Thai EQ-5D-5L (r = − 0.13, P = 0.05). The Thai MHQ had strong correlation with Thai DASH (r = − 0.79, P < 0.0001) and Thai EQ-5D-5L (r = 0.63, P < 0.0001). CFA showed that the 6-factor model demonstrated an acceptable fit to the data. The SRM of the Thai MHQ was 0.78, indicating relatively large responsiveness. The MIC of Thai MHQ using distribution methods (SEM) was 5.2. Conclusions The Thai MHQ provides adequate internal consistency in all subscales as well as good construct validity and reliability for Thai patients and a relatively large standardized response mean at 2 months after treatment.

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Cross-Cultural Adaptation, Validation, and Reliability of the Michigan Hand Outcomes Questionnaire Among Persian Population

Cited by 16 publications

References 15 publications

Cross-Cultural Adaptation, Validity, and Reliability of the Patient-Rated Michigan Hand Outcomes Questionnaire for Thai Patients

Cross-Cultural Adaptation, Validity, and Reliability of the Patient-Rated Michigan Hand Outcomes Questionnaire for Thai Patients

Cross-Cultural Adaptation and Validation of the Finnish Version of the Michigan Hand Outcomes Questionnaire

A Thai version of the Michigan hand questionnaire (Thai MHQ): an investigation of the psychometric properties

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