German translation, cross-cultural adaptation and validation of the Musculoskeletal Health Questionnaire: a cohort study

Karstens, Sven; Christiansen, David Høyrup; Brinkmann, Melanie; Hahm, Magali Murielle; McCray, Gareth; Hill, Jonathan; Joos, Stefanie

doi:10.23736/s1973-9087.20.06054-2

Cited by 8 publications

(14 citation statements)

References 38 publications

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“…In total this was easily met and the lower number was also met for the different pain sites except for patients with shoulder complaints. Results for this subgroup should be considered preliminary and confirmed in future works, probably in a specifically tailored study, since these patients are most difficult to recruit [60]. The number of included high-risk patients, who are often seldom, even was comparably high, especially when considering the physiotherapeutic setting [17,72].…”

Section: Strength and Weaknessesmentioning

confidence: 81%

“…In practice, such a possibility for generic use makes clinical processes easier with one instrument fitting for a broader group of patients. The administrative burden can be reduced, since often patients present with complaints at several sites simultaneously [59,60]. Moreover, in future it might enable comparison of different patient-subgroups [61,62].…”

Section: Plos Onementioning

confidence: 99%

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Validation of the German version of the STarT-MSK-Tool: A cohort study with patients from physiotherapy clinics

Karstens

Zebisch²,

Wey

et al. 2022

PLoS ONE

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Background The STarT-MSK-Tool is an adaptation of the well established STarT-Back-Tool, used to risk-stratify patients with a wider range of musculoskeletal presentations. Objective To formally translate and cross-culturally adapt the Keele STarT-MSK risk stratification tool into German (STarT-MSKG) and to establish its reliability and validity. Methods A formal, multi-step, forward and backward translation approach was used. To assess validity patients aged ≥18 years, with acute, subacute or chronic musculoskeletal presentations in the lumbar spine, hip, knee, shoulder, or neck were included. The prospective cohort was used with initial data collected electronically at the point-of-consultation. Retest and 6-month follow-up questionnaires were sent by email. Test-retest reliability, construct validity, discriminative ability, predictive ability and floor or ceiling effects were analysed using intraclass correlation coefficient, and comparisons with a reference standard (Orebro-Musculoskeletal-Pain-Questionnaire: OMPQ) using correlations, ROC-curves and regression models. Results The participants’ (n = 287) mean age was 47 (SD = 15.8) years, 51% were female, with 48.8% at low, 43.6% at medium, and 7.7% at high risk. With ICC = 0.75 (95% CI 0.69; 0.81) test-retest-reliability was good. Construct validity was good with correlations for the STarT-MSKG-Tool against the OMPQ-Tool of rs = 0.74 (95% CI 0.68, 0.79). The ability of the tool [comparison OMPQ] to predict 6-month pain and disability was acceptable with AUC = 0.77 (95% CI 0.71, 0.83) [OMPQ = 0.74] and 0.76 (95% CI 0.69, 0.82) [OMPQ = 0.72] respectively. However, the explained variance (linear/logistic regression) for predicting 6-month pain (21% [OMPQ = 17%]/logistic = 29%) and disability (linear = 20%:[OMPQ = 19%]/logistic = 26%), whilst being comparable to the existing OMPQ reference standard, fell short of the a priori target of ≥30%. Conclusions The German version of the STarT-MSK-Tool is a valid instrument for use across multiple musculoskeletal conditions and is availabe for use in clinical practice. Comparison with the OMPQ suggests it is a good alternative.

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Section: Strength and Weaknessesmentioning

confidence: 81%

Section: Plos Onementioning

confidence: 99%

Validation of the German version of the STarT-MSK-Tool: A cohort study with patients from physiotherapy clinics

Karstens

Zebisch²,

Wey

et al. 2022

PLoS ONE

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“…Patient participant surveys will be provided in English, German, French and Italian, with patients having the ability to choose their preferred language for completion. Validated, translated versions of the patient reported outcome measures (PROMs) will be used when possible 32–39. If not available, translation of the PROMs by a native speaker will be performed.…”

Section: Methods and Analysismentioning

confidence: 99%

“…Validated, translated versions of the patient reported outcome measures (PROMs) will be used when possible. [32][33][34][35][36][37][38][39] If not available, translation of the PROMs by a native speaker will be performed. Table 2 outlines specific outcome measures and timing of data collection for the Swiss ChiCo pilot study.…”

Section: Data Collection Procedures and Variablesmentioning

confidence: 99%

Swiss chiropractic practice-based research network and musculoskeletal pain cohort pilot study: protocol of a nationwide resource to advance musculoskeletal health services research

et al. 2022

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IntroductionMusculoskeletal (MSK) pain conditions, a leading cause of global disability, are usually first managed in primary care settings such as medical, physiotherapy, and chiropractic community-based practices. While chiropractors often treat MSK conditions, there is limited real-world evidence on the topic of health service outcomes among patients receiving this type of care. A nationwide Swiss chiropractic practice-based research network (PBRN) and MSK pain patient cohort study will have potential to monitor the epidemiological trends of MSK pain conditions and contribute to healthcare quality improvement. The primary aims of this protocol are to (1) describe the development of an MSK-focused PBRN within the Swiss chiropractic setting, and (2) describe the methodology of the first nested study to be conducted within the PBRN—an observational prospective patient cohort pilot study.Methods and analysisThis initiative is conceptualised with two distinct phases. Phase I focuses on the development of the Swiss chiropractic PBRN, and will use a cross-sectional design to collect information from chiropractic clinicians nationwide. Phase II will recruit consecutive patients aged 18 years or older with MSK pain from community-based chiropractic practices participating in the PBRN into a prospective chiropractic cohort pilot study. All data collection will occur through electronic surveys offered in the three Swiss official languages (German, French, Italian) and English. Surveys will be provided to patients prior to their initial consultation in clinics, 1 hour after initial consultation, and at 2, 6 and 12 weeks after initial consultation.Ethics and disseminationEthics approval has been obtained from the independent research ethics committee of Canton Zurich (BASEC-Nr: 2021-01479). Informed consent will be obtained electronically from all participants. Findings will be reported to stakeholders after each study phase, presented at local and international conferences, and disseminated through peer-reviewed publications.Study pre-registrationPhase I—Swiss chiropractic PBRN (ClinicalTrials.gov identifier: NCT05046249); Phase 2—Swiss chiropractic cohort (Swiss ChiCo) pilot study (ClinicalTrials.gov identifier: NCT05116020).

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“…Das Problem der fehlenden und ungültigen Werte kann zukünf tig verringert werden, indem die Erhebung auf elektronische Fra gebögen umgestellt wird. Ungültige Antworten sind dabei nicht Der für den MSK-HQ definierte Bezugszeitraum wurde, den in der Klinik zu erwartenden kurzfristigen Änderungen des Zustands der Patienten entsprechend, von 14 auf 2 Tage reduziert [15]. Dies kann Einfluss auf die Messeigenschaften des Instruments nehmen.…”

Section: Auswertungsprozedereunclassified

Perioperativer Einsatz des WOMAC-, MSK-HQ- und STarT-MSK-Fragebogens bei endoprothetischem Eingriff im Bereich des Kniegelenks

Weishaar

Höhm

Licht

et al. 2021

MSK – Muskuloskelettale Physiotherapie

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ZusammenfassungDie Implantation einer Knie-Endoprothese ist eine der häufigsten Operationen in deutschen Krankenhäusern. Um den Prozess zu dokumentieren, sollten u. a. die Alltagsbeeinträchtigung und die spezifische, auf den Bewegungsapparat bezogene Lebensqualität der Patienten erhoben werden. Ziel der Analyse war es, die Praktikabilität der Fragebögen STarT-MSK, WOMAC und MSK-HQ anhand einer Pilotstudie im Design einer einarmigen Kohortenstudie im perioperativen Einsatz zu prüfen. Eingeschlossen wurden Patienten ≥ 18 Jahre alt, die eine Knie-Endoprothese erhalten sollten. Ausgeschlossen wurden Patienten, die nicht gehfähig waren, für die eine Wechselprothesen-Operation geplant war und die die Fragebögen aufgrund einer Sprachbarriere nicht bearbeiten konnten.Als Erhebungsinstrumente wurden die Fragebögen STarT-MSK, WOMAC und MSK-HQ ausgegeben. Die Erhebung erfolgte zu verschiedenen Zeitpunkten (prä-/postoperativ). Bestimmt wurde der Anteil fehlender Werte oder ungültiger Angaben nicht auswertbarer Fragebögen. Die Patienten waren im Mittel 70 ± 8,2 (SD) Jahre alt (6w, 9 m). Präoperativ konnten der MSK-HQ und der WOMAC zu 93 % bzw. 87 % ausgewertet werden, postoperativ zur Entlassung zu 39 % bzw. 15 %. Der STarT-MSK konnte präoperativ zu 60 % ausgewertet werden.Die Pilotierung der einzusetzenden Erhebungsinstrumente vor der Durchführung der Hauptstudie erwies sich als sehr wertvoll. Der MSK-HQ erfuhr postoperativ eine bessere Akzeptanz als der WOMAC und wird daher in der Hauptstudie als primäres Outcome eingesetzt werden. Die Anzahl fehlender Werte soll durch eine Umstellung auf eine elektronische Erhebung verringert werden.

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German translation, cross-cultural adaptation and validation of the Musculoskeletal Health Questionnaire: a cohort study

Cited by 8 publications

References 38 publications

Validation of the German version of the STarT-MSK-Tool: A cohort study with patients from physiotherapy clinics

Validation of the German version of the STarT-MSK-Tool: A cohort study with patients from physiotherapy clinics

Swiss chiropractic practice-based research network and musculoskeletal pain cohort pilot study: protocol of a nationwide resource to advance musculoskeletal health services research

Perioperativer Einsatz des WOMAC-, MSK-HQ- und STarT-MSK-Fragebogens bei endoprothetischem Eingriff im Bereich des Kniegelenks

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