Reliability, validity, and cross-cultural adaptation study of the Turkish version of the Patient-Rated Wrist/Hand Evaluation questionnaire

Abstract

The aim of this study was to cross-culturally adapt the Turkish version of the Patient-Rated Wrist/Hand Evaluation (T-PRWHE) questionnaire for use in the Turkish patient population. Moreover, we aimed to evaluate the reliability and validity of the T-PRWHE questionnaire. Materials and methods: A total of 166 patients with hand and wrist problems were included in the study. They completed the T-PRWHE, the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire, and the 36-Item Short-Form Health Survey (SF-36) at baseline and at the 3rd month of the study. Reliability was evaluated by analyzing internal consistency (Cronbach alpha coefficient) and testretest reliability (intraclass correlation coefficient). To analyze validity, factor analysis of the T-PRWHE and correlation coefficients between the T-PRWHE, DASH, and SF-36 were obtained. Results: Reliability of the T-PRWHE in terms of internal consistency (Cronbach alpha coefficients for T-PRWHE were found to be 0.85) was excellent. Intraclass correlation coefficients were over 0.90. The T-PRWHE has three factors and the correlations between the T-PRWHE and DASH and SF-36 were statistically significant. Conclusion: Based on the results obtained, the Turkish version of the PRWHE questionnaire was found to be a valid and reliable scale and it is recommended for the evaluation of patient-based pain and disability level in routine clinical practice.

Validation of Persian Version of Patient-Rated Wrist and Hand Evaluation: Confirmatory Factor Analysis and Rasch Analysis

“…Our findings of a 3-factor structure have been reported in other versions, including the English, 11 Turkish, 9 and Dutch 8 versions. Despite the agreement regarding a 3-factor structure, it may be difficult to convince researchers to avoid the use of a single score in statistical analyses in which 1 outcome score is often preferable.…”

“…Establishing construct validity is an essential part of instrument validation, especially in intercultural research, when an outcome measure intends to measure the same construct across different cultures. There are 3 studies that have addressed the factor structure of the PRWE/PRHWE 7 , 8 , 9 using factor analysis (FA). Typically, when patient-reported outcome measures are translated cross-culturally, reliability and validity are reexamined in the new context and language, but the factor structure is rarely reexamined.…”

“…Typically, when patient-reported outcome measures are translated cross-culturally, reliability and validity are reexamined in the new context and language, but the factor structure is rarely reexamined. This work is often completed in a separate study, such as the factor analyses reported for the PRWE in Turkish, 9 Chinese, 7 and Dutch. 8 The Turkish and Dutch versions suggested a 3-factor solution in PRWE, whereas the Chinese version reported a 2-factor structure in PRWHE.…”

Psychometric analysis of the questionnaires for the assessment of upper limbs available in their Italian version: a systematic review of the structural and psychometric characteristics

“…The reliability of the Italian HAMIS [ 76 ] is similar to that of the Brazilian version [ 77 ], while only the original English version was found for the HFDS [ 78 ] with a value similar to that of the Italian version [ 32 ]. The value of the Italian PRWHE [ 33 ] is similar to that of the Arabic, Dutch and Turkish versions [ 79 – 81 ], and higher than that of the Hindi version [ 82 ].…”

Cross-Cultural Adaptation and Validation of the Translated Patient-Rated Wrist Evaluation Score

“…The correlation between the PRWE-T and DASH were statistically significant. 22 Considering the considerable number of Spanish speakers in the world and Spanish-speaking citizens in non-Hispanic countries, there was an overwhelming need for a Spanish version of the PRWE with good measurement properties, similar to other non-English versions, to use it as a simple, brief, reliable, and valid clinical tool for injuries around the wrist. In 2015, Albanese et al published the Spanish translation and cross-cultural adaptation for Argentina.…”