[针对患有Haglund病的德语区患者的VISA - A - G问卷的验证]
[Validation of the VISA-A-G questionnaire for German-speaking patients suffering from Haglund's disease].
作者信息
Lohrer H, Nauck T
机构信息
Sportmedizinisches Institut Frankfurt am Main.
出版信息
Sportverletz Sportschaden. 2010 Jun;24(2):98-106. doi: 10.1055/s-0029-1245409. Epub 2010 Jun 1.
BACKGROUND
The VISA-A questionnaire is currently the only valid, reliable, and disease specific patient administered questionnaire for research in Achilles tendinopathy. To perform multinational and multilingual investigations this instrument was already adapted to several languages. According to the "guidelines for the process of cross-cultural adaptation of self-report measures" we already translated and validated the VISA-A questionnaire for patients with Achilles tendinopathy.
AIM OF THE STUDY
To cross-culturally adapt and validate the VISA-A Questionnaire for German-speaking patients suffering from Haglund's disease.
METHODS
The VISA-A-G questionnaire was tested for reliability, validity, and internal consistency in 39 Haglund's disease patients and 79 asymptomatic persons. For concurrent validity the VISA-A-G was compared with the Curwin and Stanish tendon grading system and with the Percy and Conochie classification system for the effect of pain on athletic performance. VISA-A-G results in Haglund's disease were additionally compared with VISA-A-G results obtained from Achilles tendinopathy patients and with VISA-A results presented in the international literature.
RESULTS
ICC for the VISA-A-G questionnaire in conservatively treated Haglund's disease patients was 0.96. In asymptomatic students and joggers ICC was 0.97 and 0.60. When correlated with the grading system of Curwin and Stanish and with the Percy and Conochie classification rho was -0.95 and 0.94, respectively. Internal consistency (Cronbach's alpha) for the total VISA-A-G scores of the patients was calculated to be 0.87. Compared with VISA-A-G results obtained from Achilles tendinopathy patients there was no relevant difference discernible. Compared with VISA-A results presented in the original publication no difference was found statistically for students, healthy people, conservative, and preoperative patients, respectively.
CONCLUSIONS
This study confirms that the VISA-A-G is a valid and reliable measure for German-speaking patients suffering from Haglund's disease.
背景
VISA - A问卷是目前唯一用于跟腱病研究的、有效、可靠且针对特定疾病的患者自填式问卷。为开展跨国和多语言研究，该工具已被改编为多种语言。根据“自我报告测量工具的跨文化适应过程指南”，我们已经对跟腱病患者的VISA - A问卷进行了翻译和验证。
研究目的
对VISA - A问卷进行跨文化适应，并验证其在讲德语的患有Haglund病患者中的有效性。
方法
在39例Haglund病患者和79例无症状者中测试VISA - A - G问卷的信度、效度和内部一致性。为评估同时效度，将VISA - A - G与Curwin和Stanish肌腱分级系统以及Percy和Conochie疼痛对运动表现影响的分类系统进行比较。此外，还将Haglund病患者的VISA - A - G结果与跟腱病患者的VISA - A - G结果以及国际文献中呈现的VISA - A结果进行比较。
结果
保守治疗的Haglund病患者中VISA - A - G问卷的组内相关系数（ICC）为0.96。无症状学生和慢跑者的ICC分别为0.97和0.60。与Curwin和Stanish分级系统以及Percy和Conochie分类系统相关时，斯皮尔曼相关系数（rho）分别为 - 0.95和0.94。患者VISA - A - G总分的内部一致性（Cronbach's alpha）计算为0.87。与跟腱病患者的VISA - A - G结果相比，未发现明显差异。与原始出版物中呈现的VISA - A结果相比，学生、健康人、保守治疗患者和术前患者在统计学上均未发现差异。
结论
本研究证实VISA - A - G对于讲德语的患有Haglund病的患者是一种有效且可靠的测量工具。
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