Department of Physiotherapy Södertull, Primary Care, Gävle, Centre for Research & Development, Uppsala University/County Council of Gävleborg, Sweden.
Physiother Theory Pract. 2012 Apr;28(3):188-97. doi: 10.3109/09593985.2011.583174. Epub 2011 Aug 8.
The aims of the study were to 1) investigate the test-retest reliability, the internal consistency in instruments that measure behavioural factors and disability as well as to investigate convergent validity between the Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH) and the Patient-Rated Wrist Evaluation (PRWE), in patients with Colles' fracture; and 2) assess the relationship between the behavioural measures and the region-specific measures addressing the patient perceptions of impairment, functional loss, and disability. Two samples (sample 1 = 16; sample 2 = 16) of patients with the fracture immobilised in plaster cast were included. The participants answered the Patient-Rated Wrist Evaluation (PRWE), Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH), Tampa Scale of Kinesophobia (TSK), Catastrophizing Subscale (CAT) of the Coping Strategies Questionnaire (CSQ), and Self-Efficacy Scale (SES) twice. Test-retest reliability was satisfactory for all instruments. The internal consistency examined with Cronbach's alpha was between 0.68 and 0.97. Because acceptable to good test-retest reliability and internal consistency were demonstrated for the PRWE, DASH, TSK, CAT of the CSQ, and SES, they can be used to detect and monitor fear of movement/(re)injury, catastrophic cognitions, and self-efficacy in patients with radius fracture in the acute and subacute phase. Generally low to moderate correlations were found between behavioural and region-specific measures, indicating that there are two distinct concepts that are not interchangeable.
1）探讨测量行为因素和残疾的工具的重测信度、内部一致性以及探讨腕关节骨折患者的 Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH) 和 Patient-Rated Wrist Evaluation (PRWE) 之间的聚合效度；2）评估行为测量与针对患者感知损伤、功能丧失和残疾的区域特异性测量之间的关系。两个样本（样本 1=16；样本 2=16）的骨折患者均用石膏固定。参与者两次回答了 Patient-Rated Wrist Evaluation (PRWE)、Disabilities of the Arm, Shoulder, and Hand Outcome Questionnaire (DASH)、Tampa Scale of Kinesophobia (TSK)、Coping Strategies Questionnaire (CSQ) 的 Catastrophizing 亚量表 (CAT) 和 Self-Efficacy Scale (SES)。所有仪器的重测信度均令人满意。用 Cronbach's alpha 检验的内部一致性在 0.68 到 0.97 之间。由于 PRWE、DASH、TSK、CSQ 的 CAT 和 SES 均表现出可接受至良好的重测信度和内部一致性，因此它们可用于检测和监测急性和亚急性阶段桡骨骨折患者对运动/（再）受伤的恐惧、灾难性认知和自我效能。行为和区域特异性测量之间的相关性通常较低，表明存在两个不同的概念，不能互换。
