Alotaibi Naser M, Aljadi Sameera H, Alrowayeh Hesham N
a Occupational Therapy Department, Faculty of Allied Health Sciences , Kuwait University , Sulaibekhat , Kuwait ;
b Physical Therapy Department, Faculty of Allied Health Sciences , Kuwait University , Sulaibekhat , Kuwait.
Disabil Rehabil. 2016 Dec;38(25):2469-78. doi: 10.3109/09638288.2015.1136846. Epub 2016 Feb 9.
To investigate the psychometric properties (reliability, validity and responsiveness) of the DASH-Arabic in a cohort of Arabic patients presenting with various upper extremity conditions.
Participants were 139 patients with various upper extremity conditions, who completed the DASH-Arabic at the baseline, 2-5 days later and 30-36 days later. Participants completed demographic data forms, the SF-36 and VAS at baseline, and a Global Rating of Change scale at first and second follow-ups.
Cronbach's alpha of the DASH-Arabic was 0.94. Test-retest reliability was excellent with an ICC of 0.97. The SEM was 3.50 and the MDC95 was 9.28. Construct validity of the DASH-Arabic with the SF-36 subscales and VAS scores ranged from r -0.32 to -0.57, all statistically significant (p < 0.001). The effect size (ES) for the DASH-Arabic was 1.39 and its standard response mean was 1.51. The area under the curve was 0.82 (95% CI = 0.72-0.92, p < 0.001). The optimally efficient cutoff for an improvement was found to be a difference of 15 DASH points.
The DASH-Arabic is a reliable, valid and responsive upper extremity outcome measure for patients whose primary language is Arabic; it can be used to document patient status and outcomes and support evidence-based practice. Implications for Rehabilitation The DASH-Arabic demonstrated sound psychometric properties of reliability, validity and responsiveness. It is an effective patient status and outcome tool that will support evidence-based practice. This tool is recommended for evaluating upper extremity work-related injuries and tracking therapeutic outcomes.
在一群患有各种上肢疾病的阿拉伯患者中，研究阿拉伯语版上肢功能障碍评定量表（DASH-Arabic）的心理测量特性（信度、效度和反应度）。
139例患有各种上肢疾病的患者参与研究，他们在基线期、2至5天后以及30至36天后完成阿拉伯语版上肢功能障碍评定量表的测评。参与者在基线期填写人口统计学数据表格、简短健康调查问卷（SF-36）和视觉模拟评分量表（VAS），并在第一次和第二次随访时填写整体变化评定量表。
阿拉伯语版上肢功能障碍评定量表的克朗巴哈系数（Cronbach's alpha）为0.94。重测信度极佳，组内相关系数（ICC）为0.97。测量标准误（SEM）为3.50，95%最小可检测变化值（MDC95）为9.28。阿拉伯语版上肢功能障碍评定量表与简短健康调查问卷各分量表及视觉模拟评分量表得分的结构效度范围为r = -0.32至-0.57，均具有统计学意义（p < 0.001）。阿拉伯语版上肢功能障碍评定量表的效应量（ES）为1.39，其标准反应均值为1.51。曲线下面积为0.82（95%置信区间 = 0.72 - 0.92，p < 0.001）。发现改善的最佳有效临界值为阿拉伯语版上肢功能障碍评定量表得分相差15分。
阿拉伯语版上肢功能障碍评定量表对于以阿拉伯语为母语的患者而言，是一种可靠、有效且具有反应度的上肢结局测量工具；它可用于记录患者状况和结局，并支持循证实践。康复治疗的意义阿拉伯语版上肢功能障碍评定量表展现出了可靠、有效和具有反应度的良好心理测量特性。它是一种有效的患者状况和结局工具，将支持循证实践。推荐使用该工具评估上肢工伤并跟踪治疗效果。
