Kyrölä Kati, Järvenpää Salme, Ylinen Jari, Mecklin Jukka-Pekka, Repo Jussi Petteri, Häkkinen Arja
Department of Orthopaedics and Traumatology, Central Hospital of Central Finland, Jyväskylä, Finland.
Department of Physical Medicine and Rehabilitation, Central Hospital of Central Finland, Jyväskylä, Finland.
Spine (Phila Pa 1976). 2017 Jun 15;42(12):943-949. doi: 10.1097/BRS.0000000000001938.
A prospective clinical study to test and adapt a Finnish version of the Scoliosis Research Society 30 (SRS-30) questionnaire.
The aim of this study was to perform cross-cultural adaptation and evaluate the validity of the adapted Finnish version of the SRS-30 questionnaire.
The SRS-30 questionnaire has proved to be a valid instrument in evaluating health-related quality of life (HRQoL) in adolescent and adult population with spine deformities in the United States. Multinational availability requires cross-cultural and linguistic adaptation and validation of the instrument.
The SRS-30 was translated into Finnish using accepted methods for translation of quality-of-life questionnaires. A total of 274 adult patients with degenerative radiographic sagittal spinal disorder answered the questionnaire with sociodemographic data, RAND 36-item health survey questionnaire (RAND Corp. Health, Santa Monica, CA, US), Oswestry disability index, DEPS depression scale, and Visual Analog Scale (VAS) back and leg pain scales within 2 weeks' interval. The cohort included patients with and without previous spine surgery. Internal consistency and validity were tested with Cronbach α, intraclass correlation (ICC), standard error of measurement, and Spearman correlation coefficient with 95% confidence intervals (CIs).
The internal consistency of SRS-30 was good in both surgery and nonsurgery groups, with Cronbach α 0.853 (95% CI, 0.670 to 0.960) and 0.885 (95% CI, 0.854 to 0.911), respectively. The test-retest reproducibility ICC of the SRS-30 total and subscore domains of patients with stable symptoms was 0.905 (95% CI, 0.870-0.930) and 0.904 (95% CI, 0.871-0.929), respectively. The questionnaire had discriminative validity in the pain, self-image, and satisfaction with management domains compared with other questionnaires.
The SRS-30 questionnaire proved to be valid and applicable in evaluating HRQoL in Finnish adult spinal deformity patients. It has two domains related to deformity that are not covered by other generally used questionnaires.
一项前瞻性临床研究,旨在测试和改编脊柱侧凸研究学会30项问卷(SRS - 30)的芬兰语版本。
本研究的目的是进行跨文化改编,并评估改编后的芬兰语版SRS - 30问卷的有效性。
SRS - 30问卷已被证明是评估美国青少年和成年脊柱畸形患者健康相关生活质量(HRQoL)的有效工具。跨国使用需要对该工具进行跨文化和语言改编及验证。
采用公认的生活质量问卷翻译方法将SRS - 30翻译成芬兰语。共有274例患有退行性影像学矢状位脊柱疾病的成年患者在两周内间隔回答了该问卷,同时提供了社会人口学数据、兰德36项健康调查问卷(美国加利福尼亚州圣莫尼卡市兰德公司健康部)、奥斯威斯残疾指数、DEPS抑郁量表以及视觉模拟量表(VAS)背部和腿部疼痛量表。该队列包括有和没有脊柱手术史的患者。使用Cronbach α系数、组内相关系数(ICC)、测量标准误差以及95%置信区间(CI)的Spearman相关系数对内部一致性和有效性进行测试。
SRS - 30在手术组和非手术组的内部一致性均良好,Cronbach α系数分别为0.853(95%CI,0.670至0.960)和0.885(95%CI,0.854至0.911)。症状稳定患者的SRS - 30总分及子评分域的重测信度ICC分别为0.905(95%CI,0.870 - 0.930)和0.904(95%CI,0.871 - 0.929)。与其他问卷相比,该问卷在疼痛、自我形象和治疗满意度域具有区分效度。
SRS - 30问卷被证明在评估芬兰成年脊柱畸形患者的HRQoL方面有效且适用。它有两个与畸形相关的域,这是其他常用问卷未涵盖的。
3级。