Academic Medical Center, Department Coronel Institute of Occupational Health, Amsterdam Public Health research institute, University of Amsterdam, Meibergdreef 9, 1105 AZ, Amsterdam, The Netherlands.
Department of Orthopaedic Surgery, Upper Limb Unit, Amphia Hospital, Breda, The Netherlands.
Int Arch Occup Environ Health. 2017 Nov;90(8):823-833. doi: 10.1007/s00420-017-1246-7. Epub 2017 Jul 11.
The aim of this study is to develop a patient-reported outcome measure (PROM) that identifies work-related limitations among patients with upper extremity musculoskeletal disorders in order to enhance work-directed care in daily orthopaedic practice, and to assess its content validity.
The questionnaire was developed following the evaluation of existing PROMs and consensus within the research team. The content validity was assessed in three steps: (1) one on one interviews with patients (n = 14) were held to discuss the clarity and possible adaptation of items; (2) experts from the field (physiotherapists, insurance physicians, occupational health physicians, rehabilitation physicians and orthopaedic surgeons) were approached to participate in an interview to discuss the clarity, relevance and missing items; (3) patients (n = 12) were interviewed one on one to discuss the final version.
The first version of the WOrk-Related Questionnaire for UPper extremity disorders (WORQ-UP) consisted of 18 items based on the criteria: exertion, dexterity, handling tools & equipment, and mobility. According to patients (n = 14), 44% of the items were not easy enough to understand. Twenty-one experts [10 men, mean age 46 (SD = 8.5) and mean years of experience 16 (SD = 9.9)] participated in the interviews and adaptations were made. The final version of the WORQ-UP consisted of 17 items, all easy enough to understand according to patients (n = 12).
A PROM specific for work-related limitations in patients with upper extremity musculoskeletal disorders was developed. According to patients and experts, it has sufficient content validity. The WORQ-UP can be used to assist in enhancing communication among healthcare workers to improve work-directed care and to evaluate effects of treatment on limitations at work.
本研究旨在开发一种患者报告结局测量工具（PROM），用于识别上肢肌肉骨骼障碍患者的与工作相关的限制，以增强日常骨科实践中的工作导向护理，并评估其内容效度。
该问卷是在评估现有 PROM 并在研究团队内部达成共识的基础上开发的。内容效度评估分为三个步骤：（1）对 14 名患者进行一对一访谈，讨论项目的清晰度和可能的调整；（2）邀请来自该领域的专家（物理治疗师、保险公司医生、职业健康医生、康复医生和骨科医生）参加访谈，讨论清晰度、相关性和缺失项目；（3）对 12 名患者进行一对一访谈，讨论最终版本。
基于用力、灵巧、操作工具和设备以及活动能力这四个标准，最初版本的上肢工作相关问卷（WORQ-UP）由 18 个项目组成。根据患者（n=14）的意见，44%的项目不够容易理解。21 名专家[10 名男性，平均年龄 46（SD=8.5），平均从业经验 16（SD=9.9）]参加了访谈，并进行了调整。最终版本的 WORQ-UP 由 17 个项目组成，根据患者（n=12）的意见，所有项目都足够容易理解。
开发了一种专门针对上肢肌肉骨骼障碍患者与工作相关的限制的 PROM。根据患者和专家的意见，该问卷具有足够的内容效度。WORQ-UP 可用于协助加强医疗保健工作者之间的沟通，以改善工作导向的护理，并评估治疗对工作限制的效果。
