Department of Rehabilitation Sciences, KU Leuven - University of Leuven, Leuven, Belgium.
Department of Rehabilitation Sciences and Physiotherapy, University of Antwerp, MOVANT, Antwerp, Belgium.
Disabil Rehabil. 2021 Sep;43(19):2797-2804. doi: 10.1080/09638288.2020.1716271. Epub 2020 Jan 28.
Upper limb lymphedema is a vexing morbidity that can occur after the treatment for breast cancer. The Lymphedema Functioning, Disability and Health Questionnaire for Upper Limb Lymphedema (Lymph-ICF-UL) is a valid and reliable tool assessing problems in functioning in patients with breast cancer-related lymphedema. Until now, a French-language version was lacking. The aim of this study was to perform a cross-cultural validation of the French version of the Lymph-ICF-UL questionnaire.
A forward-backward translation process between the original language (Dutch) and the target language (French) was performed. Psychometric properties of this final French version were examined in 50 participants.
Intraclass correlation coefficients for test-retest reliability ranged from 0.66 to 0.95. Cronbach's alpha coefficients for internal consistency were higher than 0.77. Face and content validity were very good because the scoring system was clear for all participants (100%), questions were understandable (100%), and all complaints due to BCRL were mentioned by 78% of the participants. Construct validity was moderate. Convergent validity was established since 3 out of 5 expected domains of the Lymph-ICF-UL showed a moderate correlation with expected domains of the 36-item Short-Form Health Survey. There was satisfactory divergent validity as 6 out of 9 hypotheses assessing divergent validity were accepted.
The French version of the Lymph-ICF-UL is a reliable and valid questionnaire and ready for use in clinical as well as in scientific practice.Implications for rehabilitationSince the introduction of more effective treatment modalities increasing the number of breast cancer survivors, the amount of patients dealing with lymphedema is rising likewise up to a pooled incidence rate of more than 16% of the women treated for breast cancer.The French version of the Lymph-ICF-UL is a reliable and valid questionnaire for assessing problems in functioning of patients with breast cancer-related lymphedema of the arm and/or hand.As the questionnaire provides patient information in the different domains of the International Classification of Functioning, Disability and Health, it facilitates evaluating the impact of breast cancer-related lymphedema on daily functioning.Based on the outcomes of the Lymph-ICF-UL treatment goals can be set, where after the questionnaire can be used to monitor long-term results of this treatment and self-care.
上肢淋巴水肿是乳腺癌治疗后可能出现的一种令人烦恼的疾病。上肢淋巴水肿功能、残疾和健康问卷（Lymp-ICF-UL）是一种有效的、可靠的工具，用于评估乳腺癌相关淋巴水肿患者的功能障碍问题。直到现在，还缺乏法语版本。本研究的目的是对乳腺癌相关淋巴水肿患者的淋巴 ICF-UL 问卷的法语版本进行跨文化验证。
在原始语言（荷兰语）和目标语言（法语）之间进行了正向-反向翻译过程。对 50 名参与者的最终法语版本的心理测量特性进行了检查。
测试-重测信度的组内相关系数范围为 0.66 至 0.95。内部一致性的克朗巴赫系数高于 0.77。表面和内容效度非常好，因为评分系统对所有参与者来说都是清晰的（100%），问题是可以理解的（100%），并且所有与 BCRL 相关的投诉都被 78%的参与者提到。结构效度为中度。建立了收敛效度，因为 Lymp-ICF-UL 的 5 个预期领域中的 3 个与 36 项短格式健康调查问卷的预期领域呈中度相关。具有令人满意的发散效度，因为接受了 9 个假设中的 6 个来评估发散效度。
法语版的 Lymp-ICF-UL 是一个可靠和有效的问卷，可用于临床和科学实践。
随着更有效的治疗方式的引入，增加了乳腺癌幸存者的数量，因此处理淋巴水肿的患者数量也在增加，以至于女性乳腺癌患者的累积发病率超过 16%。
上肢淋巴水肿功能、残疾和健康问卷（Lymp-ICF-UL）的法语版本是一种可靠和有效的问卷，用于评估乳腺癌相关上肢淋巴水肿和/或手部的功能障碍。
由于问卷在国际功能、残疾和健康分类的不同领域提供了患者信息，因此它有助于评估乳腺癌相关淋巴水肿对日常功能的影响。
基于 Lymp-ICF-UL 的结果，可以设定治疗目标，然后使用该问卷监测这种治疗和自我护理的长期结果。
