Brix Lone D, Bjørnholdt Karen T, Nikolajsen Lone, Kallestrup Kirsten, Thillemann Theis M
Dan Med J. 2020 Feb;67(2).
The aim of this study was to cross-culturally adapt the Western Ontario Rotator Cuff Index (WORC) into a Danish version (D-WORC) and evaluate its validity, reliability and responsiveness in patients undergoing surgery for arthroscopic subacromial decompression or rotator cuff repair.
The original WORC version was cross-culturally adapted into Danish and, the validity, test-retest reliability, responsiveness construct validity, internal consistency, interclass correlation coefficient (ICC), limits of agreement (LOA) and an anchor minimal important change (MIC) were assessed using the Disabilities of Arm, Shoulder and Hand (DASH), the Oxford Shoulder Score (OSS), the Short Form-36 and the global rating scale.
The cross-cultural adaption was successful. The correlation was high between the D-WORC and DASH (Pearson's correlation coefficient (PCC) = 0.71; 95% confidence interval (CI): 0.60-0.79) and moderate between the D-WORC and the OSS (PCC = 0.67; 95% CI: 0.55-0.76). Reliability analysis showed an ICC of 0.80 (95% CI: 0.69-0.87) and an internal consistency of 0.94 (95% CI: 0.92-0.95). The test-retest mean difference was 76.4 (± standard deviation = 201.40). LOA ranged from -318.3 (95% CI: -387.8--248.9) to 471.2 (95% CI: 401.7-540.6) for the total WORC score. The MIC was -211 in the total score.
The D-WORC is a valid, reliable and responsive questionnaire that can be used in Danish populations.
Lone Dragnes Brix: Familien Hede Nielsens Fond, Gurli og Hans Engell Friis' Fond, Aase og Ejnar Danielsens Fond, Knud og Edith Eriksons Mindefond, Region Midtjyllands Sundhedsvidenskabelige Forskningsfond.
Danish Data Protection Agency: 1-16-02-653-15.
本研究旨在将西方安大略肩袖指数（WORC）进行跨文化改编，形成丹麦语版本（D-WORC），并评估其在接受关节镜下肩峰下减压或肩袖修复手术患者中的有效性、可靠性和反应性。
将WORC原始版本进行跨文化改编为丹麦语，并使用手臂、肩部和手部功能障碍量表（DASH）、牛津肩部评分（OSS）、简短健康调查问卷36项版（Short Form-36）和整体评定量表评估其有效性、重测信度、反应性结构效度、内部一致性、组内相关系数（ICC）、一致性界限（LOA）和锚定最小重要变化值（MIC）。
跨文化改编成功。D-WORC与DASH之间的相关性较高（皮尔逊相关系数（PCC）=0.71；95%置信区间（CI）：0.60-0.79），D-WORC与OSS之间的相关性中等（PCC =0.67；95%CI：0.55-0.76）。可靠性分析显示ICC为0.80（95%CI：0.69-0.87），内部一致性为0.94（95%CI：0.92-0.95）。重测平均差异为76.4（±标准差=201.40）。WORC总分的LOA范围为-318.3（95%CI：-387.8--248.9）至471.2（95%CI：401.7-540.6）。总分的MIC为-211。
D-WORC是一份有效、可靠且具有反应性的问卷，可用于丹麦人群。
洛娜·德拉涅斯·布里克斯：家庭赫德·尼尔森基金会、居里和汉斯·恩格尔·弗里斯基金会、奥瑟和埃伊纳尔·丹尼尔森基金会、克努德和伊迪丝·埃里克森纪念基金会、中日德兰地区卫生科学研究基金会。
丹麦数据保护局：1-16-02-653-15。
