Institute for Research in Rehabilitation, Clinique Romande de Réadaptation Suva, Sion, Switzerland.
Department of Medical Research, Clinique Romande de Réadaptation Suva, Sion, Switzerland.
PLoS One. 2020 Feb 21;15(2):e0229084. doi: 10.1371/journal.pone.0229084. eCollection 2020.
The Trinity Amputation and Prosthesis Experience Scales-Revised (TAPES-R) is a self-administered questionnaire to measure multidimensional adjustment to a prosthetic limb. Our aim was to assess the validity and reliability of the French version of the TAPES-R (TAPES-R-F).
The cross-cultural adaptation was performed according to the recommendations. Factor analysis and Rasch analysis were also performed to allow comparison with the original English version. Construct validity was assessed by measuring the correlations between TAPES-R-F subscores and quality of life, pain, body image satisfaction, anxiety and depression. Internal consistency was measured with Cronbach's α. The standard error of measurement, smallest detectable change, Bland and Altman limits of agreement, and intraclass correlation were the measures of agreement and reliability.
No major difficulties were encountered throughout the trans-cultural adaptation process. The final version of the TAPES-R-F was well accepted and understood by the patients. According to the factor analysis, the satisfaction scale should be treated as a one-dimensional construct when used by French-speaking people and should not be separated into two separate subscales, functional and aesthetic, as is the case in the original English version. Our study confirmed that there is a strong relationship between biopsychosocial factors and adjustment to amputation. Cronbach's α > 0.8 for all the subscales. Reliability was good to excellent for all the subscales (ICCs between 0.61 and 0.89). The smallest detectable changes were 0.7, 0.8, 1.3, 0.4, and 1.8 (general adjustment, social adjustment, adjustment to limitation, activity restriction, and global satisfaction with the prosthesis).
The TAPES-R-F is a valid and reliable instrument to assess multidimensional adjustment of French-speaking lower limb amputees. This questionnaire can be used for both clinical assessment and research purposes.
三位一体截肢和假肢体验量表修订版（TAPES-R）是一种自我管理问卷，用于测量对假肢的多维调整。我们的目的是评估 TAPES-R 的法语版本（TAPES-R-F）的有效性和可靠性。
跨文化适应是根据建议进行的。还进行了因素分析和 Rasch 分析，以允许与原始英语版本进行比较。结构有效性通过测量 TAPES-R-F 子量表与生活质量、疼痛、身体意象满意度、焦虑和抑郁之间的相关性来评估。内部一致性用 Cronbach 的 α 测量。测量的一致性和可靠性的指标包括测量误差、最小可检测变化、Bland 和 Altman 协议限、和组内相关。
在整个跨文化适应过程中没有遇到重大困难。TAPES-R-F 的最终版本得到了患者的认可和理解。根据因素分析，在讲法语的人群中，满意度量表应被视为一个一维结构，而不应像原始英语版本那样分为两个单独的子量表，即功能和美学。我们的研究证实，生物心理社会因素与截肢后的调整之间存在很强的关系。所有子量表的 Cronbach 的 α 均大于 0.8。所有子量表的可靠性均为良好至优秀（ICC 介于 0.61 和 0.89 之间）。最小可检测变化分别为 0.7、0.8、1.3、0.4 和 1.8（总体调整、社会调整、限制调整、活动限制和对假肢的总体满意度）。
TAPES-R-F 是一种评估法语下肢截肢者多维调整的有效且可靠的工具。该问卷可用于临床评估和研究目的。
