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奥斯陆运动创伤研究中心过度使用损伤与健康问题调查问卷(第二版)在西班牙青少年体育运动中的跨文化调适与效度验证

Cross-Cultural Adaptation and Validation of the Oslo Sports Trauma Research Center Questionnaires on Overuse Injury and Health Problems (2nd Version) in Spanish Youth Sports.

作者信息

Bailón-Cerezo Javier, Clarsen Benjamin, Sánchez-Sánchez Beatriz, Torres-Lacomba María

机构信息

Physiotherapy in Women's Health Research Group, Physiotherapy Department, Faculty of Medicine and Health Sciences, University of Alcalá, Alcalá de Henares, Madrid, Spain.

Department of Physical Therapy, Centro Superior de Estudios Universitarios de La Salle, Universidad Autónoma de Madrid, Madrid, Spain.

出版信息

Orthop J Sports Med. 2020 Dec 11;8(12):2325967120968552. doi: 10.1177/2325967120968552. eCollection 2020 Dec.

DOI:10.1177/2325967120968552
PMID:33354583
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7734512/
Abstract

BACKGROUND

The Oslo Sports Trauma Research Center Questionnaires on Health Problems (OSTRC-H) and Overuse Injury (OSTRC-O) have shown a greater ability to identify athletes with health problems and to estimate the severity of those problems compared with traditional surveillance methods. Despite the numerous language adaptations of these questionnaires and their extended use, some of their measurement properties remain unknown. Moreover, these questionnaires are not available for Spanish-speaking athletes, and the validity and reliability of these questionnaires in youth athletes are unknown.

PURPOSE

To cross-culturally adapt and investigate the measurement properties of the second version of the OSTRC-H (OSTRC-H2) and OSTRC-O (OSTRC-O2) questionnaires in Spanish youth athletes.

STUDY DESIGN

Cohort study (diagnosis); Level of evidence, 2.

METHODS

Following international guidelines, we developed Spanish cross-cultural adaptations of the questionnaires, including a comprehensibility analysis with 30 participants from the target population. In the second phase, 73 athletes (age range, 12-18 years) were invited to participate in an 11-week prospective study. The reliability (internal consistency and test-retest reliability) of both questionnaires was assessed through use of Consensus-Based Standards for the Selection of Health Measurement Instruments recommendations. The construct validity and responsiveness of the OSTRC-H2 were evaluated using the convergence of the OSTRC-H2 severity score and the number of days of time loss. The response rate after 11 weeks was calculated as a feasibility indicator.

RESULTS

Equivalent Spanish versions were developed. A total of 63 athletes (age range, 12-17 years) participated in the prospective study. The Cronbach alpha was 0.93 (95% CI, 0.92-0.94) for OSTRC-H2 and 0.88 (95% CI, 0.86-0.90) for OSTRC-O2. The intraclass correlation coefficient was 0.87 (95% CI, 0.79-0.92) and 0.85 (95% CI, 0.81-0.89), and the Cohen kappa was 0.80 (95% CI, 0.71-0.89) and 0.87 (95% CI, 0.78-0.96), respectively, for OSTRC-H2 and OSTRC-02. Correlations between the severity score and time loss (Spearman rho = 0.61) and between the changes in both scores over time (Spearman rho = 0.78) were within our expected range. The response rate was 95.5% for the OSTRC-O2 and 99.6% for the OSTRC-H2.

CONCLUSION

These results present equivalent, reliable, and feasible Spanish versions of both questionnaires as well as evidence of the validity and responsiveness of the OSTRC-H2.

摘要

背景

与传统监测方法相比,奥斯陆运动创伤研究中心健康问题问卷(OSTRC-H)和过度使用损伤问卷(OSTRC-O)在识别有健康问题的运动员以及评估这些问题的严重程度方面表现出更强的能力。尽管这些问卷有多种语言版本且应用广泛,但其一些测量特性仍不明确。此外,这些问卷没有供讲西班牙语的运动员使用的版本,且其在青少年运动员中的有效性和可靠性也未知。

目的

对OSTRC-H第二版(OSTRC-H2)和OSTRC-O第二版(OSTRC-O2)问卷进行跨文化改编,并调查其在西班牙青少年运动员中的测量特性。

研究设计

队列研究(诊断);证据等级,2级。

方法

遵循国际指南,我们对问卷进行了西班牙语跨文化改编,包括对30名目标人群参与者进行可理解性分析。在第二阶段,邀请73名运动员(年龄范围12 - 18岁)参加为期11周的前瞻性研究。通过使用基于共识的健康测量工具选择标准建议来评估两份问卷的信度(内部一致性和重测信度)。使用OSTRC-H2严重程度评分与失能天数的相关性来评估OSTRC-H2的结构效度和反应度。计算11周后的回复率作为可行性指标。

结果

开发了等效的西班牙语版本。共有63名运动员(年龄范围12 - 17岁)参与了前瞻性研究。OSTRC-H2的Cronbach α系数为0.93(9

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4712/7734512/af1a6f34f122/10.1177_2325967120968552-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4712/7734512/faa8d8d8c88c/10.1177_2325967120968552-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4712/7734512/af1a6f34f122/10.1177_2325967120968552-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4712/7734512/faa8d8d8c88c/10.1177_2325967120968552-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4712/7734512/af1a6f34f122/10.1177_2325967120968552-fig2.jpg

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