法国手功能分类问卷简版在职业康复中的开发与验证

Development and validation of a short version of the French Hand Function Sort questionnaire in vocational rehabilitation.

作者信息

Benhissen Zineb, Konzelmann Michel, Vuistiner Philippe, Leger Bertrand, Luthi François, Devilliers Hervé, Hilfiker Roger, Benaim Charles

机构信息

Department of Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation Suva, Sion, Switzerland.

Department of Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation Suva, Sion, Switzerland; Department of Medical Research, Clinique Romande de Réadaptation Suva, Sion, Switzerland.

出版信息

Ann Phys Rehabil Med. 2021 Nov;64(6):101533. doi: 10.1016/j.rehab.2021.101533. Epub 2021 Jul 27.

DOI:10.1016/j.rehab.2021.101533

PMID:33933688

Abstract

BACKGROUND

The Hand Function Sort (HFS) is a pictorial self-administered questionnaire with 62 items. It is a valid and reliable scale focused on the physical function of the upper limbs. It is used to predict the return to work.

OBJECTIVES

We aimed to develop and validate a short version of the French version of the HFS (HFS-F) to simplify its use in clinical practice.

METHODS

We included patients with upper-limb chronic pain hospitalised for vocational rehabilitation from 2012 to 2019. Vocational rehabilitation aims to improve the autonomy of patients to regain their previous working capacity. The 62 items of the HFS-F were analysed in terms of patient and expert assessments, floor/ceiling effect, item-to-total correlation, principal component analysis, and Rasch analysis. A short HFS-F was developed. Thereafter, we assessed its internal consistency, test-retest reliability, criterion validity with the full-length HFS-F, construct validity with different scales (Disabilities of the Arm, Shoulder, and Hand [DASH]; Brief Pain Inventory [BPI]; Hospital Anxiety and Depression [HAD]), standard error of measurement (SEM), and minimal detectable change (MDC).

RESULTS

Six experts were consulted, 34 patients were interviewed, and 629 questionnaires were analysed. Among the items, 25 were selected after the final round with the six experts. The internal consistency and test-retest reliability were excellent (Cronbach α=0.95, intraclass correlation coefficient=0.92, 95% confidence interval [95% CI] 0.87 to 0.95). The correlation coefficient between scores of the short and full-length HFS-F was 0.841 (95% CI: 0.752 to 0.897, P<10-4), and those between the short HFS-F score and the DASH, BPI, HAD-Anxiety, and HAD-Depression scores were -0.816 (95% CI: -0.714 to -0.881, P<10-4), -0.529 (95% CI: -0.338 to -0.674, P<10-4), -0.451 (95% CI: -0.244 to 0.614, P=0.0001), and -0.360 (95% CI: -0.140 to -0.542, P=0.0018), respectively. The SEM and MDC values were estimated at 6/100 and 17/100, respectively.

CONCLUSIONS

A short version of the HFS-F was developed and validated. We named this questionnaire the 25 HFS-F.

摘要

背景

手部功能分类（HFS）是一份有62个条目的自填式图片问卷。它是一个有效且可靠的量表，专注于上肢的身体功能，用于预测重返工作岗位的情况。

目的

我们旨在开发并验证法语版HFS（HFS-F）的简短版本，以简化其在临床实践中的使用。

方法

我们纳入了2012年至2019年因职业康复住院的上肢慢性疼痛患者。职业康复旨在提高患者的自主性，使其恢复以前的工作能力。对HFS-F的62个条目进行了患者和专家评估、地板效应/天花板效应、条目与总分相关性、主成分分析和拉施分析。开发了一个简短的HFS-F。此后，我们评估了其内部一致性、重测信度、与全长HFS-F的效标效度、与不同量表（手臂、肩部和手部功能障碍[DASH]；简明疼痛量表[BPI]；医院焦虑抑郁量表[HAD]）的结构效度、测量标准误差（SEM）和最小可检测变化（MDC）。

结果

咨询了6名专家，访谈了34名患者，并分析了629份问卷。在这些条目中，经过与6名专家的最后一轮讨论后，选择了25个。内部一致性和重测信度极佳（Cronbach α=0.95，组内相关系数=0.92，95%置信区间[95%CI]0.87至0.95）。简短版和全长版HFS-F得分之间的相关系数为0.841（95%CI：0.752至0.897，P<10⁻⁴），简短版HFS-F得分与DASH、BPI、HAD-焦虑和HAD-抑郁得分之间的相关系数分别为-0.816（95%CI：-0.714至-0.881，P<10⁻⁴）、-0.529（95%CI：-0.338至-0.674，P<10⁻⁴）、-0.451（95%CI：-0.244至-0.614，P=0.0001）和-0.360（95%CI：-0.140至-0.542，P=0.0018）。SEM和MDC值分别估计为6/100和17/100。