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亨利·福特医院头痛残疾量表土耳其语版(HDI/T)在颈源性头痛患者中的跨文化调适、信度及效度

Cross-cultural adaptation, reliability and validity of the Turkish version of the Henry Ford Hospital Headache Disability Inventory (HDI/T) in patients with cervicogenic headache.

作者信息

Kılınç Hasan Erkan, Öz Müzeyyen, Berberoğlu Utku, Özel Aslıyüce Yasemin, Onan Dilara, Fanuscu Aybüke, Ülger Özlem

机构信息

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

出版信息

Disabil Rehabil. 2024 Feb;46(4):820-827. doi: 10.1080/09638288.2023.2178679. Epub 2023 Feb 14.

DOI:10.1080/09638288.2023.2178679
PMID:36788454
Abstract

PURPOSE

Cultural adaptation to Henry Ford Hospital Headache Disability Inventory (HDI) and investigating the validity and reliability of this inventory.

METHODS

International standards were followed in conducting the cultural adaption of Henry Ford Hospital Headache Disability Inventory Turkish version (HDI-T). Test-Retest reliability (intraclass correlation coefficient, ICC) and internal consistency (Cronbach's alpha) were included in the psychometric assessments; Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to assess the structural validity; and construct validity was performed by examining relationship the HDI-T between the Headache Impact Test-6 (HIT- 6), Neck Disability Index (NDI), Perceived Stress Scale-14 (PSS-14), and Nottingham Health Profile (NHP).

RESULTS

HDI-T showed excellent test-retest reliability (ICC =0.901), excellent internal consistency (Cronbach's  = 0.935), and low to high correlation with Headache Impact Test-6 (HIT-6), Neck Disability Index (NDI), Perceived Stress Scale-14 (PSS-14) and Nottingham Health Profile (NHP). Following EFA, two factors (emotional and functional) were extracted, accounting for 50.734% of the total variation. The dimensional structure of the HDI-T obtained in the EFA was confirmed by CFA.

CONCLUSION

The HDI-T is a reliable and valid instrument to determine the symptoms and disability in the Turkish population with cervicogenic headaches.Implications for RehabilitationHenry Ford Hospital Headache Disability Inventory Turkish version (HDI-T) is an outcome measure with high validity and reliability to obtain objective data in the determination of disability due to cervicogenic headache.HDI-T is recommended for all rehabilitation professionals to evaluate both the disability levels before rehabilitation and the changes during the rehabilitation process in patients with cervicogenic headaches in the Turkish population.Physiotherapists, orthopedists and neurosurgeons can also use HDI-T to objectively evaluate the secondary effects of their treatment for neck problems.

摘要

目的

对亨利·福特医院头痛残疾量表(HDI)进行文化调适,并调查该量表的有效性和可靠性。

方法

遵循国际标准对亨利·福特医院头痛残疾量表土耳其语版(HDI-T)进行文化调适。心理测量评估包括重测信度(组内相关系数,ICC)和内部一致性(克朗巴哈系数);探索性因子分析(EFA)和验证性因子分析(CFA)用于评估结构效度;通过检验HDI-T与头痛影响测试-6(HIT-6)、颈部残疾指数(NDI)、感知压力量表-14(PSS-14)和诺丁汉健康量表(NHP)之间的关系来进行构想效度分析。

结果

HDI-T显示出出色的重测信度(ICC = 0.901)、出色的内部一致性(克朗巴哈系数 = 0.935),并且与头痛影响测试-6(HIT-6)、颈部残疾指数(NDI)、感知压力量表-14(PSS-14)和诺丁汉健康量表(NHP)具有低至高的相关性。经过EFA,提取了两个因子(情感和功能),占总变异的50.734%。CFA证实了EFA中获得的HDI-T的维度结构。

结论

HDI-T是一种可靠且有效的工具,可用于确定土耳其人群中患有颈源性头痛的患者的症状和残疾情况。

康复启示

亨利·福特医院头痛残疾量表土耳其语版(HDI-T)是一种效度和信度较高的结果测量工具,可在确定颈源性头痛导致的残疾时获取客观数据。

建议所有康复专业人员使用HDI-T来评估土耳其人群中颈源性头痛患者康复前的残疾水平以及康复过程中的变化。

物理治疗师、骨科医生和神经外科医生也可以使用HDI-T来客观评估他们对颈部问题治疗的继发效果。

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