维多利亚体育学院跟腱评估问卷（VISA-A）用于阿拉伯语系跟腱病患者的跨文化调适、翻译及验证
Cross-Cultural Adaptation, Translation, and Validation of the Victorian Institute of Sport Assessment-Achilles Questionnaire (VISA-A) for Use With Arabic-Speaking Patients With Achilles Tendinopathy.
作者信息
Alshewaier Shady A, Alotaibi Raed M, Alshabanat Abdulrahman S, Alkathiry Abdulaziz A
机构信息
Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Majmaah University, Riyadh, Majmaah, Saudi Arabia.
出版信息
Orthop J Sports Med. 2024 Jun 5;12(6):23259671241252649. doi: 10.1177/23259671241252649. eCollection 2024 Jun.
BACKGROUND
The Victorian Institute of Sport Assessment-Achilles (VISA-A) questionnaire is a validated instrument for assessing symptoms of Achilles tendinopathy (AT). However, there is a need to validate the Arabic version of the VISA-A (VISA-A-AR) in Arabic-speaking patients with AT.
PURPOSE
To validate the VISA-A-AR in Arabic patients with AT and evaluate its reliability and validity.
STUDY DESIGN
Cohort study (diagnosis); Level of evidence, 3.
METHODS
The translation and cultural adaptation of the VISA-A questionnaire into Arabic followed international guidelines. A total of 81 participants were recruited, including 45 patients diagnosed with AT and 36 healthy individuals. The AT group comprised male and female native Arabic speakers aged ≥18 years who were diagnosed with and had symptoms of AT. The inclusion criteria for the healthy group were the same, except that they must not have had AT at the time of the study or previously. The exclusion criteria were individuals with a partial or complete Achilles tendon rupture or prior Achilles tendon surgery. The internal consistency of the VISA-A-AR was assessed using the Cronbach α coefficient. Test-retest reliability was evaluated using the intraclass correlation coefficient (ICC[3,1]). Construct validity was assessed through correlation analysis between VISA-A-AR scores and the Arabic versions of the Short Form-36 Health Survey (SF-36-AR) and the Numeric Pain Rating Scale (ANPRS). Differences in VISA-A-AR scores between patients with AT and healthy controls were analyzed using appropriate statistical tests.
RESULTS
The VISA-A-AR demonstrated a high level of internal consistency (Cronbach α = 0.935) and excellent test-retest reliability (ICC[3,1] = 0.985). Significant positive correlations were observed between VISA-A-AR scores and SF-36-AR ((43) = 0.838, < .001), indicating good construct validity. In addition, VISA-A-AR scores showed a significant negative correlation with ANPRS ((43) = -0.835, < .001). Furthermore, VISA-A-AR scores exhibited a significant difference between patients with AT (mean, 45.82 ± 16.65) and healthy controls (mean, 99.94 ± 0.33) ( < .001).
CONCLUSION
The findings of this study validate the VISA-A-AR as a reliable and valid tool for assessing symptoms of AT in Arabic-speaking patients.
背景
维多利亚运动评估机构跟腱问卷（VISA-A）是一种经过验证的用于评估跟腱病（AT）症状的工具。然而，需要在讲阿拉伯语的AT患者中验证阿拉伯语版的VISA-A（VISA-A-AR）。
目的
在讲阿拉伯语的AT患者中验证VISA-A-AR，并评估其可靠性和有效性。
研究设计
队列研究（诊断）；证据等级，3级。
方法
将VISA-A问卷翻译成阿拉伯语并进行文化调适遵循国际指南。共招募了81名参与者，包括45名被诊断为AT的患者和36名健康个体。AT组包括年龄≥18岁、以阿拉伯语为母语且被诊断患有AT并出现相关症状的男性和女性。健康组的纳入标准相同，但在研究时或之前不得患有AT。排除标准为有部分或完全跟腱断裂或既往有跟腱手术史的个体。使用Cronbach α系数评估VISA-A-AR的内部一致性。使用组内相关系数（ICC[3,1]）评估重测信度。通过VISA-A-AR评分与阿拉伯语版36项简短健康调查（SF-36-AR）和数字疼痛评分量表（ANPRS）之间的相关性分析评估结构效度。使用适当的统计检验分析AT患者和健康对照之间VISA-A-AR评分的差异。
结果
VISA-A-AR显示出高度的内部一致性（Cronbach α = 0.935）和出色的重测信度（ICC[3,1] = 0.985）。VISA-A-AR评分与SF-36-AR之间观察到显著的正相关（(43) = 0.838， <.001），表明具有良好的结构效度。此外，VISA-A-AR评分与ANPRS之间显示出显著的负相关（(43) = -0.835， <.001）。此外，AT患者（平均，45.82 ± 16.65）和健康对照（平均，99.94 ± 0.33）之间的VISA-A-AR评分存在显著差异（ <.001）。
结论
本研究结果验证了VISA-A-AR作为评估讲阿拉伯语患者AT症状的可靠且有效的工具。
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