Karimijashni Motahareh, Westby Marie, Ramsay Tim, Beaulé Paul E, Poitras Stéphane
School of Rehabilitation Sciences, Faculty of Health Sciences, University of Ottawa, Ottawa, Canada.
Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Canada.
Disabil Rehabil. 2025 Apr;47(8):2146-2160. doi: 10.1080/09638288.2024.2390648. Epub 2024 Aug 18.
To develop a self-report questionnaire evaluating functional priorities after hip or knee arthroplasty and evaluate patients' understanding of its items and conceptual relevance.
A self-report questionnaire was first developed based on the International Classification of Functioning, Disability, and Health (ICF) core set for osteoarthritis (OA). In the second stage, two research physiotherapists thoroughly reviewed and refined the questionnaire, and another physiotherapist conducted cognitive think-aloud interviews with 18 patients to assess the face and content validity of the questionnaire.
All categories and corresponding activities of ICF core set for OA were used to develop the questionnaire. Several questionnaire issues were identified and addressed. Most challenges were related to comprehension, followed by item ordering and visual elements. Patients identified ambiguous wording which we subsequently simplified. Ten activities of the core set were excluded due to lack of face validity, two activities were added, and four activities were modified.
The findings suggest that the ICF core set for OA needs to be adjusted for patients undergoing hip or knee arthroplasty and highlight the feasibility of applying a modified core set to assess functional priorities after hip or knee arthroplasty.
编制一份自我报告问卷，以评估髋或膝关节置换术后的功能优先事项，并评估患者对问卷项目及概念相关性的理解。
首先基于骨关节炎（OA）的国际功能、残疾和健康分类（ICF）核心集编制一份自我报告问卷。在第二阶段，两名研究物理治疗师对问卷进行了全面审查和完善，另一名物理治疗师对18名患者进行了认知出声思考访谈，以评估问卷的表面效度和内容效度。
采用OA的ICF核心集的所有类别及相应活动来编制问卷。识别并解决了问卷的几个问题。大多数挑战与理解有关，其次是项目排序和视觉元素。患者指出了措辞含糊之处，我们随后进行了简化。由于缺乏表面效度，核心集中的10项活动被排除，增加了2项活动，4项活动进行了修改。
研究结果表明，对于接受髋或膝关节置换术的患者，需要对OA的ICF核心集进行调整，并突出应用修改后的核心集评估髋或膝关节置换术后功能优先事项的可行性。
