Koç Meltem, Dal Cansu, Bulut Emin Kürşat, Bayar Banu, Bayar Kılıçhan
Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Mugla Sitki Kocman University, Mugla, Turkey.
Institute of Health Sciences, Department of Physiotherapy and Rehabilitation, Mugla Sitki Kocman University, Mugla, Turkey.
Med Lav. 2024 Dec 19;115(6):e2024040. doi: 10.23749/mdl.v115i6.15991.
The Work-Related Questionnaire for Upper Extremity Disorders (WORQ-UP) serves as a patient-reported outcome measure to identify work-related limitations in individuals with upper extremity musculoskeletal disorders. This study aims to adapt the WORQ-UP into Turkish and subsequently evaluate its validity and reliability.
The Turkish WORQ-UP, along with the previously validated Turkish Quick DASH, were administered to 136 patients. The Turkish WORQ-UP was applied twice within a 7-14 day interval to assess test-retest reliability. Reliability was assessed using measures of internal consistency and intraclass correlation coefficient (ICC). For validity assessment, Spearman correlation coefficients were calculated between the Turkish WORQ-UP and Quick DASH, and Explanatory (EFA) and Confirmatory factor analysis (CFA) were conducted.
In the reliability analysis, items 11, 12, 13, 15, and 16, which did not meet the criterion of item total score correlation >30, were excluded, resulting in a 12-item Turkish WORQ-UP with satisfactory validity and reliability outcomes. The Cronbach's alpha and ICC were calculated as 0.895 and 0.879, respectively, while the SEM and MDC were determined to be 0.93 and 1.85. In the EFA, the Kaiser-Meyer-Olkin measure (0.895) and Bartlett's tests were both significant (p < 0.001). Additionally, the CFA indicated an acceptable fit with two factors. The goodness of fit indices, including χ2/df = 2.09, CFI = 0.934, TLI = 0.918, and RMSEA = 0.08, confirmed the adequacy of the model. The 12-item Turkish WORQ-UP showed a significant and strong correlation (r = 0.754; p < 0.001) with Quick DASH.
The Turkish version of WORQ-UP with 12 items had proper psychometric properties to identify work-related limitations in individuals with upper extremity musculoskeletal disorders.
上肢疾病工作相关问卷（WORQ-UP）作为一种患者报告结局指标，用于识别上肢肌肉骨骼疾病患者的工作相关限制。本研究旨在将WORQ-UP改编为土耳其语版本，并随后评估其有效性和可靠性。
将土耳其语版WORQ-UP以及先前验证过的土耳其语版快速DASH问卷应用于136例患者。土耳其语版WORQ-UP在7至14天的间隔内进行了两次测试，以评估重测信度。使用内部一致性测量和组内相关系数（ICC）评估信度。为了进行效度评估，计算了土耳其语版WORQ-UP与快速DASH之间的斯皮尔曼相关系数，并进行了解释性因子分析（EFA）和验证性因子分析（CFA）。
在信度分析中，排除了项目总分相关性未达到>30标准的第11、12、13、15和16项，从而得到了一个包含12个项目的土耳其语版WORQ-UP，其效度和信度结果令人满意。克朗巴哈系数和ICC分别计算为0.895和0.879，而标准误（SEM）和最小可检测变化（MDC）分别确定为0.93和1.85。在EFA中，Kaiser-Meyer-Olkin测量值（0.895）和巴特利特检验均具有显著性（p < 0.001）。此外，CFA表明两个因子的拟合度可接受。拟合优度指标，包括χ2/df = 2.09、CFI = 0.934、TLI = 0.918和RMSEA = 0.08，证实了模型的充分性。包含12个项目的土耳其语版WORQ-UP与快速DASH显示出显著且强烈的相关性（r = 0.754；p < 0.001）。
包含12个项目的土耳其语版WORQ-UP具有适当的心理测量学特性，可用于识别上肢肌肉骨骼疾病患者的工作相关限制。
