Marwaha Ravinder Kaur, Shukla Yagna
Gujarat University, Government Physiotherapy College, Ahmedabad, Gujarat, India.
Gujarat University, Government Physiotherapy College, Ahmedabad, Gujarat, India.
J Hand Ther. 2025 Mar 17. doi: 10.1016/j.jht.2025.01.009.
The Michigan Hand Questionnaire (MHQ) is a widely used patient-reported outcome measure (PROM) for assessing hand function. Cross-cultural adaptations are necessary to ensure its applicability and validity in diverse cultural contexts. However, the quality and psychometric properties of these adaptations remain unclear.
This systematic review and meta-analysis aim to evaluate the psychometric properties, specifically reliability and content validity, of cross-cultural adaptations of the MHQ.
Systematic review and meta-analysis.
A systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines was conducted across four electronic databases, encompassing studies published between 1998 and 2024. Quality and content validity assessment was performed using the COSMIN methodology. Random effects meta-analysis was conducted for interclass correlation coefficient (ICC) and Cronbach's alpha.
Twenty-one studies were included. We identified two studies with high-quality evidence for content validity and ICC, and two studies demonstrating strong internal consistency. The MHQ demonstrated strong internal consistency (Cronbach's alpha: 0.73-0.99) and moderate to high test-retest reliability (ICC: 0.91-0.93). However, significant heterogeneity was observed in Cronbach's alpha and ICC values across domains, likely due to factors beyond test-retest duration. Meta-regression analysis revealed publication bias, possibly influenced by participant and study characteristics.
This meta-analysis supports the reliability of the MHQ for assessing hand function across cultures. However, variability in ICC values suggests a need for further investigation into factors influencing reliability. While the MHQ is a valuable tool, future research should address limitations in structural validity and explore cultural factors to enhance its cross-cultural applicability.
密歇根手功能问卷（MHQ）是一种广泛使用的患者报告结局测量工具（PROM），用于评估手部功能。跨文化适应对于确保其在不同文化背景下的适用性和有效性是必要的。然而，这些适应的质量和心理测量特性仍不明确。
本系统评价和荟萃分析旨在评估MHQ跨文化适应的心理测量特性，特别是信度和内容效度。
系统评价和荟萃分析。
按照系统评价和荟萃分析的首选报告项目（PRISMA）指南，对四个电子数据库进行了系统评价，纳入了1998年至2024年发表的研究。使用COSMIN方法进行质量和内容效度评估。对组内相关系数（ICC）和克朗巴哈系数进行随机效应荟萃分析。
纳入了21项研究。我们确定了两项具有高质量内容效度和ICC证据的研究，以及两项显示出强内部一致性的研究。MHQ显示出强内部一致性（克朗巴哈系数：0.73 - 0.99）和中等到高的重测信度（ICC：0.91 - 0.93）。然而，各领域的克朗巴哈系数和ICC值存在显著异质性，可能是由于重测持续时间以外的因素。元回归分析显示存在发表偏倚，可能受参与者和研究特征的影响。
本荟萃分析支持MHQ在跨文化评估手部功能方面的信度。然而，ICC值的变异性表明需要进一步研究影响信度的因素。虽然MHQ是一个有价值的工具，但未来的研究应解决结构效度方面的局限性，并探索文化因素以提高其跨文化适用性。
