弗里曼特尔膝关节认知问卷阿拉伯语版在膝骨关节炎患者中的翻译、跨文化调适及心理测量特性
Translation, cross-cultural adaptation and psychometric properties of the Arabic version of the Fremantle Knee Awareness Questionnaire in people with knee osteoarthritis.
作者信息
Madi Mohammad, Hamzeh Hayat, Abujaber Sumayeh, Altubasi Ibrahim
机构信息
Department of Physiotherapy, Faculty of Applied Medical Sciences, The Hashemite University, Zarqa, Jordan.
Department of Physiotherapy, School of Rehabilitation Sciences, The University of Jordan, Amman, Jordan.
出版信息
PLoS One. 2025 Jul 15;20(7):e0328228. doi: 10.1371/journal.pone.0328228. eCollection 2025.
BACKGROUND
The presence of distorted body awareness that is associated with knee osteoarthritis (OA) is increasingly reported in the literature. The Fremantle Knee Awareness Questionnaire (FreKAQ) is a self-reported nine-item questionnaire developed to measure distorted awareness of the knee joint. No Arabic language version of FreKAQ is currently available.
OBJECTIVE
The study's first aim was to cross-culturally adapt FreKAQ into the Arabic language. The second aim was to test the psychometric properties of the adapted Arabic version (FreKAQ-A).
METHODS
The adaptation phase was conducted according to recommended guidelines for translation and cultural adaptation of self-reported outcome measures. The second phase of the study evaluated the internal consistency, test-retest reliability, and validity of FreKAQ-A. Cronbach's alpha and Intraclass Correlation Coefficient (ICC) were used to test the scales' internal consistency and test-retest reliability, respectively. Validity was tested with six pre-specified hypotheses. Pain Catastrophizing Scale (PCS), Health-related Quality of Life scales (EQ-5D), Central Sensitization Inventory (CSI), and the Chronic Pain Self-efficacy Scale (CPSS) were used.
RESULTS
After successful adaptation, individuals with osteoarthritic knee pain were recruited. A total of 197 individuals (19.7% males) completed the first round of reliability measurement. Almost 60% had pain in both knees. FreKAQ-A showed excellent degree of internal consistency (Cronbach's α = 0.87). The data provided strong support to five out of the six pre-specified discriminative validity hypotheses. There was a strong correlation between FreKAQ-A and PCS (rho = 0.71) and EQ-5D-5L (rho = 0.62). Seventy individuals participated in the second round of reliability measurement. Intraclass correlation coefficient was excellent (ICC2,1 = 0.841).
CONCLUSION
The study provides the first Arabic adaptation of FreKAQ. The adapted version has excellent reliability and validity. It can be used for individuals with knee osteoarthritis to explore the presence of distorted body awareness, leading to tailored management in cases with persistent knee pain.
背景
文献中越来越多地报道了与膝关节骨关节炎（OA）相关的身体认知扭曲现象。弗里曼特尔膝关节认知问卷（FreKAQ）是一份自我报告的九项问卷，旨在测量对膝关节的认知扭曲。目前尚无阿拉伯语版的FreKAQ。
目的
该研究的首要目标是将FreKAQ进行跨文化改编为阿拉伯语。第二个目标是测试改编后的阿拉伯语版本（FreKAQ-A）的心理测量特性。
方法
改编阶段按照自我报告结局测量的翻译和文化改编推荐指南进行。研究的第二阶段评估了FreKAQ-A的内部一致性、重测信度和效度。分别使用克朗巴哈系数（Cronbach's alpha）和组内相关系数（ICC）来测试量表的内部一致性和重测信度。通过六个预先设定的假设来测试效度。使用了疼痛灾难化量表（PCS）、健康相关生活质量量表（EQ-5D）、中枢敏化量表（CSI）和慢性疼痛自我效能量表（CPSS）。
结果
成功改编后，招募了患有骨关节炎膝关节疼痛的个体。共有197人（19.7%为男性）完成了第一轮信度测量。近60%的人双膝疼痛。FreKAQ-A显示出极好的内部一致性程度（克朗巴哈系数α = 0.87）。数据为六个预先设定的区分效度假设中的五个提供了有力支持。FreKAQ-A与PCS（rho = 0.71）和EQ-5D-5L（rho = 0.62）之间存在强相关性。70人参与了第二轮信度测量。组内相关系数极佳（ICC2,1 = 0.841）。
结论
该研究首次提供了FreKAQ的阿拉伯语改编版。改编后的版本具有出色的信度和效度。它可用于患有膝关节骨关节炎的个体，以探索身体认知扭曲的存在，从而对持续性膝关节疼痛的病例进行针对性管理。
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