Structural validity of the Dutch version of the disability of arm, shoulder and hand questionnaire (DASH-DLV) in adult patients with hand and wrist injuries

被引:15
作者
van Eck, M. E. [1 ]
Lameijer, C. M. [1 ]
El Moumni, M. [1 ]
机构
[1] Univ Groningen, Univ Med Ctr Groningen, Dept Surg, Groningen, Netherlands
来源
BMC MUSCULOSKELETAL DISORDERS | 2018年 / 19卷
关键词
Disability arm shoulder hand; Hand; Wrist; Structural validity; Confirmatory factor analysis; Bifactor model; CROSS-CULTURAL ADAPTATION; DISTAL RADIUS FRACTURE; OUTCOME QUESTIONNAIRE; VALIDATION; EPIDEMIOLOGY; RELIABILITY; QUALITY; SUGGESTIONS; TRANSLATION; NETHERLANDS;
D O I
10.1186/s12891-018-2114-7
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background: Fractures of the hand and wrist are one of the most common injuries seen in adults. The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire has been developed as a patient-reported assessment of pain and disability to evaluate the outcome after hand and wrist injuries. Patient reported outcomes (PROs) can be interpreted as pain, function or patient satisfaction. To be able to interpret clinical relevance of a PRO, the structural validity and internal consistency is tested. The Dutch version of the DASH has not yet been validated. The aim of this study was to evaluate the structural validity and the internal consistency of the existing Dutch version of the DASH. The relevance of reporting subscale scores was investigated. Methods: This study was a retrospective analysis of cross-sectional data of 370 patients with an isolated hand or wrist injury. Adult patients aged 18 to 65 years treated conservatively or surgically were included. Patients unable to understand or read the Dutch language were excluded. Confirmatory factor analysis was used to investigate the structural validity, while Cronbach's alpha and coefficient omega were used to assess internal consistency. Results: All investigated models (a single factor model, a 3-correlated factor, and a bifactor model) were associated with a good model fit. Both the single factor and the 3-correlated factor model were associated with factor loadings of at least 0.70. In addition, the covariance between the factors in the 3-correlated factor model was positive (at least 0.89) and statistically significant (p < 0.001). In the bifactor model, the additional value of subscales was limited as the items loaded high on the general factor but low on the subscale factors. Conclusion: This study indicates that the Dutch version of the DASH should be considered as an unidimensional trait. A single score should be reported.
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页数:10
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