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Cross-cultural adaptation and psychometric testing of the Arabic version of the Patient-Rated Wrist Hand Evaluation (PRWHE-A) in Saudi Arabia

      Abstract

      Purposes

      The purposes of this study was to 1) perform a cross-cultural Arabic translation for the Patient-Rated Wrist and Hand Evaluation (PRWHE-A) using standardized guidelines and, 2) to test the psychometrics properties of the translated measure.

      Methods

      A total of 48 patients with variety of hand disabilities, a mean age of 47 ± 16 years were recruited and assessed two times. The intraclass correlation coefficient (ICC) was used for assessing test-retest reliability of the PRWHE-A and its subscales while Cronbach's alpha (CA) was used for assessing the internal consistency. Construct validity was assessed by examining the strength of the correlation between the PRWHE-A and the Arabic version of the Disability of the Arm, Shoulder and Hand (DASH-A).

      Results

      The PRWHE-A demonstrated excellent test-retest reliability (ICC= 0.97) and internal consistency (CA= 0.96). The DASH-A demonstrated moderately to low correlation (r= 0.64) with the PRWHE-A.

      Conclusions

      The results of this study indicated that PRWHE-A is a reliable and valid assessment tool and can be used in patients with different wrist/hand disabilities whose primary language is Arabic.

      Keywords

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      References

        • Fitzpatrick R.
        • Davey C.
        • Buxton M.J.
        • Jones D.R.
        Evaluating patient-based outcome measures for use in clinical trials.
        Health Technol Assess. 1998; 2: 1-86
        • Macdermid J.C.
        • Vincent J.I.
        • Kieffer L.
        • Kieffer A.
        • Demaiter J.
        • Macintosh S.
        A survey of practice patterns for rehabilitation post elbow fracture.
        Open Orthop J. 2012; 6: 429-439https://doi.org/10.2174/1874325001206010429
        • Macdermid J.C.
        • Walton D.M.
        • Côté P.
        • Santaguida P.L.
        • Gross A.
        • Carlesso L.
        Use of outcome measures in managing neck pain: an international multidisciplinary survey.
        Open Orthop J. 2013; 7: 506-520https://doi.org/10.2174/1874325001307010506
        • MacDermid J.C.
        • Wojkowski S.
        • Kargus C.
        • Marley M.
        • Stevenson E.
        Hand therapist management of the lateral epicondylosis: a survey of expert opinion and practice patterns.
        J Hand Ther. 2009; 23 (quiz 30): 18-29https://doi.org/10.1016/j.jht.2009.09.009
        • MacDermid J.C.
        • Roth J.H.
        • McMurty R.
        Predictors of time lost from work following a distal radius fracture.
        J Occup Rehabil. 2007; 17: 47-62
        • MacDermid J.
        An introduction to evidence-based practice for hand therapists.
        J Hand Ther. 2004; 17: 105-117
      1. The DASH Outcome Measure. Available at: http://www.dash.iwh.on.ca.2011.

        • Hudak P.L.
        • Amadio P.C.
        • Bombardier C.
        Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG).
        Am J Ind Med. 1996; 29: 602-608
        • Changulani M.
        • Okonkwo U.
        • Keswani T.
        • Kalairajah Y.
        Outcome evaluation measures for wrist and hand–which one to choose?.
        Int Orthop. 2008; 32: 1-6https://doi.org/10.1007/s00264-007-0368-z
        • Alotaibi N.M.
        Cross-cultural adaptation process and pilot testing of the Arabic version of the Disability of the Arm, Shoulder and Hand (DASH-Arabic).
        Hand Ther. 2010; 15: 80-86https://doi.org/10.1258/ht.2010.010021
      2. MacDermid JC. PATIENT Rated Wrist Evaluation. www.biomedcentral.com/content/download/figures/1471-2474-4-24-1.PDF.

        • MacDermid J.C.
        • Tottenham
        Responsiveness of the Disability of the Arm, Shoulder, and Hand (DASH) and the Patient Rated Wrist/Hand Evaluation (PRW/HE) in evaluating change after hand therapy.
        J Hand Ther. 2004; 17: 18-23
      3. The Patient-Rated Wrist Evaluation (PRWE) User Manual. June 2011
        • MacDermid J.C.
        • Turgeon T.
        • Richards R.S.
        • et al.
        Patient rating of wrist pain and disability: a reliable and valid measurement tool.
        J Orthop Trauma. 1998; 12: 577-586
        • Mellstrand Navarro C.
        • Ponzer S.
        • Törnkvist H.
        • Ahrengart L.
        • Bergström G.
        Measuring outcome after wrist injury: translation and validation of the Swedish version of the patient-rated wrist evaluation (PRWE-Swe).
        BMC Musculoskelet Disord. 2011; 12: 171https://doi.org/10.1186/1471-2474-12-171
        • Roh Y.H.
        • Yang B.K.
        • Noh J.H.
        • Baek G.H.
        • Song C.H.
        • Gong H.S.
        Cross-cultural adaptation and validation of the Korean version of the Michigan hand questionnaire.
        J Hand Surg Am. 2011; 36: 1497-1503
        • Wah J.W.M.
        • Wang M.K.W.
        • Ping C.L.-T.W.
        Construct validity of the Chinese version of the patient-rated wrist evaluation questionnaire (PRWE-Hong Kong Version).
        J Hand Ther. 2005; 19 (quiz 27): 18-26https://doi.org/10.1197/j.jht.2005.10.003
        • John M.
        • Angst F.
        • Awiszus F.
        • Pap G.
        • Macdermid J.C.
        • Simmen B.R.
        The patient-rated wrist evaluation (PRWE): cross-cultural adaptation into German and evaluation of its psychometric properties.
        Clin Exp Rheumatol. 2008; 26: 1047-1058
        • Hemelaers L.
        • Angst F.
        • Drerup S.
        • Simmen B.R.
        • Wood-Dauphinee S.
        Reliability and validity of the German version of “the Patient-rated Wrist Evaluation (PRWE)” as an outcome measure of wrist pain and disability in patients with acute distal radius fractures.
        J Hand Ther. 2008; 21: 366-376
        • Wilcke M.T.
        • Abbaszadegan H.
        • Adolphson P.Y.
        Evaluation of a Swedish version of the patient-rated wrist evaluation outcome questionnaire: good responsiveness, validity, and reliability, in 99 patients recovering from a fracture of the distal radius.
        Scand J Plast Reconstr Surg Hand Surg. 2009; 43: 94-101https://doi.org/10.1080/02844310902734598
        • Brink S.M.
        • Voskamp E.G.
        • Houpt P.
        • Emmelot C.H.
        Psychometric properties of the Patient Rated Wrist/Hand Evaluation – Dutch Language Version (PRWH/E-DLV).
        J Hand Surg Eur Vol. 2009; 34: 556-557https://doi.org/10.1177/1753193409103733
        • Imaeda T.
        • Uchiyama S.
        • Wada T.
        • et al.
        Reliability, validity, and responsiveness of the Japanese version of the Patient-Rated Wrist Evaluation.
        J Orthop Sci. 2010; 15: 509-517https://doi.org/10.1007/s00776-010-1477-x
        • Mehta S.P.
        • Mhatre B.
        • MacDermid J.C.
        • Mehta A.
        Cross-cultural adaptation and psychometric testing of the Hindi version of the patient-rated wrist evaluation.
        J Hand Ther. 2012; 25 (quiz 78): 65-77https://doi.org/10.1016/j.jht.2011.08.001
        • Fairplay T.
        • Atzei a
        • Corradi M.
        • Luchetti R.
        • Cozzolino R.
        • Schoenhuber R.
        Cross-cultural adaptation and validation of the Italian version of the patient-rated wrist/hand evaluation questionnaire.
        J Hand Surg Eur Vol. 2012; 37: 863-870https://doi.org/10.1177/1753193412445160
        • Kim J.K.
        • Kang J.S.
        Evaluation of the Korean version of the patient-rated wrist evaluation.
        J Hand Ther. 2013; 26 (quiz 244): 238-243https://doi.org/10.1016/j.jht.2013.01.003
        • Gonzalez-Calvo J.
        • Gonzalez V.M.
        • Lorig K.
        Cultural diversity issues in the development of valid and reliable measures of health status.
        Arthritis Care Res. 1997; 10: 448-456
        • Beaton D.E.
        • Bombardier C.
        • Guillemin F.
        • Ferraz M.B.
        Guidelines for the process of cross-cultural adaptation of self-report measures.
        Spine (Phila Pa 1976). 2000; 25: 3186-3191
        • Guillemin F.
        • Bombardier C.
        • Beaton D.
        Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines.
        J Clin Epidemiol. 1993; 46: 1417-1432
        • Ferreira P.L.
        The Palliative Care Outcome Scale (POS) Manual for Cross-cultural Adaptation and Psychometric Validation.
        2012 (March)
        • Cibelli K.
        Cognitive Interviewing Techniques: A Brief Overview.
        1994
        • Willis D.B.
        Cognitive Interviewing a “How To” Guide.
        1999
        • Marx R.G.
        • Menezes A.
        • Horovitz L.
        • Jones E.C.
        • Warren R.F.
        A comparison of two time intervals for test-retest reliability of health status instruments.
        J Clin Epidemiol. 2003; 56: 730-735
        • Portney L.G.
        • Watkins M.P.
        Foundations of Clinical Research: Applications to Practice.
        Pearson/Prentice Hall, Upper Saddle River, NJ2009
        • Cohen R.J.
        • Swerdlik M.E.
        • Phillips S.M.
        Psychological Testing and Assessment. Chapter 6: Validity.
        Mayfield Publishing Company, Mountain View, California1996: 174-217
        • Shrout P.E.
        • Fleiss J.L.
        Intraclass correlations: uses in assessing rater reliability.
        Psychol Bull. 1979; 86: 420-428
        • Bland J.M.
        • Altman D.G.
        Statistical methods for assessing agreement between measurements.
        Biochem Clin. 1987; 11: 399-404
        • Bland J.M.
        • Altman D.J.
        Statistical methods for assessing agreement between two methods of clinical measurement.
        Lancet. 1986; 1: 307-310
        • Ludbrook J.
        Confidence in Altman-Bland plots: a critical review of the method of differences.
        Clin Exp Pharmacol Physiol. 2010; 37: 143-149
        • Smith M.W.
        • Ma J.
        • Stafford R.S.
        Bar charts enhance Bland-Altman plots when value ranges are limited.
        J Clin Epidemiol. 2010; 63: 180-184
        • Gummesson C.
        • Atroshi I.
        • Ekdahl C.
        The disabilities of the arm, shoulder and hand (DASH) outcome questionnaire: longitudinal construct validity and measuring self-rated health change after surgery.
        BMC Musculoskelet Disord. 2003; 12: 349-362
        • Al-Nozha M.M.
        • Al-Hazzaa H.M.
        • Arafah M.R.
        • et al.
        Prevalence of physical activity and inactivity among Saudis aged 30–70 years. A population-based cross-sectional study.
        Saudi Med J. 2007; 28: 559-568
        • Al-Otaibi S.T.
        Repetitive strain injury.
        Saudi Med J. 2001; 22: 398-402
        • Nainzadeh N.
        • Malantic-Lin A.
        • Alvarez M.
        • Loeser A.C.
        Repetitive strain injury (cumulative trauma disorder): causes and treatment.
        Mt Sinai J Med. 1999; 66: 192-196
        • Guidotti T.L.
        Occupational repetitive strain injury.
        Am Fam Physician. 1992; 45: 585-592
        • Diwaker H.N.
        • Stothard J.
        What do doctors mean by tenosynovitits and repetitive strain injury?.
        Occup Med. 1995; 45: 97-104
        • Gerr F.
        • Letz R.
        • Landrigan P.J.
        Upper extremity musculoskeletal disorders of occupational origin.
        Annu Rev Public Health. 1991; 12: 543-566
        • Walker I.
        Saudi Arabia and its Immigrants.
        (COMPAS Blog)2013 (Available at:)
        • Hasani F.
        Physical Therapists' Attitudes, Confidence, and Knowledge Toward Evidence-based Practice and Outcome Measurements in Saudi Arabia.
        School of Rehabilitation Science, McMaster University, Canada2014

      JHT Read for Credit

      Quiz: #388

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to JHTReadforCredit.com. There is only one best answer for each question.
      • #1.
        The PRWHE-A is
        • a.
          an invention of the insurance industry
        • b.
          based on work originating in the European Union
        • c.
          a PRO
        • d.
          only for use in Saudi Arabia
      • #2.
        Reliability was assessed with
        • a.
          an ICC
        • b.
          a Pearson
        • c.
          a student T test
        • d.
          a regression line
      • #3.
        The construct validity was evaluated by comparing the PRWHE-A to the
        • a.
          Jebsen-Taylor Test
        • b.
          Michigan Hand Inventory-A
        • c.
          DASH
        • d.
          DASH-A
      • #4.
        The PRWHE-A was shown to be
        • a.
          neither reliable nor valid
        • b.
          reliable, but not valid
        • c.
          valid and reliable
        • d.
          valid, but not reliable
      • #5.
        The PRWHE-A is applicable to Farsi
        • a.
          true
        • b.
          false
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.