The Spanish version of the Patient-Rated Wrist Evaluation outcome measure: cross-cultural adaptation process, reliability, measurement error and construct validity

Roberto S Rosales, Rayco García-Gutierrez, Luis Reboso-Morales, Isam Atroshi, Roberto S Rosales, Rayco García-Gutierrez, Luis Reboso-Morales, Isam Atroshi

Abstract

Background: The Patient-Rated Wrist Evaluation (PRWE) is a widely used measure of patient-reported disability and pain related to wrist disorders. We performed cross-cultural adaptation of the PRWE into Spanish (Spain) and assessed reliability and construct validity in patients with distal radius fracture.

Methods: Adaptation of the English version to Spanish (Spain) was performed using translation/back translation methodology. The measurement properties of the PRWE-Spanish were assessed in a sample of 40 consecutive patients (31 women), mean age 58 (SD 19) years, with extra-articular distal radius fractures treated with closed reduction and cast. The patients completed the PRWE-Spanish and the standard Spanish versions of the 11-item Disabilities of the Arm, Shoulder and Hand (QuickDASH) and EQ-5D questionnaires at baseline (health status before fracture) and at 8, 9, 12, and 13 weeks after treatment. Internal-consistency reliability was assessed with the Cronbach alpha coefficient and test-retest reliability with the intraclass correlation coefficient (ICC) comparing responses at 8 and 9 weeks and responses at 12 and 13 weeks. Cross-sectional precision was analyzed with the Standard Error of the Measurement (SEM). Longitudinal precision for test-retest reliability coefficient was analyzed with the Standard Error of the Measurement difference (SEMdiff) and the Minimal Detectable Change at 90% (MDC90) and 95% (MDC95) confidence levels. For assessing construct validity we hypothesized that the PRWE-Spanish (lower score indicates less disability and pain) would have strong positive correlation with the QuickDASH (lower score indicates less disability) and moderate negative correlation with the EQ-5D Index (higher score indicates better health); Spearman correlation coefficient (r) was used.

Results: For the PRWE total score, Cronbach alpha was 0.98 (SEM = 2.67) at baseline and 0.96 (SEM = 4.37) at 8 weeks. For test-retest reliability ICC was 0.94 (8 and 9 weeks) and 0.96 (12 and 13 weeks) with SEMdiff 7.61 and 6.18 and MDC95 13.74 and 12.11, respectively. The PRWE-Spanish scores had strong positive correlation with the QuickDASH scores at baseline (r = 0.71) and at 8 weeks (r = 0.79) and moderate negative correlation with the EQ-5D Index (r = -0.44 and r = -0.40, respectively).

Conclusions: The PRWE-Spanish showed high internal-consistency and test-retest reliability and good construct validity in patients with distal radius fracture.

Keywords: Distal Radius Fracture; Hand; PRWE; Wrist.

Conflict of interest statement

Ethics approval and consent to participate

The study was approved by the institutional national research committee of the University Hospital of La Candelaria, School of Medicine, University of La Laguna (PI-05/17), and conducted in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. Written informed consent was obtained from all participants.

Consent for publication

Not applicable

Competing interests

The authors declare that they have no competing interests.

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Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

References

    1. Rosales RS, Delgado EB, Díez de la Lastra-Bosch I. Evaluation of the Spanish version of the DASH and carpal tunnel syndrome health-related quality-of-life instruments: cross-cultural adaptation process and reliability. J Hand Surg Am. 2002;27:334–343. doi: 10.1053/jhsu.2002.30059.
    1. Hudak PL, Amadio PC, 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. doi: 10.1002/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>;2-L.
    1. Chung KC, Pillsbury MS, Walters MR, Hayward RA. Reliability and validity testing of the Michigan Hand Outcomes Questionnaire. J Hand Surg Am. 1998;23:575–587. doi: 10.1016/S0363-5023(98)80042-7.
    1. Pransky G, Feuerstein M, Himmelstein J, Katz JN, Vickers-Lahti M. Measuring functional outcomes in work-related upper extremity disorders. Development and validation of the Upper Extremity Function Scale. J Occup Environ Med. 1997;39:1195–1202. doi: 10.1097/00043764-199712000-00014.
    1. Levine DW, Simmons BP, Koris MJ, Daltroy LH, Hohl GG, Fossel AH, Katz JN. A self-administered questionnaire for the assessment of severity of symptoms and functional status in carpal tunnel syndrome. J Bone Joint Surg Am. 1993;75:1585–1592. doi: 10.2106/00004623-199311000-00002.
    1. MacDermid JC. Development of a scale for patient rating of wrist pain and disability. J Hand Ther. 1996;9:178–183. doi: 10.1016/S0894-1130(96)80076-7.
    1. MacDermid JC, Turgeon T, Richards R, Beadle M, Roth JH. Patient rating of wrist pain and disability: a reliable and valid measurement tool. J Orthop Trauma. 1998;12:577–586. doi: 10.1097/00005131-199811000-00009.
    1. Goldhahn J, Angst F, Simmen BR. What counts: outcome assessment after distal radius fractures in aged patients. J Orthop Trauma. 2008;22(8 Suppl):S126–S130. doi: 10.1097/BOT.0b013e31817614a1.
    1. Changulani M, Okonkwo U, Keswani T, Kalairajah Y. Outcome evaluation measures for wrist and hand: which one to choose? Int Orthop. 2008;32:1–6. doi: 10.1007/s00264-007-0368-z.
    1. Hemelaers L, Angst F, Drerup S, Simmen BR, 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. doi: 10.1197/j.jht.2008.03.002.
    1. Imaeda T, Uchiyama S, Wada T, Okinaga S, Sawaizumi T, Omokawa S, Momose T, Moritomo H, Gotani H, Abe Y, Nishida J, Kanaya F. Reliability, validity, and responsiveness of the Japanese version of the Patient-Rated Wrist Evaluation. J Orthop Sci. 2010;15:509–517. doi: 10.1007/s00776-010-1477-x.
    1. John M, Angst F, Awiszus F, Pap G, MacDermid JC, Simmen BR. The patient-rated wrist evaluation (PRWE): cross-cultural adaptation into German and evaluation of its psychometric properties. Clin Exp Rheumatol. 2008;26:1047–1058.
    1. Schmitt JS, Di Fabio RP. Reliable change and minimum important difference (MID) proportions facilitated group responsiveness comparisons using individual threshold criteria. J Clin Epidemiol. 2004;57:1008–1018. doi: 10.1016/j.jclinepi.2004.02.007.
    1. MacDermid JC, Tottenham V. Responsiveness of the disability of the arm, shoulder and hand (DASH) and patient-rated wrist/hand evaluation in evaluating change after hand therapy. J Hand Ther. 2004;17:18–23. doi: 10.1197/j.jht.2003.10.003.
    1. Voche P, Dubert T, Laffargue C, Gosp-Server A. Patient-rated wrist questionnaire: preliminary report on a proposed French version of a North American questionnaire designed to assess wrist pain and function. Rev Chir Orthop Reparatrice Appar Mot. 2003;89:443–448.
    1. Brink SM, Voskamp EG, Houpt P, Emmelot CH. Psychometric properties of the Patient Rated Wrist/Hand Evaluation - Dutch Language Version (PRWH/E-DLV) J Hand Surg Eur. 2009;34:556–557. doi: 10.1177/1753193409103733.
    1. Wilcke MT, Abbaszadegan H, Adolphson PY. 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;43:94–101. doi: 10.1080/02844310902734598.
    1. 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;12:171. doi: 10.1186/1471-2474-12-171.
    1. Da Silva Rodrigues EK, de Cássia Registro Fonseca M, JC MD. Brazilian version of the Patient Rated Wrist Evaluation (PRWE-BR): Cross-cultural adaptation, internal consistency, test-retest reliability and construct validity. J Hand Ther. 2015;28:69–75. doi: 10.1016/j.jht.2014.09.008.
    1. Schonnemann JO, Hansen TB, Søballe K. Translation and validation of the Danish version of Patient Rated Wrist Evaluation questionnaire. J Plast Surg Hand Surg. 2013;47:489–492.
    1. Sandelin H, Jalanko T, Huhtala H, Lassila H, Haapala J, Helkamaa T. Translation and validation of the Finnish version of the patient-rated wrist evaluation questionnaire (PRWE) in patients with acute distal radius fracture. Scand J Surg. 2016;105:204–210. doi: 10.1177/1457496915613649.
    1. Goldhahn J, Shisha T, MacDermid JC, Goldhahn S. Multilingual cross-cultural adaptation of the patient-rated wrist evaluation (PRWE) into Czech, French, Hungarian, Italian, Portuguese (Brazil), Russian and Ukrainian. Arch Orthop Trauma Surg. 2013;133:589–593. doi: 10.1007/s00402-013-1694-9.
    1. Wah JW, Wang MK, Ping CL. Construct validity of the Chinese version of the Patient-rated Wrist Evaluation Questionnaire (PRWE-Hong Kong Version) J Hand Ther. 2006;19:18–26. doi: 10.1197/j.jht.2005.10.003.
    1. Mehta SP, Mhatre B, MacDermid JC, Mehta A. Cross-cultural adaptation and psychometric testing of the Hindi version of the patient-rated wrist evaluation. J Hand Ther. 2012;25:65–77. doi: 10.1016/j.jht.2011.08.001.
    1. Kim JK, Kang JS. Evaluation of the Korean version of the patient-rated wrist valuation. J Hand Ther. 2013;26:238–243. doi: 10.1016/j.jht.2013.01.003.
    1. Rosales RS, Martin-Hidalgo Y, Reboso-Morales L, Atroshi I. Reliability and construct validity of the Spanish version of the 6-item CTS symptoms scale for outcomes assessment in carpal tunnel syndrome. BMC Musculoskelet Disord. 2016;17:115. doi: 10.1186/s12891-016-0963-5.
    1. Ware JE, Jr, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment (IQOLA Project) J Clin Epidemiol. 1998;51:903–912. doi: 10.1016/S0895-4356(98)00081-X.
    1. Alonso J, Prieto L, Anto JM. The Spanish version of the SF-36 Health Survey: a measure of clinical outcomes. Med Clin (Barc) 1995;104:771–776.
    1. Kennedy CA, Beaton DE, Solway S, McConnell S, Bombardier C. The DASH and Quick DASH outcome measure user’s manual. Third. Institute for Work & Health: Ontario; 2011.
    1. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, STROBE Initiative The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. PLoS Med. 2007;4(10):e296. doi: 10.1371/journal.pmed.0040296.
    1. Gummesson C, Ward MM, Atroshi I. The shortened disabilities of the arm, shoulder and hand questionnaire (QuickDASH): validity and reliability based on responses within the full-length DASH. BMC Musculoskelet Disord. 2006;7:44. doi: 10.1186/1471-2474-7-44.
    1. Badia X, Roset M, Montserrat S, Herdman M, Segura A. La versión española del Euroqol: descripción y aplicaciones. Med Clin (Barc) 1999;112:79–86.
    1. Chung MK. Correlation Coefficient. In: Salkin NJ, editor. Encyclopedia of measurement and statistics. London: Sage Publications; 2007. pp. 189–120.
    1. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika. 1951;16:297–334. doi: 10.1007/BF02310555.
    1. Vaz S, Falkmer T, Passmore AE, Parsons R, Andreou P. The Case for using the repeatability coefficient when calculating test-retest reliability. PLoS One. 2013;8(9) doi: 10.1371/journal.pone.0073990.
    1. Fleiss JL. The design and analysis of clinical experiments. New York: John Wiley & Sons; 1986.
    1. 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. doi: 10.1016/0895-4356(93)90142-N.
    1. Mokkink LB, Terwee CB, Patrick DL, Alonso J, Stratford PW, Knol DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010;19:539–549. doi: 10.1007/s11136-010-9606-8.
    1. De Vet HCW, Terwee CB, Knol DL, Bouter LM. When to use agreement versus reliability measures. J Clin Epidemiol. 2006;59:1033–1039. doi: 10.1016/j.jclinepi.2005.10.015.
    1. Terwee CB, Mokkink LB, Knol DL, Ostelo RW, Bouter LM, de Vet HC. Rating the methodological quality in systematic reviews of studies on measurement properties: a scoring system for the COSMIN checklist. Qual Life Res. 2012;21:651–657. doi: 10.1007/s11136-011-9960-1.
    1. Rosales RS, Diez de la Lastra I, McCabe S, Ortega Martinez JI, Hidalgo YM. The relative responsiveness and construct validity of the Spanish version of the DASH instrument for outcomes assessment in open carpal tunnel release. J Hand Surg Eur. 2009;34:72–75. doi: 10.1177/1753193408094156.

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