Psychometric properties of the Dutch Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with a fracture of the upper or lower extremity
Purpose This prospective study examined the psychometric properties of the adapted Dutch translation of the Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with isolated unilateral lower fracture (LEF) or upper extremity fracture (UEF). Methods Patients (N = 458) completed...
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description | Purpose This prospective study examined the psychometric properties of the adapted Dutch translation of the Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with isolated unilateral lower fracture (LEF) or upper extremity fracture (UEF). Methods Patients (N = 458) completed the SMFA, WHOQOL-BREF, and the RAND-36 at time of diagnosis (i.e. pre-injury status), 1, and 2 weeks post-fracture. Principal axis factoring was performed, and Cronbach's alpha coefficients (α) and intra-class correlation coefficients (ICC) were calculated. Furthermore, Pearson's product-moment correlations (r), paired t tests, and standardized response means (SRM) were calculated. Results A three-factor structure was found: Lower extremity dysfunction, Upper extremity dysfunction, and Daily life consequences. This structure was different for patients with LEF versus UEF. ICCs ranged from .68 to .90, and α varied from .81 to .95. The correlations between the SMFA and, respectively, the RAND-36 and WHOQOL-BREF were small to large depending on the SMFA factor combined with fracture location. Responsiveness was confirmed (p < .0001; SRM ranging from .28 to 1.71). Conclusions The SMFA has good psychometric properties in patients with fractures. Patients with UEF and LEF could not be regarded as a homogenous group. The development of separate SMFA modules should be considered. |
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A. C. ; Den Oudsten, B. L. ; Roukema, J. A. ; Gosens, T. ; Verhofstad, M. H. J. ; De Vries, J.</creator><creatorcontrib>Van Son, M. A. C. ; Den Oudsten, B. L. ; Roukema, J. A. ; Gosens, T. ; Verhofstad, M. H. J. ; De Vries, J.</creatorcontrib><description>Purpose This prospective study examined the psychometric properties of the adapted Dutch translation of the Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with isolated unilateral lower fracture (LEF) or upper extremity fracture (UEF). Methods Patients (N = 458) completed the SMFA, WHOQOL-BREF, and the RAND-36 at time of diagnosis (i.e. pre-injury status), 1, and 2 weeks post-fracture. Principal axis factoring was performed, and Cronbach's alpha coefficients (α) and intra-class correlation coefficients (ICC) were calculated. Furthermore, Pearson's product-moment correlations (r), paired t tests, and standardized response means (SRM) were calculated. Results A three-factor structure was found: Lower extremity dysfunction, Upper extremity dysfunction, and Daily life consequences. This structure was different for patients with LEF versus UEF. ICCs ranged from .68 to .90, and α varied from .81 to .95. The correlations between the SMFA and, respectively, the RAND-36 and WHOQOL-BREF were small to large depending on the SMFA factor combined with fracture location. Responsiveness was confirmed (p < .0001; SRM ranging from .28 to 1.71). Conclusions The SMFA has good psychometric properties in patients with fractures. Patients with UEF and LEF could not be regarded as a homogenous group. The development of separate SMFA modules should be considered.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-013-0529-z</identifier><identifier>PMID: 24142236</identifier><language>eng</language><publisher>Cham: Springer</publisher><subject>Adult ; Bone fractures ; Bones of Lower Extremity - injuries ; Bones of Upper Extremity - injuries ; Brief Communication ; Clinical psychology ; Comorbidity ; Correlation coefficients ; Cross-Cultural Comparison ; Disability Evaluation ; Education ; Emergency medical care ; Extremities ; Factor Analysis, Statistical ; Female ; Fractures ; Fractures, Bone - diagnosis ; Fractures, Bone - epidemiology ; Fractures, Bone - psychology ; Hospitals ; Humans ; Lower extremity ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Multiple Trauma - diagnosis ; Multiple Trauma - epidemiology ; Musculoskeletal Diseases - diagnosis ; Musculoskeletal Diseases - epidemiology ; Musculoskeletal Diseases - psychology ; Musculoskeletal system ; Netherlands - epidemiology ; P values ; Prospective Studies ; Psychometrics ; Public Health ; Quality of Life ; Quality of Life Research ; Quantitative psychology ; Questionnaires ; Sickness Impact Profile ; Sociology ; Surgeons ; Surveys and Questionnaires - standards ; T tests ; Translations ; Trauma ; Upper extremity ; Work Capacity Evaluation</subject><ispartof>Quality of life research, 2014-04, Vol.23 (3), p.917-926</ispartof><rights>Springer Science+Business Media Dordrecht 2013</rights><rights>Springer International Publishing Switzerland 2014</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c437t-5117608e91b0b8cfbaa9524e998563976cca4d2d914136b9a4c398f2c34ceb2f3</citedby><cites>FETCH-LOGICAL-c437t-5117608e91b0b8cfbaa9524e998563976cca4d2d914136b9a4c398f2c34ceb2f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/24726390$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/24726390$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,781,785,804,27929,27930,41493,42562,51324,58022,58255</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24142236$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Son, M. A. C.</creatorcontrib><creatorcontrib>Den Oudsten, B. L.</creatorcontrib><creatorcontrib>Roukema, J. A.</creatorcontrib><creatorcontrib>Gosens, T.</creatorcontrib><creatorcontrib>Verhofstad, M. H. J.</creatorcontrib><creatorcontrib>De Vries, J.</creatorcontrib><title>Psychometric properties of the Dutch Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with a fracture of the upper or lower extremity</title><title>Quality of life research</title><addtitle>Qual Life Res</addtitle><addtitle>Qual Life Res</addtitle><description>Purpose This prospective study examined the psychometric properties of the adapted Dutch translation of the Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with isolated unilateral lower fracture (LEF) or upper extremity fracture (UEF). Methods Patients (N = 458) completed the SMFA, WHOQOL-BREF, and the RAND-36 at time of diagnosis (i.e. pre-injury status), 1, and 2 weeks post-fracture. Principal axis factoring was performed, and Cronbach's alpha coefficients (α) and intra-class correlation coefficients (ICC) were calculated. Furthermore, Pearson's product-moment correlations (r), paired t tests, and standardized response means (SRM) were calculated. Results A three-factor structure was found: Lower extremity dysfunction, Upper extremity dysfunction, and Daily life consequences. This structure was different for patients with LEF versus UEF. ICCs ranged from .68 to .90, and α varied from .81 to .95. The correlations between the SMFA and, respectively, the RAND-36 and WHOQOL-BREF were small to large depending on the SMFA factor combined with fracture location. Responsiveness was confirmed (p < .0001; SRM ranging from .28 to 1.71). Conclusions The SMFA has good psychometric properties in patients with fractures. Patients with UEF and LEF could not be regarded as a homogenous group. The development of separate SMFA modules should be considered.</description><subject>Adult</subject><subject>Bone fractures</subject><subject>Bones of Lower Extremity - injuries</subject><subject>Bones of Upper Extremity - injuries</subject><subject>Brief Communication</subject><subject>Clinical psychology</subject><subject>Comorbidity</subject><subject>Correlation coefficients</subject><subject>Cross-Cultural Comparison</subject><subject>Disability Evaluation</subject><subject>Education</subject><subject>Emergency medical care</subject><subject>Extremities</subject><subject>Factor Analysis, Statistical</subject><subject>Female</subject><subject>Fractures</subject><subject>Fractures, Bone - diagnosis</subject><subject>Fractures, Bone - epidemiology</subject><subject>Fractures, Bone - psychology</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Lower extremity</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Multiple Trauma - diagnosis</subject><subject>Multiple Trauma - epidemiology</subject><subject>Musculoskeletal Diseases - diagnosis</subject><subject>Musculoskeletal Diseases - epidemiology</subject><subject>Musculoskeletal Diseases - psychology</subject><subject>Musculoskeletal system</subject><subject>Netherlands - epidemiology</subject><subject>P values</subject><subject>Prospective Studies</subject><subject>Psychometrics</subject><subject>Public Health</subject><subject>Quality of Life</subject><subject>Quality of Life Research</subject><subject>Quantitative psychology</subject><subject>Questionnaires</subject><subject>Sickness Impact Profile</subject><subject>Sociology</subject><subject>Surgeons</subject><subject>Surveys and Questionnaires - standards</subject><subject>T tests</subject><subject>Translations</subject><subject>Trauma</subject><subject>Upper extremity</subject><subject>Work Capacity Evaluation</subject><issn>0962-9343</issn><issn>1573-2649</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1u1DAUhS0EokPhAViALLEpi4D_8uPlqDCA1AqkwjpyPDckQxKnvrbK9GV4VTzNgCoWrGzpfufcq3MIec7ZG85Y-RY557LIGJcZy4XObh-QFc9LmYlC6YdkxXQhMi2VPCFPEHeMsUoz8ZicCMWVELJYkV9fcG87N0LwvaWzdzP40ANS19LQAX0Xg-3oVed8oJcRbRwc_oABghnoJk429G6ia0RAHGEK9OzqcrN-Ta8j4GE0md4D7Sc6m-Q6BaQ3feiooa03NsQ0O-6Jc1pMnaeDu0kf-Bk8jH3YPyWPWjMgPDu-p-Tb5v3X84_ZxecPn87XF5lVsgxZznlZsAo0b1hT2bYxRudCgdZVXkhdFtYatRVbzVVKrNFGWamrVlipLDSilafkbPFNEdwdX489WhgGM4GLWPOclaWuZK4S-uofdOein9J1dxSXKecyUXyhrHeIHtp69v1o_L7mrD60Vy_t1am9-tBefZs0L4_OsRlh-1fxp64EiAXANJq-g7-3-j-uLxbRDoPz90xLkaJh8jfAurGQ</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Van Son, M. 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A. C. ; Den Oudsten, B. L. ; Roukema, J. A. ; Gosens, T. ; Verhofstad, M. H. J. ; De Vries, J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c437t-5117608e91b0b8cfbaa9524e998563976cca4d2d914136b9a4c398f2c34ceb2f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Bone fractures</topic><topic>Bones of Lower Extremity - injuries</topic><topic>Bones of Upper Extremity - injuries</topic><topic>Brief Communication</topic><topic>Clinical psychology</topic><topic>Comorbidity</topic><topic>Correlation coefficients</topic><topic>Cross-Cultural Comparison</topic><topic>Disability Evaluation</topic><topic>Education</topic><topic>Emergency medical care</topic><topic>Extremities</topic><topic>Factor Analysis, Statistical</topic><topic>Female</topic><topic>Fractures</topic><topic>Fractures, Bone - diagnosis</topic><topic>Fractures, Bone - epidemiology</topic><topic>Fractures, Bone - psychology</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Lower extremity</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Multiple Trauma - diagnosis</topic><topic>Multiple Trauma - epidemiology</topic><topic>Musculoskeletal Diseases - diagnosis</topic><topic>Musculoskeletal Diseases - epidemiology</topic><topic>Musculoskeletal Diseases - psychology</topic><topic>Musculoskeletal system</topic><topic>Netherlands - epidemiology</topic><topic>P values</topic><topic>Prospective Studies</topic><topic>Psychometrics</topic><topic>Public Health</topic><topic>Quality of Life</topic><topic>Quality of Life Research</topic><topic>Quantitative psychology</topic><topic>Questionnaires</topic><topic>Sickness Impact Profile</topic><topic>Sociology</topic><topic>Surgeons</topic><topic>Surveys and Questionnaires - standards</topic><topic>T tests</topic><topic>Translations</topic><topic>Trauma</topic><topic>Upper extremity</topic><topic>Work Capacity Evaluation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Son, M. A. C.</creatorcontrib><creatorcontrib>Den Oudsten, B. L.</creatorcontrib><creatorcontrib>Roukema, J. A.</creatorcontrib><creatorcontrib>Gosens, T.</creatorcontrib><creatorcontrib>Verhofstad, M. H. 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A. C.</au><au>Den Oudsten, B. L.</au><au>Roukema, J. A.</au><au>Gosens, T.</au><au>Verhofstad, M. H. J.</au><au>De Vries, J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychometric properties of the Dutch Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with a fracture of the upper or lower extremity</atitle><jtitle>Quality of life research</jtitle><stitle>Qual Life Res</stitle><addtitle>Qual Life Res</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>23</volume><issue>3</issue><spage>917</spage><epage>926</epage><pages>917-926</pages><issn>0962-9343</issn><eissn>1573-2649</eissn><abstract>Purpose This prospective study examined the psychometric properties of the adapted Dutch translation of the Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with isolated unilateral lower fracture (LEF) or upper extremity fracture (UEF). Methods Patients (N = 458) completed the SMFA, WHOQOL-BREF, and the RAND-36 at time of diagnosis (i.e. pre-injury status), 1, and 2 weeks post-fracture. Principal axis factoring was performed, and Cronbach's alpha coefficients (α) and intra-class correlation coefficients (ICC) were calculated. Furthermore, Pearson's product-moment correlations (r), paired t tests, and standardized response means (SRM) were calculated. Results A three-factor structure was found: Lower extremity dysfunction, Upper extremity dysfunction, and Daily life consequences. This structure was different for patients with LEF versus UEF. ICCs ranged from .68 to .90, and α varied from .81 to .95. The correlations between the SMFA and, respectively, the RAND-36 and WHOQOL-BREF were small to large depending on the SMFA factor combined with fracture location. Responsiveness was confirmed (p < .0001; SRM ranging from .28 to 1.71). Conclusions The SMFA has good psychometric properties in patients with fractures. Patients with UEF and LEF could not be regarded as a homogenous group. The development of separate SMFA modules should be considered.</abstract><cop>Cham</cop><pub>Springer</pub><pmid>24142236</pmid><doi>10.1007/s11136-013-0529-z</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Bone fractures Bones of Lower Extremity - injuries Bones of Upper Extremity - injuries Brief Communication Clinical psychology Comorbidity Correlation coefficients Cross-Cultural Comparison Disability Evaluation Education Emergency medical care Extremities Factor Analysis, Statistical Female Fractures Fractures, Bone - diagnosis Fractures, Bone - epidemiology Fractures, Bone - psychology Hospitals Humans Lower extremity Male Medicine Medicine & Public Health Middle Aged Multiple Trauma - diagnosis Multiple Trauma - epidemiology Musculoskeletal Diseases - diagnosis Musculoskeletal Diseases - epidemiology Musculoskeletal Diseases - psychology Musculoskeletal system Netherlands - epidemiology P values Prospective Studies Psychometrics Public Health Quality of Life Quality of Life Research Quantitative psychology Questionnaires Sickness Impact Profile Sociology Surgeons Surveys and Questionnaires - standards T tests Translations Trauma Upper extremity Work Capacity Evaluation |
title | Psychometric properties of the Dutch Short Musculoskeletal Function Assessment (SMFA) questionnaire in patients with a fracture of the upper or lower extremity |
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