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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Veröffentlicht in:Quality of life research 2014-04, Vol.23 (3), p.917-926
Hauptverfasser: Van Son, M. A. C., Den Oudsten, B. L., Roukema, J. A., Gosens, T., Verhofstad, M. H. J., De Vries, J.
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container_end_page 926
container_issue 3
container_start_page 917
container_title Quality of life research
container_volume 23
creator Van Son, M. A. C.
Den Oudsten, B. L.
Roukema, J. A.
Gosens, T.
Verhofstad, M. H. J.
De Vries, J.
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 &lt; .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 &amp; 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 &lt; .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 &amp; 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.</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 &lt; .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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source MEDLINE; Jstor Complete Legacy; SpringerLink Journals - AutoHoldings
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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