Cultural adaptation, translation and validation of Cochin Hand Function Scale and evaluation of hand dysfunction in systemic sclerosis
Objectives Hand dysfunction causes significant reduction in quality of life in systemic sclerosis. We assessed the validity and reliability of the culturally adapted Indian version of Cochin Hand Function Scale (I-CHFS). We determined the factors contributing to hand dysfunction and its burden on qu...
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| Veröffentlicht in: | Clinical rheumatology 2021-05, Vol.40 (5), p.1913-1922 |
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| creator | Bairwa, Devender Kavadichanda, Chengappa G. Adarsh, M. B. Gopal, Aishwarya Negi, Vir Singh |
| description | Objectives
Hand dysfunction causes significant reduction in quality of life in systemic sclerosis. We assessed the validity and reliability of the culturally adapted Indian version of Cochin Hand Function Scale (I-CHFS). We determined the factors contributing to hand dysfunction and its burden on quality of life.
Method
I-CHFS was formulated by replacing five questions (questions 7, 9, 10, 14 and 15) in CHFS which were determined as unsuitable in an Indian setting. The instrument was assessed for acceptability, reliability, reproducibility and validity measures. A total of 87 patients were assessed for various demographic and disease parameters, hand disability and quality of life.
Results
The median I-CHFS score was 22(5–54) and 04 (0.5–17.5) among diffuse (dcSSc) and limited cutaneous systemic sclerosis (lcSSc). I-CHFS showed good reproducibility (interclass correlation coefficient = 0.92) and a strong correlation with I-HAQ (
r
s
= 0.832), usual activities EQ-5D-5L (
r
s
= 0.744), self-care EQ-5D-5L (
r
s
= 0.734) and anxiety/depression EQ-5D-5L (
r
s
= 0.729). It had moderate correlation with pain/discomfort EQ-5D-5L (
r
s
= 0.661) and hand HAQ (
r
s
= 0.576) and poor correlation with HAQ-DI (
r
s
= 0.396) and modified Rodnan skin score (
r
s
= 0.390). Finger to table distance, finger to palm distance in extension and limited hand modified Rodnan skin score were significantly associated with higher values of I-CHFS.
Conclusions
Hand dysfunction in systemic sclerosis is substantial and contributes significantly to poor quality of life. The culturally adapted I-CHFS is a valid and reliable tool to assess it and correlated well with the overall disease burden.
Key Points
•
Hand dysfunction is common among systemic sclerosis patients.
•
Hand dysfunction contributes to the poor quality of life and more disease burden.
•
Culturally adapted Cochin Hand function Scale helps assess hand dysfunction among Indian scleroderma patients. |
| doi_str_mv | 10.1007/s10067-020-05434-4 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2451849430</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2522497595</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-5f25b26b86455e8b67741db252f0e0eacbf235c0295be7f57f3b873d92090bf13</originalsourceid><addsrcrecordid>eNp9kc9O3DAQxq2qqGxpX4ADitQLhwbG_-L4iFYFKq3EAThbtmOzQd5ksZNK-wI8d70bdpE4cLE9M79vZqwPoVMMFxhAXKZ8VqIEAiVwRlnJvqAZ3j6kZPIrmoEQUFIs62P0PaVnACC1xN_QMaVQUUzZDL3OxzCMUYdCN3o96KHtu9_FEHWXwi4odNcU_3RomynsfTHv7bLtittt5Xrs7C5_b3VwO9hlejzAy22q2SS_B7MybdLgVq0tkg0u9qlNP9CR1yG5n2_3CXq8_vMwvy0Xdzd_51eL0lLBh5J7wg2pTF0xzl1tKiEYbgzhxIMDp63xhHILRHLjhOfCU1ML2kgCEozH9ASdT33XsX8ZXRrUqk3WhaA7149JEcZxzSSjkNFfH9Dnfoxd3k7leYRJwSXPFJkom_-RovNqHduVjhuFQW1dUpNLKrukdi4plkVnb61Hs3LNQbK3JQN0AlIudU8uvs_-pO1_WrSebA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2522497595</pqid></control><display><type>article</type><title>Cultural adaptation, translation and validation of Cochin Hand Function Scale and evaluation of hand dysfunction in systemic sclerosis</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Bairwa, Devender ; Kavadichanda, Chengappa G. ; Adarsh, M. B. ; Gopal, Aishwarya ; Negi, Vir Singh</creator><creatorcontrib>Bairwa, Devender ; Kavadichanda, Chengappa G. ; Adarsh, M. B. ; Gopal, Aishwarya ; Negi, Vir Singh</creatorcontrib><description>Objectives
Hand dysfunction causes significant reduction in quality of life in systemic sclerosis. We assessed the validity and reliability of the culturally adapted Indian version of Cochin Hand Function Scale (I-CHFS). We determined the factors contributing to hand dysfunction and its burden on quality of life.
Method
I-CHFS was formulated by replacing five questions (questions 7, 9, 10, 14 and 15) in CHFS which were determined as unsuitable in an Indian setting. The instrument was assessed for acceptability, reliability, reproducibility and validity measures. A total of 87 patients were assessed for various demographic and disease parameters, hand disability and quality of life.
Results
The median I-CHFS score was 22(5–54) and 04 (0.5–17.5) among diffuse (dcSSc) and limited cutaneous systemic sclerosis (lcSSc). I-CHFS showed good reproducibility (interclass correlation coefficient = 0.92) and a strong correlation with I-HAQ (
r
s
= 0.832), usual activities EQ-5D-5L (
r
s
= 0.744), self-care EQ-5D-5L (
r
s
= 0.734) and anxiety/depression EQ-5D-5L (
r
s
= 0.729). It had moderate correlation with pain/discomfort EQ-5D-5L (
r
s
= 0.661) and hand HAQ (
r
s
= 0.576) and poor correlation with HAQ-DI (
r
s
= 0.396) and modified Rodnan skin score (
r
s
= 0.390). Finger to table distance, finger to palm distance in extension and limited hand modified Rodnan skin score were significantly associated with higher values of I-CHFS.
Conclusions
Hand dysfunction in systemic sclerosis is substantial and contributes significantly to poor quality of life. The culturally adapted I-CHFS is a valid and reliable tool to assess it and correlated well with the overall disease burden.
Key Points
•
Hand dysfunction is common among systemic sclerosis patients.
•
Hand dysfunction contributes to the poor quality of life and more disease burden.
•
Culturally adapted Cochin Hand function Scale helps assess hand dysfunction among Indian scleroderma patients.</description><identifier>ISSN: 0770-3198</identifier><identifier>EISSN: 1434-9949</identifier><identifier>DOI: 10.1007/s10067-020-05434-4</identifier><identifier>PMID: 33063134</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Disability Evaluation ; Hand ; Humans ; Medicine ; Medicine & Public Health ; Original Article ; Psychometrics ; Quality of Life ; Reproducibility ; Reproducibility of Results ; Rheumatology ; Scleroderma ; Scleroderma, Systemic - complications ; Severity of Illness Index ; Surveys and Questionnaires ; Systemic sclerosis</subject><ispartof>Clinical rheumatology, 2021-05, Vol.40 (5), p.1913-1922</ispartof><rights>International League of Associations for Rheumatology (ILAR) 2020</rights><rights>International League of Associations for Rheumatology (ILAR) 2020.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-5f25b26b86455e8b67741db252f0e0eacbf235c0295be7f57f3b873d92090bf13</citedby><cites>FETCH-LOGICAL-c375t-5f25b26b86455e8b67741db252f0e0eacbf235c0295be7f57f3b873d92090bf13</cites><orcidid>0000-0001-8754-6417 ; 0000-0002-3643-3989 ; 0000-0001-8091-1952 ; 0000-0002-2304-2014 ; 0000-0003-1518-6031</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10067-020-05434-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10067-020-05434-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33063134$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bairwa, Devender</creatorcontrib><creatorcontrib>Kavadichanda, Chengappa G.</creatorcontrib><creatorcontrib>Adarsh, M. B.</creatorcontrib><creatorcontrib>Gopal, Aishwarya</creatorcontrib><creatorcontrib>Negi, Vir Singh</creatorcontrib><title>Cultural adaptation, translation and validation of Cochin Hand Function Scale and evaluation of hand dysfunction in systemic sclerosis</title><title>Clinical rheumatology</title><addtitle>Clin Rheumatol</addtitle><addtitle>Clin Rheumatol</addtitle><description>Objectives
Hand dysfunction causes significant reduction in quality of life in systemic sclerosis. We assessed the validity and reliability of the culturally adapted Indian version of Cochin Hand Function Scale (I-CHFS). We determined the factors contributing to hand dysfunction and its burden on quality of life.
Method
I-CHFS was formulated by replacing five questions (questions 7, 9, 10, 14 and 15) in CHFS which were determined as unsuitable in an Indian setting. The instrument was assessed for acceptability, reliability, reproducibility and validity measures. A total of 87 patients were assessed for various demographic and disease parameters, hand disability and quality of life.
Results
The median I-CHFS score was 22(5–54) and 04 (0.5–17.5) among diffuse (dcSSc) and limited cutaneous systemic sclerosis (lcSSc). I-CHFS showed good reproducibility (interclass correlation coefficient = 0.92) and a strong correlation with I-HAQ (
r
s
= 0.832), usual activities EQ-5D-5L (
r
s
= 0.744), self-care EQ-5D-5L (
r
s
= 0.734) and anxiety/depression EQ-5D-5L (
r
s
= 0.729). It had moderate correlation with pain/discomfort EQ-5D-5L (
r
s
= 0.661) and hand HAQ (
r
s
= 0.576) and poor correlation with HAQ-DI (
r
s
= 0.396) and modified Rodnan skin score (
r
s
= 0.390). Finger to table distance, finger to palm distance in extension and limited hand modified Rodnan skin score were significantly associated with higher values of I-CHFS.
Conclusions
Hand dysfunction in systemic sclerosis is substantial and contributes significantly to poor quality of life. The culturally adapted I-CHFS is a valid and reliable tool to assess it and correlated well with the overall disease burden.
Key Points
•
Hand dysfunction is common among systemic sclerosis patients.
•
Hand dysfunction contributes to the poor quality of life and more disease burden.
•
Culturally adapted Cochin Hand function Scale helps assess hand dysfunction among Indian scleroderma patients.</description><subject>Disability Evaluation</subject><subject>Hand</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Psychometrics</subject><subject>Quality of Life</subject><subject>Reproducibility</subject><subject>Reproducibility of Results</subject><subject>Rheumatology</subject><subject>Scleroderma</subject><subject>Scleroderma, Systemic - complications</subject><subject>Severity of Illness Index</subject><subject>Surveys and Questionnaires</subject><subject>Systemic sclerosis</subject><issn>0770-3198</issn><issn>1434-9949</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kc9O3DAQxq2qqGxpX4ADitQLhwbG_-L4iFYFKq3EAThbtmOzQd5ksZNK-wI8d70bdpE4cLE9M79vZqwPoVMMFxhAXKZ8VqIEAiVwRlnJvqAZ3j6kZPIrmoEQUFIs62P0PaVnACC1xN_QMaVQUUzZDL3OxzCMUYdCN3o96KHtu9_FEHWXwi4odNcU_3RomynsfTHv7bLtittt5Xrs7C5_b3VwO9hlejzAy22q2SS_B7MybdLgVq0tkg0u9qlNP9CR1yG5n2_3CXq8_vMwvy0Xdzd_51eL0lLBh5J7wg2pTF0xzl1tKiEYbgzhxIMDp63xhHILRHLjhOfCU1ML2kgCEozH9ASdT33XsX8ZXRrUqk3WhaA7149JEcZxzSSjkNFfH9Dnfoxd3k7leYRJwSXPFJkom_-RovNqHduVjhuFQW1dUpNLKrukdi4plkVnb61Hs3LNQbK3JQN0AlIudU8uvs_-pO1_WrSebA</recordid><startdate>20210501</startdate><enddate>20210501</enddate><creator>Bairwa, Devender</creator><creator>Kavadichanda, Chengappa G.</creator><creator>Adarsh, M. B.</creator><creator>Gopal, Aishwarya</creator><creator>Negi, Vir Singh</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8754-6417</orcidid><orcidid>https://orcid.org/0000-0002-3643-3989</orcidid><orcidid>https://orcid.org/0000-0001-8091-1952</orcidid><orcidid>https://orcid.org/0000-0002-2304-2014</orcidid><orcidid>https://orcid.org/0000-0003-1518-6031</orcidid></search><sort><creationdate>20210501</creationdate><title>Cultural adaptation, translation and validation of Cochin Hand Function Scale and evaluation of hand dysfunction in systemic sclerosis</title><author>Bairwa, Devender ; Kavadichanda, Chengappa G. ; Adarsh, M. B. ; Gopal, Aishwarya ; Negi, Vir Singh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-5f25b26b86455e8b67741db252f0e0eacbf235c0295be7f57f3b873d92090bf13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Disability Evaluation</topic><topic>Hand</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Psychometrics</topic><topic>Quality of Life</topic><topic>Reproducibility</topic><topic>Reproducibility of Results</topic><topic>Rheumatology</topic><topic>Scleroderma</topic><topic>Scleroderma, Systemic - complications</topic><topic>Severity of Illness Index</topic><topic>Surveys and Questionnaires</topic><topic>Systemic sclerosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bairwa, Devender</creatorcontrib><creatorcontrib>Kavadichanda, Chengappa G.</creatorcontrib><creatorcontrib>Adarsh, M. B.</creatorcontrib><creatorcontrib>Gopal, Aishwarya</creatorcontrib><creatorcontrib>Negi, Vir Singh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical rheumatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bairwa, Devender</au><au>Kavadichanda, Chengappa G.</au><au>Adarsh, M. B.</au><au>Gopal, Aishwarya</au><au>Negi, Vir Singh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cultural adaptation, translation and validation of Cochin Hand Function Scale and evaluation of hand dysfunction in systemic sclerosis</atitle><jtitle>Clinical rheumatology</jtitle><stitle>Clin Rheumatol</stitle><addtitle>Clin Rheumatol</addtitle><date>2021-05-01</date><risdate>2021</risdate><volume>40</volume><issue>5</issue><spage>1913</spage><epage>1922</epage><pages>1913-1922</pages><issn>0770-3198</issn><eissn>1434-9949</eissn><abstract>Objectives
Hand dysfunction causes significant reduction in quality of life in systemic sclerosis. We assessed the validity and reliability of the culturally adapted Indian version of Cochin Hand Function Scale (I-CHFS). We determined the factors contributing to hand dysfunction and its burden on quality of life.
Method
I-CHFS was formulated by replacing five questions (questions 7, 9, 10, 14 and 15) in CHFS which were determined as unsuitable in an Indian setting. The instrument was assessed for acceptability, reliability, reproducibility and validity measures. A total of 87 patients were assessed for various demographic and disease parameters, hand disability and quality of life.
Results
The median I-CHFS score was 22(5–54) and 04 (0.5–17.5) among diffuse (dcSSc) and limited cutaneous systemic sclerosis (lcSSc). I-CHFS showed good reproducibility (interclass correlation coefficient = 0.92) and a strong correlation with I-HAQ (
r
s
= 0.832), usual activities EQ-5D-5L (
r
s
= 0.744), self-care EQ-5D-5L (
r
s
= 0.734) and anxiety/depression EQ-5D-5L (
r
s
= 0.729). It had moderate correlation with pain/discomfort EQ-5D-5L (
r
s
= 0.661) and hand HAQ (
r
s
= 0.576) and poor correlation with HAQ-DI (
r
s
= 0.396) and modified Rodnan skin score (
r
s
= 0.390). Finger to table distance, finger to palm distance in extension and limited hand modified Rodnan skin score were significantly associated with higher values of I-CHFS.
Conclusions
Hand dysfunction in systemic sclerosis is substantial and contributes significantly to poor quality of life. The culturally adapted I-CHFS is a valid and reliable tool to assess it and correlated well with the overall disease burden.
Key Points
•
Hand dysfunction is common among systemic sclerosis patients.
•
Hand dysfunction contributes to the poor quality of life and more disease burden.
•
Culturally adapted Cochin Hand function Scale helps assess hand dysfunction among Indian scleroderma patients.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>33063134</pmid><doi>10.1007/s10067-020-05434-4</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8754-6417</orcidid><orcidid>https://orcid.org/0000-0002-3643-3989</orcidid><orcidid>https://orcid.org/0000-0001-8091-1952</orcidid><orcidid>https://orcid.org/0000-0002-2304-2014</orcidid><orcidid>https://orcid.org/0000-0003-1518-6031</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0770-3198 |
| ispartof | Clinical rheumatology, 2021-05, Vol.40 (5), p.1913-1922 |
| issn | 0770-3198 1434-9949 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2451849430 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Disability Evaluation Hand Humans Medicine Medicine & Public Health Original Article Psychometrics Quality of Life Reproducibility Reproducibility of Results Rheumatology Scleroderma Scleroderma, Systemic - complications Severity of Illness Index Surveys and Questionnaires Systemic sclerosis |
| title | Cultural adaptation, translation and validation of Cochin Hand Function Scale and evaluation of hand dysfunction in systemic sclerosis |
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