Article

The Disabilities of the Arm
Shoulder and Hand Questionnaire has multiple language versions from many
countries around the world. In addition there is extensive research evidence of
its psychometric properties.
The purpose of this study was
to systematically review the evidence available on the validity and clinical
utility of the Disabilities of the Arm Shoulder and Hand as a measure of activity
and participation in patients with musculoskeletal hand injuries in developing
country contexts. METHODS:
We registered the review with international
prospective register of systematic reviews prior to conducting a comprehensive
literature search and extracting descriptive data. Two reviewers independently
assessed methodological quality with the Consensus-Based Standards for the
Selection of Health Measurement Instruments critical appraisal tool, the
checklist to operationalize measurement characteristics of patient-rated outcome
measures and the multidimensional model of clinical utility. RESULTS: Fourteen
studies reporting 12 language versions met the eligibility criteria. Two language
versions (Persian and Turkish) had an overall rating of good, and one (Thai) had
an overall rating of excellent for cross-cultural validity. The remaining 9
language versions had an overall poor rating for cross-cultural validity. Content
and construct validity and clinical utility yielded similar results.
DISCUSSION/CONCLUSIONS: Poor quality ratings for validity and clinical utility
were due to insufficient documentation of results and inadequate psychometric
testing. With the increase in migration and globalization, hand therapists are
likely to require a range of culturally adapted and translated versions of the
Disabilities of the Arm Shoulder and Hand. Recommendations include rigorous
application and reporting of cross-cultural adaptation, appropriate psychometric
testing, and testing of clinical utility in routine clinical practice.
CI - Copyright (c) 2017 Hanley & Belfus. Published by Elsevier Inc. All rights
reserved.

Langue : ANGLAIS