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Foot and ankle ability measure to measure functional limitations in patients with foot and ankle disorders : a Chinese cross-cultural adaptation and validation

PURPOSE: To perform a cultural adaptation and validation study (internal and
external) of the FAAM questionnaire to create the Chinese version of the
questionnaire (FAAM-Ch). METHODS: Two independent professional
native translators performed a translation from English to Chinese and reverse
translation. Psychometric properties analysis: Internal consistency of measure
was analysed through the Cronbach's alpha coefficients. After extraction by
maximum likelihood (EML), the structure factor and construct validity was
analysed; to extract a factor, it was necessary to complete the following three
requirements: >/=10% of variance, Eigenvalue >1.0 and scree plot inflection
point. Standard error measurement (SEM) and minimal detectable change 90 (MDC90)
were calculated. FFI-Taiwan version, SF12v2, and EuroQol5D were used for
criterion validity analysis. RESULTS: The internal consistency (Cronbach's alpha)
for specific FAAM-Ch subscales was 0.879 (ADL) and 0.901 (Sport); test-retest
analysis (interclass correlation) item ranging between 0.758 and 0.970 (ADL:
0758-0946; Sport: 0.911-0.970). Measures error: 3.449% (MDC90) and 1.478% (SEM).
Chi-squared value =15228.74 and gl 406) (p < 0.001) and the Kaiser-Meyer-Oklin
values (0.919). The correlation level with the FFI is strong, with SF12v2 is
between poor and strong and with EuroQoL5d is between moderate and strong
Conclusions: FAAM-Chinese version has satisfactory "transversal" psychometric
properties, facilitating the inclusion of FAAM-Chinese into research and clinical
practice. Implications for Rehabilitation Cross-cultural adaptation of the
FAAM-Ch has been performed from the original version. The psychometric properties
of the FAAM-Ch indicate satisfactory and consistent results (particularly in the
internal consistence, reliability and criterion validity) with the original
version. FAAM-Ch can be used by Chinese speaking clinicians and researches.

Langue : ANGLAIS

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