Background: Patient-oriented measures are becoming a widely accepted parameter in assessing outcomes of musculo-skeletal disorders. However, many clinical studies have been recently published in which different questionnaires were used. In order to obtain a standardized and comparable instrument for patient-oriented evaluation of musculo-skeletal conditions, various generic and patient-specific instruments were evaluated, both theoretically and in a clinical setting. Finally, the MODEMSTM questionnaires developed by the AAOS (American Academy of Orthopaedic Surgeons) were selected for use within an Italian speaking population. These instruments (four basic questionnaires for upper limb, lower limb, spine and pediatrics conditions) provide a thorough but easy to apply method for health status evaluation in muscolo-skeletal disorders. Methods: A process of adaptation to italian language was applied to the Outcomes Data Collection Module version 2.0 following the guidelines proposed by Guillemin in 1993. Two different translations and two back-translations were obtained from physicians and professional translators and a Multispecialty Committe evaluated and revised the material. The tools were then administered to patients referred to two University hospitals for various muscouo-skeletal conditions. Results and Conclusion: Reliability, sensitivity, validity and responsiveness of the instruments were tested. The questionnaires proved to be an effective tool in the italian version as in the original one. We believe that MODEMSTM questionnaires provide a good solution to standardize patient-oriented assessment in musculo-skeletal conditions and they can be used in different language populations, if a correct process of translation, cross- cultural adaptation and validation is performed by experienced teams.
Outcome Assessment with the MODEMS TM Questionnaires: Translation, Cross-Cultural Adaptation and Validation of an Italian Version of the Instruments
ZANOLI, Gustavo Alberto;
1999
Abstract
Background: Patient-oriented measures are becoming a widely accepted parameter in assessing outcomes of musculo-skeletal disorders. However, many clinical studies have been recently published in which different questionnaires were used. In order to obtain a standardized and comparable instrument for patient-oriented evaluation of musculo-skeletal conditions, various generic and patient-specific instruments were evaluated, both theoretically and in a clinical setting. Finally, the MODEMSTM questionnaires developed by the AAOS (American Academy of Orthopaedic Surgeons) were selected for use within an Italian speaking population. These instruments (four basic questionnaires for upper limb, lower limb, spine and pediatrics conditions) provide a thorough but easy to apply method for health status evaluation in muscolo-skeletal disorders. Methods: A process of adaptation to italian language was applied to the Outcomes Data Collection Module version 2.0 following the guidelines proposed by Guillemin in 1993. Two different translations and two back-translations were obtained from physicians and professional translators and a Multispecialty Committe evaluated and revised the material. The tools were then administered to patients referred to two University hospitals for various muscouo-skeletal conditions. Results and Conclusion: Reliability, sensitivity, validity and responsiveness of the instruments were tested. The questionnaires proved to be an effective tool in the italian version as in the original one. We believe that MODEMSTM questionnaires provide a good solution to standardize patient-oriented assessment in musculo-skeletal conditions and they can be used in different language populations, if a correct process of translation, cross- cultural adaptation and validation is performed by experienced teams.I documenti in SFERA sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
