Georgoudis G1,2,3, Sotiropoulos S4,5, Likourgia I4, Skouras A4, Christakou A4,6, Grammatopoulou E4, Venetikou M4
1University of West Attica, Director of Musculoskeletal & Chest Physiotherapy Research Lab, Athens, Greece, 2Hellenic Scientific Society of Algology, Athens, Greece, 3PhysioPain Group, Physiotherapy, Athens, Greece, 4University of West Attica, Musculoskeletal & Chest Physiotherapy Lab, Athens, Greece, 5Central Physio Clinic, Athens, Greece, 6General Hospital of Athens Evangelismos, Physiotherapy, Athens, Greece
Background: The Foot Health Status Questionnaire (FHSQ) was developed and validated to evaluate the effectiveness of conservative (orthoses, taping, stretching) and surgery interventions at the foot. The instrument comprises of 4 subscales, pain (4 q), function (4 q), shoes (3 q) and general foot health (2 q). The FHSQ has been validated in some languages, but it has not been yet culturally adapted for Greek patients.
Purpose: The aim of this study is to cross culturally adapt the FHSQ into Greek and assess for its validity, reliability and internal consistency.
Methods: A sample of 38 patients (21 female, 20-70 years, 73.2+10.9 kgr, 1.68+0.25m) attending three outpatient clinics participated in the study. The adaptation of FHSQ into Greek (FHSQ-GR) followed the guidelines for cross-cultural research tools.
A number of validated into Greek questionnaires was also completed at all times FHSQ-GR was administered: the Short-form McGill Pain Questionnaire (SF-MPQ), the Foot Function Index (FFI), the FAAM, the Tampa Scale of Kinesiophobia (TSK), the VAS scale, the SF-12. Ethical approval was given by the Ethics Committee of the University of West Attica, Athens, Greece (Ref: 6/16-2-2018, 2nd topic). Internal consistency was assessed using Cronbach´s α and test-retest reliability using Intraclass Correlation Coefficient (ICC). Validity was determined by calculating the Pearson´s r correlation coefficient between the FHSQ and the FAAM and FFI (convergent) and the SF-12, SFMPQ, TSK, VAS (divergent).
Results: Internal consistency was satisfactory for pain (a = 0.80), function (a=0.84), shoes (a=0.80) and general health subscale (r=0.79). Convergent validity was very good between the FFI (r=0.69, p 0.05) and FAAM (r=0.78) and divergent validity was evident by the non-significant relationships (p>0.05) between FHSQ -GR and the VAS, TSK and SFMPQ and SF-12. Test-retest reliability for every single item and the total score was also satisfactory (ICC = 0.93, with 95% CI: 0.89-0.96).
Conclusion(s): The Greek version of FHSQ-GR was shown to be a valid, reliable and responsive tool to assess the painful foot problems in Greek outpatients.
Implications: The results for the FHSQ-GR are comparable to the original and other versions of cultural adaptations in other languages, allowing for a direct comparison between data among the countries.
Keywords: FHSQ, foot problem, greek version
Funding acknowledgements: None
Purpose: The aim of this study is to cross culturally adapt the FHSQ into Greek and assess for its validity, reliability and internal consistency.
Methods: A sample of 38 patients (21 female, 20-70 years, 73.2+10.9 kgr, 1.68+0.25m) attending three outpatient clinics participated in the study. The adaptation of FHSQ into Greek (FHSQ-GR) followed the guidelines for cross-cultural research tools.
A number of validated into Greek questionnaires was also completed at all times FHSQ-GR was administered: the Short-form McGill Pain Questionnaire (SF-MPQ), the Foot Function Index (FFI), the FAAM, the Tampa Scale of Kinesiophobia (TSK), the VAS scale, the SF-12. Ethical approval was given by the Ethics Committee of the University of West Attica, Athens, Greece (Ref: 6/16-2-2018, 2nd topic). Internal consistency was assessed using Cronbach´s α and test-retest reliability using Intraclass Correlation Coefficient (ICC). Validity was determined by calculating the Pearson´s r correlation coefficient between the FHSQ and the FAAM and FFI (convergent) and the SF-12, SFMPQ, TSK, VAS (divergent).
Results: Internal consistency was satisfactory for pain (a = 0.80), function (a=0.84), shoes (a=0.80) and general health subscale (r=0.79). Convergent validity was very good between the FFI (r=0.69, p 0.05) and FAAM (r=0.78) and divergent validity was evident by the non-significant relationships (p>0.05) between FHSQ -GR and the VAS, TSK and SFMPQ and SF-12. Test-retest reliability for every single item and the total score was also satisfactory (ICC = 0.93, with 95% CI: 0.89-0.96).
Conclusion(s): The Greek version of FHSQ-GR was shown to be a valid, reliable and responsive tool to assess the painful foot problems in Greek outpatients.
Implications: The results for the FHSQ-GR are comparable to the original and other versions of cultural adaptations in other languages, allowing for a direct comparison between data among the countries.
Keywords: FHSQ, foot problem, greek version
Funding acknowledgements: None
Topic: Outcome measurement; Musculoskeletal; Pain & pain management
Ethics approval required: Yes
Institution: University of West Attica, Athens, Greece
Ethics committee: Ethics Research Committee
Ethics number: 2nd topic, 6/16-02-2018
All authors, affiliations and abstracts have been published as submitted.
