Beaton, J Bone Joint Surg Am 2005 - Development of the QuickDASH: Comparison of Three Item-Reduction Approaches

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Development of the QuickDASH: Comparison of Three Item-Reduction Approaches

Beaton, Upper Extremity Collaborative Group, et al.·J Bone Joint Surg Am·2005·1,589 citations·Diagnostic study

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Background

The purpose of this study was to develop a short, reliable, and valid measure of physical function and symptoms related to upper-limb musculoskeletal disorders by shortening the full, 30-item DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure.

Methods

3 item-reduction techniques were used on the cross-sectional field-testing data derived from a study of 407 patients with various upper-limb conditions.
These techniques were the concept-retention method, the equidiscriminative item-total correlation, and the item response theory (Rasch modeling).
3 11-item scales were created.
Data from a longitudinal cohort study in which the DASH questionnaire was administered to 200 patients with shoulder and wrist/hand disorders were then used to assess the reliability (Cronbach alpha and test-retest reliability) and validity (cross-sectional and longitudinal construct) of the 3 scales.
Results were compared with those derived with the full DASH.

Results

The three versions were comparable with regard to their measurement properties.
All had a Cronbach alpha of > or = 0.92 and an intraclass correlation coefficient of > or = 0.94.
Evidence of construct validity was established (r > or = 0.64 with single-item indices of pain and function).
The concept-retention method, the most subjective of the approaches to item reduction, ranked highest in terms of its similarity to the original DASH.

Conclusions

The concept-retention version is named the QuickDASH. It contains 11 items and is similar with regard to scores and properties to the full DASH. A comparison of item-reduction approaches suggested that the retention of clinically sensible and important content produced a comparable, if not slightly better, instrument than did more statistically driven approaches.

Copyright remains with the authors and publisher.

Development of the QuickDASH: Comparison of Three Item-Reduction Approaches.

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Development of the QuickDASH: Comparison of Three Item-Reduction Approaches

Beaton, Upper Extremity Collaborative Group, et al.·J Bone Joint Surg Am·2005·1,589 citations·Diagnostic study

|

Background

The purpose of this study was to develop a short, reliable, and valid measure of physical function and symptoms related to upper-limb musculoskeletal disorders by shortening the full, 30-item DASH (Disabilities of the Arm, Shoulder and Hand) Outcome Measure.

Methods

3 item-reduction techniques were used on the cross-sectional field-testing data derived from a study of 407 patients with various upper-limb conditions.
These techniques were the concept-retention method, the equidiscriminative item-total correlation, and the item response theory (Rasch modeling).
3 11-item scales were created.
Data from a longitudinal cohort study in which the DASH questionnaire was administered to 200 patients with shoulder and wrist/hand disorders were then used to assess the reliability (Cronbach alpha and test-retest reliability) and validity (cross-sectional and longitudinal construct) of the 3 scales.
Results were compared with those derived with the full DASH.

Results

The three versions were comparable with regard to their measurement properties.
All had a Cronbach alpha of > or = 0.92 and an intraclass correlation coefficient of > or = 0.94.
Evidence of construct validity was established (r > or = 0.64 with single-item indices of pain and function).
The concept-retention method, the most subjective of the approaches to item reduction, ranked highest in terms of its similarity to the original DASH.

Conclusions

The concept-retention version is named the QuickDASH. It contains 11 items and is similar with regard to scores and properties to the full DASH. A comparison of item-reduction approaches suggested that the retention of clinically sensible and important content produced a comparable, if not slightly better, instrument than did more statistically driven approaches.

Copyright remains with the authors and publisher.

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