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BMC Medical Research Methodology

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Open Access 01-12-2010 | Research article

Objectively-assessed outcome measures: a translation and cross-cultural adaptation procedure applied to the Chedoke McMaster Arm and Hand Activity Inventory (CAHAI)

Authors: Corina Schuster, Sabine Hahn, Thierry Ettlin

Published in: BMC Medical Research Methodology | Issue 1/2010

Abstract

Background

Standardised translation and cross-cultural adaptation (TCCA) procedures are vital to describe language translation, cultural adaptation, and to evaluate quality factors of transformed outcome measures. No TCCA procedure for objectively-assessed outcome (OAO) measures exists. Furthermore, no official German version of the Canadian Chedoke Arm and Hand Activity Inventory (CAHAI) is available.

Methods

An eight-step for TCCA procedure for OAO was developed (TCCA-OAO) based on the existing TCCA procedure for patient-reported outcomes. The TCCA-OAO procedure was applied to develop a German version of the CAHAI (CAHAI-G). Inter-rater reliability of the CAHAI-G was determined through video rating of CAHAI-G. Validity evaluation of the CAHAI-G was assessed using the Chedoke-McMaster Stroke Assessment (CMSA). All ratings were performed by trained, independent raters. In a cross-sectional study, patients were tested within 31 hours after the initial CAHAI-G scoring, for their motor function level using the subscales for arm and hand of the CMSA. Inpatients and outpatients of the occupational therapy department who experienced a cerebrovascular accident or an intracerebral haemorrhage were included.

Results

Performance of 23 patients (mean age 69.4, SD 12.9; six females; mean time since stroke onset: 1.5 years, SD 2.5 years) have been assessed. A high inter-rater reliability was calculated with ICCs for 4 CAHAI-G versions (13, 9, 8, 7 items) ranging between r = 0.96 and r = 0.99 (p < 0.001). Correlation between the CAHAI-G and CMSA subscales for hand and arm was r = 0.74 (p < 0.001) and r = 0.67 (p < 0.001) respectively. Internal consistency of the CAHAI-G for all four versions ranged between α = 0.974 and α = 0.979.

Conclusions

The TCCA-OAO procedure was validated regarding its feasibility and applicability for objectively-assessed outcome measures. The resulting German CAHAI can be used as a valid and reliable assessment for bilateral upper limb performance in ADL in patients after stroke.

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Hoegh MC, Hoegh S-M: Trans-adapting outcome measures in rehabilitation: Cross-cultural issues. Neuropsychological Rehabilitation: An International Journal. 2009, 19 (6): 955-970. 10.1080/09602010902995986.CrossRef

Barreca S, Gowland CK, Stratford P, Huijbregts M, Griffiths J, Torresin W, Dunkley M, Miller P, Masters L: Development of the Chedoke Arm and Hand Activity Inventory: theoretical constructs, item generation, and selection. Top Stroke Rehabil. 2004, 11 (4): 31-42. 10.1310/JU8P-UVK6-68VW-CF3W.CrossRefPubMed

Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000, 25 (24): 3186-3191. 10.1097/00007632-200012150-00014.CrossRefPubMed

McKenna SP, Doward LC: The Translation and Cultural Adaptation of Patient-Reported Outcome Measures. Value in Health. 2005, 89-91. 10.1111/j.1524-4733.2005.08203.x. 8

Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46 (12): 1417-1432. 10.1016/0895-4356(93)90142-N.CrossRefPubMed

Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P: Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health. 2005, 8 (2): 94-104. 10.1111/j.1524-4733.2005.04054.x.CrossRefPubMed

Acquadro C, Conway K, Hareendran A, Aaronson N: Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008, 11 (3): 509-521. 10.1111/j.1524-4733.2007.00292.x.CrossRefPubMed

Barreca SR, Stratford PW, Lambert CL, Masters LM, Streiner DL: Test-retest reliability, validity, and sensitivity of the Chedoke arm and hand activity inventory: a new measure of upper-limb function for survivors of stroke. Arch Phys Med Rehabil. 2005, 86 (8): 1616-1622. 10.1016/j.apmr.2005.03.017.CrossRefPubMed

Barreca S, Stratford P, Masters L, Lambert CL, Griffiths J, McBay C: Validation of Three Shortened Versions of the Chedoke Arm and Hand Activity Inventory. Physiother Can. 2006, 58: 148-156. 10.3138/ptc.58.2.148.CrossRef

10.

Swaine-Verdier A, Doward LC, Hagell P, Thorsen H, McKenna SP: Adapting quality of life instruments. Value Health. 2004, 7 (Suppl 1): S27-30. 10.1111/j.1524-4733.2004.7s107.x.CrossRefPubMed

11.

Gowland C, Stratford P, Ward M, Moreland J, Torresin W, Van Hullenaar S, Sanford J, Barreca S, Vanspall B, Plews N: Measuring physical impairment and disability with the Chedoke-McMaster Stroke Assessment. Stroke. 1993, 24 (1): 58-63.CrossRefPubMed

12.

Gowland C, VanHullenaar S, Torresin W, et al: Chedoke-McMaster Stroke Assessment: development, validation, and administration manual. 1995, Hamilton (ON): School of Rehabilitation Science, McMaster University

13.

Gowland CA: Staging motor impairment after stroke. Stroke. 1990, 21 (9 Suppl): II19-21.PubMed

14.

Shrout PE, Fleiss JL: Intraclass correlations: uses in assessing rater reliability. Psychological bulletin. 1979, 86 (2): 420-428. 10.1037/0033-2909.86.2.420.CrossRefPubMed

15.

Hahn S, Schuster C, Kujawski A, Viehweg S, Zarkowski M, Ettlin T: Translation, validity and inter-rater reliability analysis for the German version of the Chedoke Arm and Hand Activity Inventory (CAHAI-G). European Journal of Neurology. 2009, 16 (s3): 55-334.

16.

Maneesriwongul W, Dixon JK: Instrument translation process: a methods review. J Adv Nurs. 2004, 48 (2): 175-186. 10.1111/j.1365-2648.2004.03185.x.CrossRefPubMed

The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2288/10/106/prepub

Title: Objectively-assessed outcome measures: a translation and cross-cultural adaptation procedure applied to the Chedoke McMaster Arm and Hand Activity Inventory (CAHAI)
Authors: Corina Schuster
Sabine Hahn
Thierry Ettlin
Publication date: 01-12-2010
Publisher: BioMed Central
Published in: BMC Medical Research Methodology / Issue 1/2010
Electronic ISSN: 1471-2288
DOI: https://doi.org/10.1186/1471-2288-10-106

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Objectively-assessed outcome measures: a translation and cross-cultural adaptation procedure applied to the Chedoke McMaster Arm and Hand Activity Inventory (CAHAI)

Abstract

Background

Methods

Results

Conclusions

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