Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI)
Abstract Background The Shoulder Pain and Disability Index (SPADI) is a 13-item shoulder-specific patient-reported outcome measure (PROM). The English version is easy to use and has demonstrated excellent measurement properties for both clinical and research settings. The availability of the SPADI i...
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| Format: | Article |
| Language: | English |
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BMC
2019-08-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s13018-019-1285-8 |
| _version_ | 1811297777426104320 |
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| author | Sudarshan KC Saurab Sharma Karen Ginn Tawfiq Almadi Darren Reed |
| author_facet | Sudarshan KC Saurab Sharma Karen Ginn Tawfiq Almadi Darren Reed |
| author_sort | Sudarshan KC |
| collection | DOAJ |
| description | Abstract Background The Shoulder Pain and Disability Index (SPADI) is a 13-item shoulder-specific patient-reported outcome measure (PROM). The English version is easy to use and has demonstrated excellent measurement properties for both clinical and research settings. The availability of the SPADI in Nepali would facilitate shoulder research and enhance management of patients with shoulder pain in Nepal. Therefore, the purpose of this study was to translate and cross-culturally adapt the SPADI into Nepali (SPADI-NP) and evaluate its measurement properties. Methods The translation and adaptation process followed international guidelines. Participants completed SPADI-NP on two assessments (N = 150 at initial and 119 at follow-up assessment). A Nepali version of the Global Rating of Change score was completed at follow-up. Assessment of measurement properties included analysis of internal consistency (Cronbach’s α), minimal detectable change (MDC) with standard error of measurement (SEM), test-retest reliability (intraclass correlation coefficient; ICC), validity (factor structure, construct using Pearson’s correlation with the Disability of Arm and Hand [DASH]) and responsiveness (area under the curve; AUC) with minimal important change (MIC). Results Minor changes were integrated in the adaptation process to improve cultural relevance such as dress items. Items were largely loaded under two factors (pain and disability), internal consistencies were good for the pain construct (α = 0.82) and disability (α = 0.88) and test-retest reliability was excellent (pain = 0.89, disability = 0.96). MDC was 5.7 (out of 100) with SEM = 2.1. Strong associations with the DASH (r = 0.63 pain, r = 0.81 disability) demonstrated its construct validity. The AUC was 0.68 and MIC was 12.3 (out of 100). Conclusion The Nepali version of the SPADI demonstrated excellent reliability and validity. It can be used for the assessment of shoulder pain and disability in patients with shoulder pain in Nepal in both clinical practice and research. |
| first_indexed | 2024-04-13T06:09:16Z |
| format | Article |
| id | doaj.art-d220dac075d54402933166d92ec3698b |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-13T06:09:16Z |
| publishDate | 2019-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-d220dac075d54402933166d92ec3698b2022-12-22T02:59:08ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2019-08-0114111010.1186/s13018-019-1285-8Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI)Sudarshan KC0Saurab Sharma1Karen Ginn2Tawfiq Almadi3Darren Reed4Discipline of Anatomy and Histology, Faculty of Medicine and Health, University of SydneyDepartment of Physiotherapy, Kathmandu University School of Medical SciencesDiscipline of Anatomy and Histology, Faculty of Medicine and Health, University of SydneyDiscipline of Anatomy and Histology, Faculty of Medicine and Health, University of SydneyDiscipline of Anatomy and Histology, Faculty of Medicine and Health, University of SydneyAbstract Background The Shoulder Pain and Disability Index (SPADI) is a 13-item shoulder-specific patient-reported outcome measure (PROM). The English version is easy to use and has demonstrated excellent measurement properties for both clinical and research settings. The availability of the SPADI in Nepali would facilitate shoulder research and enhance management of patients with shoulder pain in Nepal. Therefore, the purpose of this study was to translate and cross-culturally adapt the SPADI into Nepali (SPADI-NP) and evaluate its measurement properties. Methods The translation and adaptation process followed international guidelines. Participants completed SPADI-NP on two assessments (N = 150 at initial and 119 at follow-up assessment). A Nepali version of the Global Rating of Change score was completed at follow-up. Assessment of measurement properties included analysis of internal consistency (Cronbach’s α), minimal detectable change (MDC) with standard error of measurement (SEM), test-retest reliability (intraclass correlation coefficient; ICC), validity (factor structure, construct using Pearson’s correlation with the Disability of Arm and Hand [DASH]) and responsiveness (area under the curve; AUC) with minimal important change (MIC). Results Minor changes were integrated in the adaptation process to improve cultural relevance such as dress items. Items were largely loaded under two factors (pain and disability), internal consistencies were good for the pain construct (α = 0.82) and disability (α = 0.88) and test-retest reliability was excellent (pain = 0.89, disability = 0.96). MDC was 5.7 (out of 100) with SEM = 2.1. Strong associations with the DASH (r = 0.63 pain, r = 0.81 disability) demonstrated its construct validity. The AUC was 0.68 and MIC was 12.3 (out of 100). Conclusion The Nepali version of the SPADI demonstrated excellent reliability and validity. It can be used for the assessment of shoulder pain and disability in patients with shoulder pain in Nepal in both clinical practice and research.http://link.springer.com/article/10.1186/s13018-019-1285-8SPADIShoulder painDisabilityPainTranslationPsychometrics |
| spellingShingle | Sudarshan KC Saurab Sharma Karen Ginn Tawfiq Almadi Darren Reed Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI) Journal of Orthopaedic Surgery and Research SPADI Shoulder pain Disability Pain Translation Psychometrics |
| title | Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI) |
| title_full | Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI) |
| title_fullStr | Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI) |
| title_full_unstemmed | Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI) |
| title_short | Nepali translation, cross-cultural adaptation and measurement properties of the Shoulder Pain and Disability Index (SPADI) |
| title_sort | nepali translation cross cultural adaptation and measurement properties of the shoulder pain and disability index spadi |
| topic | SPADI Shoulder pain Disability Pain Translation Psychometrics |
| url | http://link.springer.com/article/10.1186/s13018-019-1285-8 |
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