Cross-cultural validation of the Italian Spine Youth Quality of Life questionnaire: the ISYQOL international.


Journal

European journal of physical and rehabilitation medicine
ISSN: 1973-9095
Titre abrégé: Eur J Phys Rehabil Med
Pays: Italy
ID NLM: 101465662

Informations de publication

Date de publication:
Jun 2023
Historique:
medline: 13 6 2023
pubmed: 17 5 2023
entrez: 17 5 2023
Statut: ppublish

Résumé

Adolescent idiopathic scoliosis and its treatments can severely impact health-related quality of life. The Italian Spine Youth Quality of Life (ISYQOL) questionnaire, initially developed in Italian and tested on Italian people, was created to measure quality of life in young persons with spine changes. ISYQOL was created using the Rasch analysis, a modern psychometric technique for questionnaires' assessment and development, which showed that the ordinal scores of the ISYQOL Italian version provide sound quality of life measures. The current work aims to evaluate the cross-cultural equivalence of the ISYQOL questionnaire in seven different countries. Cross-sectional, international, multi-centre study. Outpatient clinic. Five hundred fifty persons with adolescent idiopathic scoliosis from English Canada, French Canada, Greece, Italy, Spain, Poland, and Türkiye. The ISYQOL Italian version was translated into six languages with the forward-backwards procedure. The conceptual equivalence of the items' content was verified, and any inconsistency was resolved by consensus. The Rasch analysis was used here to evaluate that ISYQOL translations retained the good measurement properties of the Italian version of the questionnaire. In addition, the Differential Item Functioning (DIF) was checked to assess the psychometric equivalence of the ISYQOL items in patients from different countries. Four items of the translated ISYQOL were dropped from the questionnaire since they did not contribute to measuring due to their poor fit to the model of Rasch. Seven items were affected by DIF for nationality, a finding pointing out that these items do not work the same (i.e. are not equivalent) in the different countries. Thanks to the Rasch analysis, the DIF for nationality was amended, and ISYQOL International was eventually obtained. ISYQOL International returns interval quality of life measures in people with adolescent idiopathic scoliosis with high cross-cultural equivalence in the tested countries. Rigorous testing showed that ISYQOL International ordinal scores return quality of life measures cross-culturally equivalent in English and French Canada, Greece, Italy, Spain, Poland, and Türkiye. A new, psychometrically sound patient-reported outcome measure is thus available in rehabilitation medicine to measure health-related quality of life in idiopathic scoliosis.

Sections du résumé

BACKGROUND BACKGROUND
Adolescent idiopathic scoliosis and its treatments can severely impact health-related quality of life. The Italian Spine Youth Quality of Life (ISYQOL) questionnaire, initially developed in Italian and tested on Italian people, was created to measure quality of life in young persons with spine changes. ISYQOL was created using the Rasch analysis, a modern psychometric technique for questionnaires' assessment and development, which showed that the ordinal scores of the ISYQOL Italian version provide sound quality of life measures.
AIM OBJECTIVE
The current work aims to evaluate the cross-cultural equivalence of the ISYQOL questionnaire in seven different countries.
DESIGN METHODS
Cross-sectional, international, multi-centre study.
SETTING METHODS
Outpatient clinic.
POPULATION METHODS
Five hundred fifty persons with adolescent idiopathic scoliosis from English Canada, French Canada, Greece, Italy, Spain, Poland, and Türkiye.
METHODS METHODS
The ISYQOL Italian version was translated into six languages with the forward-backwards procedure. The conceptual equivalence of the items' content was verified, and any inconsistency was resolved by consensus. The Rasch analysis was used here to evaluate that ISYQOL translations retained the good measurement properties of the Italian version of the questionnaire. In addition, the Differential Item Functioning (DIF) was checked to assess the psychometric equivalence of the ISYQOL items in patients from different countries.
RESULTS RESULTS
Four items of the translated ISYQOL were dropped from the questionnaire since they did not contribute to measuring due to their poor fit to the model of Rasch. Seven items were affected by DIF for nationality, a finding pointing out that these items do not work the same (i.e. are not equivalent) in the different countries. Thanks to the Rasch analysis, the DIF for nationality was amended, and ISYQOL International was eventually obtained.
CONCLUSIONS CONCLUSIONS
ISYQOL International returns interval quality of life measures in people with adolescent idiopathic scoliosis with high cross-cultural equivalence in the tested countries.
CLINICAL REHABILITATION IMPACT CONCLUSIONS
Rigorous testing showed that ISYQOL International ordinal scores return quality of life measures cross-culturally equivalent in English and French Canada, Greece, Italy, Spain, Poland, and Türkiye. A new, psychometrically sound patient-reported outcome measure is thus available in rehabilitation medicine to measure health-related quality of life in idiopathic scoliosis.

Identifiants

pubmed: 37195649
pii: S1973-9087.23.07586-X
doi: 10.23736/S1973-9087.23.07586-X
pmc: PMC10272934
doi:

Types de publication

Multicenter Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

364-376

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Auteurs

Stefano Negrini (S)

Department of Biomedical, Surgical and Dental Sciences, University "La Statale", Milan, Italy.
IRCCS Istituto Ortopedico Galeazzi, Milan, Italy.

Fabio Zaina (F)

ISICO (Italian Scientific Spine Institute), Milan, Italy.

Ahsen Buyukaslan (A)

Institute of Kinesiology, University of Ljubljana, Ljubljana, Slovenia.
Formed Healthcare Scoliosis Brace and Treatment Center, İstanbul, Türkiye.

Carole Fortin (C)

École de Réadaptation, Faculté de Médecine, Université de Montréal, Montreal, Quebec, Canada.
Research Center CHU Sainte-Justine, Montreal, Canada.

Nikos Karavidas (N)

Department of Physiotherapy Schroth Scoliosis and Spine Clinic, Athens, Greece.

Tomasz Kotwicki (T)

Department of Spine Disorders and Pediatric Orthopedics, Poznan University of Medical Sciences, Poznan, Poland.

Krzysztof Korbel (K)

Department of Physiotherapy, University of Medical Sciences, Poznan, Poland.

Eric Parent (E)

Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta, Edmonton, Canada.

Judith Sanchez-Raya (J)

Department of Physical Medicine and Rehabilitation, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Kathleen Shearer (K)

University of Alberta, Edmonton, Canada.

Hurriyet G Yilmaz (HG)

Formed Healthcare Scoliosis Brace and Treatment Center, İstanbul, Türkiye.

Sabrina Donzelli (S)

ISICO (Italian Scientific Spine Institute), Milan, Italy.

Antonio Caronni (A)

Department of Biomedical Sciences for Health, Università degli Studi di Milano, Milan, Italy - a.caronni@auxologico.it.
IRCCS Istituto Auxologico Italiano, Department of Neurorehabilitation Sciences, Ospedale San Luca, Milan, Italy.

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