Reliability and construct validity of three self-report questionnaires assessing dual-task difficulties in people with multiple sclerosis: an international study.

Patient-reported outcome measure dual task gait multiple sclerosis reliability validity

Journal

Archives of physical medicine and rehabilitation
ISSN: 1532-821X
Titre abrégé: Arch Phys Med Rehabil
Pays: United States
ID NLM: 2985158R

Informations de publication

Date de publication:
10 Oct 2024
Historique:
received: 03 02 2024
revised: 02 07 2024
accepted: 28 08 2024
medline: 13 10 2024
pubmed: 13 10 2024
entrez: 12 10 2024
Statut: aheadofprint

Résumé

To evaluate the reliability and validity of the Dual-Tasking Questionnaire (DTQ), Dual-Task Screening-List (DTSL), and Dual-Task-Impact on Daily-life Activities Questionnaire (DIDA-Q). Multi-center, cross-sectional study SETTING: PwMS were recruited from seven MS centers across six countries (Belgium, Chile, Italy, Israel, Spain, and Turkey). A total of 356 pwMS (mean age 47.5±11.5, EDSS 3.79±1.83) were enrolled. Not applicable MAIN OUTCOME MEASURES: The reliability (internal consistency, test-retest, and measurement error) and construct validity (structural and convergent) were assessed. The DTQ, DTSL, and DIDA-Q demonstrated excellent test-retest reliability [Intraclass correlation coefficients (95% CI): 0.84 (0.80-0.87) to 0.90 (0.87-0.92)] and internal consistency (Cronbach's α: 0.86 to 0.96). As hypothesized, the three questionnaires showed a strong correlation with each other, moderate-to-strong correlations with other self-report questionnaires (perceived walking difficulties, fatigue, and fear of falling), and low-to-moderate correlations with cognitive information processing speed, manual dexterity, and dual-task walking performance (walking with word list generation task), showing convergent validity. The DIDA-Q exhibited systematically superior properties. These results were also verified in subsets from six different countries. In the structural validity analysis, all questionnaires displayed two main factors, allocated as 'motor-driven' and 'cognitive-driven' subscales. The DTQ, DTSL, and DIDA-Q have good-to-excellent measurement properties, with the highest properties observed in DIDA-Q. The use of these self-reported questionnaires can be used in research and clinical practice to assess the impact of dual-task difficulties on the daily life of ambulatory pwMS.

Identifiants

pubmed: 39395710
pii: S0003-9993(24)01231-0
doi: 10.1016/j.apmr.2024.08.024
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Déclaration de conflit d'intérêts

Declaration of competing interest Authors have nothing to disclose, neither financial interests nor non-financial interests.

Auteurs

Zuhal Abasıyanık (Z)

REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium; UMSC, Hasselt-Pelt, Belgium; Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey. Electronic address: zuhal.abasiyanik@uhasselt.be.

Ludovico Pedullà (L)

Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.

Turhan Kahraman (T)

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Izmir Katip Celebi University, Izmir, Turkey; Department of Health Professions, Faculty of Health and Education, Manchester Metropolitan University, Manchester, UK.

Mieke D'Hooge (M)

REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium; UMSC, Hasselt-Pelt, Belgium; National MS Center, Melsbroek, Belgium.

Carme Santoyo-Medina (C)

Department of Neurology-Neuroimmunology & Neurorehabilitation Unit, Multiple Sclerosis Centre of Catalonia (Cemcat), Vall d'Hebron University Hospital, Barcelona, Spain; Department of Physiotherapy, Faculty of Medicine and Health Sciences, Universitat Internacional de Catalunya, Barcelona, Spain.

Bernardita Soler (B)

Hospital Doctor Sótero del Río, Pontificia Universidad Católica de Chile, Santiago, Chile.

Andrea Tacchino (A)

Scientific Research Area, Italian Multiple Sclerosis Foundation (FISM), Genoa, Italy.

Renee Veldkamp (R)

REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium; UMSC, Hasselt-Pelt, Belgium.

Edwin-Roger Meza-Murillo (ER)

Department of Neurology-Neuroimmunology & Neurorehabilitation Unit, Multiple Sclerosis Centre of Catalonia (Cemcat), Vall d'Hebron University Hospital, Barcelona, Spain.

Areen Omar (A)

Department of Physical Therapy, School of Health Professions, Faculty of Medicine, Tel-Aviv University, Tel-Aviv; Multiple Sclerosis Center, Sheba Medical Center, Tel-Hashomer, Israel.

Ethel Ciampi (E)

Hospital Doctor Sótero del Río, Pontificia Universidad Católica de Chile, Santiago, Chile.

Serkan Özakbaş (S)

Department of Neurology, Faculty of Medicine Izmir University of Economics, Izmir, Turkey.

Daphne Kos (D)

National MS Center, Melsbroek, Belgium; KU Leuven, Department of Rehabilitation Sciences, Leuven, Belgium.

Alon Kalron (A)

Department of Physical Therapy, School of Health Professions, Faculty of Medicine, Tel-Aviv University, Tel-Aviv; Multiple Sclerosis Center, Sheba Medical Center, Tel-Hashomer, Israel.

Peter Feys (P)

REVAL Rehabilitation Research Center, Faculty of Rehabilitation Sciences, Hasselt University, Hasselt, Belgium; UMSC, Hasselt-Pelt, Belgium.

Classifications MeSH