ABSTRACT
The aim of our study was to develop a Dutch version of the Foot Health Status Questionnaire
(FHSQ-NL) and evaluate its measurement properties according to the COSMIN definition
(COnsensus‐based Standards for the selection of health Measurement INstruments). After
translation of the FSHQ, a group of 119 randomly selected patient who visited the
outpatient clinic for conditions affecting the foot and ankle were asked to participate,
of which103 patients were included in the analysis. The FHSQ-NL, a validated Dutch
FAOS and a visual analogue scale (VAS) for pain and function were used in this study
as outcomes measures. Reliability was assessed by calculating intraclass correlation
coefficient (ICC), internal consistency by Cronbach's alpha, and the smallest detectable
change (SDC). Construct validity was evaluated by use of a priori hypotheses concerning
Spearman's correlation coefficient between FHSQ subscales and FAOS and VAS. All domains
of the FHSQ-NL, besides ‘General health,’ indicated good internal consistency with
a Cronbach's alpha ranging from 0.61 to 0.91. Test-retest reliability of all FHSQ
domains was poor with an ICC ranging from 0.47 to 0.77. At individual level, the SDC
ranged from 35.1 to 60.6 and at a group level (n = 50) from 5.0 to 8.6. Construct
validity was supported by confirmation of 75% of all a priori hypotheses. The FHSQ-NL
has good internal consistency and smallest detectable change (SDC) at group level.
However, reliability and SDC on individual level show suboptimal results. Therefore,
the questionnaire is more suitable for evaluating foot complaints at group level instead
of individual level.
Level of Clinical Evidence
Keywords
Abbreviations:
FHSQ (Foot Health Status Questionnaire), ICC (Intra-class correlation coefficient), SDC (Smallest detectable change), FAOS (Foot Ankle Outcome Score), VAS (Visual analogue scale)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: March 31, 2022
Footnotes
Declarations of Interest: None.
Financial Disclosure: None reported.
This study was approved by the institutional review board (IRB number 2018.28, Spaarne Gasthuis, Hoofddorp, The Netherlands) and informed consent was obtained of all included patients.
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