"Validation of a spanish version of the 'Unité Rhumatologique Des Affections De La Main' (URAM) scale".
J Plast Reconstr Aesthet Surg
; 74(7): 1621-1628, 2021 Jul.
Article
in En
| MEDLINE
| ID: mdl-33371958
ABSTRACT
BACKGROUND:
In health care, quality-of-life surveys and questionnaires related to care are becoming increasingly important as a measure of its quality. There is currently no Spanish version of the Unité Rhumatologique des Affections de la Main (URAM) scale, which makes it suitable for hand pathology. The purposes of this study are to develop a Spanish version of the URAM and perform a transcultural adaptation of it, analyzing the result for reliability, validity, and sensitivity to changes.METHODS:
The questionnaire was evaluated for patients with Dupuytren's disease and Carpal Tunnel Syndrome. The cohort study subjects were interviewed at three points in time (baseline, three days after intervention, and one month after), administering the QuickDASH, URAM, and SF-12 (CF12â¯=â¯physical component, CM12â¯=â¯mental component) questionnaires at baseline and after intervention; and only the URAM at 3 days. Content validity was evaluated using Cronbach's α. The distribution of the factorial loads of the items and the pattern of the answers were checked. Responsiveness was evaluated by the size of the effect and the reliable rate of change. Convergent and divergent validity was performed using Spearman's r between the different questionnaires.RESULTS:
The study was conducted with 106 patients. The mean baseline scores were URAMâ¯=â¯14.8, QuickDASH = 41.6, CF12â¯=â¯39.3 and CM12â¯=â¯49.4. Ceiling or floor effects were not observed in the Spanish URAM. The Cronbach αâ¯=â¯0.853 explains 49.6% of the variance. The study had a high reproducibility (intraclass correlation coefficient (ICC) = 0.939). Size effect, measured as differences in scores, was moderate for URAM (-0.69) and QuickDASH (-0.51); and low for CF12 and CM12. The correlation of URAM with QuickDASH was high (râ¯=â¯0.716), and moderate with DD and CTS.CONCLUSION:
The Spanish version of the URAM is a valid and reliable tool for use in assessing hand pathology.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Quality of Life
/
Carpal Tunnel Syndrome
/
Dupuytren Contracture
/
Patient Reported Outcome Measures
Type of study:
Diagnostic_studies
/
Observational_studies
Aspects:
Patient_preference
Limits:
Adolescent
/
Adult
/
Aged
/
Aged80
/
Female
/
Humans
/
Male
/
Middle aged
Country/Region as subject:
Europa
Language:
En
Journal:
J Plast Reconstr Aesthet Surg
Year:
2021
Document type:
Article