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Cross-cultural adaptation,validity and reliability of the Persian version of Fremantle Knee Awareness Questionnaire
Affiliation:1. Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran;2. Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran;1. Human Development and Technologies Program, Institute of Biosciences, São Paulo State University (UNESP), Rio Claro, São Paulo, Brazil;2. Department of Tocogynecology, Botucatu Medical School (FMB), São Paulo State University (UNESP), São Paulo, Brazil;3. Department of Physiotherapy and Occupational Therapy, Faculty of Philosophy and Sciences, São Paulo State University (UNESP), Marília, São Paulo, Brazil;1. Department of Physical Therapy, Recanati School for Community Health Professions, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheva, Israel;2. The Academic College Tel Aviv-Jaffo, School of Nursing Science, Jaffo, Israel;1. Course of Physical Education, Faculdade Santa Rita, Brazil;2. School of Physical Education, Physiotherapy and Occupational Therapy – Universidade Federal de Minas Gerais, Brazil;3. Department of Physical Education, Group of Study and Research in Physical Activity and Aging – Universidade Federal de Viçosa, Brazil;4. Department of Nutrition and Health – Universidade Federal de Viçosa, Brazil
Abstract:Background& Objective: There is strong evidence regarding impaired knee self-perception in patients with chronic knee osteoarthritis (OA). Currently, the Fremantle Knee Awareness Questionnaire (FreKAQ) has been developed to evaluate knee self-perception. This study aimed to evaluate validity and reliability of the Persian version of FreKAQ in patients with chronic knee OA.Materials and methodsThe FreKAQ was translated via forward-backward translation. In total, 312 patients with chronic knee OA completed the questionnaire, and the construct validity of the instrument was evaluated using exploratory and confirmatory factor analyses (EFA and CFA). Moreover, its reliability was confirmed using internal consistency and Cronbach's alpha coefficient. In addition, intra-class correlation coefficient and standard error measurement (SEM) and minimal detectable change (MDC) were used to assess its relative and absolute consistency. Therefore 50 patients, completed the questionnaire twice at one-week intervals.ResultsIn EFA, Kaiser-Meyer-Olkin (0.705) and Bartlett's tests were significant (P < 0.001), and CFA also indicated acceptable fitting with three factors. Moreover, the indices of PNFI = 0.57, PCFI = 0.60, χ2/DF = 1.14, AGFI = 0.95, GFI = 0.97, and RMSEA = 0.027 confirmed the goodness of fit of the model. The Cronbach's alpha and repeatability were estimated at 0.817 and 0.874, respectively, and the SEM and MDC was 2.13, 4.91.ConclusionAccording to the results, the Persian version of FreKAQ had proper construct validity and reliability to evaluate the impairment of knee self-perception in patients with chronic knee OA.
Keywords:Knee pain  Osteoarthritis  Validity  Reliability
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