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Development and validation of a short version of the French Hand Function Sort questionnaire in vocational rehabilitation
Authors:Zineb Benhissen  Michel Konzelmann  Philippe Vuistiner  Bertrand Leger  François Luthi  Hervé Devilliers  Roger Hilfiker  Charles Benaim
Institution:1. Department of Musculoskeletal Rehabilitation, Clinique Romande de Réadaptation Suva, Sion, Switzerland;2. Department of Medical Research, Clinique Romande de Réadaptation Suva, Sion, Switzerland;3. Division of Physical Medicine and Rehabilitation, Lausanne University Hospital, Lausanne, Switzerland;4. CIC INSERM 1432, Dijon University Hospital, Dijon, France;5. School of Health Sciences, HES-SO Valais-Wallis, University of Applied Sciences and Arts Western Switzerland Valais, Sion, Switzerland
Abstract:BackgroundThe Hand Function Sort (HFS) is a pictorial self-administered questionnaire with 62 items. It is a valid and reliable scale focused on the physical function of the upper limbs. It is used to predict the return to work.ObjectivesWe aimed to develop and validate a short version of the French version of the HFS (HFS-F) to simplify its use in clinical practice.MethodsWe included patients with upper-limb chronic pain hospitalised for vocational rehabilitation from 2012 to 2019. Vocational rehabilitation aims to improve the autonomy of patients to regain their previous working capacity. The 62 items of the HFS-F were analysed in terms of patient and expert assessments, floor/ceiling effect, item-to-total correlation, principal component analysis, and Rasch analysis. A short HFS-F was developed. Thereafter, we assessed its internal consistency, test–retest reliability, criterion validity with the full-length HFS-F, construct validity with different scales (Disabilities of the Arm, Shoulder, and Hand DASH]; Brief Pain Inventory BPI]; Hospital Anxiety and Depression HAD]), standard error of measurement (SEM), and minimal detectable change (MDC).ResultsSix experts were consulted, 34 patients were interviewed, and 629 questionnaires were analysed. Among the items, 25 were selected after the final round with the six experts. The internal consistency and test–retest reliability were excellent (Cronbach α = 0.95, intraclass correlation coefficient = 0.92, 95% confidence interval 95% CI] 0.87 to 0.95). The correlation coefficient between scores of the short and full-length HFS-F was 0.841 (95% CI: 0.752 to 0.897, P < 10–4), and those between the short HFS-F score and the DASH, BPI, HAD-Anxiety, and HAD-Depression scores were ?0.816 (95% CI: ?0.714 to ?0.881, P < 10–4), ?0.529 (95% CI: ?0.338 to ?0.674, P < 10–4), ?0.451 (95% CI: ?0.244 to 0.614, P = 0.0001), and ?0.360 (95% CI: ?0.140 to ?0.542, P = 0.0018), respectively. The SEM and MDC values were estimated at 6/100 and 17/100, respectively.ConclusionsA short version of the HFS-F was developed and validated. We named this questionnaire the 25 HFS-F.
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