Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Reliability of the Turkish Version of the Rowan Foot Pain Assessment Questionnaire in Patients with Chronic Foot Pain: A Cross-Cultural Adaptation Study
Rowan Ayak Ağrısı Değerlendirme Ölçeği'nin Türkçe Versiyonunun Kronik Ayak Ağrısı Olan Hastalarda Güvenirliği:Kültürler Arası Uyarlama Çalışması
Abdulhamit TAYFURa , Mehmet YETİŞb , Mehmet CANLIa
aDepartment of Physiotherapy and Rehabilitation, Kırşehir Ahi Evran University School of Physical Therapy and Rehabilitation, Kırşehir, Türkiye
bDepartment of Orthopedics and Traumatology, Kırşehir Ahi Evran University Faculty of Medicine, Kırşehir, Türkiye
Turkiye Klinikleri J Health Sci. 2023;8(4):646-52
doi: 10.5336/healthsci.2023-98820
Article Language: EN
Full Text
ABSTRACT
 Objective: Foot and ankle pain constitute approximately 8% of the population suffering from musculoskeletal pain. Many measurement tools are available to assess foot pain and function. The Rowan Foot Pain Assessment Questionnaire (ROFPAQ) is an alternative scale that specifically evaluates multi-dimensional measures of chronic foot pain. This study aimed to develop the Turkish version of the ROFPAQ (ROFPAQ-TR) scale and to test its reliability. Material and Methods: A total of 198 people (47.7±10.6 years, 80 female, 118 male, 28.3±3.9 kg/m2 ) with chronic foot pain between 18 and 65 years of age were included. Descriptive statistics were calculated to profile the study sample and foot pain was measured with ROFPAQ-TR. The test-retest reliability and internal consistency of the ROFPAQ-TR were evaluated with intraclass correlation coefficient (ICC) and Cronbach's alpha, respectively. For the test-retest reliability, the scale was applied to all participants again within two weeks. Results: Each domain of ROFPAQ-TR had a good reliability as sensory subscale (ICC=0.83), emotional subscale (ICC=0.89), and cognitive subscale (ICC=0.87). Cronbach's alpha for each domain of the ROFPAQ-TR ranged between 0.92-0.94 showing a high internal consistency. Conclusion: This study showed that ROFPAQ-TR is a reliable and internally consistent patient-reported outcome measure to define the severity of foot pain in Turkish population. Therefore, ROFPAQ-TR offers a psychometrically appropriate and useful evaluation of multi-dimensional measures of chronic foot problems.

Keywords: Foot; pain; patient reported outcome measure
ÖZET
 Amaç: Ayak ve ayak bileği ağrısı, kas-iskelet ağrısı çeken popülasyonun yaklaşık %8'ini oluşturmaktadır. Ayak ağrısını ve işlevini değerlendirmek için birçok ölçüm aracı mevcuttur. Rowan Ayak Ağrısı Değerlendirme Ölçeği [Rowan Foot Pain Assessment Questionnaire (ROFPAQ)], özellikle kronik ayak ağrısının çok boyutlu ölçümlerini değerlendiren alternatif bir ölçektir. Bu çalışmada, ROFPAQ'nun Türkçe versiyonunun (ROFPAQ-TR) geliştirilmesi ve güvenirliğinin test edilmesi amaçlanmıştır. Gereç ve Yöntemler: Çalışmaya 18-65 yaş arası kronik ayak ağrısı olan toplam 198 kişi (47,7±10,6 yıl, 80 kadın, 118 erkek, 28,3±3,9 kg/m2 ) dâhil edildi. Çalışmaya dâhil edilen bireylerin tanımlayıcı istatistikleri hesaplandı ve ayak ağrısı ROFPAQ-TR ile ölçüldü. ROFPAQ-TR'nin test-tekrar test güvenirliği ve iç tutarlılığı sırasıyla sınıf içi korelasyon katsayısı [intraclass correlation coefficient (ICC)] ve Cronbach alfa ile değerlendirildi. Test-tekrar test güvenirliği için ölçek tüm katılımcılara iki hafta içinde tekrar uygulandı. Bulgular: ROFPAQ-TR'nin her bir alanı, duyusal alt ölçek (ICC=0,83), duygusal alt ölçek (ICC=0,89) ve bilişsel alt ölçek (ICC=0,87) olarak iyi bir güvenilirliğe sahipti. ROFPAQ-TR'nin her bir alanı için Cronbach alfa değeri her bir alt ölçek için yüksek bir iç tutarlılık göstererek 0,92- 0,94 arasında bulundu. Sonuç: Bu çalışma, ROFPAQ-TR'nin Türk popülasyonunda ayak ağrısının şiddetini belirlemede güvenilir ve iç tutarlılığı olan hasta tarafından bildirilen bir sonuç ölçütü olduğunu göstermiştir. Bu nedenle ROFPAQ-TR, kronik ayak sorunlarının çok boyutlu ölçümlerinin psikometrik olarak uygun ve yararlı bir değerlendirmesini sağlar.

Anahtar Kelimeler: Ayak; ağrı; hasta tarafından bildirilen sonuç ölçütleri
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