The Patient-Rated Wrist Evaluation questionnaire: Translation, validation, and cross-cultural adaptation in Serbian.

IF 1.8 4区医学 Q2 ORTHOPEDICS

Journal of Hand Therapy Pub Date : 2026-09-21 DOI:10.1016/j.jht.2026.06.006

Aleksandar Matejić, Masa Petrovic, Bojana Salovic, Ana Tomic, Nebojsa Matejic, Nina Brkic, Tanja Jesic Petrovic, Ivana Radovic, Milan Stojicic, Ivan Soldatovic, Milos Vucetic

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引用次数: 0

Abstract

Background: No validated Serbian-language patient-reported outcome measure exists for wrist and hand conditions. The Patient-Rated Wrist/Hand Evaluation (PRWHE) demonstrates superior responsiveness over broader instruments such as the Disabilities of the Arm, Shoulder, and Hand (DASH) for pathology confined to the wrist and hand.

Purpose: To translate, culturally adapt, and validate the PRWHE for Serbian-speaking patients with hand and wrist disorders.

Study design: Clinical measurement, cross-sectional validation study.

Methods: One hundred sixty-three patients (52.1% male; mean age 52.4 ± 15.8 years) with hand and wrist conditions were enrolled. Translation adhered to internationally accepted cross-cultural adaptation guidelines. Participants completed the Serbian PRWHE, DASH, and SF-12. Internal consistency (Cronbach's α), test-retest reliability (ICC; n = 15, 2-week interval), confirmatory factor analysis, and convergent validity (Pearson/Spearman correlations) were assessed.

Results: Internal consistency was excellent for the Pain (α = 0.90) and Function (α = 0.94) subscales. Test-retest reliability was excellent (ICC = 0.96; 95% CI: 0.92-0.98; p < 0.001), with no systematic bias on Bland-Altman analysis (p = 0.550). Confirmatory factor analysis confirmed the two-factor structure with satisfactory loadings (range: 0.73-0.93; RMSEA = 0.09; CFI = 0.95). Convergent validity was supported by significant correlations with the DASH (r = 0.23, p < 0.001) and moderate negative correlations with the SF-12 Physical Component Summary (r = -0.33 to -0.43, p < 0.001).

Conclusions: The Serbian PRWHE demonstrates strong psychometric properties and is a valid, reliable instrument for assessing pain and functional disability in wrist and hand conditions. Its availability enables standardized, patient-centered assessment in Serbian-speaking populations and supports cross-cultural research in hand therapy.

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患者评定腕关节评估问卷：塞尔维亚语的翻译、验证和跨文化适应。

背景：没有有效的塞尔维亚语患者报告的手腕和手部状况的结果测量。患者评定腕/手评估（PRWHE）对局限于腕和手的病理的反应优于更广泛的工具，如手臂、肩膀和手的残疾（DASH）。目的：翻译、文化适应和验证塞尔维亚语手和手腕疾病患者的PRWHE。研究设计：临床测量，横断面验证研究。方法：纳入163例手部和腕部病变患者，其中男性占52.1%，平均年龄52.4±15.8岁。翻译遵循国际通行的跨文化适应准则。参与者完成了塞尔维亚PRWHE， DASH和SF-12。评估内部一致性（Cronbach’s α）、重测信度（ICC; n = 15, 2周间隔）、验证性因子分析和收敛效度（Pearson/Spearman相关性）。结果：疼痛亚量表（α = 0.90）和功能亚量表（α = 0.94）的内部一致性良好。重测信度极好（ICC = 0.96; 95% CI: 0.92-0.98; p < 0.001）， Bland-Altman分析无系统偏倚（p = 0.550）。验证性因子分析证实双因子结构具有满意的负荷（范围：0.73-0.93;RMSEA = 0.09; CFI = 0.95）。收敛效度与DASH呈显著相关（r = 0.23, p < 0.001），与SF-12 Physical Component Summary呈中度负相关（r = -0.33 ~ -0.43, p < 0.001）。结论：塞尔维亚PRWHE显示出强大的心理测量特性，是评估腕部和手部疼痛和功能残疾的有效、可靠的工具。它的可用性使塞尔维亚语人群的标准化、以患者为中心的评估成为可能，并支持手部治疗的跨文化研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Hand Therapy 医学-外科

CiteScore

3.50

自引率

10.00%

发文量

审稿时长

19.2 weeks

期刊介绍： The Journal of Hand Therapy is designed for hand therapists, occupational and physical therapists, and other hand specialists involved in the rehabilitation of disabling hand problems. The Journal functions as a source of education and information by publishing scientific and clinical articles. Regular features include original reports, clinical reviews, case studies, editorials, and book reviews.