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Cross-cultural adaptation and reliability of the Arabic version of Children's Hand-use Experience Questionnaire (CHEQ)

Amer, Ahmed, 1984- (author)
Karolinska Institutet,Örebro universitet,Institutionen för hälsovetenskaper,University Health Care Research Centre
Alomari, Mahmoud A. (author)
Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan
Jarl, Gustav, 1978- (author)
Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,University Health Care Research Centre; Department of Prosthetics and Orthotics
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Ajarmeh, Majd M. (author)
Department of Occupational Therapy, Al Bashir Hospital, Amman, Jordan
Migdadi, Fathi (author)
Department of Language and Linguistics, Jordan University of Science and Technology, Irbid, Jordan
Eliasson, Ann-Christin (author)
Paediatric Neurology, Department of Women’s and Children’s Health, Karolinska Institutet, Stockholm, Sweden
Hermansson, Liselotte, 1954- (author)
Örebro universitet,Institutionen för hälsovetenskaper,University Health Care Research Centre; Department of Prosthetics and Orthotics
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 (creator_code:org_t)
2022-05-25
2022
English.
In: Hong Kong Journal of Occupational Therapy. - : Elsevier. - 1569-1861 .- 1876-4398. ; 35:1, s. 84-95
  • Journal article (peer-reviewed)
Abstract Subject headings
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  • Background: Validated outcome measures are essential for assessment and treatment of children with disabilities. The Children's Hand-use Experience Questionnaire (CHEQ) was developed and validated for use in Western countries for children with unilateral hand dysfunction. This study aimed to perform a cross-cultural adaptation and investigate reliability for the Arabic CHEQ.Methods: Translation and cross-cultural adaptation were performed in four phases: (i) forward-translation and reconciliation with feedback from parents and typically developing children from Jordan (n = 14); (ii) backward-translation and review; (iii) cognitive debriefing with parents and/or their children with unilateral hand dysfunction (n = 17); and (iv) review and proofreading. In the psychometric analyses, 161 children from Jordan (mean age [SD] 10y 8 m [5y 8 m]; 88 males) participated. Internal consistency was evaluated with Cronbach's alpha. Test-retest reliability was evaluated in 39 children with intraclass correlation coefficient (ICC) and weighted kappa (kappa).Results: Synonyms of four words were added to accommodate for different Arabic dialects. On average, 93% of children with unilateral hand dysfunction and their parents understood the CHEQ items. One response alternative, 'Get help', to the opening question was unclear for 70% of the respondents and need further explanation. Two items about using a knife and fork were difficult to comprehend and culturally irrelevant. High internal consistency was demonstrated (Cronbach's alphas 0.94- 0.97) and moderate to excellent ICC (0.77-0.93). For 18 individual items, kappa indicated poor to good agreement (kappa between 0.28 and 0.66).Conclusions: After the suggested minor adjustments, the Arabic CHEQ will be comprehensible, culturally relevant and reliable for assessing children with unilateral hand dysfunction in Jordan.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Arbetsterapi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Occupational Therapy (hsv//eng)

Keyword

Occupational therapy
hand function
bimanual activities
assessment

Publication and Content Type

ref (subject category)
art (subject category)

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