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Hermansson, LiselotteORCID iD iconorcid.org/0000-0003-4247-2236
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Publications (10 of 142) Show all publications
Spang, L., Holmefur, M., Hermansson, L. & Lidström-Holmqvist, K. (2023). Applying to a nursing home is a way to maintain control of life-Experiences from Swedish nursing home applicants. Scandinavian Journal of Caring Sciences, 37(1), 106-116
Open this publication in new window or tab >>Applying to a nursing home is a way to maintain control of life-Experiences from Swedish nursing home applicants
2023 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 37, no 1, p. 106-116Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Swedish social policy enables ageing in place with support from home-based care services despite high age and/or declining health.

AIM: This study aims to describe the daily life experiences behind the decision to apply for a nursing home placement in older adults ageing in place.

MATERIALS AND METHODS: A qualitative design was chosen, and 11 semi-structured interviews were conducted and analysed using inductive qualitative content analysis.

RESULTS: The participants described a feeling of dependence in which they had to ignore their personal privacy when receiving home-based care. They reached a turning point when ageing in place was, for several reasons, no longer considered an acceptable option. This influenced their choice to apply to a nursing home where they expected that they could maintain control over their lives.

DISCUSSION AND CONCLUSION: The results indicate that when enhancing ageing in place it is important to enable older adults to receive support to maintain autonomy in daily activities and to have the opportunity to age in the right place.

Place, publisher, year, edition, pages
Blackwell Publishing, 2023
Keywords
Activities of daily living, ageing in place, nursing homes, qualitative method
National Category
Nursing
Identifiers
urn:nbn:se:oru:diva-99930 (URN)10.1111/scs.13104 (DOI)000819676800001 ()35778880 (PubMedID)2-s2.0-85133212465 (Scopus ID)
Note

Funding agency:

Research School on Successful Ageing, Örebro University, Sweden

Available from: 2022-07-04 Created: 2022-07-04 Last updated: 2023-12-29Bibliographically approved
Capsi-Morales, P., Piazza, C., Sjöberg, L., Catalano, M. G., Grioli, G., Bicchi, A. & Hermansson, L. (2023). Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective. PLOS ONE, 18(8), Article ID e0289978.
Open this publication in new window or tab >>Functional assessment of current upper limb prostheses: An integrated clinical and technological perspective
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2023 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 18, no 8, article id e0289978Article in journal (Refereed) Published
Abstract [en]

Although recent technological developments in the field of bionic upper limb prostheses, their rejection rate remains excessively high. The reasons are diverse (e.g. lack of functionality, control complexity, and comfortability) and most of these are reported only through self-rated questionnaires. Indeed, there is no quantitative evaluation of the extent to which a novel prosthetic solution can effectively address users' needs compared to other technologies. This manuscript discusses the challenges and limitations of current upper limb prosthetic devices and evaluates their functionality through a standard functional assessment, the Assessment of Capacity for Myoelectric Control (ACMC). To include a good representation of technologies, the authors collect information from participants in the Cybathlon Powered Arm Prostheses Race 2016 and 2020. The article analyzes 7 hour and 41 min of video footage to evaluate the performance of different prosthetic devices in various tasks inspired by activities of daily living (ADL). The results show that commercially-available rigid hands perform well in dexterous grasping, while body-powered solutions are more reliable and convenient for competitive environments. The article also highlights the importance of wrist design and control modality for successful execution of ADL. Moreover, we discuss the limitations of the evaluation methodology and suggest improvements for future assessments. With regard to future development, this work highlights the need for research in intuitive control of multiple degrees of freedom, adaptive solutions, and the integration of sensory feedback.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2023
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-107658 (URN)10.1371/journal.pone.0289978 (DOI)001051734600047 ()37585427 (PubMedID)2-s2.0-85168252861 (Scopus ID)
Funder
EU, European Research Council, 810346
Available from: 2023-08-17 Created: 2023-08-17 Last updated: 2023-09-26Bibliographically approved
Pilch, M., van Rietschoten, T., Ortiz-Catalan, M., Lendaro, E., van der Sluis, C. K. & Hermansson, L. (2023). Interplay Between Innovation and Intersubjectivity: Therapists Perceptions of Phantom Motor Execution Therapy and Its Effect on Phantom Limb Pain. Journal of Pain Research, 16, 2747-2761
Open this publication in new window or tab >>Interplay Between Innovation and Intersubjectivity: Therapists Perceptions of Phantom Motor Execution Therapy and Its Effect on Phantom Limb Pain
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2023 (English)In: Journal of Pain Research, E-ISSN 1178-7090, Vol. 16, p. 2747-2761Article in journal (Refereed) Published
Abstract [en]

PURPOSE: Interpersonal processes, including therapeutic alliance, may modulate the impact of interventions on pain experience. However, the role of interpersonal context on the effects of technology-enhanced interventions remains underexplored. This study elicited therapists' perspectives on how a novel rehabilitative process, involving Phantom Motor Execution (PME), may impact phantom limb pain. The mediating role of therapeutic alliance, and the way PME influenced its formation, was investigated.

METHODS: A qualitative descriptive design, using a framework method, was used to explore therapists' (n=11) experiences of delivering PME treatment. Semi-structured online-based interviews were conducted.

RESULTS: A 3-way interaction between therapist, patient, and the PME device was an overarching construct tying four themes together. It formed the context for change in phantom limb experience. The perceived therapeutic effects (theme 1) extended beyond those initially hypothesised and highlighted the mediating role of the key actors and context (theme 2). The therapeutic relationship was perceived as a transformative journey (theme 3), creating an opportunity for communication, collaboration, and bonding. It was seen as a cause and a consequence of therapeutic effects. Future directions, including the role of expertise-informed adaptations and enabling aspects of customised solutions, were indicated (theme 4).

CONCLUSION: This study pointed to intrapersonal, interpersonal, and contextual factors that should be considered in clinical implementation of novel rehabilitative tools. The results demonstrated that therapists have unique insights and a crucial role in facilitating PME treatment. The study highlighted the need to consider the biopsychosocial model of pain in designing, evaluating, and implementing technology-supported interventions.

Place, publisher, year, edition, pages
Dove Medical Press, 2023
Keywords
phantom limb experience, pain, rehabilitation, therapeutic alliance, innovation
National Category
Physiotherapy
Identifiers
urn:nbn:se:oru:diva-107543 (URN)10.2147/JPR.S412895 (DOI)001048136200001 ()37577161 (PubMedID)2-s2.0-85167924592 (Scopus ID)
Available from: 2023-08-15 Created: 2023-08-15 Last updated: 2024-01-17Bibliographically approved
Philipson, A., Hagberg, L., Hermansson, L., Karlsson, J., Ohlsson-Nevo, E. & Ryen, L. (2023). Mapping the World Health Organization Disability Assessment Schedule (WHODAS 2.0) onto SF-6D Using Swedish General Population Data. PharmacoEconomics - open, 7(5), 765-776
Open this publication in new window or tab >>Mapping the World Health Organization Disability Assessment Schedule (WHODAS 2.0) onto SF-6D Using Swedish General Population Data
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2023 (English)In: PharmacoEconomics - open, ISSN 2509-4262, Vol. 7, no 5, p. 765-776Article in journal (Refereed) Published
Abstract [en]

BACKGROUND AND OBJECTIVE: Mapping algorithms can be used for estimating quality-adjusted life years (QALYs) when studies apply non-preference-based instruments. In this study, we estimate a regression-based algorithm for mapping between the World Health Organization Disability Assessment Schedule (WHODAS 2.0) and the preference-based instrument SF-6D to obtain preference estimates usable in health economic evaluations. This was done separately for the working and non-working populations, as WHODAS 2.0 discriminates between these groups when estimating scores.

METHODS: Using a dataset including 2258 participants from the general Swedish population, we estimated the statistical relationship between SF-6D and WHODAS 2.0. We applied three regression methods, i.e., ordinary least squares (OLS), generalized linear models (GLM), and Tobit, in mapping onto SF-6D from WHODAS 2.0 at the overall-score and domain levels. Root mean squared error (RMSE) and mean absolute error (MAE) were used for validation of the models; R2 was used to assess model fit.

RESULTS: The best-performing models for both the working and non-working populations were GLM models with RMSE ranging from 0.084 to 0.088, MAE ranging from 0.068 to 0.071, and R2 ranging from 0.503 to 0.608. When mapping from the WHODAS 2.0 overall score, the preferred model also included sex for both the working and non-working populations. When mapping from the WHODAS 2.0 domain level, the preferred model for the working population included the domains mobility, household activities, work/study activities, and sex. For the non-working population, the domain-level model included the domains mobility, household activities, participation, and education.

CONCLUSIONS: It is possible to apply the derived mapping algorithms for health economic evaluations in studies using WHODAS 2.0. As conceptual overlap is incomplete, we recommend using the domain-based algorithms over the overall score. Different algorithms must be applied depending on whether the population is working or non-working, due to the characteristics of WHODAS 2.0.

Place, publisher, year, edition, pages
Springer Nature, 2023
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:oru:diva-106392 (URN)10.1007/s41669-023-00425-y (DOI)001006408700001 ()37322384 (PubMedID)2-s2.0-85161943693 (Scopus ID)
Available from: 2023-06-26 Created: 2023-06-26 Last updated: 2023-12-08Bibliographically approved
Norén, P., Karlsson, J., Ohlsson-Nevo, E., Möller, M. & Hermansson, L. (2023). Psychometric evaluation of the WHODAS 2.0 and prevalence of disability in a Swedish general population. Journal of patient-reported outcomes, 7(1), Article ID 36.
Open this publication in new window or tab >>Psychometric evaluation of the WHODAS 2.0 and prevalence of disability in a Swedish general population
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2023 (English)In: Journal of patient-reported outcomes, E-ISSN 2509-8020, Vol. 7, no 1, article id 36Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: The World Health Organization Disability Assessment Schedule (WHODAS 2.0) is a generic questionnaire that captures health and disability-related functioning information corresponding to six major life domains: Cognition, Mobility, Self-care, Getting along, Life activities, and Participation. The WHODAS 2.0 is used in a wide range of international clinical and research settings. A psychometric evaluation of WHODAS 2.0, Swedish version, in the general population is lacking, together with national reference data to enable interpretation and comparison. This study aims to evaluate the psychometric properties of the Swedish 36-item version of WHODAS 2.0 and describe the prevalence of disability in a Swedish general population.

METHODS: A cross-sectional survey was performed. Internal consistency reliability was assessed with Cronbach's alpha. The construct validity was evaluated with item-total correlation, Pearson's correlation between the WHODAS 2.0 domains and the RAND-36 subscales, analysis of known groups by one-way ANOVA, and analysis of the factor structure by confirmatory factor analysis.

RESULTS: Three thousand four hundred and eighty two adults aged 19-103 years (response rate 43%) participated. Significantly higher degrees of disability were reported by the oldest age group (≥ 80 years), adults with a low level of education, and those on sick leave. Cronbach's alpha was from 0.84 to 0.95 for the domain scores and 0.97 for the total score. The item-scale convergent validity was satisfactory, and the item-scale discriminant validity was acceptable except for the item about sexual activity. The data partially supported the factor structure, with borderline fit indices.

CONCLUSION: The psychometric properties of the self-administered Swedish 36-item version of the WHODAS 2.0 are comparable to those of other language versions of the instrument. Data of the prevalence of disability in Swedish general population enables normative comparisons of WHODAS 2.0 scores of individuals and groups within clinical practice. The instrument has certain limitations that could be improved on in a future revision. The test-retest reliability and responsiveness of the Swedish version of WHODAS 2.0 for different somatic patient populations remain to be evaluated.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Disability evaluation, Health surveys, Patient-reported outcome measures, RAND-36, Reference values, Validity and reliability
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-105444 (URN)10.1186/s41687-023-00580-0 (DOI)000963677200001 ()37020121 (PubMedID)2-s2.0-85152640756 (Scopus ID)
Funder
Örebro UniversityRegion Örebro County, OLL-506801
Available from: 2023-04-14 Created: 2023-04-14 Last updated: 2024-01-02Bibliographically approved
Hill, W. & Hermansson, L. (2023). Treatment for children with upper limb differences in various parts of the world: Preliminary findings. Journal of prosthetics and orthotics, 35(3), 149-155
Open this publication in new window or tab >>Treatment for children with upper limb differences in various parts of the world: Preliminary findings
2023 (English)In: Journal of prosthetics and orthotics, ISSN 1040-8800, E-ISSN 1534-6331, Vol. 35, no 3, p. 149-155Article in journal (Refereed) Published
Abstract [en]

Introduction To support clinicians who treat children with upper-limb differences, we must first understand how these children are treated around the world.

Study Design A descriptive survey was carried out in this study.

Objectives The aim was to describe how treatment for children with upper-limb difference is provided in different parts of the world.

Methods A web-based survey was used to gather data. The survey was shared on the Handsmart website, through providers and members using snowball sampling.

Results Sixty-eight respondents from 18 countries, with most being occupational therapists and prosthetists, participated. All respondents reported that they provide prosthetic treatment and most fit a passive prosthesis before 1 year of age.

Respondents from 13 countries reported having governmental funding for the provision of care for people with upper-limb loss. Intervention is guided by the presentation of the limb as well as availability of funding and other resources. In 12 countries, no treatment other than fitting of prostheses is provided for the children. The children who do not receive a prosthesis continue to see an occupational or physical therapist for other treatment (other devices, follow-up). Respondents stated that they would like to see clear treatment guidelines used by multidisciplinary teams to fit children and that treatment should include regular follow-up.

Conclusions Children are treated differently in various parts of the world based on different funding, family support, and therapy resources. Further studies should encompass a geographically representative sample of children’s clinics.

Clinical Relevance This study provides information regarding treatment practices for children with upper-limb loss/difference in various parts of the world; prosthetic treatment is common for children, although ages for fitting vary among clinics and countries. Results will contribute by supporting clinicians to provide better treatment for children with upper-limb loss/difference.

Place, publisher, year, edition, pages
Lippincott Williams & Wilkins, 2023
Keywords
congenital, prostheses, prosthetics, therapy, arm, hand, international
National Category
Occupational Therapy
Research subject
Occupational therapy
Identifiers
urn:nbn:se:oru:diva-96353 (URN)10.1097/JPO.0000000000000413 (DOI)001009813400004 ()2-s2.0-85163853902 (Scopus ID)
Note

Available from: 2022-01-11 Created: 2022-01-11 Last updated: 2023-08-01Bibliographically approved
Amer, A., Hermansson, L., Jarl, G., Kamusiime, S., Forssberg, H., Andrews, C., . . . Eliasson, A. C. (2023). Validity and test-retest reliability of the Ugandan version of the Pediatric Evaluation of Disability Inventory (PEDI-UG) in children and youth with cerebral palsy. Child Care Health and Development, 49(3), 464-484
Open this publication in new window or tab >>Validity and test-retest reliability of the Ugandan version of the Pediatric Evaluation of Disability Inventory (PEDI-UG) in children and youth with cerebral palsy
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2023 (English)In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 49, no 3, p. 464-484Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: Validity of the Ugandan version of the Pediatric Evaluation of Disability Inventory (PEDI-UG) was previously investigated on typically developing children. This study aimed to investigate the validity, test-retest reliability and minimal detectable change (MDC) of the PEDI-UG in children and youth (C&Y) with cerebral palsy (CP).

METHOD: A cross-sectional study design with 118 C&Y with CP (44.7% girls) aged 10 months-22.5 years were included in the study; 37 of them completed the PEDI-UG twice to investigate test-retest reliability, determined by calculating the intraclass correlation coefficient (ICC). Additionally, data from 249 typically developing children were used for differential item functioning (DIF) analysis. The validity of the PEDI-UG was investigated by Rasch analysis. The Kruskal-Wallis test and Spearman's correlation coefficient were calculated to investigate associations between PEDI-UG scores and external classification systems.

RESULTS: The principal component analysis of residuals indicated unidimensionality in all domains. The ICC values were excellent (0.98-0.99), and the MDCs were less than 6 and 13 (on a 0-100 scale) for the functional skills and caregiver assistance parts, respectively. The four-category caregiver assistance rating scale fulfilled the criteria for the analysis of rating scale functioning. In total, 78 of 189 items in the functional skills domain and two items in the caregiver assistance domain demonstrated DIF between C&Y with CP and TD children. The Kruskal-Wallis test (p<0.05) and Spearman's correlation (coefficients of -0.93 to -0.78) supported the validity of PEDI-UG.

CONCLUSION: The current diagnose-specific version of PEDI-UG demonstrates evidence for validity as a measure of ability in C&Y with CP in Uganda and other similar settings, being a promising tool for use in clinical practice and research. Conversion tables and MDC values are provided to facilitate clinical adoption of the measure.

Place, publisher, year, edition, pages
John Wiley & Sons, 2023
Keywords
Africa, PEDI, cerebral palsy, children, instrument, psychometric
National Category
Pediatrics
Identifiers
urn:nbn:se:oru:diva-101745 (URN)10.1111/cch.13062 (DOI)000876766800001 ()36207773 (PubMedID)2-s2.0-85141369163 (Scopus ID)
Funder
Stiftelsen Sunnerdahls HandikappfondStiftelsen Frimurare Barnhuset i StockholmPromobilia foundationSällskapet Barnavård
Note

Funding agency:

Folke Bernadotte Stiftelsen

Available from: 2022-10-12 Created: 2022-10-12 Last updated: 2023-12-08Bibliographically approved
Ramklint, M., Söderberg, P., Tungström, S., Nordenskjöld, A. & Hermansson, L. (2023). Validity of the self-rated 36-item World Health Organization Disability Assessment Schedule (WHODAS) 2.0 as a measure of functioning in Swedish psychiatric outpatients. Nordic Journal of Psychiatry, 77(3), 276-281
Open this publication in new window or tab >>Validity of the self-rated 36-item World Health Organization Disability Assessment Schedule (WHODAS) 2.0 as a measure of functioning in Swedish psychiatric outpatients
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2023 (English)In: Nordic Journal of Psychiatry, ISSN 0803-9488, E-ISSN 1502-4725, Vol. 77, no 3, p. 276-281Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this study was to investigate concurrent validity of the Swedish self-rated 36-item World Health Organization Disability Assessment Schedule (WHODAS) 2.0 by comparison with professional Global Assessment of Functioning (GAF) ratings in psychiatric outpatients.

Material and methods: A cross-sectional convenience sample of 444 patients was recruited from their regular psychiatric outpatient settings. The patients filled out the WHODAS 2.0; their clinicians provided clinical information and performed GAF ratings blinded to the patients' assessments. Analyses of correlations, variance components, and ROC curves were performed to investigate the validity of the WHODAS 2.0 through comparison with the GAF. The variance component analyses included working status, psychosocial problems, number of diagnostic groups, and remission status. GAF ratings were separated as total (GAF-T), symptoms (GAF-S), and functioning (GAF-F).

Results: There was significant correlation (p < 0.001) between WHODAS 2.0 total and domain scores and GAF-S, GAF-F, and GAF-T ratings. The correlations varied from r = 0.29 to r = 0.48, with the highest being between GAF-F rating and WHODAS 2.0 total score. Repeating the analyses for separate diagnostic groups replicated the findings, though not for psychotic, substance-related, and eating disorders. The WHODAS 2.0 showed good ability to distinguish impaired functioning below a fixed GAF-T cut-off of 70 (area under the curve: 0.74-0.78). The explained variance was lower for the WHODAS 2.0 than for the GAF (38.9% vs. 59.2%).

Conclusions: Concurrent validity was found when comparing the Swedish self-administered 36-item version of WHODAS 2.0 with the expert-rated GAF in psychiatric outpatients.

Place, publisher, year, edition, pages
Taylor & Francis, 2023
Keywords
Global Assessment of Functioning scale, WHODAS 2.0, validity, disability, psychiatry
National Category
Psychiatry
Identifiers
urn:nbn:se:oru:diva-100321 (URN)10.1080/08039488.2022.2097738 (DOI)000825446400001 ()35833609 (PubMedID)2-s2.0-85134152329 (Scopus ID)
Note

Funding agency:

Uppsala-Örebro Regional Research Council RFR 473401

Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2023-05-11Bibliographically approved
Sjöberg, L., Hermansson, L., Lindner, H. & Fredriksson, C. (2022). Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation. Child Care Health and Development, 48(4), 613-622
Open this publication in new window or tab >>Adolescents with congenital limb reduction deficiency: Perceptions of treatment during childhood and its meaning for their current and future situation
2022 (English)In: Child Care Health and Development, ISSN 0305-1862, E-ISSN 1365-2214, Vol. 48, no 4, p. 613-622Article in journal (Refereed) Published
Abstract [en]

Background: Children with congenital limb reduction deficiency live with the decisions made by their parents and healthcare professionals about treatments to be carried out during the first years of life. To understand better the meaning of treatment during childhood, it is necessary to listen to adolescents who have had this experience. The aim of this study was to investigate the perceptions of adolescents with congenital limb reduction deficiency concerning the treatment they received during childhood and what it meant to them currently and in the future.

Methods: A descriptive design with a qualitative approach was used. Semi-structured interviews were conducted with 10 adolescents (six girls and four boys) with upper and/or lower limb reduction deficiency, median age 17.5 years (range 16–19). The interview data were analysed using a phenomenographic approach.

Results: The treatment received during childhood had contributed to shaping the adolescents, as shown in the emerging description categories Creating opportunities, Choosing one's own path and Belonging in a context. Their current situation fell into three categories: A continuous journey, indicating that they still used the skills learned during childhood; Leaving the door open, indicating that they were not currently using the skills learned during childhood, but felt that there could be opportunities ahead; and Closing a chapter, indicating that they had stopped using their prosthesis or assistive devices and no longer needed those skills. Further, the adolescents' thoughts about the future are portrayed in the categories Uncertainty about the future and Confidence about the future.

Conclusions: An understanding of the meaning of treatment received during childhood may help improve the delivery of treatment and continued support to meet the needs of children with congenital limb reduction deficiency in the short and long term.

Place, publisher, year, edition, pages
John Wiley & Sons, 2022
Keywords
limb malformations, paediatric rehabilitation, phenomenography
National Category
Occupational Therapy Pediatrics Orthopaedics
Research subject
Occupational therapy; Pediatrics; Orthopaedics
Identifiers
urn:nbn:se:oru:diva-96807 (URN)10.1111/cch.12967 (DOI)000747423500001 ()35043417 (PubMedID)2-s2.0-85123703865 (Scopus ID)
Funder
Norrbacka-Eugenia FoundationFredrik och Ingrid Thurings Stiftelse
Note

Funding agencies:

Faculty of Medicine and Health, Örebro University, Örebro, Sweden

Research Committee, Region Örebro County, Sweden

Available from: 2022-01-28 Created: 2022-01-28 Last updated: 2023-12-08Bibliographically approved
Amer, A., Alomari, M. A., Jarl, G., Ajarmeh, M. M., Migdadi, F., Eliasson, A.-C. & Hermansson, L. (2022). Cross-cultural adaptation and reliability of the Arabic version of Children's Hand-use Experience Questionnaire (CHEQ). Hong Kong Journal of Occupational Therapy, 35(1), 84-95
Open this publication in new window or tab >>Cross-cultural adaptation and reliability of the Arabic version of Children's Hand-use Experience Questionnaire (CHEQ)
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2022 (English)In: Hong Kong Journal of Occupational Therapy, E-ISSN 1569-1861, Vol. 35, no 1, p. 84-95Article in journal (Refereed) Published
Abstract [en]

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.

Place, publisher, year, edition, pages
Elsevier, 2022
Keywords
Occupational therapy, hand function, bimanual activities, assessment
National Category
Occupational Therapy
Identifiers
urn:nbn:se:oru:diva-100311 (URN)10.1177/15691861221088891 (DOI)000826954400006 ()35847188 (PubMedID)2-s2.0-85131081198 (Scopus ID)
Funder
Norrbacka-Eugenia Foundation, 803/18Region Örebro CountyÖrebro University
Note

Funding agencies:

Riksförbundet for Rörelsehindrade Barn och Ungdomar

Folke Bernadotte stiftelsen

Faculty Scientific Research at Jordan University of Science and Technology, Irbid, Jordan MA 84/2017

Available from: 2022-08-02 Created: 2022-08-02 Last updated: 2022-08-12Bibliographically approved
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