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Cross-cultural adaptation and reliability of the Arabic version of Children's Hand-use Experience Questionnaire (CHEQ)
Örebro University, School of Health Sciences. University Health Care Research Centre.ORCID iD: 0000-0002-9222-8066
Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan.
Örebro University Hospital. Örebro University, School of Health Sciences. University Health Care Research Centre; Department of Prosthetics and Orthotics.ORCID iD: 0000-0002-6410-2474
Department of Occupational Therapy, Al Bashir Hospital, Amman, Jordan.
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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. Vol. 35, no 1, p. 84-95
Keywords [en]
Occupational therapy, hand function, bimanual activities, assessment
National Category
Occupational Therapy
Identifiers
URN: urn:nbn:se:oru:diva-100311DOI: 10.1177/15691861221088891ISI: 000826954400006PubMedID: 35847188Scopus ID: 2-s2.0-85131081198OAI: oai:DiVA.org:oru-100311DiVA, id: diva2:1685375
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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Amer, AhmedJarl, GustavHermansson, Liselotte

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CiteExportLink to record
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