TY - JOUR
T1 - Patient reported outcome measures for ankle instability
T2 - An analysis of 17 existing questionnaires
AU - Hansen, Christian Fugl
AU - Obionu, Kenneth Chukwuemeka
AU - Comins, Jonathan David
AU - Krogsgaard, Michael Rindom
N1 - Copyright © 2021. Published by Elsevier Ltd.
PY - 2022
Y1 - 2022
N2 - BACKGROUND: Patient reported outcome measures (PROMs) are essential for evaluating treatment of ankle instability (AI). The aim was to assess the content validity and the measurement properties of all relevant PROMs for AI.METHODS: Relevant PROMs were identified from PubMed and SCOPUS. The development and validation quality of the PROMs was assessed according to established scientific standards.RESULTS: Seventeen PROMs and 56 validation studies were analyzed. Content validity, which ensures the PROM measures what is relevant, is obtained by involving target patients in the development process. Only three PROMs identified had some degree of patient involvement (Cumberland Ankle Instability Tool (CAIT), Lower Extremity Function Scale (LEFS), and the Foot and Ankle Ability Measure (FAAM)). Of these, only FAAM was somewhat rigorously validated using modern psychometric validation methods, and exhibited superior measurement properties (construct validity).CONCLUSION: No existing PROM is completely adequate to evaluate AI. However, FAAM is the best choice.
AB - BACKGROUND: Patient reported outcome measures (PROMs) are essential for evaluating treatment of ankle instability (AI). The aim was to assess the content validity and the measurement properties of all relevant PROMs for AI.METHODS: Relevant PROMs were identified from PubMed and SCOPUS. The development and validation quality of the PROMs was assessed according to established scientific standards.RESULTS: Seventeen PROMs and 56 validation studies were analyzed. Content validity, which ensures the PROM measures what is relevant, is obtained by involving target patients in the development process. Only three PROMs identified had some degree of patient involvement (Cumberland Ankle Instability Tool (CAIT), Lower Extremity Function Scale (LEFS), and the Foot and Ankle Ability Measure (FAAM)). Of these, only FAAM was somewhat rigorously validated using modern psychometric validation methods, and exhibited superior measurement properties (construct validity).CONCLUSION: No existing PROM is completely adequate to evaluate AI. However, FAAM is the best choice.
U2 - 10.1016/j.fas.2021.04.009
DO - 10.1016/j.fas.2021.04.009
M3 - Review
C2 - 34001448
SN - 1268-7731
VL - 28
SP - 288
EP - 293
JO - Foot and Ankle Surgery
JF - Foot and Ankle Surgery
IS - 3
ER -