Cross-cultural adaptation, reliability and validity analysis of the Cantonese-Chinese Manchester Oxford Foot Questionnaire for foot and ankle disorder (Manchester-Oxford Foot Questionnaire HK)

Shu M. C. CHIA, Leung P. HO, Violet Man-Chi KO, He XIN, Long Ching Bellavista CHOW, Patrick Shu-Hang YUNG, Samuel Ka-Kin LING

Research output: Contribution to journalArticlespeer-review

Abstract

The Manchester–Oxford Foot Questionnaire is a validated English 16-item patient-reported outcome measure for evaluating foot and ankle function. This study aimed to translate a Cantonese Chinese version of the questionnaire and evaluate its validity and reliability among patients with foot and ankle disorders. The translation and cross-cultural adaptation were conducted by forward translation, synthesis of translated versions, backward translation, review, and pre-testing by a panel of healthcare professionals. The test-retest reliability was conducted within 2–4 weeks. Internal consistency and construct validity were evaluated using the Visual Analogue Scale and Short-Form 36. 135 participants were recruited to complete the validation process. The overall reliability coefficient constituted 0.86 (intraclass correlation coefficient = 0.72–0.93). A strong, statistically significant correlation was found between the bodily pain subscale of Short-Form 36 and the pain subscale of the Cantonese Chinese-Manchester-Oxford Foot Questionnaire (r = −0.77, p < 0.001). This was similar to the pain subscale of the Cantonese Chinese-Manchester-Oxford Foot Questionnaire and visual analogue pain score (r = 0.77, p < 0.001). The overall score for the Cantonese Chinese Manchester-Oxford Foot Questionnaire between the healthy control group and the pathological group was statistically different (p < 0.001). A good consistency level was found in the questionnaire with a Cronbach's alpha coefficient of 0.78, 0.86, 0.78, 0.85 for pain, walking/standing, social interaction, and the overall domain of the Cantonese Chinese-Manchester-Oxford Foot Questionnaire, respectively. Therefore, this questionnaire can be adapted as a reliable clinical assessment and an outcome measure among the Cantonese Chinese-speaking population. Copyright © 2024 The Author(s).

Original languageEnglish
JournalJournal of Orthopaedics, Trauma and Rehabilitation
Early online dateJan 2024
DOIs
Publication statusE-pub ahead of print - Jan 2024

Citation

Chia, S. M. C., Ho, L. P., Ko, V. M.-C., Xin, H., Chow, L. C. B., Yung, P. S.-H., & Ling, S. K.-K. (2024). Cross-cultural adaptation, reliability and validity analysis of the Cantonese-Chinese Manchester Oxford Foot Questionnaire for foot and ankle disorder (Manchester-Oxford Foot Questionnaire HK). Journal of Orthopaedics, Trauma and Rehabilitation. Advance online publication. https://doi.org/10.1177/22104917231208213

Keywords

  • Manchester-Oxford Foot Questionnaire
  • Cantonese-Chinese
  • Cross-cultural adaptation
  • Foot and ankle disorder

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