Reliability of the Filipino Translated Disabilities of the Arm, Shoulder and Hand (FIL-DASH) Questionnaire Among Hiligaynon Patients with Forearm Fractures
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Abstract
Background. The Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire is a validated scoring system for distal and diaphyseal forearm fractures. The Filipino translated version (FIL-DASH) is reliable and valid as an outcome measure for adult Filipino patients with brachial plexus injury. However, there is still a paucity of published literature on the reliability of FIL-DASH among Filipinos; hence, this study was conducted to determine its reliability among native Hiligaynon speakers.
Objective. The primary aim of this study was to determine the reliability of the Filipino translated DASH questionnaire (FIL-DASH) among Hiligaynon patients with forearm fractures managed in a public tertiary hospital in Iloilo City, Philippines.
Methodology. A descriptive study was conducted in a public tertiary hospital in Iloilo City, Philippines, from November 2022 to May 2024. Thirty patients with forearm fractures, selected through convenience sampling, were given the FIL-DASH questionnaire twice within 7 to 14 days (mean: 10 ± 3.11 days). Internal consistency was determined using Cronbach’s alpha, and test-retest reliability was determined using the intraclass correlation coefficient (ICC).
Results. Internal consistency was high with Cronbach’s alpha exceeding 0.8 for all sections: 0.9562 for the overall questionnaire, 0.9469 for the disability/symptom section, 0.8545 for the work module, and 0.9752 for the sport/instrument module. For the test-retest reliability, the intraclass correlation coefficients for each module were: 0.953 for the disability/symptom section, 0.919 for the work module, and 0.982 for the sport/instrument module. Most items within the disability/symptom section of the questionnaire exhibited coefficients exceeding 0.5, with the exceptions of questions 3 and 22 (correlations of 0.472 and 0.471, respectively).
Conclusion. These results showed that the FIL-DASH questionnaire is generally a reliable functional outcome measure for Hiligaynon patients.
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References
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