Italian translation of the Manchester-Oxford Foot Questionnaire, with re-assessment of reliability and validity
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To cross-culturally adapt and validate the Italian version of the Manchester-Oxford Foot Questionnaire (MOXFQ) in patients affected by hallux valgus.
The MOXFQ was translated into Italian and culturally adapted following the forward and backward translation method. A sample of 172 patients with hallux valgus was asked to fill in the MOXFQ and the Short-Form 36 Health Survey (SF-36). Two-week retest was performed on a random sub-sample of 40 patients. Internal consistency and test–retest reliability were assessed using Cronbach’s alpha and intraclass correlation coefficient (ICC), respectively. Construct validity was assessed with the use of Spearman’s rank correlation coefficient, using a priori hypothesized correlations with SF-36 domains.
The internal consistency reliability was acceptable for all MOXFQ domains (Pain, Walking/standing and Social interaction) with Cronbachs’ alpha coefficients ranging from 0.72 to 0.83. The assessment of test–retest reliability reveals satisfactory values with ICCs ranging from 0.85 to 0.92. Construct validity was supported by the presence of all the hypothesized correlation, with the exception of Italian Walking/standing domain with the SF-36 Role-Physical domain (ρ = −0.29).
The Italian version of MOXFQ is a valid and reliable instrument for evaluating foot pain and functional status in patients affected by hallux valgus.
KeywordsHallux valgus MOXFQ Validation Pain
We would like to thank Mrs. Anna Simonelli for her help in preparing this manuscript.
- 3.Ferrari, J., Higgins, J. P., & Prior, T. D. (2004). Interventions for treating hallux valgus (abductovalgus) and bunions. Cochrane Database of Systematic Reviews, 1, CD000964.Google Scholar
- 4.Button, G., & Pinney, S. (2004). A meta-analysis of outcome rating scales in foot and ankle surgery: Is there a valid, reliable, and responsive system? Foot & Ankle International, 25, 521–525.Google Scholar
- 6.Dawson, J., Doll, H., Coffey, J., Jenkinson, C., & Oxford and Birmingham Foot and Ankle Clinical Research Group. (2007). Responsiveness and minimally important change for the Manchester-Oxford Foot Questionnaire (MOXFQ) compared with AOFAS and SF-36 assessments following surgery for hallux valgus. Osteoarthritis and Cartilage, 15, 918–931.PubMedCrossRefGoogle Scholar
- 9.Streiner, D. L., & Norman, G. R. (2004). Health measurement scales. A practical guide to their development and use. Oxford, NY: Oxford University Press.Google Scholar
- 10.Health Services Research Laboratory, University of Siena, Italy. http://www.publichealth.it/sf36/sf36corpo.htm. Accessed July 2008.
- 12.Fayers, P. M., & Machin, D. (2000). Quality of life: Assessment, analysis and interpretation. Chichester: Wiley.Google Scholar
- 15.Amadio, P. C. (1993). Outcomes measurements. Journal of Bone and Joint Surgery [Am], 75, 1583–1584.Google Scholar