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Reliability and Concurrent Validity of a Culturally Adapted Persian Version of the Brace Questionnaire in Adolescents With Idiopathic Scoliosis

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Abstract

Study Design

Cross-sectional.

Objectives

To determine the validity and reliability of culturally adapted Persian version of the Brace Questionnaire (P-BrQ).

Summary of Background Data

The BrQ has proved to be a reliable and valid instrument for evaluating the quality of life of adolescents with idiopathic scoliosis and has been translated to different languages. But, lack of a Persian translated version makes its use impractical in the Persian speaking scoliotic patients.

Methods

Forward and backward translation of P-BrQ was conducted according to the International Quality of Life Assessment guidelines. The final version of the P-BrQ was administered to 51 adolescents (1 boy and 50 girls) with idiopathic scoliosis. The mean age of the participants was 13.88 ± 2.14 years. The questionnaire’s internal consistency was determined using Cronbach’s alpha. A subgroup of 38 participants were randomly selected to complete the BrQ for a second time one week later. The test-retest reliability was then analyzed using the intraclass correlation coefficient, while the concurrent validity was assessed by comparing the BrQ with the Scoliosis Research Society-22 questionnaire.

Results

The total Cronbach’s alpha coefficient of the P-BrQ was 0.96, and the overall intraclass correlation coefficient of the questionnaire was also 0.96. The intraclass correlation coefficients for the corresponding domains were as follows: general health perception, 0.96; physical functioning, 0.96; emotional functioning, 0.98; self-esteem, 0.80; vitality, 0.97; school activity, 0.98; pain, 0.97; and social functioning, 0.98.

Conclusions

The culturally adapted Persian version of the BrQ can be used to assess the quality of life of adolescents with idiopathic scoliosis who wear a brace.

Level of Evidence

II.

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References

  1. Negrini S, Aulisa AG, Aulisa L, et al. 2011 SOSORT guidelines: orthopaedic and rehabilitation treatment of idiopathic scoliosis during growth. Scoliosis 2012;7:3.

    Article  Google Scholar 

  2. Konieczny MR, Senyurt H, Krauspe R. Epidemiology of adolescent idiopathic scoliosis. J Child Orthop 2013;7:3–9.

    Article  Google Scholar 

  3. Payne WK, Ogilvie JW, Resnick MD, et al. Does scoliosis have a psychological impact and does gender make a difference? Spine 1997;22:1380–4.

    Article  Google Scholar 

  4. Tomaszewski R, Janowska M. Psychological aspects of scoliosis surgery in children. Stud Health Technol Inform 2012;176:428–32.

    PubMed  Google Scholar 

  5. Korovessis P, Zacharatos S, Koureas G, et al. Comparative multifactorial analysis of the effects of idiopathic adolescent scoliosis and Scheuermann kyphosis on the self-perceived health status of adolescents treated with brace. Eur Spine J 2007;16:537–46.

    Article  Google Scholar 

  6. Misterska E, Glowacki M, Latuszewska J, et al. Perception of stress level, trunk appearance, body function and mental health in females with adolescent idiopathic scoliosis treated conservatively: a longitudinal analysis. Qual Life Res 2013;22:1633–45.

    Article  Google Scholar 

  7. Kinel E, Kotwicki T, Podolska A, et al. Quality of life and stress level in adolescents with idiopathic scoliosis subjected to conservative treatment. Stud Health Technol Inform 2012;176:419–22.

    PubMed  Google Scholar 

  8. Meng ZD, Li TP, Xie XH, et al. Quality of life in adolescent patients with idiopathic scoliosis after brace treatment: a meta-analysis. Medicine 2017;96:e6828.

    Article  Google Scholar 

  9. Colak TK, Akgul T, Colak I, et al. Health related quality of life and perception of deformity in patients with adolescent idiopathic scoliosis. J Back Musculoskelet Rehabil 2017;30:597–602.

    Article  Google Scholar 

  10. Vasiliadis E, Grivas TB. Quality of life after conservative treatment of adolescent idiopathic scoliosis. Stud Health Technol Inform 2008;135:409–13.

    Google Scholar 

  11. Asher M, Lai SM, Burton D, et al. The reliability and concurrent validity of the Scoliosis Research Society-22 patient questionnaire for idiopathic scoliosis. Spine 2003;28:63–9.

    Article  Google Scholar 

  12. Climent JM, Reig A, Sanchez J, et al. Construction and validation of a specific quality of life instrument for adolescents with spine deformities. Spine 1995;20:2006–11.

    Article  CAS  Google Scholar 

  13. Simony A, Carreon LY, Hansen KH, et al. Reliability and validity testing of a danish translated version of Spinal Appearance Questionnaire (SAQ) v 1.1. Spine Deform 2016;4:94–7.

    Article  Google Scholar 

  14. Vasiliadis E, Grivas TB, Gkoltsiou K. Development and preliminary validation of Brace Questionnaire (BrQ): a new instrument for measuring quality of life of brace treated scoliotics. Scoliosis 2006;1:7.

    Article  Google Scholar 

  15. Deceuninck J, Tirat-Herbert A, Martinez NR, et al. French validation of the Brace Questionnaire (BrQ). Scoliosis Spinal Disord 2017;12:18.

    Article  Google Scholar 

  16. Gur G, Yakut Y, Grivas T. The Turkish version of the Brace Questionnaire in brace-treated adolescents with idiopathic scoliosis. Prosthet Orthot Int 2018;42:129–35.

    Article  Google Scholar 

  17. Kinel E, Kotwicki T, Podolska A, et al. Polish validation of Brace Questionnaire. Eur Spine J 2012;21:1603–8.

    Article  Google Scholar 

  18. Aulisa AG, Guzzanti V, Galli M, et al. Validation of Italian version of Brace Questionnaire (BrQ). Scoliosis 2013;8:13.

    Article  Google Scholar 

  19. Beaton DE, Bombardier C, Guillemin F, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 2000;25:3186–91.

    Article  CAS  Google Scholar 

  20. Bullinger M, Alonso J, Apolone G, et al. Translating health status questionnaires and evaluating their quality: the IQOLA Project approach. International Quality of Life Assessment. J Clin Epidemiol 1998;51:913–23.

    Article  CAS  Google Scholar 

  21. Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol 1993;46:1417–32.

    Article  CAS  Google Scholar 

  22. Mousavi SJ, Mobini B, Mehdian H, et al. Reliability and validity of the Persian version of the Scoliosis Research Society-22r Questionnaire. Spine 2010;35:784–9.

    Article  Google Scholar 

  23. Schwieger T, Campo S, Weinstein SL, et al. Body image and quality of life and brace wear adherence in females with adolescent idiopathic scoliosis. J Pediatr Orthop 2017;37:e519–23.

    Article  Google Scholar 

  24. Schwieger T, Campo S, Weinstein SL, et al. Body image and quality-of-life in untreated versus brace-treated females with adolescent idiopathic scoliosis. Spine 2016;41:311–9.

    Article  Google Scholar 

  25. Climent JM, Sanchez J. Impact of the type of brace on the quality of life of adolescents with spine deformities. Spine 1999;24:1903–8.

    Article  CAS  Google Scholar 

  26. Portney L, Watkins M. Foundations of clinical research: application to practice, 2. Philadelphia, PA: F.A Davis Company; 2015. p. 585–618.

    Google Scholar 

  27. Cronbach LJ. Coefficient alpha and the internal structure of tests. Psychometrika 1951;16:297–334.

    Article  Google Scholar 

  28. Aulisa AG, Guzzanti V, Perisano C, et al. Determination of quality of life in adolescents with idiopathic scoliosis subjected to conservative treatment. Scoliosis 2010;5:21.

    Article  Google Scholar 

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Authors and Affiliations

Authors

Corresponding author

Correspondence to Maryam Jalali PhD.

Additional information

Author disclosures: SR (none), MJ (none), TB (none), MK (none).

Funding: This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors. This study was supported by the research committee of Iran University of Medical Sciences. There is no conflict of interest about the study.

IRB approval: The study was approved by institutional review board of Iran University of Medical Sciences (IRB approval code: 1395.9211502204).

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Rezaee, S., Jalali, M., Babaee, T. et al. Reliability and Concurrent Validity of a Culturally Adapted Persian Version of the Brace Questionnaire in Adolescents With Idiopathic Scoliosis. Spine Deform 7, 553–558 (2019). https://doi.org/10.1016/j.jspd.2018.10.001

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  • DOI: https://doi.org/10.1016/j.jspd.2018.10.001

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