PMID- 31610700 OWN - NLM STAT- MEDLINE DCOM- 20200609 LR - 20220412 IS - 1477-0873 (Electronic) IS - 0269-2155 (Linking) VI - 34 IP - 1 DP - 2020 Jan TI - Psychometric evaluation of the shortened version of the Functional Difficulties Questionnaire to assess thoracic physical function. PG - 132-140 LID - 10.1177/0269215519879476 [doi] AB - OBJECTIVE: The aim of this study was to investigate the psychometric properties of the shortened version of the Functional Difficulties Questionnaire (FDQ). DESIGN: This is a multisite observational study. SETTING: The study was conducted in four tertiary care hospitals in Australia. SUBJECTS: A total of 225 participants, following cardiac surgery, were involved in the study. INTERVENTION: Participants completed the original 13-item FDQ and other measures of physical function, pain and health-related quality of life. METHOD: Item reduction was utilized to develop the shortened version. Reliability was evaluated using intraclass correlation coefficients (ICCs), the smallest detectable change and Bland-Altman plots. The validity and responsiveness were evaluated using correlation. Anchor and distribution-based calculation was used to calculate the minimal clinical important difference (MCID). RESULTS: Item reduction resulted in the creation of a 10-item shortened version of the questionnaire (FDQ-s). Within the cohort of cardiac surgery patient, the mean (SD) for the FDQ-s was 38.7 (19.61) at baseline; 15.5 (14.01) at four weeks and 7.9 (12.01) at three months. Validity: excellent internal consistency (Cronbach's alpha > 0.90) and fair-to-excellent construct validity (>0.4). Reliability: internal consistency was excellent (Cronbach's alpha > 0.8). The FDQ-s had excellent test-retest reliability (ICC = 0.89-0.92). Strong responsiveness overtime was demonstrated with large effect sizes (Cohen's d > 1.0). The MCID of the FDQ-s was calculated between 4 and 10 out of 100 (in cm). CONCLUSION: The FDQ-s demonstrated robust psychometric properties as a measurement tool of physical function of the thoracic region following cardiac surgery. FAU - Katijjahbe, Mohd Ali AU - Katijjahbe MA AUID- ORCID: 0000-0002-1348-3617 AD - Department of Physiotherapy, Hospital Canselor Tuanku Muhriz, Pusat Perubatan University Kebangsaan, Kuala Lumpur, Malaysia. AD - Department of Health Professions, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia. FAU - Denehy, Linda AU - Denehy L AD - Department of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia. FAU - Granger, Catherine L AU - Granger CL AD - Department of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Parkville, VIC, Australia. AD - Physiotherapy Department, The Royal Melbourne Hospital, Parkville, VIC, Australia. FAU - Royse, Alistair AU - Royse A AD - Department of Health Professions, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia. AD - Department of Surgery, The University of Melbourne, Parkville, VIC, Australia. FAU - Royse, Colin AU - Royse C AD - Department of Health Professions, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia. AD - Department of Surgery, The University of Melbourne, Parkville, VIC, Australia. AD - Outcomes Research Consortium, Cleveland Clinic, Cleveland, OH, USA. FAU - Logie, Sarah AU - Logie S AD - Physiotherapy Department, Melbourne Private Hospital, Parkville, VIC, Australia. FAU - Sturgess, Tamica AU - Sturgess T AD - Department of Physiotherapy, Monash Medical Centre, Clayton, VIC, Australia. FAU - Md Ali, Nur Ayub AU - Md Ali NA AD - Heart and Lung Centre, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia. FAU - McManus, Margaret AU - McManus M AD - Canberra Hospital, Garran, ACT, Australia. FAU - Sandy, Clarke-Errey AU - Sandy CE AD - Statistical Consulting Centre, School of Mathematics and Statistics, The University of Melbourne, Parkville, VIC, Australia. FAU - El-Ansary, Doa AU - El-Ansary D AD - Department of Health Professions, Faculty of Health, Arts and Design, Swinburne University of Technology, Hawthorn, VIC, Australia. AD - Department of Surgery, The University of Melbourne, Parkville, VIC, Australia. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20191015 PL - England TA - Clin Rehabil JT - Clinical rehabilitation JID - 8802181 SB - IM MH - Adult MH - Aged MH - Australia MH - Cohort Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - Psychometrics MH - Quality of Life MH - *Recovery of Function MH - Reproducibility of Results MH - *Sternotomy MH - *Surveys and Questionnaires MH - Thorax/*physiopathology OTO - NOTNLM OT - Functional Difficulties Questionnaire OT - cardiac surgery OT - outcome measurement OT - physical function OT - psychometric EDAT- 2019/10/16 06:00 MHDA- 2020/06/10 06:00 CRDT- 2019/10/16 06:00 PHST- 2019/10/16 06:00 [pubmed] PHST- 2020/06/10 06:00 [medline] PHST- 2019/10/16 06:00 [entrez] AID - 10.1177/0269215519879476 [doi] PST - ppublish SO - Clin Rehabil. 2020 Jan;34(1):132-140. doi: 10.1177/0269215519879476. Epub 2019 Oct 15.