Cross-cultural adaptation and measurement properties of the Malay Shoulder Pain and Disability Index

Ho, Caryn-Ann and Yun Ling, Jerri Chiu and Abdul Karim, Samihah (2022) Cross-cultural adaptation and measurement properties of the Malay Shoulder Pain and Disability Index. PLoS ONE, 17 (3). ISSN 1932-6203, DOI https://doi.org/10.1371/journal.pone.0265198.

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Abstract

ObjectiveThe purpose of this study is to cross-culturally adapt the Shoulder Pain and Disability Index from English to Malay, and to evaluate the measurement properties of the Malay version among Malay speakers with shoulder pain. MethodsCross-cultural adaptation of the Malay version of Shoulder Pain and Disability Index (M-SPADI) was conducted according to international guidelines. 260 participants (Shoulder pain = 130, No shoulder pain = 130) completed the M-SPADI, the Numerical Rating Scale (NRS), and measurement of shoulder active range of motion (AROM). 54 participants repeated M-SPADI within a mean of 9.2 days. ResultsCross-cultural adaptation of M-SPADI had no major issues. The M-SPADI had good face validity; item and scale content validity indexes (I-CVI, S-CVI) were >0.79 except for Disability Item 3 (I-CVI = 0.75), and exploratory factor analysis showed that M-SPADI had a bidimensional structure. There was a strong positive correlation between M-SPADI and NRS (r(Pain) = 0.845, r(Disability) = 0.722, r(Total) = 0.795, p <0.001) and a negative correlation between M-SPADI and shoulder AROM with the following correlation ranges (r(Pain) = -0.316 to -0.637, r(Disability) = -0.419 to -0.708, r(Total) = -0404 to -0.697, p<0.001). M-SPADI's total score was higher in participants with shoulder pain (Mdn: 33.8, IQR = 37.3) compared to no shoulder pain (Mdn:0, IQR = 0.8) and the difference was statistically significant (U = 238.5, z = -13.89, p<0.001). M-SPADI had no floor or ceiling effects (floor/ceiling <15%), high internal consistency (Cronbach's alpha(Pain) = 0.914, Cronbach's alpha(Disability) = 0.945) and good to excellent test-retest reliability (ICCPain = 0.922, ICCDisability = 0.859, ICCTotal = 0.895). ConclusionM-SPADI has a bi-dimensional structure with no floor or ceiling effects, established face, content and construct validity, internal consistency, and test-retest reliability. M-SPADI is a reliable and valid tool for assessing Malay-speaking individuals with shoulder pain in clinical and research settings.

Item Type: Article
Funders: Faculty of Medicine University of Malaya [Grant No: PV2018-62-UMSC]
Uncontrolled Keywords: Shoulder Pain; Internal consistency; Disability Index; Malay speakers
Subjects: R Medicine
R Medicine > RC Internal medicine > RC1200 Sports Medicine
Divisions: Faculty of Engineering > Biomedical Engineering Department
Faculty of Medicine > Sport Medicine Department
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 29 Aug 2023 08:17
Last Modified: 29 Aug 2023 08:17
URI: http://eprints.um.edu.my/id/eprint/43089

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