Psychometric Properties of the Foot and Ankle Outcome Score in a Community-Based Study of Adults With and Without Osteoarthritis

Background: The Trauma Expectation Factor Trauma Outcomes Measure (TEFTOM) questionnaire is a self-administered, patient-rated outcome measurement questionnaire designed to measure both ‘expectation’ and ‘outcome’ in orthopaedic trauma patients using two subsets of 10 items. We aimed to validate this instrument in a culturally diverse cohort of patients recruited from Asian and European regions. Methods: A total of 193 adult patients with surgically treated AO Foundation/Orthopaedic Trauma Association types 43 and 44 ankle malleolar and distal tibia fractures were recruited with 158 followed up till 1 year. Expectations were assessed prior to surgery, at 2 weeks and after 6 months using the trauma expectation factor (TEF) score. Outcomes were evaluated at 2 weeks, 6 and 12 months using the trauma outcome measure (TOM), American Academy of Orthopaedic Surgeons (AAOS), foot and ankle outcome score (FAOS) and short form-36 (SF-36) questionnaires. Psychometric properties of TEFTOM were assessed. Results: TEF and TOM demonstrated good internal consistency (Cronbach’s α > 0.87) and reliability at all time points (intra-class correlation coefficients > 0.90). TOM showed strong correlations ( R 2 ≥ 0.60) with the AAOS foot and ankle score, all FAOS subscales, except ‘symptoms’ and SF-36 physical functioning, role physical, bodily pain, social functioning and the physical component summary at 6 and 12 months. Effect sizes for TOM were 2.30 and 0.74 from 2 weeks to 6 months and from 6 months to 12 months, respectively. The baseline patient TEF was predictive for the 1-year TOM score. Conclusions: TEFTOM demonstrated good psychometric properties in this cohort of patients with ankle fractures. The TEF ‘expectation’ score was predictive of the TOM ‘outcome’ score. We recommend researchers and clinicians to utilize TEFTOM when patient expectation measurement is concerned for orthopaedic trauma patients.

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Minimally Important Difference in the Foot and Ankle Outcome Score Among Patients Undergoing Hallux Valgus Surgery

Foot & Ankle International ◽

10.1177/1071100719831392 ◽

2019 ◽

Vol 40 (6) ◽

pp. 694-701 ◽

Cited By ~ 3

Author(s):

Sameer Desai ◽

Alexander C. Peterson ◽

Kevin Wing ◽

Alastair Younger ◽

Trafford Crump ◽

...

Keyword(s):

Activities Of Daily Living ◽

Hallux Valgus ◽

Daily Living ◽

Patient Reported Outcomes ◽

Minimally Important Difference ◽

Foot And Ankle ◽

Outcome Score ◽

Patient Reported ◽

Bunion Correction ◽

Correction Surgery

Background: Patient-reported outcomes are increasingly used as measures of effectiveness of interventions. To make the tools more useful, therapeutic thresholds known as minimally important differences have been developed. The objective of this study was to calculate minimally important differences for the domains of the Foot and Ankle Outcome Score for hallux valgus surgery. Methods: The study was based on a retrospective analysis of patients newly scheduled for bunion correction surgery and completing patient-reported outcomes between October 2013 and January 2018. This study used anchor- and distribution-based approaches to calculate the minimally important difference for the instrument’s 5 domains. Confidence intervals were calculated for each approach. There were 91 participants included in the study. Results: Using anchor- and distribution-based approaches, the minimally important difference for the pain domain ranged from 5.8 to 10.2, from 0.3 to 6.9 for the symptoms domain, 8.3 to 10.3 for the activities of daily living domain, 7.4 to 11.1 for the quality of life domain, and from 7.0 to 15.7 for the sports and recreation domain. Small differences in the activities of daily living domain may be more clinically important for patients with better function. Discussion: The range of minimally important difference values for each domain indicate how the Foot and Ankle Outcome Score corresponded to bunion correction surgery. The sports and recreation domain showed considerable variability in the range of values and may be associated with the domain’s lack of responsiveness. Overall, most minimally important difference values for the domains of FAOS ranged from above 4 to below 16. Level of Evidence: Level III, retrospective comparative series.

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Feasibility and Psychometric Properties of the Infant Toddler Quality of Life (ITQOL) Questionnaire in a Community-Based Sample of Healthy Infants in China

Maternal and Child Health Journal ◽

10.1007/s10995-018-2439-8 ◽

2018 ◽

Vol 22 (5) ◽

pp. 702-712 ◽

Cited By ~ 1

Author(s):

Sheri Volger ◽

Jeanne M. Landgraf ◽

Meng Mao ◽

John Ge ◽

Robert Northington ◽

...

Keyword(s):

Quality Of Life ◽

Psychometric Properties ◽

Community Based ◽

Healthy Infants

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Psychometric properties and correlates of the Beck Depression Inventory in a community-based and homeless or precariously housed sample

Journal of Affective Disorders Reports ◽

10.1016/j.jadr.2021.100229 ◽

2021 ◽

pp. 100229

Author(s):

Lianne L. Cho ◽

Andrea A. Jones ◽

Skye Barbic ◽

Olga Leonova ◽

Fidel Vila-Rodriguez ◽

...

Keyword(s):

Psychometric Properties ◽

Beck Depression Inventory ◽

Community Based

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Cross-cultural adaptation and validation of the Foot and Ankle Outcome Score (FAOS) into Spanish (Chile)

Foot and Ankle Surgery ◽

10.1016/j.fas.2019.10.007 ◽

2020 ◽

Vol 26 (7) ◽

pp. 790-796 ◽

Cited By ~ 1

Author(s):

Manuel J. Pellegrini ◽

Rafael Poniachik ◽

Alfredo Nuñez ◽

Mario I. Escudero ◽

Giovanni Carcuro ◽

...

Keyword(s):

Cultural Adaptation ◽

Cross Cultural ◽

Foot And Ankle ◽

Cross Cultural Adaptation ◽

Outcome Score

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Systematic review of the psychometric properties of patient-reported outcome measures for rheumatoid arthritis in the foot and ankle

Clinical Rehabilitation ◽

10.1177/0269215519862328 ◽

2019 ◽

Vol 33 (11) ◽

pp. 1788-1799 ◽

Cited By ~ 2

Author(s):

Ana Belen Ortega-Avila ◽

Laura Ramos-Petersen ◽

Pablo Cervera-Garvi ◽

Christopher J Nester ◽

José Miguel Morales-Asencio ◽

...

Keyword(s):

Rheumatoid Arthritis ◽

Systematic Review ◽

Psychometric Properties ◽

Outcome Measures ◽

Methodological Quality ◽

Measurement Properties ◽

Foot And Ankle ◽

Inclusion Criteria ◽

Patient Reported

Objective: To identify self-reported outcome measures specific to the foot and ankle in patients with rheumatoid arthritis and to investigate the methodological quality and psychometric properties of these measures. Method: A systematic review focusing on patients with rheumatoid arthritis. Setting: The search was conducted in the PubMed, SCOPUS, CINAHL, PEDro and Google Scholar databases, based on the following inclusion criteria: population (with rheumatoid arthritis) > 18 years; psychometric or clinimetric validation studies of patient-reported outcomes specific to the foot and ankle, in different languages, with no time limit. Two of the present authors independently assessed the quality of the studies located and extracted the relevant data. Terwee’s criteria and the COSMIN checklist were employed to ensure adequate methodological quality. Results: Of the initial 431 studies considered, 14 met the inclusion criteria, representing 7,793 patients (56.8 years). These instruments were grouped into three dimensions (pain, perceived health status and quality of life and disability). The time to complete any of the PROMs varies around 15 minutes. PROMs criterias with the worst scores by COSMIN, 92.85% and 85.71% were criterion validity, measurement error, internal consistency and responsiveness. 28.57% of PROMs were compared with the measurement properties. Conclusion: the Self-Reported Foot and Ankle Score achieved the highest number of positive criteria (according to Terwee and COSMIN), and is currently the most appropriate for patients with Rheumatoid arthritis.

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Full-length silicone insoles versus ultrasound-guided corticosteroid injection in the management of plantar fasciitis: A randomized clinical trial

Prosthetics and Orthotics International ◽

10.1177/0309364613478328 ◽

2013 ◽

Vol 37 (6) ◽

pp. 471-476 ◽

Cited By ~ 26

Author(s):

Ufuk Yucel ◽

Sami Kucuksen ◽

Havva T Cingoz ◽

Emel Anlıacik ◽

Orhan Ozbek ◽

...

Keyword(s):

Visual Analogue Scale ◽

Plantar Fasciitis ◽

Analogue Scale ◽

Corticosteroid Injection ◽

Plantar Fascia ◽

Full Length ◽

Foot And Ankle ◽

Ultrasound Guided ◽

First Line ◽

Outcome Score

Background: Plantar fasciitis often leads to disability. Optimal treatment for this clinical condition is still unknown. Objective: To compare the effectiveness of wearing a full-length silicone insole with ultrasound-guided corticosteroid injection in the management of plantar fasciitis. Study design: Randomized clinical trial. Methods: Forty-two patients with chronic unilateral plantar fasciitis were allocated randomly to have an ultrasound-guided corticosteroid injection or wear a full-length silicone insole. Data were collected before the procedure and 1 month after. The primary outcome measures included first-step heel pain via Visual Analogue Scale and Heel Tenderness Index. Other outcome measures were the Foot and Ankle Outcome Score and ultrasonographic thickness of the plantar fascia. Results: After 1 month, a significant improvement was shown in Visual Analogue Scale, Heel Tenderness Index, Foot and Ankle Outcome Score, and ultrasonographic thickness of plantar fascia in both groups. Visual Analogue Scale scores, Foot and Ankle Outcome Score pain, Foot and Ankle Outcome Score for activities of daily living, Foot and Ankle Outcome Score for sport and recreation function, and plantar fascia thickness were better in injection group than in insole group (p < 0.05). Conclusions: Although both ultrasound-guided corticosteroid injection and wearing a full-length silicone insole were effective in the conservative treatment of plantar fasciitis, we recommend the use of silicone insoles as a first line of treatment for persons with plantar fasciitis. Clinical relevance Silicone insole may be considered as a first-line treatment option in patients with plantar fasciitis.

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Minimal Clinically Important Difference of Patient Reported Outcome Measures of Lower Extremity Injuries in Orthopedics

Orthopaedic Journal of Sports Medicine ◽

10.1177/2325967117s00072 ◽

2017 ◽

Vol 5 (2_suppl2) ◽

pp. 2325967117S0007 ◽

Cited By ~ 2

Author(s):

Derya Çelik ◽

Özge Çoban ◽

Önder Kılıçoğlu

Keyword(s):

Lower Extremity ◽

Outcome Measures ◽

Minimal Clinically Important Difference ◽

Rating Scale ◽

Patient Reported Outcome Measures ◽

Patient Reported Outcome ◽

Foot And Ankle ◽

Clinically Important Difference ◽

Outcome Score ◽

Patient Reported

Purpose: MCID scores for outcome measures are frequently used evidence-based guides to gage meaningful changes. To conduct a systematic review of the quality and content of the the minimal clinically important difference (MCID) relating to 16 patient-rated outcome measures (PROM) used in lower extremity. Methods: We conducted a systematic literature review on articles reporting MCID in lower extremity outcome measures and orthopedics from January 1, 1980, to May 10, 2016. We evaluated MCID of the 16 patient reported outcome measures (PROM) which were Harris Hip Score (HHS), Oxford Hip Score (OHS), Hip Outcome Score (HOS), Hip Disability and Osteoarthritis Outcome Score (HOOS), The International Knee Documentation Committee Subjective Knee Form (IKDC), The Lysholm Scale, The Western Ontario Meniscal Evaluation Tool (WOMET), The Anterior Cruciate Ligament Quality of Life Questionnaire (ACL-QOL), The Lower Extremity Functional Scale (LEFS), The Western Ontario and Mcmaster Universities Index (WOMAC), Knee İnjury And Osteoarthritis Outcome Score (KOOS), Oxford Knee Score (OKS), Kujala Anterior Knee Pain Scale, The Victorian Institute of Sports Assessment Patellar Tendinosis (Jumper’s Knee) (VİSA-P), Tegner Activity Rating Scale, Marx Activity Rating Scale, Foot And Ankle Outcome Score (FAOS), The Foot Function Index (FFI), Foot And Ankle Ability Measure (FAAM), The Foot And Ankle Disability Index Score and Sports Module, Achill Tendon Total Rupture Score(ATRS), The Victorian İnstitute Of Sports Assesment Achilles Questionnaire(VİSA-A), American Orthopaedic Foot and Ankle Society (AOFAS). A search of the PubMed/MEDLINE, PEDro and Cochrane Cen¬tral Register of Controlled Trials and Web of Science databases from the date of inception to May 1, 2016 was conducted. The terms “minimal clinically important difference,” “minimal clinically important change”, “minimal clinically important improvement” “were combined with one of the PROM as mentioned above. Results: A total of 223 abstracts were reviewed and 119 articles chosen for full text review. Thirty articles were included in the final evaluation. The MCID was mostly calculated for WOMAC and frequently reported in knee and hip osteoartritis, knee and hip atrhroplasties, femoraasetabular impingement syndrome and focal cartilage degeneration. In addition, Receiver Operating Characteristic (ROC) analysis was the most used method to report MCID. Conclusions: MCID is an important concept used to determine whether a medical intervention improves perceived outcomes in patients. Despite an abundance of methods reported in the literature, little work in MCID estimation has been done in the PRAM related to lower extremity. There is a need for future studies in this regard.

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