Danish VISA-A questionnaire with validation and reliability testing for Danish-speaking Achilles tendinopathy patients

Scand J Med Sci Sports. 2016 Dec;26(12):1423-1427. doi: 10.1111/sms.12576. Epub 2015 Dec 9.

Abstract

The VISA-A questionnaire has proven to be a valid and reliable tool for assessing severity of Achilles tendinopathy (AT). The aim was to translate and cross-culturally adapt the VISA-A questionnaire for a Danish-speaking AT population, and subsequently perform validity and reliability tests. Translation and following cross-cultural adaptation was performed as translation, synthesis, reverse translation, expert review, and pretesting. The final Danish version (VISA-A-DK) was tested for reliability on healthy controls (n = 75) and patients (n = 36). Tests for internal consistency, validity, and structure were performed on 71 patients. VISA-A-DK showed good reliability for patients (r = 0.80 ICC = 0.79) and healthy individuals (r = 0.98 ICC = 0.97). Internal consistency was 0.73 (Cronbach's alpha). The mean VISA-A-DK score in AT patients was 51 [47-55]. This was significantly lower than healthy controls with a score of 93 (90-95). Criterion validity was considered good when comparing the scores of the Danish version with the original version in both healthy individuals and patients. VISA-A-DK is a valid and reliable instrument and has shown compatible to the original version in assessment of AT patients. VISA-A-DK is a useful tool in the assessment of AT, both in research and in a clinical setting.

Keywords: Cross-cultural; adaptation; translation.

Publication types

  • Validation Study

MeSH terms

  • Achilles Tendon / physiopathology*
  • Adult
  • Case-Control Studies
  • Cultural Competency
  • Cumulative Trauma Disorders / diagnosis
  • Cumulative Trauma Disorders / physiopathology
  • Denmark
  • Female
  • Humans
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Severity of Illness Index
  • Surveys and Questionnaires
  • Tendinopathy / diagnosis
  • Tendinopathy / physiopathology*
  • Translations