Background: The self-assessment section of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASESq) is one of the most used patient-reported outcome measures for general shoulder problems. This study was performed to establish a valid Dutch version of the ASESq (ASESq-NL).

Materials And Methods: A clinical prospective, nonrandomized study was performed. Translation of the ASESq into Dutch was done following the guidelines of cross-cultural adaptation. Patients older than 17 years of age with shoulder problems were included. Patients who declined to participate or insufficiently completed questionnaires were excluded. For test-retest reliability analysis, the intraclass correlation coefficient (ICC) was calculated and an interval of 7-28 days between test and retest was set. Cronbach alpha was used to determine internal consistency. Dutch validated versions of the Shoulder Pain and Disability Index (SPADI) and 36-Item Short Form Health Survey (SF-36) were completed and compared with the ASESq-NL to evaluate construct validity using a Spearman rank correlation coefficient calculation.

Results: A total of 92 patients were included. Test-retest reliability was excellent with an ICC of 0.82. The mean test-retest interval was 13 days (standard deviation 4.4). Internal consistency was good, with a Cronbach alpha of 0.83. Construct validity of the ASES questionnaire was good. All domains of the ASESq-NL had significant ( < .05) correlations with the domains of the SPADI and the SF-36, except for the SF-36 domains stability with "physical function and energy" and "emotional well-being."

Conclusion: The Dutch ASES questionnaire is a valid and reliable tool for the evaluation of shoulder problems and is permissible for implementation into the Dutch health care system.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835012PMC
http://dx.doi.org/10.1016/j.jses.2019.06.002DOI Listing

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