Rheumatology Advance Access originally published online on June 6, 2006
Rheumatology 2007 46(1):131-134; doi:10.1093/rheumatology/kel171
| ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Validation of a Dutch translation of the fibromyalgia impact questionnaire
1Department of Rheumatology, Medisch Spectrum Twente Hospital and 2Department of Communication Studies, University of Twente, Enschede, The Netherlands.
Correspondence to: Theo R. Zijlstra, MD, Campherbeeklaan 105, 8024 BV Zwolle, The Netherlands. E-mail: tr.zijlstra{at}worldonline.nl
| Abstract |
|---|
Objectives. To validate a Dutch translation of the fibromyalgia impact questionnaire (FIQ).
Materials and methods. Data were taken from two randomized clinical trials on Spa treatment and venlafaxine in fibromyalgia (FM). Participants completed the Dutch FIQ and a set of validated questionnaires for general health (RAND-36), depression (Beck depression inventory, BDI), pain (McGill pain questionnaire, MPQ) and fatigue (checklist individual strength, CIS). Internal consistency within the FIQ item physical functioning was studied using Cronbach's
. Testretest reliability was studied with intra-class-correlation (ICC) in a subsample of 76 control subjects over a 3 month period without specific intervention. Construct validity was evaluated by correlating the FIQ to other questionnaires. Sensitivity to change was studied using standardized response means (SRM).
Results. The study sample consisted of 213 women and 11 men (mean age 47 yrs, mean disease duration 11 yrs). Cronbach's
for the item physical functioning was 0.91, indicating high internal consistency. Testretest reliability was acceptable, with ICC ranging from 0.45 for morning tiredness to 0.71 for physical function. FIQ correlated significantly with the RAND-36, with Spearman's
ranging from 0.60 to 0.70 for items measuring the same concept. Similar patterns of correlation were seen with MPQ, BDI and CIS. Sensitivity to change was sufficient, with SRM after Spa treatment ranging from 0.3 for work days missed to 0.9 for days felt good. Similar SRM were found in the venlafaxine trial for patients reporting general improvement.
Conclusion. The Dutch FIQ is a valid instrument for measuring health status in FM, showing sufficient reliability, construct validity and responsiveness.
KEY WORDS: Fibromyalgia impact questionnaire, Fibromyalgia, Dutch version, Validation, Health assessment