Cross-cultural adaptation, reliability, and validity of the Persian version of the Cumberland Ankle Instability Tool

Hadadi, Mohammad; Takamjani, Ismail Ebrahimi; Mosavi, Mohammad Ebrahim; Aminian, Gholamreza; Fardipour, Shima; Abbasi, Faeze

doi:10.1080/09638288.2016.1207105

Cited by 35 publications

(24 citation statements)

References 23 publications

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“…Evaluation of content validity by a structured analytic method [25] added to the psychometric properties of CAIT, as to our knowledge this is reported first time since most of previous studies used floor and ceiling effects to examine this form of validity. [7, 9, 11, 13] The results also confirmed our hypothesis regarding the convergent validity of CAIT-Arab with the LEFS [26] scores presenting a moderate correlation as previously reported, probably because of a ceiling effect with the LEFS. [5] The ceiling effect of LEFS has been attributed to its insufficient sensitivity to identify problems related with CAI, as most of the tasks included in the scale are not sufficiently challenging for the lower leg.…”

Section: Discussionsupporting

confidence: 89%

“…[5] The ceiling effect of LEFS has been attributed to its insufficient sensitivity to identify problems related with CAI, as most of the tasks included in the scale are not sufficiently challenging for the lower leg. [5] Nonetheless, CAIT was only moderately correlated with SF-36, [8, 10] FAAM, [11] FAOS, [13] and Karlsson score [12] in previous studies, suggesting the administration of condition-specific outcome measures in clinical evaluation of CAI.…”

Section: Discussionmentioning

confidence: 96%

“…Structural validity [22, 24] of CAIT-Arab was tested by exploratory factor analysis (EFA) given that the unidimensionality of the tool has not been confirmed in previous studies. [5, 8, 11, 10] CAIT has been suggested to be a unidimensional scale, [5] however evaluation in other cross-cultural adaptations revealed two [10, 11] or 3-factor solutions. [8]…”

Section: Methodsmentioning

confidence: 99%

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Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

et al. 2019

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Purpose To cross-culturally adapt the Cumberland Ankle Instability Tool into modern standard Arabic and to assess its psychometric properties. Method Cross-cultural adaptation followed a combination of guidelines and for psychometric evaluation a sample of 107 athletes as recruited. All recommended measurement properties by the Consensus-based Standards for the selection of health status Measurement Instruments were evaluated, including face, structural, convergent, and discriminant validity; reproducibility; distribution-based responsiveness, and interpretability. We also used a structured content analytic method to evaluate content validity. Results The tool presented excellent internal consistency (α = 0.92) and reliability (ICC 0.75–0.98), and good convergent validity compared with Lower Extremity Functional Scale (ρ = 0.67). For reproducibility testing: Minimal detectable change ranged from 0.41 to 6.0 points; for responsiveness assessment: the effect sizes were large (Glass’ Δ range 2.03–2.08, Cohen’s d range 2.22 to 2.53) and the Area under the Curve was 0.869. Its unidimensionality was proved by a 1-factor solution explaining 63.8% of the variance. Conclusion The Arabic version of Cumberland Ankle Instability Tool presented acceptable psychometric properties comparable to the original version. The questionnaire is understood across most of the Arabic speaking world and can be used in research and clinical practice to assess patients suffering from chronic ankle instability.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 96%

Section: Methodsmentioning

confidence: 99%

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Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

et al. 2019

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“…All instruments used in this study have been shown to be valid and reliable [17,18,22,23]. The reliability and validity of the Persian version of the CAIT [24], FAAM [25], FABQ [26], TSK-11 [26] and SF-36 [27] have also been verified for the Iranian population.…”

Section: Procedures and Instrumentsmentioning

confidence: 59%

Comparison of Health-Related Quality of Life in Different Types of Chronic Ankle Instability

Hadadi

Heghighat

Hossein

2020

Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin

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Introduction People with chronic ankle instability (CAI) have decreased health-related quality of life (HRQOL), but the differences in HRQOL status between subgroups of CAI have not been determined. This observational, cross-sectional study aimed to evaluate and compare physical, social and psychological aspects of HRQOL in subgroups of patients with CAI. Methods Ninety patients with CAI and 30 healthy participants were included. The patients were assigned to 3 subgroups with functional ankle instability (FAI), mechanical ankle instability (MAI), or mixed functional and mechanical instability (MIX), based on the talar tilt test, anterior drawer test, and Cumberland Ankle Instability Tool score. Participants completed the self-assessed Foot and Ankle Ability Measure (FAAM), Tampa Scale of Kinesophobia-11 (TSK-11), Fear-Avoidance Beliefs Questionnaire (FABQ), and Short-Form Health Survey (SF‑36). Results Significant differences were observed between healthy participants and each CAI subgroup in regional (FAAM), psychological (TSK-11 and FABQ) and global (SF-36) measures (p<0,05). The MIX subgroup had a significantly lower score on the FAAM-sport component, and a higher score on the TSK-11 and FABQ (p<0,05), than the FAI subgroup. There were no diffirences between other CAI subgroups in quality of life measures. Conclusions Patients with MAI and FAI had similar functional deficits in activities of daily living and sport activities, and greater fear of re-injury. The MIX subgroup had greater deficits in sport activities and greater fear of re-injury than the FAI subgroup.

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“…Hadadi et al on 105 subjects with a history of ankle sprain and 30 control subjects, reported ICCs of CAIT questionnaire, 0.95 and 0.91 for right and left ankles, respectively. Moreover, Cronbach's alpha coefficients were higher than 0.70 for both ankles and in both groups (20).…”

Section: Discussionmentioning

confidence: 99%

Translation, cross-cultural adaptation and factor analysis of the Persian version of ankle instability instrument

Mohamadi

Ebrahimi

Dadgoo

et al. 2018

Med. J. Islam. Republic Iran

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Background: Ankle Instability Instrument (AII) is a questionnaire for determination of ankle stability status. The aim of this study is to cross-culturally translate and investigate the reliability and validity of AII in a sample of Persian-speaking Iranians, suffering from ankle sprain. Methods: One hundred twenty persons with a history of ankle sprain were recruited in the study. All participants completed the Persian version of Ankle Instability Instrument, Cumberland Ankle Instability Tool (CAIT), Foot and Ankle Ability Measure (FAAM) and Foot and Ankle Outcome Score (FAOS) at the baseline. Out of them, 60 randomly selected subjects completed the questionnaires once more, one week later. Face validity, Test–retest reliability, internal consistency, standard error of measurement, minimal metric detectable change, spearman’s correlation coefficient and confirmatory factor analysis of AII measured. We used Lisrel v 8.80 software with significant level of p<0.05. Results: Persian version of AII is clear and unambiguous and its qualitative face validity was confirmed in the pilot study on the 20 subjects with a lateral ankle sprain. The interclass correlation coefficient, Cronbach’s alpha, standard error of measurement and minimal metric detectable change were 0.93, 0.87, 0.81 and 2.25 (95% confidence interval, 0.85-0.96). The Spearman correlations coefficients between AII, and CAIT, FAAM and FAOS measures were 0.91, 0.71 and 0.69 respectively. The original three factor structure of AII was replicated based on the confirmatory factor analysis. Which showed an adequate fit of the model to the data and goodness-of-various fit indices. Conclusion: The Ankle Instability Instrument Persian Version (AII-PV) is a reliable and valid measure for assessing the ankle stability status.

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Cross-cultural adaptation, reliability, and validity of the Persian version of the Cumberland Ankle Instability Tool

Cited by 35 publications

References 23 publications

Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

Cross-cultural adaptation and psychometric properties’ evaluation of the modern standard Arabic version of Cumberland Ankle Instability Tool (CAIT) in professional athletes

Comparison of Health-Related Quality of Life in Different Types of Chronic Ankle Instability

Translation, cross-cultural adaptation and factor analysis of the Persian version of ankle instability instrument

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