Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties

Per Hviid Gundtoft; Julie Ladeby Erichsen; Mads Terndrup; Lauritz Walsøe; Lasse Pedersen; Bjarke Viberg; Alice Ørts; Charlotte Abrahamsen

doi:10.1016/j.fas.2024.07.001

Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties

Per Hviid Gundtoft^*, Julie Ladeby Erichsen, Mads Terndrup, Lauritz Walsøe, Lasse Pedersen, Bjarke Viberg, Alice Ørts, Charlotte Abrahamsen

^*Corresponding author af dette arbejde

Institut for Klinisk Medicin - Ortopædkirurgi

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

Abstract

Background: The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures. Methods: Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients. Results: MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire. Conclusion: All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.

Originalsprog	Engelsk
Tidsskrift	Foot and Ankle Surgery
Vol/bind	31
Nummer	1
Sider (fra-til)	58-64
Antal sider	7
ISSN	1268-7731
DOI	https://doi.org/10.1016/j.fas.2024.07.001
Status	Udgivet - jan. 2025

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10.1016/j.fas.2024.07.001Licens: CC BY

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title = "Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties",

abstract = "Background: The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures. Methods: Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients. Results: MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire. Conclusion: All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.",

keywords = "Ankle fracture, Forgotten joint score, Manchester oxford foot questionnaire, Olerud molander ankle score, Patient reported outcome measures, Psychometric measurement, Self-reported foot and ankle score",

author = "Gundtoft, {Per Hviid} and Erichsen, {Julie Ladeby} and Mads Terndrup and Lauritz Wals{\o}e and Lasse Pedersen and Bjarke Viberg and Alice {\O}rts and Charlotte Abrahamsen",

year = "2025",

month = jan,

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Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties. / Gundtoft, Per Hviid; Erichsen, Julie Ladeby; Terndrup, Mads et al.
I: Foot and Ankle Surgery, Bind 31, Nr. 1, 01.2025, s. 58-64.

Publikation: Bidrag til tidsskrift/Konferencebidrag i tidsskrift /Bidrag til avis › Tidsskriftartikel › Forskning › peer review

TY - JOUR

T1 - Comparison of four patient reported outcome measures in patients with ankle fracture

T2 - A study on patient preferences and psychometric properties

AU - Gundtoft, Per Hviid

AU - Erichsen, Julie Ladeby

AU - Terndrup, Mads

AU - Walsøe, Lauritz

AU - Pedersen, Lasse

AU - Viberg, Bjarke

AU - Ørts, Alice

AU - Abrahamsen, Charlotte

PY - 2025/1

Y1 - 2025/1

N2 - Background: The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures. Methods: Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients. Results: MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire. Conclusion: All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.

AB - Background: The aim was to assess psychometric properties of Manchester Oxford Foot Questionnaire (MOXFQ), the Self-reported Foot and Ankle Score (SEFAS), the Olerud Molander Ankle Score (OMAS), and the Forgotten Joint Score (FJS) in adults with ankle fractures. Methods: Patients received all four questionnaires 6, 12, 14, 24, 52, and 104 weeks following an ankle fracture. According to COSMIN guidelines, statistical tests were performed to assess floor- and ceiling effects, structural validity, construct validity and reliability. Cognitive interview was performed with 9 patients. Results: MOXFQ showed best model fit in Confirmatory Factor Analysis. When testing construct validity, all hypotheses were accepted except for OMAS and FJS. All questionnaires had an almost perfect test-retest reliability (Interclass Correlation Coefficient 0.81 to 0.91) and Cronbach's alpha ranged from 0.76 to 0.95. MOXFQ was the best rated questionnaire. Conclusion: All questionnaires performed well and we recommend MOXFQ for future use in ankle fracture studies.

KW - Ankle fracture

KW - Forgotten joint score

KW - Manchester oxford foot questionnaire

KW - Olerud molander ankle score

KW - Patient reported outcome measures

KW - Psychometric measurement

KW - Self-reported foot and ankle score

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U2 - 10.1016/j.fas.2024.07.001

DO - 10.1016/j.fas.2024.07.001

M3 - Journal article

C2 - 39013738

AN - SCOPUS:85198387835

SN - 1268-7731

VL - 31

SP - 58

EP - 64

JO - Foot and Ankle Surgery

JF - Foot and Ankle Surgery

IS - 1

ER -

Comparison of four patient reported outcome measures in patients with ankle fracture: A study on patient preferences and psychometric properties

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