Cross-cultural adaptation, reliability and validity of the Cantonese-Chinese Cumberland Ankle Instability Tool (CAIT-HK)
Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such as the Cumberland Ankle Instability Tool (CAIT), may help identify individuals with chronic ankle instability. To date, a Cantonese-Chinese v...
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Published in | Foot (Edinburgh, Scotland) Vol. 56; p. 102015 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
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Elsevier Ltd
01.09.2023
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Abstract | Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such as the Cumberland Ankle Instability Tool (CAIT), may help identify individuals with chronic ankle instability. To date, a Cantonese-Chinese version of the CAIT does not exist.
A cross-cultural adaptation and validation of the CAIT were carried out: 46 individuals who were native in Cantonese completed the Cantonese-Chinese version of the CAIT and Chinese Foot and Ankle Outcome Score.
For the test-retest analysis, the intraclass correlation coefficient was 0.874. Internal consistency showed a Cronbach’s ɑ value of 0.726. Construct validity against the FAOS was fair but statistically significant with a Spearman’s correlation coefficient of 0.353, 0.460, 0.303, 0.369 and 0.493 for the categories of symptoms, pain, daily function, sports function, and quality of life, respectively.
A cutoff score of 20.5 was determined to differentiate healthy individuals from those with chronic ankle instability for this study population. The original English CAIT was successfully translated, cross-culturally adapted and validated into Cantonese-Chinese.
•CAIT is a patient-reported outcome tool for chronic ankle instability.•CAIT is not available in Cantonese, a Chinese dialect spoken by 62 million people.•CAIT-HK is a validated and reliable adaptation of CAIT in the Cantonese language.•CAIT-HK cut-off score of 20.5 indicates ankle instability. |
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AbstractList | Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such as the Cumberland Ankle Instability Tool (CAIT), may help identify individuals with chronic ankle instability. To date, a Cantonese-Chinese version of the CAIT does not exist. A cross-cultural adaptation and validation of the CAIT were carried out: 46 individuals who were native in Cantonese completed the Cantonese-Chinese version of the CAIT and Chinese Foot and Ankle Outcome Score. For the test-retest analysis, the intraclass correlation coefficient was 0.874. Internal consistency showed a Cronbach's ɑ value of 0.726. Construct validity against the FAOS was fair but statistically significant with a Spearman's correlation coefficient of 0.353, 0.460, 0.303, 0.369 and 0.493 for the categories of symptoms, pain, daily function, sports function, and quality of life, respectively. A cutoff score of 20.5 was determined to differentiate healthy individuals from those with chronic ankle instability for this study population. The original English CAIT was successfully translated, cross-culturally adapted and validated into Cantonese-Chinese. Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such as the Cumberland Ankle Instability Tool (CAIT), may help identify individuals with chronic ankle instability. To date, a Cantonese-Chinese version of the CAIT does not exist. A cross-cultural adaptation and validation of the CAIT were carried out: 46 individuals who were native in Cantonese completed the Cantonese-Chinese version of the CAIT and Chinese Foot and Ankle Outcome Score. For the test-retest analysis, the intraclass correlation coefficient was 0.874. Internal consistency showed a Cronbach’s ɑ value of 0.726. Construct validity against the FAOS was fair but statistically significant with a Spearman’s correlation coefficient of 0.353, 0.460, 0.303, 0.369 and 0.493 for the categories of symptoms, pain, daily function, sports function, and quality of life, respectively. A cutoff score of 20.5 was determined to differentiate healthy individuals from those with chronic ankle instability for this study population. The original English CAIT was successfully translated, cross-culturally adapted and validated into Cantonese-Chinese. •CAIT is a patient-reported outcome tool for chronic ankle instability.•CAIT is not available in Cantonese, a Chinese dialect spoken by 62 million people.•CAIT-HK is a validated and reliable adaptation of CAIT in the Cantonese language.•CAIT-HK cut-off score of 20.5 indicates ankle instability. |
ArticleNumber | 102015 |
Author | Hui, Jasmine Yat-Ning Chui, Vivian Wai-Ting Tong, Anson Hei-Ka Fong, Daniel T.P. Ling, Samuel Ka-Kin Chau, Wai-Wang Yung, Patrick Shu-Hang |
Author_xml | – sequence: 1 givenname: Jasmine Yat-Ning surname: Hui fullname: Hui, Jasmine Yat-Ning organization: Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), HKSAR, China – sequence: 2 givenname: Anson Hei-Ka surname: Tong fullname: Tong, Anson Hei-Ka organization: Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), HKSAR, China – sequence: 3 givenname: Vivian Wai-Ting surname: Chui fullname: Chui, Vivian Wai-Ting organization: Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), HKSAR, China – sequence: 4 givenname: Daniel T.P. surname: Fong fullname: Fong, Daniel T.P. organization: School of Sport, Exercise and Health Sciences, National Centre for Sport and Exercise Medicine, Loughborough University, United Kingdom – sequence: 5 givenname: Wai-Wang surname: Chau fullname: Chau, Wai-Wang organization: Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), HKSAR, China – sequence: 6 givenname: Patrick Shu-Hang surname: Yung fullname: Yung, Patrick Shu-Hang organization: Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), HKSAR, China – sequence: 7 givenname: Samuel Ka-Kin surname: Ling fullname: Ling, Samuel Ka-Kin email: samuel.ling@link.cuhk.edu.hk organization: Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong (CUHK), HKSAR, China |
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Keywords | Anterior Talo-Fibular Ligament Chronic Ankle Instability Patient-Reported Outcomes Lateral Ankle Sprains |
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Snippet | Acute lateral ankle sprains are common amongst athletes, and screening is essential in preventing these long-term sequelae. Self-reported questionnaires, such... |
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SubjectTerms | Anterior Talo-Fibular Ligament Chronic Ankle Instability Lateral Ankle Sprains Patient-Reported Outcomes |
Title | Cross-cultural adaptation, reliability and validity of the Cantonese-Chinese Cumberland Ankle Instability Tool (CAIT-HK) |
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