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Assessing functional disability & health status of women with fibromyalgia (FM): validation of a Hebrew version of the FM Impact Questionnaire

  [ 93 votes ]   [ Discuss This Article ]
By Buskila D, Neumann L • • May 10, 1996

OBJECTIVE. To validate a translated version of the Fibromyalgia
Impact Questionnaire (FIQ) to be used by Hebrew speaking

METHODS. We administered the FIQ to 100 women
with fibromyalgia (FM). The FIQ measures physical functioning,
work status, depression, anxiety, sleep, pain, stiffness,
fatigue, and well being. All patients were asked about the
presence and severity (assessed by visual analog scale) of
relevant FM symptoms (pain, fatigue, anxiety, etc.); a count
of 18 tender points was conducted by thumb palpation, and
tenderness thresholds were assessed by dolorimetry.

Test-retest reliability was assessed using Spearman
correlations. Internal consistency was evaluated with
Cronbach's alpha coefficient of reliability. To assess content
validity a cutoff criterion of > or = 25% impairment responses
was set to indicate a valid item. Construct validity of the
FIQ was evaluated by correlating the physical functioning
score as well as the separate items with measures of symptom
severity, count of tender points, and tenderness thresholds.

RESULTS. Test-retest reliability was r = 0.96 for physical
functioning, and 0.80-0.96 for other items of FIQ. Internal
consistency was alpha = 0.93 at Time 1 and 0.86 at Time 2.
Seventeen of 19 items of the FIQ met the > or = 25% criterion.
Significant moderate to high correlations were obtained
between the FIQ items and severity symptoms, point count, and
tenderness threshold.

CONCLUSION. The FIQ is a reliable and
valid instrument for measuring functional disability and
health status in Israeli women with FM.

MCM: Used translated version and found it to be reliable and
valid instrument for measuring functional disability and
health status in 100 females w FM.

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