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 for this work

Research output: Contribution to journalJournal articleResearchpeer-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.

Original languageEnglish
JournalFoot and Ankle Surgery
Volume31
Issue number1
Pages (from-to)58-64
ISSN1268-7731
DOIs
Publication statusPublished - Jan 2025

Bibliographical note

Publisher Copyright:
© 2024 The Authors

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
  • Surveys and Questionnaires/standards
  • Reproducibility of Results
  • Humans
  • Middle Aged
  • Self Report
  • Psychometrics
  • Male
  • Ankle Fractures
  • Patient Preference
  • Female
  • Adult
  • Aged
  • Patient Reported Outcome Measures

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