Cross-cultural and construct validity of the Animated Activity Questionnaire

Wilfred F. Peter; Henrika C.W. de Vet; Maarten Boers; Jaap Harlaar; Leo D. Roorda; Rudolf W. Poolman; Vanessa A.B. Scholtes; Martijn Steultjens; Gordon J. Hendry; Ewa M. Roos; Francis Guillemin; Maria G. Benedetti; Lorenzo Cavazzuti; Antonio Escobar; Hanne Dafinrud; Caroline B. Terwee

doi:10.1002/acr.23127

Cross-cultural and construct validity of the Animated Activity Questionnaire

Wilfred F. Peter^*, Henrika C.W. de Vet, Maarten Boers, Jaap Harlaar, Leo D. Roorda, Rudolf W. Poolman, Vanessa A.B. Scholtes, Martijn Steultjens, Gordon J. Hendry, Ewa M. Roos, Francis Guillemin, Maria G. Benedetti, Lorenzo Cavazzuti, Antonio Escobar, Hanne Dafinrud, Caroline B. Terwee

^*Corresponding author for this work

Podiatry

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Abstract

Objective: The Animated Activity Questionnaire (AAQ) assesses activity limitations in patients with hip/knee osteoarthritis and consists of video animations; the patients choose the animation that best matches their own performance. The AAQ has shown good validity and reliability. This study aims to evaluate cross‐cultural and construct validity of the AAQ.

Methods: Cross‐cultural validity was assessed using ordinal logistic regression analysis to evaluate differential item functioning (DIF) across 7 languages. Construct validity was assessed by testing correlations between the AAQ and a patient‐reported outcome measure (PROM) and performance‐based tests.

Results: Data from 1,239 patients were available. Compared to the Dutch language (n = 279), none of the 17 items showed DIF in English (n = 202) or French (n = 193), 1 item showed uniform DIF in Spanish (n = 99) and Norwegian (n = 62), and 2 items showed uniform DIF in Danish (n = 201). In all these languages, the occurrence of DIF did not influence the total score, which remained comparable with the original Dutch version. For Italian (n = 203) versus Dutch, however, 6 items showed uniform DIF, and 1 item showed nonuniform DIF, indicating some problems with the cross‐cultural validity between these countries. With regard to construct validity, the correlations with PROM (0.74) and performance‐based tests (0.36–0.68) were partly as expected (>0.60).

Conclusion: The AAQ, an innovative tool to measure activity limitations that can be placed on the continuum between PROMs and performance‐based tests, showed a good overall cross‐cultural validity, and seems to have great potential for international use in research and daily clinical practice in many European countries.

Original language	English
Pages (from-to)	1349-1359
Number of pages	11
Journal	Arthritis Care & Research
Volume	69
Issue number	9
Early online date	13 Aug 2017
DOIs	https://doi.org/10.1002/acr.23127
Publication status	Published - Sep 2017

Keywords

Animated Activity Questionnaire
osteoarthritis
activity limitations

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10.1002/acr.23127

Peter, W.F. et al (2016) Arthritis Care & Research journal article
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process which may lead to differences between this version and the Version of Record. Please cite this article as an ‘Accepted Article’, doi: 10.1002/acr.23127 © 2016 American College of Rheumatology.
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Gordon Hendry
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Peter, W. F., de Vet, H. C. W., Boers, M., Harlaar, J., Roorda, L. D., Poolman, R. W., Scholtes, V. A. B., Steultjens, M., Hendry, G. J., Roos, E. M., Guillemin, F., Benedetti, M. G., Cavazzuti, L., Escobar, A., Dafinrud, H., & Terwee, C. B. (2017). Cross-cultural and construct validity of the Animated Activity Questionnaire. Arthritis Care & Research, 69(9), 1349-1359. https://doi.org/10.1002/acr.23127

@article{351ce14265934da8bba8753ce4ddc8c7,

title = "Cross-cultural and construct validity of the Animated Activity Questionnaire",

abstract = "Objective: The Animated Activity Questionnaire (AAQ) assesses activity limitations in patients with hip/knee osteoarthritis and consists of video animations; the patients choose the animation that best matches their own performance. The AAQ has shown good validity and reliability. This study aims to evaluate cross‐cultural and construct validity of the AAQ.Methods: Cross‐cultural validity was assessed using ordinal logistic regression analysis to evaluate differential item functioning (DIF) across 7 languages. Construct validity was assessed by testing correlations between the AAQ and a patient‐reported outcome measure (PROM) and performance‐based tests.Results: Data from 1,239 patients were available. Compared to the Dutch language (n = 279), none of the 17 items showed DIF in English (n = 202) or French (n = 193), 1 item showed uniform DIF in Spanish (n = 99) and Norwegian (n = 62), and 2 items showed uniform DIF in Danish (n = 201). In all these languages, the occurrence of DIF did not influence the total score, which remained comparable with the original Dutch version. For Italian (n = 203) versus Dutch, however, 6 items showed uniform DIF, and 1 item showed nonuniform DIF, indicating some problems with the cross‐cultural validity between these countries. With regard to construct validity, the correlations with PROM (0.74) and performance‐based tests (0.36–0.68) were partly as expected (>0.60).Conclusion: The AAQ, an innovative tool to measure activity limitations that can be placed on the continuum between PROMs and performance‐based tests, showed a good overall cross‐cultural validity, and seems to have great potential for international use in research and daily clinical practice in many European countries.",

keywords = "Animated Activity Questionnaire, osteoarthritis, activity limitations",

author = "Peter, {Wilfred F.} and {de Vet}, {Henrika C.W.} and Maarten Boers and Jaap Harlaar and Roorda, {Leo D.} and Poolman, {Rudolf W.} and Scholtes, {Vanessa A.B.} and Martijn Steultjens and Hendry, {Gordon J.} and Roos, {Ewa M.} and Francis Guillemin and Benedetti, {Maria G.} and Lorenzo Cavazzuti and Antonio Escobar and Hanne Dafinrud and Terwee, {Caroline B.}",

note = "Acceptance from webpage - ELL 10/03/20 AAM: uploaded 15-11-16; 12m embargo Funder: Funding: European League Against Rheumatism (EULAR) ",

year = "2017",

month = sep,

doi = "10.1002/acr.23127",

language = "English",

volume = "69",

pages = "1349--1359",

journal = "Arthritis Care and Research",

issn = "2151-464X",

publisher = "Wiley",

number = "9",

}

Peter, WF, de Vet, HCW, Boers, M, Harlaar, J, Roorda, LD, Poolman, RW, Scholtes, VAB, Steultjens, M , Hendry, GJ, Roos, EM, Guillemin, F, Benedetti, MG, Cavazzuti, L, Escobar, A, Dafinrud, H & Terwee, CB 2017, 'Cross-cultural and construct validity of the Animated Activity Questionnaire', Arthritis Care & Research, vol. 69, no. 9, pp. 1349-1359. https://doi.org/10.1002/acr.23127

TY - JOUR

T1 - Cross-cultural and construct validity of the Animated Activity Questionnaire

AU - Peter, Wilfred F.

AU - de Vet, Henrika C.W.

AU - Boers, Maarten

AU - Harlaar, Jaap

AU - Roorda, Leo D.

AU - Poolman, Rudolf W.

AU - Scholtes, Vanessa A.B.

AU - Steultjens, Martijn

AU - Hendry, Gordon J.

AU - Roos, Ewa M.

AU - Guillemin, Francis

AU - Benedetti, Maria G.

AU - Cavazzuti, Lorenzo

AU - Escobar, Antonio

AU - Dafinrud, Hanne

AU - Terwee, Caroline B.

N1 - Acceptance from webpage - ELL 10/03/20 AAM: uploaded 15-11-16; 12m embargo Funder: Funding: European League Against Rheumatism (EULAR)

PY - 2017/9

Y1 - 2017/9

N2 - Objective: The Animated Activity Questionnaire (AAQ) assesses activity limitations in patients with hip/knee osteoarthritis and consists of video animations; the patients choose the animation that best matches their own performance. The AAQ has shown good validity and reliability. This study aims to evaluate cross‐cultural and construct validity of the AAQ.Methods: Cross‐cultural validity was assessed using ordinal logistic regression analysis to evaluate differential item functioning (DIF) across 7 languages. Construct validity was assessed by testing correlations between the AAQ and a patient‐reported outcome measure (PROM) and performance‐based tests.Results: Data from 1,239 patients were available. Compared to the Dutch language (n = 279), none of the 17 items showed DIF in English (n = 202) or French (n = 193), 1 item showed uniform DIF in Spanish (n = 99) and Norwegian (n = 62), and 2 items showed uniform DIF in Danish (n = 201). In all these languages, the occurrence of DIF did not influence the total score, which remained comparable with the original Dutch version. For Italian (n = 203) versus Dutch, however, 6 items showed uniform DIF, and 1 item showed nonuniform DIF, indicating some problems with the cross‐cultural validity between these countries. With regard to construct validity, the correlations with PROM (0.74) and performance‐based tests (0.36–0.68) were partly as expected (>0.60).Conclusion: The AAQ, an innovative tool to measure activity limitations that can be placed on the continuum between PROMs and performance‐based tests, showed a good overall cross‐cultural validity, and seems to have great potential for international use in research and daily clinical practice in many European countries.

AB - Objective: The Animated Activity Questionnaire (AAQ) assesses activity limitations in patients with hip/knee osteoarthritis and consists of video animations; the patients choose the animation that best matches their own performance. The AAQ has shown good validity and reliability. This study aims to evaluate cross‐cultural and construct validity of the AAQ.Methods: Cross‐cultural validity was assessed using ordinal logistic regression analysis to evaluate differential item functioning (DIF) across 7 languages. Construct validity was assessed by testing correlations between the AAQ and a patient‐reported outcome measure (PROM) and performance‐based tests.Results: Data from 1,239 patients were available. Compared to the Dutch language (n = 279), none of the 17 items showed DIF in English (n = 202) or French (n = 193), 1 item showed uniform DIF in Spanish (n = 99) and Norwegian (n = 62), and 2 items showed uniform DIF in Danish (n = 201). In all these languages, the occurrence of DIF did not influence the total score, which remained comparable with the original Dutch version. For Italian (n = 203) versus Dutch, however, 6 items showed uniform DIF, and 1 item showed nonuniform DIF, indicating some problems with the cross‐cultural validity between these countries. With regard to construct validity, the correlations with PROM (0.74) and performance‐based tests (0.36–0.68) were partly as expected (>0.60).Conclusion: The AAQ, an innovative tool to measure activity limitations that can be placed on the continuum between PROMs and performance‐based tests, showed a good overall cross‐cultural validity, and seems to have great potential for international use in research and daily clinical practice in many European countries.

KW - Animated Activity Questionnaire

KW - osteoarthritis

KW - activity limitations

U2 - 10.1002/acr.23127

DO - 10.1002/acr.23127

M3 - Article

VL - 69

SP - 1349

EP - 1359

JO - Arthritis Care and Research

JF - Arthritis Care and Research

SN - 2151-464X

IS - 9

ER -

Cross-cultural and construct validity of the Animated Activity Questionnaire

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