Abstract

Introduction. The Manchester Foot Pain and Disability Index (MFPDI) is a 19-item questionnaire for the assessment of disability caused by foot pain. The aim was to develop a Danish language version of the MFPDI (MFPDI-DK) and evaluate its reproducibility and construct validity. Methods. A Danish version was created, following a forward-backward translation procedure. A sample of 84 adult patients with foot pain was recruited. Participants completed two copies of the MFPDI-DK within a 24- to 48-hour interval, along with the Medical Outcomes Study Short Form 36 (SF-36), and a pain Visual Analog Scale (VAS). Reproducibility was assessed using the intraclass correlation coefficient (ICC) and 95% limits of agreement (Bland-Altman plot). Construct validity was evaluated with Pearson's Rho, using a priori hypothesized correlations with SF-36 subscales and VASmean. Results. The MFPDI-DK showed very good reliability with an ICC of 0.92 (0.88–0.95). The 95% limits of agreement ranged from −6.03 to 6.03 points. Construct validity was supported by moderate to very strong correlations with the SF-36 physical subscales and VASmean. Conclusion. The MFPDI-DK appears to be a valid and reproducible instrument in evaluating foot-pain-related disability in Danish adult patients in cross-sectional samples. Further research is needed to test the responsiveness of the MFPDI-DK.

Highlights

  • The Manchester Foot Pain and Disability Index (MFPDI) is a 19-item questionnaire for the assessment of disability caused by foot pain

  • The aim of the present study was to develop a Danish version of the MFPDI (MFPDI-DK) and subsequently examine its reproducibility as well as construct validity

  • In order to investigate the reproducibility of the Danish MFPDI, we examined the test-retest reliability, as well as agreement between repeated scores, by asking participants to complete two copies of the MFPDIDK within a time interval of 24–48 hours

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Summary

Introduction

The Manchester Foot Pain and Disability Index (MFPDI) is a 19-item questionnaire for the assessment of disability caused by foot pain. The aim was to develop a Danish language version of the MFPDI (MFPDI-DK) and evaluate its reproducibility and construct validity. The MFPDI-DK appears to be a valid and reproducible instrument in evaluating foot-pain-related disability in Danish adult patients in cross-sectional samples. Mølgaard et al verified this prevalence in a Danish population-based study, where 30.4% reported foot pain within the previous month [7]. Foot pain in the elderly leads to an increased risk of depression and a reduced health-related quality of life (HRQoL) [1, 3, 8,9,10,11,12]. Region or disease-specific PatientReported Outcomes (PROs) are becoming an important method to report the severity of a functional problem, measure the effect of treatment modalities, and obtain comparable clinical-scientific results. There is a general consensus that PROs should serve as the gold standard when assessing musculoskeletal conditions, where the patient’s perspective and effects on HRQoL is the primary interest [13,14,15,16,17]

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