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. 1996 Jan;86(1):52–56. doi: 10.2105/ajph.86.1.52

Workers' compensation recipients with carpal tunnel syndrome: the validity of self-reported health measures.

J N Katz 1, L Punnett 1, B P Simmons 1, A H Fossel 1, N Mooney 1, R B Keller 1
PMCID: PMC1380360  PMID: 8561242

Abstract

OBJECTIVES. This study compared the reliability, validity, and responsiveness of self-reported measures of health related quality of life in recipients and non-recipients of workers' compensation who have carpal tunnel syndrome. METHODS. Patients with carpal tunnel syndrome complete questionnaires at study enrollment and 6 months later scales measuring symptom severity functional status, and satisfaction were included. The scales internal consistency, validity, and responsiveness were assessed. RESULTS. The internal consistencies for each scale were high (Cronbach's alpha .88 to .96) and virtually identical in recipients and nonrecipients of workers' compensation. The correlations between self-reported and objectively measured grip strength were .32 in recipients and .30 in nonrecipients; these correlations were not influenced by whether workers' compensation recipients were out of work. Correlations between changes in scale scores and three indicators of perceived improvement were higher in recipients (.48 to .69) than in nonrecipients (.19 to .41) CONCLUSIONS. The reliability, validity, and responsiveness of these measures were comparable in nonrecipients and recipients of workers compensation, these data support the use of self-report measures in studies of workers.

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Selected References

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  1. Bergner M., Bobbitt R. A., Pollard W. E., Martin D. P., Gilson B. S. The sickness impact profile: validation of a health status measure. Med Care. 1976 Jan;14(1):57–67. doi: 10.1097/00005650-197601000-00006. [DOI] [PubMed] [Google Scholar]
  2. Bigos S. J., Battié M. C., Spengler D. M., Fisher L. D., Fordyce W. E., Hansson T. H., Nachemson A. L., Wortley M. D. A prospective study of work perceptions and psychosocial factors affecting the report of back injury. Spine (Phila Pa 1976) 1991 Jan;16(1):1–6. doi: 10.1097/00007632-199101000-00001. [DOI] [PubMed] [Google Scholar]
  3. Bombardier C., Ware J., Russell I. J., Larson M., Chalmers A., Read J. L. Auranofin therapy and quality of life in patients with rheumatoid arthritis. Results of a multicenter trial. Am J Med. 1986 Oct;81(4):565–578. doi: 10.1016/0002-9343(86)90539-5. [DOI] [PubMed] [Google Scholar]
  4. Bongers P. M., de Winter C. R., Kompier M. A., Hildebrandt V. H. Psychosocial factors at work and musculoskeletal disease. Scand J Work Environ Health. 1993 Oct;19(5):297–312. doi: 10.5271/sjweh.1470. [DOI] [PubMed] [Google Scholar]
  5. Carlson K. J., Miller B. A., Fowler F. J., Jr The Maine Women's Health Study: I. Outcomes of hysterectomy. Obstet Gynecol. 1994 Apr;83(4):556–565. doi: 10.1097/00006250-199404000-00012. [DOI] [PubMed] [Google Scholar]
  6. Cheadle A., Franklin G., Wolfhagen C., Savarino J., Liu P. Y., Salley C., Weaver M. Factors influencing the duration of work-related disability: a population-based study of Washington State workers' compensation. Am J Public Health. 1994 Feb;84(2):190–196. doi: 10.2105/ajph.84.2.190. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Deyo R. A. Measuring the functional status of patients with low back pain. Arch Phys Med Rehabil. 1988 Dec;69(12):1044–1053. [PubMed] [Google Scholar]
  8. Greenough C. G., Fraser R. D. The effects of compensation on recovery from low-back injury. Spine (Phila Pa 1976) 1989 Sep;14(9):947–955. doi: 10.1097/00007632-198909000-00006. [DOI] [PubMed] [Google Scholar]
  9. Guyatt G. H., Feeny D. H., Patrick D. L. Measuring health-related quality of life. Ann Intern Med. 1993 Apr 15;118(8):622–629. doi: 10.7326/0003-4819-118-8-199304150-00009. [DOI] [PubMed] [Google Scholar]
  10. Hadler N. M. Cumulative trauma disorders. An iatrogenic concept. J Occup Med. 1990 Jan;32(1):38–41. [PubMed] [Google Scholar]
  11. Katz J. N., Gelberman R. H., Wright E. A., Lew R. A., Liang M. H. Responsiveness of self-reported and objective measures of disease severity in carpal tunnel syndrome. Med Care. 1994 Nov;32(11):1127–1133. doi: 10.1097/00005650-199411000-00005. [DOI] [PubMed] [Google Scholar]
  12. Katz J. N., Larson M. G., Sabra A., Krarup C., Stirrat C. R., Sethi R., Eaton H. M., Fossel A. H., Liang M. H. The carpal tunnel syndrome: diagnostic utility of the history and physical examination findings. Ann Intern Med. 1990 Mar 1;112(5):321–327. doi: 10.7326/0003-4819-112-5-321. [DOI] [PubMed] [Google Scholar]
  13. Katz J. N., Wright E. A., Guadagnoli E., Liang M. H., Karlson E. W., Cleary P. D. Differences between men and women undergoing major orthopedic surgery for degenerative arthritis. Arthritis Rheum. 1994 May;37(5):687–694. doi: 10.1002/art.1780370512. [DOI] [PubMed] [Google Scholar]
  14. Pincus T., Callahan L. F., Brooks R. H., Fuchs H. A., Olsen N. J., Kaye J. J. Self-report questionnaire scores in rheumatoid arthritis compared with traditional physical, radiographic, and laboratory measures. Ann Intern Med. 1989 Feb 15;110(4):259–266. doi: 10.7326/0003-4819-110-4-259. [DOI] [PubMed] [Google Scholar]
  15. Sander R. A., Meyers J. E. The relationship of disability to compensation status in railroad workers. Spine (Phila Pa 1976) 1986 Mar;11(2):141–143. doi: 10.1097/00007632-198603000-00007. [DOI] [PubMed] [Google Scholar]
  16. Walsh N. E., Dumitru D. The influence of compensation on recovery from low back pain. Occup Med. 1988 Jan-Mar;3(1):109–121. [PubMed] [Google Scholar]
  17. Ware J. E., Jr, Sherbourne C. D. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473–483. [PubMed] [Google Scholar]
  18. Webster B. S., Snook S. H. The cost of 1989 workers' compensation low back pain claims. Spine (Phila Pa 1976) 1994 May 15;19(10):1111–1116. doi: 10.1097/00007632-199405001-00001. [DOI] [PubMed] [Google Scholar]
  19. de Krom M. C., Knipschild P. G., Kester A. D., Spaans F. Efficacy of provocative tests for diagnosis of carpal tunnel syndrome. Lancet. 1990 Feb 17;335(8686):393–395. doi: 10.1016/0140-6736(90)90218-t. [DOI] [PubMed] [Google Scholar]

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