Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I

<h3>Purpose</h3><p dir="ltr">The Victorian Institute of Sport Assessment (Achilles tendon—VISA-A, greater trochanteric pain syndrome—VISA-G, proximal hamstring tendinopathy—VISA-H, patellar tendon—VISA-P) questionnaires are widely used in research and clinical practice; h...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Vasileios Korakakis (5069123) (author)
مؤلفون آخرون: Argyro Kotsifaki (10701966) (author), Manos Stefanakis (14150091) (author), Yiannis Sotiralis (5813171) (author), Rod Whiteley (14150088) (author), Kristian Thorborg (402808) (author)
منشور في: 2021
الموضوعات:
الوسوم: إضافة وسم
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_version_ 1864513541985271808
author Vasileios Korakakis (5069123)
author2 Argyro Kotsifaki (10701966)
Manos Stefanakis (14150091)
Yiannis Sotiralis (5813171)
Rod Whiteley (14150088)
Kristian Thorborg (402808)
author2_role author
author
author
author
author
author_facet Vasileios Korakakis (5069123)
Argyro Kotsifaki (10701966)
Manos Stefanakis (14150091)
Yiannis Sotiralis (5813171)
Rod Whiteley (14150088)
Kristian Thorborg (402808)
author_role author
dc.creator.none.fl_str_mv Vasileios Korakakis (5069123)
Argyro Kotsifaki (10701966)
Manos Stefanakis (14150091)
Yiannis Sotiralis (5813171)
Rod Whiteley (14150088)
Kristian Thorborg (402808)
dc.date.none.fl_str_mv 2021-05-21T06:00:00Z
dc.identifier.none.fl_str_mv 10.1007/s00167-021-06598-5
dc.relation.none.fl_str_mv https://figshare.com/articles/journal_contribution/Evaluating_lower_limb_tendinopathy_with_Victorian_Institute_of_Sport_Assessment_VISA_questionnaires_a_systematic_review_shows_very-low-quality_evidence_for_their_content_and_structural_validity_part_I/21596922
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Biomedical and clinical sciences
Clinical sciences
Health sciences
Allied health and rehabilitation science
Psychology
Applied and developmental psychology
Patient-reported outcome measures
Tendinopathy
Content validity
Unidimensionality
COSMIN
dc.title.none.fl_str_mv Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
dc.type.none.fl_str_mv Text
Journal contribution
info:eu-repo/semantics/publishedVersion
text
contribution to journal
description <h3>Purpose</h3><p dir="ltr">The Victorian Institute of Sport Assessment (Achilles tendon—VISA-A, greater trochanteric pain syndrome—VISA-G, proximal hamstring tendinopathy—VISA-H, patellar tendon—VISA-P) questionnaires are widely used in research and clinical practice; however, no systematic reviews have formally evaluated their content, structural, and cross-cultural validity evidence. The measurement properties referring to content, structural and cross-cultural validity of the VISA questionnaires were appraised and synthesized.</p><h3>Methods</h3><p dir="ltr">The systematic review was conducted according to Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology. PubMed, Cochrane, CINAHL, EMBASE, Web of Science, SportsDiscus, grey literature, and reference lists were searched. Development studies and cross-cultural adaptations (12 languages) assessing content or structural validity of the VISA questionnaires were included and two reviewers assessed their methodological quality. Evidence for content (relevance, comprehensiveness, and comprehensibility), structural, and cross-cultural validity was synthesized. A modified Grading of Recommendations Assessment Development and Evaluation (GRADE) approach was applied to evidence synthesis.</p><h3>Results</h3><p dir="ltr">The VISA-A presented very-low-quality evidence of sufficient relevance, insufficient comprehensiveness, and inconsistent comprehensibility. VISA-G displayed moderate-quality evidence for sufficient comprehensibility and very-low-quality evidence of sufficient relevance and comprehensiveness. The VISA-P presented very-low-quality evidence of sufficient relevance, insufficient comprehensiveness, and inconsistent comprehensibility, while VISA-H presented very-low evidence of insufficient content validity. VISA-A displayed low-quality evidence for structural validity concerning unidimensionality and internal structure, while VISA-H presented low-quality evidence of insufficient unidimensionality. The structural validity of VISA-G and VISA-P were indeterminate and inconsistent, respectively. Internal consistency for VISA-G, VISA-H, and VISA-P was indeterminate. No studies evaluated cross-cultural validity, while measurement invariance across sexes was assessed in one study.</p><h3>Conclusions</h3><p dir="ltr">Only very-low-quality evidence exists for the content and structural validity of VISA questionnaires when assessing the severity of symptoms and disability in patients with lower limb tendinopathies.</p><h3>Level of evidence</h3><p dir="ltr">IV.</p><h3>Registration</h3><p dir="ltr">PROSPERO reference—CRD42019126595.</p><h2>Other Information</h2><p dir="ltr">Published in: Knee Surgery, Sports Traumatology, Arthroscopy<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00167-021-06598-5" target="_blank">http://dx.doi.org/10.1007/s00167-021-06598-5</a></p>
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spelling Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part IVasileios Korakakis (5069123)Argyro Kotsifaki (10701966)Manos Stefanakis (14150091)Yiannis Sotiralis (5813171)Rod Whiteley (14150088)Kristian Thorborg (402808)Biomedical and clinical sciencesClinical sciencesHealth sciencesAllied health and rehabilitation sciencePsychologyApplied and developmental psychologyPatient-reported outcome measuresTendinopathyContent validityUnidimensionalityCOSMIN<h3>Purpose</h3><p dir="ltr">The Victorian Institute of Sport Assessment (Achilles tendon—VISA-A, greater trochanteric pain syndrome—VISA-G, proximal hamstring tendinopathy—VISA-H, patellar tendon—VISA-P) questionnaires are widely used in research and clinical practice; however, no systematic reviews have formally evaluated their content, structural, and cross-cultural validity evidence. The measurement properties referring to content, structural and cross-cultural validity of the VISA questionnaires were appraised and synthesized.</p><h3>Methods</h3><p dir="ltr">The systematic review was conducted according to Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN) methodology. PubMed, Cochrane, CINAHL, EMBASE, Web of Science, SportsDiscus, grey literature, and reference lists were searched. Development studies and cross-cultural adaptations (12 languages) assessing content or structural validity of the VISA questionnaires were included and two reviewers assessed their methodological quality. Evidence for content (relevance, comprehensiveness, and comprehensibility), structural, and cross-cultural validity was synthesized. A modified Grading of Recommendations Assessment Development and Evaluation (GRADE) approach was applied to evidence synthesis.</p><h3>Results</h3><p dir="ltr">The VISA-A presented very-low-quality evidence of sufficient relevance, insufficient comprehensiveness, and inconsistent comprehensibility. VISA-G displayed moderate-quality evidence for sufficient comprehensibility and very-low-quality evidence of sufficient relevance and comprehensiveness. The VISA-P presented very-low-quality evidence of sufficient relevance, insufficient comprehensiveness, and inconsistent comprehensibility, while VISA-H presented very-low evidence of insufficient content validity. VISA-A displayed low-quality evidence for structural validity concerning unidimensionality and internal structure, while VISA-H presented low-quality evidence of insufficient unidimensionality. The structural validity of VISA-G and VISA-P were indeterminate and inconsistent, respectively. Internal consistency for VISA-G, VISA-H, and VISA-P was indeterminate. No studies evaluated cross-cultural validity, while measurement invariance across sexes was assessed in one study.</p><h3>Conclusions</h3><p dir="ltr">Only very-low-quality evidence exists for the content and structural validity of VISA questionnaires when assessing the severity of symptoms and disability in patients with lower limb tendinopathies.</p><h3>Level of evidence</h3><p dir="ltr">IV.</p><h3>Registration</h3><p dir="ltr">PROSPERO reference—CRD42019126595.</p><h2>Other Information</h2><p dir="ltr">Published in: Knee Surgery, Sports Traumatology, Arthroscopy<br>License: <a href="https://creativecommons.org/licenses/by/4.0" target="_blank">https://creativecommons.org/licenses/by/4.0</a><br>See article on publisher's website: <a href="http://dx.doi.org/10.1007/s00167-021-06598-5" target="_blank">http://dx.doi.org/10.1007/s00167-021-06598-5</a></p>2021-05-21T06:00:00ZTextJournal contributioninfo:eu-repo/semantics/publishedVersiontextcontribution to journal10.1007/s00167-021-06598-5https://figshare.com/articles/journal_contribution/Evaluating_lower_limb_tendinopathy_with_Victorian_Institute_of_Sport_Assessment_VISA_questionnaires_a_systematic_review_shows_very-low-quality_evidence_for_their_content_and_structural_validity_part_I/21596922CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/215969222021-05-21T06:00:00Z
spellingShingle Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
Vasileios Korakakis (5069123)
Biomedical and clinical sciences
Clinical sciences
Health sciences
Allied health and rehabilitation science
Psychology
Applied and developmental psychology
Patient-reported outcome measures
Tendinopathy
Content validity
Unidimensionality
COSMIN
status_str publishedVersion
title Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
title_full Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
title_fullStr Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
title_full_unstemmed Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
title_short Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
title_sort Evaluating lower limb tendinopathy with Victorian Institute of Sport Assessment (VISA) questionnaires: a systematic review shows very-low-quality evidence for their content and structural validity—part I
topic Biomedical and clinical sciences
Clinical sciences
Health sciences
Allied health and rehabilitation science
Psychology
Applied and developmental psychology
Patient-reported outcome measures
Tendinopathy
Content validity
Unidimensionality
COSMIN