University of Groningen Development and reproducibility of a short questionnaire to measure use and usability of custom-made orthopaedic shoes

OBJECTIVE To develop a short and easy to use questionnaire to measure use and usability of custom-made orthopaedic shoes, and to investigate its reproducibility. DESIGN Development of the questionnaire (Monitor Orthopaedic Shoes) was based on a literature search, expert interviews, 2 expert meetings, and exploration and testing of reproducibility. The questionnaire comprises 2 parts: a pre part, measuring expectations; and a post part, measuring experiences. PATIENTS The pre part of the final version was completed twice by 37 first-time users before delivery of their orthopaedic shoes. The post part of the final version was completed twice by 39 first-time users who had worn their orthopaedic shoes for 2-4 months. RESULTS High reproducibility scores (Cohen's kappa > 0.60 or intra class correlation > 0.70) were found in all but one question of both parts of the final version of the Monitor Orthopaedic Shoes questionnaire. The smallest real difference on a visual analogue scale (100 mm) ranged from 21 to 50 mm. It took patients approximately 15 minutes to complete one part. CONCLUSION Monitor Orthopaedic Shoes is a practical and reproducible questionnaire that can measure relevant aspects of use and usability of orthopaedic shoes from a patient's perspective.

[1]  M. Krogsgaard,et al.  Patient compliance and effect of orthopaedic shoes , 1999, Prosthetics and orthotics international.

[2]  Henk van Dijk,et al.  A systematic review of the methodological quality and extent to which evaluation studies measure the usability of orthopaedic shoes , 2004, Clinical rehabilitation.

[3]  L. Rajmil Health measurement scales. A practical guide to their development and use, 3rd ed , 2005 .

[4]  U. Breuer,et al.  Diabetic patient's compliance with bespoke footwear after healing of neuropathic foot ulcers. , 1994, Diabete & metabolisme.

[5]  J. Jensen,et al.  Factors in diabetic footwear compliance. , 2003, Journal of the American Podiatric Medical Association.

[6]  M. Jannink,et al.  Questionnaire for usability evaluation of orthopaedic shoes: construction and reliability in patients with degenerative disorders of the foot. , 2004, Journal of rehabilitation medicine.

[7]  E. Seydel,et al.  Medical opinions, beliefs and prescription of orthopaedic footwear: a survey of Dutch orthopaedists and rehabilitation practitioners , 1998, Clinical rehabilitation.

[8]  J. R. Landis,et al.  The measurement of observer agreement for categorical data. , 1977, Biometrics.

[9]  Heleen Beckerman,et al.  Smallest real difference, a link between reproducibility and responsiveness , 2001, Quality of Life Research.

[10]  C. Nester,et al.  Rheumatoid arthritis patients' experiences of wearing therapeutic footwear - A qualitative investigation , 2007, BMC musculoskeletal disorders.

[11]  Maxine Johnson,et al.  Patient and professional perspectives on prescribed therapeutic footwear for people with diabetes: a vignette study. , 2006, Patient education and counseling.

[12]  K. McGraw,et al.  Forming inferences about some intraclass correlation coefficients. , 1996 .

[13]  Andrew J.M. Boulton,et al.  Do People With Diabetes Wear Their Prescribed Footwear? , 1996, Diabetic medicine : a journal of the British Diabetic Association.

[14]  Educational Evaluation Standards for Educational and Psychological Testing , 1999 .

[15]  G. Gelderblom,et al.  Non-use of assistive technology in The Netherlands: A non-issue? , 2006, Disability and rehabilitation. Assistive technology.

[16]  A. Williams,et al.  Shoes in the cupboard: The fate of prescribed footwear? , 2001, Prosthetics and orthotics international.

[17]  D. Streiner,et al.  Health measurement scales , 2008 .

[18]  Nicola Robinson,et al.  Orthopaedic footwear : a quality initiative to find out what patients think , 1992 .

[19]  D. Mclellan,et al.  Questionnaire assessment of patient satisfaction with lower limb orthoses from a district hospital , 1989, Prosthetics and orthotics international.

[20]  J. Dekker,et al.  Factors contributing to possession and use of walking aids among persons with rheumatoid arthritis and osteoarthritis. , 2003, Arthritis and rheumatism.

[21]  W A Wallace,et al.  Are surgical shoes providing value for money? , 1989, BMJ.

[22]  D. Herold,et al.  Questionnaire study of the use of surgical shoes prescribed in a rheumatology outpatient clinic. , 1992, The Journal of rheumatology.

[23]  A. D. Craxford,et al.  Surgical footwear in rheumatoid arthritis—a patient acceptability study , 1981, Prosthetics and orthotics international.

[24]  Maarten J. IJzerman,et al.  Use of orthopedic shoes in patients with degenerative disorders of the foot. , 2005, Archives of physical medicine and rehabilitation.

[25]  P. Cavanagh,et al.  Therapeutic footwear for people with diabetes , 2004, Diabetes/metabolism research and reviews.