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Hereditary neuromuscular disease and multicomposite subjective health status: feasibility, internal consistency and test-retest reliability in the French version of the Nottingham Health Profile, the ISPN

Department of Physical Medicine and Rehabilitation, Sébastopol Hospital and Department of Health, Medicine and Biology, Reims University, Reims, France

J L Novella

Department of Internal Medicine and Gerontology, Sébastopol Hospital and Department of Health, Medicine and Biology, Reims University, Reims, France

S Bertaud

F Delmer

B Vesselle

J C Etienne

Department of Physical Medicine and Rehabilitation, Sébastopol Hospital, Reims, France

Objective: To evaluate the feasibility, internal consistency and reproducibility of the French version of the Nottingham Health Profile (NHP) completed by adults with hereditary neuromuscular disease.

Design: Cross-sectional study with evaluation at 15±7 days for NHP test retest.

Setting: Multidisciplinary rehabilitation consultations in Reims.

Subjects: Sixty-four neuromuscular disease outpatients completed the NHP consecutively between April 2002 and December 2003.

Main measures: French version of the Nottingham Health Profile (NHP), Barthel Index and sociodemographic characteristics.

Results: The average completion percentages for the different dimensions was 84.2% (range 72-97%). With respect to the completion feasibility of the physical mobility subscale, 7-20% of neuromuscular disease patients failed to complete four items out of eight. In the pain subscale, the same difficulty was encountered for three items out of eight. Internal consistency as assessed by Cronbach's alpha was acceptable for the subscales physical mobility (0.88), emotional reaction (0.74), sleep (0.77), and pain (0.81); it was less reliable for the subscale social isolation (0.61), and poor for the subscale energy (0.47). Test-retest agreement measured by intraclass correlation coefficient was in all instances greater than 0.70.

Conclusion: Some items in the pain and physical mobility subscales pose problems related to the relevance of the wording for patients confined to wheelchairs. Recoding of the measure makes it possible to avoid missing data from these dependent patients. Scores differ statistically according to the coding used. In study reports, details of such procedures should be provided for comparison of ISPN results with those from other studies in the literature.

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