The Chinese version of the American shoulder and elbow surgeons standardized shoulder assessment form questionnaire, patient self-report section: a cross-cultural adaptation and validation study

Background: The patient self- report section of the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form (ASESp) is one of the most validated and reliable assessment tools. This study aimed to establish a validated Chinese version of ASESp (ASESp-CH). Methods: A clinical prospective study was performed (ClinicalTrials.gov Identifier: NCT04755049; registered on 2021/ 02/11). Following the guidelines of forward-backward translation and cross-cultural adaptation, a Chinese version of ASESp was established. Patients older than 18 years with shoulder disorders were included. Patients who could not complete test-retest questionnaires within the interval of 7-30 days and patients who received interventions were excluded. Intraclass correlation (ICC) was calculated for test- retest reliability, whereas internal consistency was determined by Cronbach value. Construct validity was evaluated by comparing the corresponding domains between the ASESp-CH and a validated Chinese version of 36-Item Short Form Health Survey (SF-36). Results: A total of 86 patients were included with a mean test-retest interval of 12 +/- 5.4 days. Test-retest reliability was excellent with an ICC of 0.94. Good internal consistency was found, with a Cronbach alpha of 0.86. Construct validity of the ASESp-CH questionnaire was good. The major domains of the ASESp-CH were significantly correlated with the respective domains in the SF-36 (p < 0.01), except for the domain of stability of ASESp-CH. Conclusions: The Chinese version of ASESp questionnaire is a highly validated and reliable tool for shoulder disorder assessment.

Automated summary

The validated Chinese version of the ASESp questionnaire is proven to be a reliable tool for assessing shoulder disorders, with excellent test-retest reliability, good internal consistency, and structural validity. The study concludes that ASESp-CH is highly correlated with the corresponding domains of the SF-36, except for the stability domain.