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dc.contributor.authorDixon, Dianeen_UK
dc.contributor.authorJohnston, Marieen_UK
dc.contributor.authorMcQueen, Margareten_UK
dc.contributor.authorCourt-Brown, Charlesen_UK
dc.description.abstractBackground The International Classification of Functioning, Disability and Health (ICF) model of the consequences of disease identifies three health outcomes, impairment, activity limitations and participation restrictions. However, few orthopaedic health outcome measures were developed with reference to the ICF. This study examined the ability of a valid and frequently used measure of upper limb function, namely the Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH), to operationalise the ICF. Methods Twenty-four judges used the method of Discriminant Content Validation to allocate the 38 items of the DASH to the theoretical definition of one or more ICF outcome. One-sample t-tests classified each item as measuring, impairment, activity limitations, participation restrictions, or a combination thereof. Results The DASH contains items able to measure each of the three ICF outcomes with discriminant validity. The DASH contains five pure impairment items, 19 pure activity limitations items and three participation restriction items. In addition, seven items measured both activity limitations and participation restrictions. Conclusions The DASH can measure the three health outcomes identified by the ICF. Consequently the DASH could be used to examine the impact of trauma and subsequent interventions on each health outcome in the absence of measurement confound.en_UK
dc.publisherBiomed Central Ltden_UK
dc.relationDixon D, Johnston M, McQueen M & Court-Brown C (2008) The Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF). BMC Musculoskeletal Disorders, 9 (1), p. 114.
dc.rights© Dixon et al; licensee BioMed Central Ltd. 2008 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.en_UK
dc.subjecthealth outcomesen_UK
dc.titleThe Disabilities of the Arm, Shoulder and Hand Questionnaire (DASH) can measure the impairment, activity limitations and participation restriction constructs from the International Classification of Functioning, Disability and Health (ICF)en_UK
dc.typeJournal Articleen_UK
dc.citation.jtitleBMC Musculoskeletal Disordersen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationUniversity of Aberdeenen_UK
dc.contributor.affiliationRoyal Infirmary of Edinburghen_UK
dc.contributor.affiliationRoyal Infirmary of Edinburghen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorDixon, Diane|en_UK
local.rioxx.authorJohnston, Marie|en_UK
local.rioxx.authorMcQueen, Margaret|en_UK
local.rioxx.authorCourt-Brown, Charles|en_UK
local.rioxx.projectInternal Project|University of Stirling|
local.rioxx.filenameBMC Musculoskeltal disorders 2008 DASH DCV.pdfen_UK
Appears in Collections:Psychology Journal Articles

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