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Factors associated with incomplete DASH questionnaires.

Arjan G J Bot1, Steven Ferree1, Valentin Neuhaus1

  • 1Orthopaedic Hand and Upper Extremity Service, Massachusetts General Hospital, Boston, MA USA.

Hand (New York, N.Y.)
|January 16, 2014
PubMed
Summary
This summary is machine-generated.

Patients with incomplete Disabilities of the Arms, Shoulder and Hand (DASH) questionnaires were older, less educated, and reported higher psychological distress. These factors, particularly age and catastrophic thinking, predict incomplete or invalid DASH data in clinical research.

Keywords:
DisabilityIncomplete questionnairesResearch

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Area of Science:

  • Clinical research methodology
  • Patient-reported outcome measures

Background:

  • Missing data are common in clinical research.
  • Demographic and psychological factors influence questionnaire completion.

Purpose of the Study:

  • To identify differences between patients with complete and incomplete Disabilities of the Arms, Shoulder and Hand (DASH) questionnaires.
  • To determine risk factors for incomplete or invalid DASH questionnaires.

Main Methods:

  • Analysis of 1,204 patients from eight prospective studies.
  • Utilized bivariate analysis and binary logistic regression.
  • Assessed demographic and psychological factors including pain catastrophizing, depression, and pain anxiety.

Main Results:

  • Thirty-one percent of patients had incomplete DASH questionnaires.
  • Incomplete DASH completion was associated with older age, lower education, and higher levels of catastrophic thinking, depression, and pain anxiety.
  • Age and catastrophic thinking were significant predictors of incomplete and invalid DASH questionnaires.

Conclusions:

  • Patient characteristics influence DASH questionnaire completion, potentially impacting clinical research interpretation.
  • Computer adaptive testing may be a valuable strategy to mitigate incomplete questionnaires.