Cross-cultural adaptation and validation in French of the cold intolerance symptom severity (CISS) questionnaire and potential work exposure scale (PWES) in patients with hand pathologies
Related Experiment Video
Updated: May 23, 2026
Functional Near-Infrared Spectroscopy Hyperscanning Study in Psychological Counseling
Published on: January 17, 2025
Konzelmann Michel1, Vuistiner Philippe2, Burrus Cyrille3
1Assessment and Consultation Service, Clinique Romande de Réadaptation, Avenue du Grand Champsec 90, 1950 Sion, Switzerland; Department of Medical Research of the Suva Clinics, Clinique Romande de Réadaptation, Avenue du Grand Champsec 90, 1950 Sion, Switzerland.
Background:
Cold intolerance is frequent after hand injuries and is the worst long-lasting problem that negatively affects other impairments in some patients. Two questionnaires are available to assess cold intolerance (CISS, PWES), but not in French. This study aimed to translate, cross-culturally adapt, and validate these questionnaires in French.
Methods:
Population: outpatient and hospitalized patients between 2019 and 2024. Translation, back translation, cross-cultural adaptation according to standard guidelines. Ten experts evaluated the preliminary French versions for content validity. Preliminary French versions were administered to 30 patients. Final French versions to 70 patients for validation: internal consistency, test-retest reliability, construct validity, and floor or ceiling effect.
Results:
Translation, back translation, and cross-cultural adaptation were easy with only minor changes. Preliminary French versions well accepted by patients, and all 10 experts rated content validity very good. Internal consistency was good: Cronbach α was 0.90 (95% CI [0.87-0.92]) for CISS; 0.80 (95% CI [0.65-0.95]) for PWES. Factor analysis revealed one factor for each questionnaire. Construct validity was good, 100% of our hypotheses were confirmed for CISS and 75% for PWES. Test-retest reliability was excellent: 0.94 (95% CI [0.91-0.96]) for CISS; 0.90 (95% CI [0.78-0.95]) for PWES. No floor or ceiling effects for either questionnaire.
Conclusion:
Both questionnaires have good psychometric properties F-CISS could be used with confidence and had to be validated in other populations. For the PWES, due to small sample used for validation, we consider these results as preliminary and need to be confirmed on a larger sample.
Related Concept Videos
02:45Responses to Heat and Cold Stress
01:27Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above the...
01:14Assessing Body Temperature - Axilla
Step 1: Perform hand hygiene and put on clean gloves to maintain infection control and prevent cross-contamination.
Step 2: Prepare the patient by explaining the procedure to ensure understanding and cooperation. Ensure privacy, expose the axilla, and inform the patient that minimal movement is crucial for an accurate reading.
Step 3: Adjust the patient’s clothing to expose only the axilla. It minimizes...
01:23Assessment of the Cardiovascular System I: Subjective Data
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...