Cross Cultural Adaptation of Functional Status Questionnaire in Urdu Language in CABG Patients
Condition: CABG; Post-cardiac Surgery
Study type: Observational [Patient Registry]

Summary: 
      Aim of the study is to create an Urdu version of FSQ which will be of great importance for
      further research in field of cardiopulmonary physiotherapy, specially to make comparison
      across the population. We therefor aimed to develop a linguistically validated and reliable
      Urdu version of FSQ.
    

Detailed description: 
      The Functional Status Questionnaire (FSQ) is a self-administered functional assessment that
      provides information on the patient's physical, psychological, social and role functions. The
      Functional Status Questionnaire is easier and more feasible to complete in short duration of
      time than the long forms. The FSQ was originally developed in English. It has been translated
      and validated in several languages and showed excellent reliability and responsiveness. The
      FSQ questionnaire is translated in Urdu to assess general health, ADLs and functional status
      of Post Coronary artery bypass graft surgery(CABG) patients. Translation will be performed by
      two independent translators going through all the steps following the guidelines. The two
      synthesized translations and the two back translations will be merged into one pre- final
      version of Urdu FSQ. The expert panel will then compare the conceptual equivalence,
      experiential equivalence, linguistic equivalence and metric equivalence. After this the final
      version of Urdu FSQ will be evaluated for validity in 50 Post CABG patients after getting
      their informed consent to participate in the study and their demographic characteristics.
      Inclusion criteria involves male and female patients of age between 40 to 60 years
      (ambulatory). Exclusion criteria includes patients with disability that prevent independent
      walking, acute cardiac condition, neurological conditions, cognitive impaired problem etc.
      Reliability and validity of FSQ Urdu version will be evaluated. It has been translated and
      validated in several languages and showed excellent reliability and responsiveness. However
      up to-date there is no validated Urdu version of the FSQ available. So, it is essential to
      translate FSQ in Urdu language to make it more comprehensive for local population who doesn't
      have command on English language. The purpose of this study is cross-cultural translation of
      the FSQ into Urdu language and to validate it into Urdu speaking population.

      Hence, this study is aimed to produce the Urdu version for Urdu speaking countries, it will
      have a great significance for the physiotherapists, researchers and educators to assess CABG
      patients general health, QoL, functional status and ADLs where time is short because FSQ
      makes it easier to collect data from large populations in comparatively lesser time than long
      assessment forms.
    

Intervention name(s): Functional Status Questionnaire Urdu version; Original Functional Status Questionnaire
Intervention type(s): Other; Other
Intervention description(s): The FSQ instrument translated into Urdu consists of only 34 items, main sections addressed physical function in the activities of daily living, psychological function, role function, social function and variety of performance measures.(8) Scores range from a 0 - 4, 1 - 4, and 1 - 6 scale per question depending on section. It increases reliability and patients ease and comfort. Total score range from 0 to 100 higher score represents the more severe condition.; FSQ was developed to allow the comprehensive and efficient assessment of physical, psychosocial, social, and role functioning in ambulatory patients. It is a self-administered survey that takes approximately 15 min to complete. The results can be scored to produce a one-page report for clinicians to use in their practices. The responses to items within a scale are averaged and transformed to a scale with a potential range of 0 to 100.Higher score represents the more severe condition.
Other intervention name(s): FSQ Urdu version; UFSQ; FSQ
Observational model: Other
Time perspective: Prospective
Sampling method: Non-Probability Sample
Study population: 
        20 healthy and 50 post CABG patients are included in the study
      
Keywords: ADLs; CABG; Functional Status Questionnaire; FSQ; Quality of life.