VALIDATION DATA

MEASUREMENT PROPERTIES
Limitations English only
Observations
1. RELIABILITY
A. Internal Consistency Tested
Cronbach's (Describe)

Cronbach alpha = 0.86; item response Theory (IRT) person separation reliability = 0.88)

B. Reliability intraobserver or test-retest Tested
Continuous scores: intraclass
correlation coefficient (ICC)
Dichotomus: Cohen kappa (Describe)

Test–retest reliability was high; ICC was 0.95(95% CI 0.90–0.98)

C. Reliability interobserver or Measurement error Not Tested
Standard error of measurement (SEM),
smallest detectable change (SDC) or
Limits of agreement (LoA) (Describe)
2. VALIDITY
A. Content validity: face validity Tested
Expert opinion (relevance and
comprehensiveness) (Describe)

In the IRT analysis of the symptom severityscale, item locations, associated standard errors, and fitstatistics suggested that the Partial Credit Model seemed to fit most items

B. Construct Validity:
Structural validity
Tested
Hypotheses-testing Not Tested
Cross-cultural validity Not Tested
Brief Description

The 6-item CTS symptoms scale showed strong correlation with the QuickDASH (r = 0.70) and agreement with the original symptom severity scale (ICC = 0.80). The CTS-6 has also shown good agreement with the 11-item Boston symptom severity score.

DIF analysis of the symptom severity scale (Table 2)showed statistically significant DIF in item location for item3 (higher for women) and item 7 (higher for men), andanalysis of the functional status scale showed significantdifferences in item location for items 1 and 2 (higher forwomen) and items 5 and 7 (higher for men).

C. Criterion validity Tested
Comparison with a 'gold standard' Continuous scores:
correlations, ROC curves Dichotomus:
Sensitivity & Specificity (Describe)

There was a statistically significant difference between the CTS-6 scores before and after carpal tunnel injection.