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Translation and validation of the Filipino version of the wearing-off questionnaire-19 (F-WOQ-19)

K. Remigio, R.D. Jamora (Manila, Philippines)

Meeting: 2017 International Congress

Abstract Number: 85

Keywords: Wearing-off fluctuations

Session Information

Date: Monday, June 5, 2017

Session Title: Parkinson's Disease: Non-Motor Symptoms

Session Time: 1:45pm-3:15pm

Location: Exhibit Hall C

Objective: This study aims to translate the Wearing-Off Questionnaire (WOQ) 19 into Filipino (F-WOQ-19) and validate the translated questionnaire.

Background: Parkinson’s disease (PD) is a common neurodegenerative disorder with Levodopa (LD) as the most effective for symptomatic treatment. The use of LD, however is associated with the development of motor complications such as wearing-off (WO) phenomenon and dyskinesias.

Methods: This study is a validation study. The WOQ-19 questionnaire was translated to Filipino (F-WOQ-19) using the forward and backward translation. Patients diagnosed with idiopathic PD who fulfilled the inclusion criteria were included in the study.   Recruited patients were asked to answer the F-WOQ-19. Afterwards, the authors interviewed the patients and assessed them using the Unified Parkinson Disease Rating Scale and  Wearing-Off Questionnaire-32 (WOQ-32). Data analysis was done using Stata SE version 13. The demographics and disease-related characteristics were tabulated. Consistency of the questions was measured using Cronbach’s alpha and paired-t-test. Criterion-related validity was measured by obtaining the correlation between WOQ-32 and F-WOQ-19 was analyzed using Pearson’s Product-Moment Correlation.

Results: The age of the participants (n=46) ranged from 40 to 86 years old. 56% of the participants were male. Majority of the patients (34.78%) have a H&Y staging of 2. A total of 40 patients claimed that they have WO. The internal consistency of the F-WOQ-19 as measured by Cronbach’s alpha is acceptable at 0.7808 and the paired t-test showed no significant difference (p=0.291) in F-WOQ-19 scores on follow-up.  The correlation of the validated WOQ-32 and the F-WOQ-19 is high at 0.8191. The troublesome symptoms for patients were tremor, insomnia, weakness and slowness. It is essential to emphasize that one of these is a non-motor symptom.

Conclusions: The high correlation and acceptable internal consistency reinforces the eligibility of the F-WOQ-19 to be administered to Filipino PD patients.

 

*Submitted the abstract at the 2017 3rd Taiwan International Congress of Parkinson’s Disease and Movement Disorders to be held on March 17-19, 2017 in Taipei, Taiwan

The result is yet to be released by January 9, 2017. 

References: Abbruzzese, G. et al., 2012. Linguistic, psychometric validation and diagnostic ability assessment of an Italian version of a 19-item wearing-off questionnaire for wearing-off detection in Parkinson’s disease. Neurological Sciences, 33(6), pp.1319–1327.

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Fisher JM, and Walker RW. 2013. Identification and treatment of wearing off in Parkinson’s disease. Scottish Universities Medical Journal. Vol 2 Issue 2: page 58‐63.

Gelb DJ, Oliver E, Gilman S. Diagnostic Criteria for Parkinson Disease. Arch Neurol 1999; 56: 33-9

Jankovic, J., 2008. Parkinson’s disease: clinical features and diagnosis. Journal of neurology, neurosurgery, and psychiatry, 79(4), pp.368–376.

Kondo T. and Takahashi K. 2011. Translation and linguistic validation of the Japanese version of the wearing-off questionnaires (WOQ-19 and WOQ-9). Brain Nerve 63(11):1285-92.

Martinez-Martin, P. et al., 2008. Validation of the “QUICK” questionnaire–a tool for diagnosis of “wearing-off” in patients with Parkinson’s disease. Movement disorders : official journal of the Movement Disorder Society, 23(6), pp.830–836.

Melo, L.M., Chien, H.F. & Barbosa, E.R., 2010. Identification of wearing-off manifestations (reduction of levodopa effect) in Parkinson’s disease using specific questionnaire and comparison of the results with routine ambulatory evaluations. Arquivos de neuro-psiquiatria, 68(4), pp.506–510.

Stacy, M. & Hauser, R., 2007. Development of a patient questionnaire to facilitate recognition of motor and non-motor wearing-off in Parkinson’s disease. Journal of Neural Transmission, 114(2), pp.211–217.

Stacy, M. a. et al., 2008. The sensitivity and specificity of the 9-item Wearing-off Questionnaire. Parkinsonism and Related Disorders, 14(3), pp.205–212.

Stacy, M. et al., 2005. Identification of motor and non-motor wearing-off in Parkinson’s disease: Comparison of a patient questionnaire versus a clinician assessment. Movement Disorders, 20(6), pp.726–733.

To cite this abstract in AMA style:

K. Remigio, R.D. Jamora. Translation and validation of the Filipino version of the wearing-off questionnaire-19 (F-WOQ-19) [abstract]. Mov Disord. 2017; 32 (suppl 2). https://www.mdsabstracts.org/abstract/translation-and-validation-of-the-filipino-version-of-the-wearing-off-questionnaire-19-f-woq-19/. Accessed June 14, 2025.
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