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Cultural Adaptation, Validity, and Reliability of the Turkish Version of The PASTUL Questionnaire

Cultural Adaptation, Validity, and Reliability of the Turkish Version of the Patient Assessment of Skin Thickness in the Upper Limb - PASTUL Questionnaire

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07182968
Enrollment
50
Registered
2025-09-19
Start date
2025-08-04
Completion date
2027-08-04
Last updated
2025-09-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Patient Perspective, Scleroderma (Limited and Diffuse), Systemic Sclerosis (Scleroderma), Systemic Sclerosis (SSc)

Brief summary

The Patient Self-Assessment of Skin Thickness in Upper Limb (PASTUL) questionnaire was developed to enable patients to assess skin thickness in systemic sclerosis (SSc) physically and has been validated for reliability and validity, as it correlates with the modified Rodnan Skin Score (mRSS), which rheumatologists assess. Thus, it has been demonstrated to be an applicable and easy approach for assessing skin thickness in SSc patients through patient-reported measurements. This study aimed to develop a Turkish version of the PASTUL questionnaire and to provide for its use in the Turkish population.

Interventions

Questionnaire application

Sponsors

Hacettepe University
Lead SponsorOTHER

Study design

Observational model
COHORT
Time perspective
PROSPECTIVE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Individuals diagnosed with scleroderma, * Individuals aged 18 years and older

Exclusion criteria

* Advanced heart/lung/liver/kidney disease, neurological disease, and malignancies * Individuals who are unwilling to participate

Design outcomes

Primary

MeasureTime frameDescription
Patient Self-Assessment of Skin Thickness in Upper Limb (PASTUL) QuestionnaireTwo weeksThe PASTUL survey is a simple assessment by the patient of the skin in eight areas of the upper extremities as normal, mildly, moderately, or severely thickened, corresponding to the mRSS assessment. The assessment score is consistent with the mRSS (0-3). A high score indicates increased skin thickness

Secondary

MeasureTime frameDescription
Cognitive Exercise Therapy Approach-Biopsychosocial Questionnaire (BETY-BQ)Two weeksIt was standardized as a biopsychosocial assessment tool and is scored using a 5-point Likert scale, with each item rated from 0 to 4 points. A high total score on the 30-item scale indicates a high level of biopsychosocial impact.
Short Form-36 (SF-36)Two weeksIt will be used to determine an individual's quality of life levels. Each sub-parameter is scored between 0 and 100 points, with a high score indicating good health status. The SF-36 scale has eight sub-parameters: general health perception, physical function, social function, pain, mental health, role difficulty due to physical reasons, role difficulty due to emotional reasons, and vitality. It contains 11 questions consisting of a total of 36 items.
Modified Rodnan skin score (MRSS)Two weeksA pediatric and adult rheumatologist assessed it. The MRSS evaluates skin thickening in 17 body regions, graded from 0 (normal) to 3 (severe skin thickening). The total score ranges from 0 to 51, with increased scores indicating poor skin involvement.
Scleroderma Health Assessment Questionnaire (SHAQ)Two weeksIt was developed by adding five questions to the HAQ regarding Raynaud's phenomenon, digital ulcers, gastrointestinal, pulmonary, and general scleroderma symptoms, to be rated on a 15 cm line. The SHAQ total score ranges from 0 to 3. A high score indicates low functionality.
Scleroderma Skin Patient-Reported Outcomes (SSPRO) QuestionnaireTwo weeksIt assesses the impact of skin involvement on quality of life. The 18-item measure consists of 4 categories: physical effect (PE), emotional effect (EE), social effect (SE), and physical limitation (PL). Each item is scored on a scale ranging from no impairment (0 points) to severe impairment (6 points), with a total score of 108. A lower score indicates a much better quality of life.
Cochin Hand Function ScaleTwo weeksIt consists of 18 questions related to daily activities. Each question is scored on a questionnaire of 0 (no difficulty) to 5 (impossible), and the total score ranges from 0 to 90. A total CHFS score of 26 or higher is considered to indicate hand function limitation.
Modified Hand Mobility in Scleroderma Test (mHAMIS)Two weeksIt is a functional test developed specifically for scleroderma to assess an individual's hand function. It evaluates four specific hand movements (finger flexion, finger extension, finger abduction, and dorsal extension). Scores range from 0 (normal) to 3 (complete failure) for each movement, with a total score ranging from 0 to 12.

Countries

Turkey (Türkiye)

Contacts

Primary ContactOrkun Tüfekçi, PT, PhD(c)
orkuntf@gmail.com5319502648

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026