{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T16:25:01Z","timestamp":1782145501526,"version":"3.54.5"},"reference-count":11,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T00:00:00Z","timestamp":1582675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J of Rheum Dis"],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to translate and adapt the Mouth Handicap in Systemic Sclerosis (MHISS) Questionnaire into the Turkish language and evaluate its validity and reliability in Turkish systemic sclerosis (SSc) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>The MHISS was translated according to Beaton guidelines. Patients being diagnosed with SSc, being between 18\u201065\u00a0years old and receiving no treatment between test\u2010retest assessments were included to study. Test\u2010retest reliability was evaluated, comparing the results of two administrations, with Spearman's correlation. Internal consistency was assessed by Cronbach's <jats:italic>\u03b1<\/jats:italic>. Validity of the questionnaire was assessed by comparison with mouth opening, total scores of Disabilities of Arm, Shoulder and Hand Questionnaire (DASH) and Health Assessment Questionnaire (HAQ). Construct validity was tested by factor analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Forty\u2010five SSc patients were included in the study. The Turkish version of the MHISS (MHISS\u2010T) met set criteria of reliability and validity. Internal consistency (Cronbach's <jats:italic>\u03b1<\/jats:italic>\u00a0=\u00a00.863) and test\u2010retest reliability were excellent (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.88). The correlations between MHISS\u2010T and inter\u2010incisor distance, MHISS\u2010T and HAQ and MHISS\u2010T and DASH were negatively and statistically significant (<jats:italic>r<\/jats:italic>\u00a0=\u00a0\u22120.739, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), very good and statistically significant (<jats:italic>r\u00a0<\/jats:italic>=\u00a0.664, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), good and statistically significant (<jats:italic>r<\/jats:italic>\u00a0=\u00a0.570, <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.001), respectively. Regarding factor analysis, MHISS\u2010T has three subscales.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our results demonstrated that the Turkish version of the MHISS\u2010T has excellent test\u2010retest reliability and very good validity. As a result of this study we determined that MHISS\u2010T is a valid and reliable instrument to measure mouth disabilities in Turkish\u2010speaking SSc patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1756-185x.13812","type":"journal-article","created":{"date-parts":[[2020,2,26]],"date-time":"2020-02-26T08:52:20Z","timestamp":1582707140000},"page":"669-673","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Translation, validation and cross\u2010cultural adaptation of the mouth handicap in systemic sclerosis questionnaire into the Turkish language"],"prefix":"10.1111","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9935-3564","authenticated-orcid":false,"given":"Nurten Gizem","family":"Tore","sequence":"first","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Gazi University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fulden","family":"Sar\u00ec","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Gazi University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5139-2401","authenticated-orcid":false,"given":"Zeynep","family":"Tun\u00e0","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Gazi University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamit","family":"Kucuk","sequence":"additional","affiliation":[{"name":"Ankara Etlik \u0130htisas Education and Research Hospital Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seminur","family":"Haznedaroglu","sequence":"additional","affiliation":[{"name":"Division of Rheumatology Department of Internal Medicine Faculty of Medicine Gazi University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deran","family":"Oskay","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy and Rehabilitation Faculty of Health Sciences Gazi University Ankara Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,2,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0755-4982(06)74924-7"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/ard.2007.070532"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200012150-00014"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L"},{"issue":"3","key":"e_1_2_6_6_1","first-page":"99","article-title":"Reliability and validity of the Turkish version of the Disabilities of the Arm, Shoulder and Hand (DASH) Questionnaire","volume":"17","author":"Duger T","year":"2006","journal-title":"Fizyoterapi Rehabil"},{"issue":"5","key":"e_1_2_6_7_1","first-page":"14","article-title":"The health assessment questionnaire (HAQ)","volume":"23","author":"Bruce B","year":"2005","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.20091"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200101010-00015"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10067-013-2321-4"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00296-011-2049-x"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11336-003-0974-7"}],"container-title":["International Journal of Rheumatic 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