Translation, Cross-Cultural Adaptation and Validation of the Chinese Version of the High Activity Arthroplasty Score.

IF 1.8 Q3 HEALTH CARE SCIENCES & SERVICES Patient Related Outcome Measures Pub Date : 2024-04-29 eCollection Date: 2024-01-01 DOI:10.2147/PROM.S451710
Dongping Wan, Shihang Cao, Xinrui Li, Qiang Zan, Shuxin Yao, Jianbing Ma, Lei Shang, Chao Xu
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Abstract

Background: The High Activity Arthroplasty Score (HAAS) is a validated score that assesses functional outcomes after lower limb arthroplasty, with fewer ceiling effects than other scores. The aim is to translate and cross-culturally adapt the HAAS into a Chinese version (HAAS-C) and to evaluate the psychometric properties of HAAS-C in patients after primary total knee arthroplasty (TKA).

Methods: A total of 104 patients diagnosed with knee osteoarthritis who had undergone TKA at least 12 months prior were recruited. A forward and backward translation procedure was performed for developing a culturally acceptable HAAS-C. Internal consistency was assessed using Cronbach's α, and test-retest reliability was measured using the intraclass correlation coefficient (ICC) within a 10-day interval. Construct validity was assessed by examining the correlations between HAAS-C and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), EuroQoL Group's five-dimension questionnaire (EQ-5D-5L), and Oxford knee score (OKS).

Results: HAAS-C demonstrated adequate Internal consistency reliability, as indicated by Cronbach's α coefficient of 0.75. Test-retest reliability yielded excellent results, with an ICC value of 0.98. Content validity indices were high, with a scale-level validity index of 0.9 and item-level validity indices greater than or equal to 0.8. HAAS-C showed a strong correlation with WOMAC (r = 0.69), a moderate correlation with EQ-5D-5L (r = 0.43), and OKS (r = 0.53) while exhibiting no floor or ceiling effects.

Conclusion: The validated HAAS-C questionnaire is a valid instrument for assessing patients undergoing TKA in mainland China.

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高活动量关节置换术评分中文版的翻译、跨文化适应和验证。
背景:高活动度关节成形术评分(HAAS)是评估下肢关节成形术后功能结果的有效评分,与其他评分相比,其上限效应较小。本研究旨在将 HAAS 翻译成中文版(HAAS-C)并进行跨文化调整,同时评估 HAAS-C 在初级全膝关节置换术(TKA)患者中的心理测量特性:方法:共招募了104名至少在12个月前接受过TKA手术的膝关节骨性关节炎患者。采用正向和反向翻译程序开发了文化上可接受的 HAAS-C。采用 Cronbach's α 评估了内部一致性,并采用类内相关系数 (ICC) 测量了间隔 10 天的测试-再测可靠性。通过检查 HAAS-C 与西安大略和麦克马斯特大学骨关节炎指数(WOMAC)、欧洲质量生活小组五维问卷(EQ-5D-5L)和牛津膝关节评分(OKS)之间的相关性,评估了结构效度:HAAS-C的Cronbach's α系数为0.75,显示其具有足够的内部一致性可靠性。重测信度结果极佳,ICC 值为 0.98。内容效度指数较高,量表级效度指数为 0.9,项目级效度指数大于或等于 0.8。HAAS-C与WOMAC(r = 0.69)有很强的相关性,与EQ-5D-5L(r = 0.43)和OKS(r = 0.53)有中等程度的相关性,同时没有出现下限或上限效应:结论:经过验证的HAAS-C问卷是评估中国大陆TKA手术患者的有效工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Patient Related Outcome Measures
Patient Related Outcome Measures HEALTH CARE SCIENCES & SERVICES-
自引率
4.80%
发文量
27
审稿时长
16 weeks
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