Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish
Background and purpose — The UCLA Activity Scale (UCLA) is a questionnaire assessing physical activity level from 1 (low) to 10 (high) in patients undergoing hip or knee arthroplasty (HA/KA). After translation and cultural adaptation, we evaluated the measurement properties of the Danish UCLA. Patie...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2021-10-01
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| Series: | Acta Orthopaedica |
| Online Access: | http://dx.doi.org/10.1080/17453674.2021.1977533 |
| _version_ | 1828428692082130944 |
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| author | Anne Mørup-Petersen Søren T Skou Christina E Holm Paetur M Holm Claus Varnum Michael R Krogsgaard Mogens Laursen Anders Odgaard |
| author_facet | Anne Mørup-Petersen Søren T Skou Christina E Holm Paetur M Holm Claus Varnum Michael R Krogsgaard Mogens Laursen Anders Odgaard |
| author_sort | Anne Mørup-Petersen |
| collection | DOAJ |
| description | Background and purpose — The UCLA Activity Scale (UCLA) is a questionnaire assessing physical activity level from 1 (low) to 10 (high) in patients undergoing hip or knee arthroplasty (HA/KA). After translation and cultural adaptation, we evaluated the measurement properties of the Danish UCLA. Patients and methods — After dual panel translation, cognitive interviews were performed among 55 HA/KA patients. An orthopedic surgeon and a physiotherapist estimated UCLA scores for 80 KA patients based on short interviews. Measurement properties were evaluated in 130 HA and 134 KA patients preoperatively and 1-year postoperatively. Results — To suit Danish patients of today, several adaptations were required. Prior to interviews, 4 patients were excluded, and 11 misinterpreted the answer options. Examiners rated the remaining 65 patients (mean age 67 years) 0.2–1.6 UCLA levels lower than patients themselves. The 130 HA and 134 KA patients (mean age 71/68 years) changed from 4.3 (SD 1.9)/4.5 (1.8) preoperatively to 6.6 (1.8)/6.2 (1.0) at 1-year follow-up. 103 (79%) HA and 89 (66%) KA patients reported increased activity. Effect sizes were large (1.2/0.96). Knee patients reaching minimal important change (MIC, ≥ 8 Oxford Knee Score points) had higher 1-year UCLA scores than patients not reaching MIC. Interpretation — Original scale development was undocumented. Content validity was questionable, and there was discrepancy between patient and examiner estimates. UCLA appears valuable for measuring change in self-reported physical activity on a group level. 4 out of 5 HA patients and 2 out of 3 KA patients were more physically active 1 year after joint replacement surgery. |
| first_indexed | 2024-12-10T17:22:30Z |
| format | Article |
| id | doaj.art-3c43dddc325b4c48a30548df830ac6e2 |
| institution | Directory Open Access Journal |
| issn | 1745-3674 1745-3682 |
| language | English |
| last_indexed | 2024-12-10T17:22:30Z |
| publishDate | 2021-10-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Orthopaedica |
| spelling | doaj.art-3c43dddc325b4c48a30548df830ac6e22022-12-22T01:39:57ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822021-10-0192668168810.1080/17453674.2021.19775331977533Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into DanishAnne Mørup-Petersen0Søren T Skou1Christina E Holm2Paetur M Holm3Claus Varnum4Michael R Krogsgaard5Mogens Laursen6Anders Odgaard7Department of Orthopedic Surgery, University of Copenhagen, Herlev and Gentofte HospitalResearch Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern DenmarkDepartment of Orthopedic Surgery, Copenhagen University HospitalResearch Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern DenmarkDepartment of Orthopedic Surgery, Lillebaelt Hospital—Vejle, University Hospital of SouthernSection for Sports Traumatology, Bispebjerg and Frederiksberg Hospital, Copenhagen, University of CopenhagenDepartment of Orthopedic Surgery, Aalborg University Hospital, Aalborg & FarsøDepartment of Orthopedic Surgery, University of Copenhagen, Herlev and Gentofte HospitalBackground and purpose — The UCLA Activity Scale (UCLA) is a questionnaire assessing physical activity level from 1 (low) to 10 (high) in patients undergoing hip or knee arthroplasty (HA/KA). After translation and cultural adaptation, we evaluated the measurement properties of the Danish UCLA. Patients and methods — After dual panel translation, cognitive interviews were performed among 55 HA/KA patients. An orthopedic surgeon and a physiotherapist estimated UCLA scores for 80 KA patients based on short interviews. Measurement properties were evaluated in 130 HA and 134 KA patients preoperatively and 1-year postoperatively. Results — To suit Danish patients of today, several adaptations were required. Prior to interviews, 4 patients were excluded, and 11 misinterpreted the answer options. Examiners rated the remaining 65 patients (mean age 67 years) 0.2–1.6 UCLA levels lower than patients themselves. The 130 HA and 134 KA patients (mean age 71/68 years) changed from 4.3 (SD 1.9)/4.5 (1.8) preoperatively to 6.6 (1.8)/6.2 (1.0) at 1-year follow-up. 103 (79%) HA and 89 (66%) KA patients reported increased activity. Effect sizes were large (1.2/0.96). Knee patients reaching minimal important change (MIC, ≥ 8 Oxford Knee Score points) had higher 1-year UCLA scores than patients not reaching MIC. Interpretation — Original scale development was undocumented. Content validity was questionable, and there was discrepancy between patient and examiner estimates. UCLA appears valuable for measuring change in self-reported physical activity on a group level. 4 out of 5 HA patients and 2 out of 3 KA patients were more physically active 1 year after joint replacement surgery.http://dx.doi.org/10.1080/17453674.2021.1977533 |
| spellingShingle | Anne Mørup-Petersen Søren T Skou Christina E Holm Paetur M Holm Claus Varnum Michael R Krogsgaard Mogens Laursen Anders Odgaard Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish Acta Orthopaedica |
| title | Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish |
| title_full | Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish |
| title_fullStr | Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish |
| title_full_unstemmed | Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish |
| title_short | Measurement properties of UCLA Activity Scale for hip and knee arthroplasty patients and translation and cultural adaptation into Danish |
| title_sort | measurement properties of ucla activity scale for hip and knee arthroplasty patients and translation and cultural adaptation into danish |
| url | http://dx.doi.org/10.1080/17453674.2021.1977533 |
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