Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew

Abstract Background The “International Hip Outcome Tool 12” (iHOT12) is a self-administered patient-reported outcome tool for measuring health-related quality of life and physical functioning in young and active patients with hip pathology. Since the iHOT12 has become widely used, we sought to trans...

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Main Authors: Yael Steinfeld-Mass, Noa Ben-Ami, Itamar Botser, David Morgenstern, Aharon S. Finestone
Format: Article
Language:English
Published: BMC 2023-11-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-023-02203-0
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author Yael Steinfeld-Mass
Noa Ben-Ami
Itamar Botser
David Morgenstern
Aharon S. Finestone
author_facet Yael Steinfeld-Mass
Noa Ben-Ami
Itamar Botser
David Morgenstern
Aharon S. Finestone
author_sort Yael Steinfeld-Mass
collection DOAJ
description Abstract Background The “International Hip Outcome Tool 12” (iHOT12) is a self-administered patient-reported outcome tool for measuring health-related quality of life and physical functioning in young and active patients with hip pathology. Since the iHOT12 has become widely used, we sought to translate and validate it for Hebrew-speaking populations. The aims of this study were: (1) To translate and culturally adapt the iHOT12 into Hebrew using established guidelines. (2) To test the new Hebrew version for validity, and (3) reliability. Methods The iHOT12 was translated and culturally adapted from English to Hebrew (iHOT12-H) according to the COSAMIN guidelines. For validity, the iHOT12-H and Western Ontario and McMaster universities osteoarthritis index (WOMAC) were completed by 200 patients with hip pathology. Exploratory factor analysis was used to assess structural validity. Subsequently, 51 patients repeated the iHOT12-H within a 2-week interval. Intraclass Correlation Coefficient (ICC), Cronbach alpha, and Standard Error of Measurement (SEM) were calculated to assess reliability. Results Construct validity: iHOT12-H correlated strongly to the WOMAC scores (r = -0.82, P < 0.001, Spearman). Factor analysis revealed a two-factor structure. Cronbach’s alpha was 0.953 confirming internal consistency to be highly satisfactory. Test–retest correlation of the iHOT12-H was excellent with an ICC = 0.956 (95% CI 0.924–0.974). There was no floor or ceiling effect. Conclusion The iHOT12 Hebrew version has excellent reliability, good construct validity and can be used as a measurement tool for physical functioning and quality of life in young, physically active patients with hip pathology. This study will serve Israeli researchers in evaluating treatment effectiveness for these patients. Moreover, it will also enable multinational cooperation in the study of hip pathology.
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spelling doaj.art-aa992edc14454387a1221447626a68e22023-11-26T14:18:55ZengBMCHealth and Quality of Life Outcomes1477-75252023-11-012111810.1186/s12955-023-02203-0Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to HebrewYael Steinfeld-Mass0Noa Ben-Ami1Itamar Botser2David Morgenstern3Aharon S. Finestone4Faculty of Medicine, Tel Aviv UniversityDepartment of Physiotherapy, Ariel UniversityAssuta Medical CenterAssuta Medical CenterFaculty of Medicine, Tel Aviv UniversityAbstract Background The “International Hip Outcome Tool 12” (iHOT12) is a self-administered patient-reported outcome tool for measuring health-related quality of life and physical functioning in young and active patients with hip pathology. Since the iHOT12 has become widely used, we sought to translate and validate it for Hebrew-speaking populations. The aims of this study were: (1) To translate and culturally adapt the iHOT12 into Hebrew using established guidelines. (2) To test the new Hebrew version for validity, and (3) reliability. Methods The iHOT12 was translated and culturally adapted from English to Hebrew (iHOT12-H) according to the COSAMIN guidelines. For validity, the iHOT12-H and Western Ontario and McMaster universities osteoarthritis index (WOMAC) were completed by 200 patients with hip pathology. Exploratory factor analysis was used to assess structural validity. Subsequently, 51 patients repeated the iHOT12-H within a 2-week interval. Intraclass Correlation Coefficient (ICC), Cronbach alpha, and Standard Error of Measurement (SEM) were calculated to assess reliability. Results Construct validity: iHOT12-H correlated strongly to the WOMAC scores (r = -0.82, P < 0.001, Spearman). Factor analysis revealed a two-factor structure. Cronbach’s alpha was 0.953 confirming internal consistency to be highly satisfactory. Test–retest correlation of the iHOT12-H was excellent with an ICC = 0.956 (95% CI 0.924–0.974). There was no floor or ceiling effect. Conclusion The iHOT12 Hebrew version has excellent reliability, good construct validity and can be used as a measurement tool for physical functioning and quality of life in young, physically active patients with hip pathology. This study will serve Israeli researchers in evaluating treatment effectiveness for these patients. Moreover, it will also enable multinational cooperation in the study of hip pathology.https://doi.org/10.1186/s12955-023-02203-0Patient reported outcome measuresHip painInternational hip outcome tool 12 (iHOT12)ValidityReliabilityHebrew
spellingShingle Yael Steinfeld-Mass
Noa Ben-Ami
Itamar Botser
David Morgenstern
Aharon S. Finestone
Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew
Health and Quality of Life Outcomes
Patient reported outcome measures
Hip pain
International hip outcome tool 12 (iHOT12)
Validity
Reliability
Hebrew
title Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew
title_full Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew
title_fullStr Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew
title_full_unstemmed Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew
title_short Cross-cultural adaptation, validation and psychometric evaluation of the International Hip Outcome Tool 12 (iHOT12) to Hebrew
title_sort cross cultural adaptation validation and psychometric evaluation of the international hip outcome tool 12 ihot12 to hebrew
topic Patient reported outcome measures
Hip pain
International hip outcome tool 12 (iHOT12)
Validity
Reliability
Hebrew
url https://doi.org/10.1186/s12955-023-02203-0
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