Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score

Background: The Persian language, also known as Farsi, is a pluricentric language spoken in Iran, Afghanistan, and Tajikistan by about 140 million people. This study aims to translate the Harris hip score (HHS) into Persian with cross-cultural adaptation and to evaluate its validity and reliability....

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Main Authors: Peyman Mirghaderi, MD, MPH, Amirhossein Ghaseminejad-Raeini, Alireza Azarboo, Reza Mirghaderi, MD, Hadi Ravanbod, MD, S.M. Javad Mortazavi, MD
Format: Article
Language:English
Published: Elsevier 2023-10-01
Series:Arthroplasty Today
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352344123000857
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author Peyman Mirghaderi, MD, MPH
Amirhossein Ghaseminejad-Raeini
Alireza Azarboo
Reza Mirghaderi, MD
Hadi Ravanbod, MD
S.M. Javad Mortazavi, MD
author_facet Peyman Mirghaderi, MD, MPH
Amirhossein Ghaseminejad-Raeini
Alireza Azarboo
Reza Mirghaderi, MD
Hadi Ravanbod, MD
S.M. Javad Mortazavi, MD
author_sort Peyman Mirghaderi, MD, MPH
collection DOAJ
description Background: The Persian language, also known as Farsi, is a pluricentric language spoken in Iran, Afghanistan, and Tajikistan by about 140 million people. This study aims to translate the Harris hip score (HHS) into Persian with cross-cultural adaptation and to evaluate its validity and reliability. Methods: One hundred fifty-six total hip arthroplasty patients completed the Persian version of the HHS, Western Ontario and McMaster Universities Osteoarthritis Index, Forgotten Joint Score, and visual analog scale (VAS) for pain and satisfaction postoperatively. Using Cronbach’s alpha (α) coefficient, internal consistency was evaluated. Correlations (Spearman's Rho) were used to assess validity. A test-retest reliability assessment of the Persian HHS was conducted (n = 47) using the intraclass correlation coefficient. Content validity was evaluated using the floor and ceiling effects of the HHS. Results: The final translation of the Persian HHS was approved to be used. The preoperative and postoperative Cronbach's alpha were 0.71 and 0.70, respectively, and showed acceptable internal consistency. The intraclass correlation coefficient was excellent (0.869, P < .001). Insignificant ceiling effects (13.5%) and no floor effects (0) were observed. The HHS score was significantly and strongly correlated with Western Ontario and McMaster Universities Osteoarthritis Index (r = 0.696, P < .001), VAS pain (r = 0.654, P < .001), VAS satisfaction (r = 0.634, P < .001), and Forgotten Joint Score (r = 0.648, P < .001). Conclusions: The Persian HHS demonstrated excellent reliability and validity properties. Accordingly, Persian HHS may be a helpful tool for assessing patients undergoing total hip arthroplasty.
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spelling doaj.art-d4669187d5e14de1a030b331b952d60a2023-10-21T04:22:42ZengElsevierArthroplasty Today2352-34412023-10-0123101180Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip ScorePeyman Mirghaderi, MD, MPH0Amirhossein Ghaseminejad-Raeini1Alireza Azarboo2Reza Mirghaderi, MD3Hadi Ravanbod, MD4S.M. Javad Mortazavi, MD5Joint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, IranJoint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, IranJoint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, IranJoint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, IranDepartment of Orthopedic Surgery, Al-Zahra Hospital, Isfahan University of Medical Sciences, Isfahan, IranJoint Reconstruction Research Center, Tehran University of Medical Sciences, Tehran, Iran; Corresponding author. Professor of Orthopedic Surgery, Adult Joint Reconstruction Fellowship, Joint Reconstruction Research Center, Tehran University of Medical Science, Tehran, Iran; Imam Khomeini Hospital, End of Keshavarz Blvd, Keshavarz Blvd, Tehran, Iran. Tel.: +9821-6658-1586.Background: The Persian language, also known as Farsi, is a pluricentric language spoken in Iran, Afghanistan, and Tajikistan by about 140 million people. This study aims to translate the Harris hip score (HHS) into Persian with cross-cultural adaptation and to evaluate its validity and reliability. Methods: One hundred fifty-six total hip arthroplasty patients completed the Persian version of the HHS, Western Ontario and McMaster Universities Osteoarthritis Index, Forgotten Joint Score, and visual analog scale (VAS) for pain and satisfaction postoperatively. Using Cronbach’s alpha (α) coefficient, internal consistency was evaluated. Correlations (Spearman's Rho) were used to assess validity. A test-retest reliability assessment of the Persian HHS was conducted (n = 47) using the intraclass correlation coefficient. Content validity was evaluated using the floor and ceiling effects of the HHS. Results: The final translation of the Persian HHS was approved to be used. The preoperative and postoperative Cronbach's alpha were 0.71 and 0.70, respectively, and showed acceptable internal consistency. The intraclass correlation coefficient was excellent (0.869, P < .001). Insignificant ceiling effects (13.5%) and no floor effects (0) were observed. The HHS score was significantly and strongly correlated with Western Ontario and McMaster Universities Osteoarthritis Index (r = 0.696, P < .001), VAS pain (r = 0.654, P < .001), VAS satisfaction (r = 0.634, P < .001), and Forgotten Joint Score (r = 0.648, P < .001). Conclusions: The Persian HHS demonstrated excellent reliability and validity properties. Accordingly, Persian HHS may be a helpful tool for assessing patients undergoing total hip arthroplasty.http://www.sciencedirect.com/science/article/pii/S2352344123000857ArthroplastyHarris hip scorePersianQuestionnaireReliabilityValidity
spellingShingle Peyman Mirghaderi, MD, MPH
Amirhossein Ghaseminejad-Raeini
Alireza Azarboo
Reza Mirghaderi, MD
Hadi Ravanbod, MD
S.M. Javad Mortazavi, MD
Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score
Arthroplasty Today
Arthroplasty
Harris hip score
Persian
Questionnaire
Reliability
Validity
title Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score
title_full Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score
title_fullStr Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score
title_full_unstemmed Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score
title_short Cross-Cultural Adaptation and Validation of the Persian Version of the Harris Hip Score
title_sort cross cultural adaptation and validation of the persian version of the harris hip score
topic Arthroplasty
Harris hip score
Persian
Questionnaire
Reliability
Validity
url http://www.sciencedirect.com/science/article/pii/S2352344123000857
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