Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery

Objective: This study aims to translate and cross-culturally adapt the University of California at Los Angles Activity Scale (UCLA) to Iranian samples and evaluate the reliability and validity of the Persian UCLA in candidates for knee replacement surgery.  Materials & Methods: In this cross-sec...

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Main Authors: Hadi Khoshrou, Neda Mostafaee, Hossein Negahban, Seyyed Javad Raeesi
Format: Article
Language:fas
Published: University of Social Welfare and Rehabilitation Sciences 2022-05-01
Series:Journal of Rehabilitation
Subjects:
Online Access:http://rehabilitationj.uswr.ac.ir/article-1-2979-en.html
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author Hadi Khoshrou
Neda Mostafaee
Hossein Negahban
Seyyed Javad Raeesi
author_facet Hadi Khoshrou
Neda Mostafaee
Hossein Negahban
Seyyed Javad Raeesi
author_sort Hadi Khoshrou
collection DOAJ
description Objective: This study aims to translate and cross-culturally adapt the University of California at Los Angles Activity Scale (UCLA) to Iranian samples and evaluate the reliability and validity of the Persian UCLA in candidates for knee replacement surgery.  Materials & Methods: In this cross-sectional study, cross-cultural adaptation was performed according to the international quality of life assessment protocol in three stages: standard forward translation, translation synthesis, and backward translation. The Persian UCLA, tegner activity scale (TAS), short-form health survey (SF-36) and international physical activity questionnaire (IPAQ) were completed by 103 participants (candidates for knee replacement surgery). The Persian UCLA questionnaire was re-completed by 66 participants in the retest session with an interval of 3-7 days. An intra-class correlation coefficient (ICC) was used to evaluate test-retest reliability. The standard error of measurement (SEM) was used to determine smallest detectable change (SDC) in scores. To evaluate convergent validity of the Persian UCLA, its correlation with TAS, SF-36, and IPAQ was assessed using Spearman’s correlation test. The ceiling and floor effects were also calculated. Results: In the Persian version, no special changes were made and no problem or ambiguity was reported by the respondents based on a pilot study. The type of activities mentioned in the original version was not changed either and none of the participants had difficulty understanding the items. The Mean±SD of UCLA scores were 2.98±1.37 in the test phase and 2.89±1.32 in the retest phase. Psychometric tests results showed acceptable test-retest reliability of the Persian UCLA (ICC=0.96, 95% CI=0.93-0.97). Given an SDC score of 0.50 at 95% confidence interval, it can be said that if the UCLA score be above or less than 0.50, there is an improvement or decline in the activity level of patients. Based on the results of Spearman correlation test, the Persian UCLA showed a strong correlation with TAS (rs=0.71, P<0.001), a moderate correlation with IPAQ (rs=0.58, P<0.001) and physical health summary component of SF-36 (rs=0.59, P<0.001), and a weak correlation with the mental health summary component of SF-36 (rs=0.39, P<0.001). The Persian UCLA questionnaire had no ceiling or floor effects. Conclusion: The Persian version of the UCLA questionnaire has acceptable reliability and validity for Iranian candidates for knee replacement surgery.
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spelling doaj.art-df4228d47f06407eb6ae20bd133135bd2022-12-22T03:44:01ZfasUniversity of Social Welfare and Rehabilitation SciencesJournal of Rehabilitation1607-29602022-05-01231112125Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement SurgeryHadi Khoshrou0Neda Mostafaee1Hossein Negahban2Seyyed Javad Raeesi3 Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. Department of Physical Therapy, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran. Objective: This study aims to translate and cross-culturally adapt the University of California at Los Angles Activity Scale (UCLA) to Iranian samples and evaluate the reliability and validity of the Persian UCLA in candidates for knee replacement surgery.  Materials & Methods: In this cross-sectional study, cross-cultural adaptation was performed according to the international quality of life assessment protocol in three stages: standard forward translation, translation synthesis, and backward translation. The Persian UCLA, tegner activity scale (TAS), short-form health survey (SF-36) and international physical activity questionnaire (IPAQ) were completed by 103 participants (candidates for knee replacement surgery). The Persian UCLA questionnaire was re-completed by 66 participants in the retest session with an interval of 3-7 days. An intra-class correlation coefficient (ICC) was used to evaluate test-retest reliability. The standard error of measurement (SEM) was used to determine smallest detectable change (SDC) in scores. To evaluate convergent validity of the Persian UCLA, its correlation with TAS, SF-36, and IPAQ was assessed using Spearman’s correlation test. The ceiling and floor effects were also calculated. Results: In the Persian version, no special changes were made and no problem or ambiguity was reported by the respondents based on a pilot study. The type of activities mentioned in the original version was not changed either and none of the participants had difficulty understanding the items. The Mean±SD of UCLA scores were 2.98±1.37 in the test phase and 2.89±1.32 in the retest phase. Psychometric tests results showed acceptable test-retest reliability of the Persian UCLA (ICC=0.96, 95% CI=0.93-0.97). Given an SDC score of 0.50 at 95% confidence interval, it can be said that if the UCLA score be above or less than 0.50, there is an improvement or decline in the activity level of patients. Based on the results of Spearman correlation test, the Persian UCLA showed a strong correlation with TAS (rs=0.71, P<0.001), a moderate correlation with IPAQ (rs=0.58, P<0.001) and physical health summary component of SF-36 (rs=0.59, P<0.001), and a weak correlation with the mental health summary component of SF-36 (rs=0.39, P<0.001). The Persian UCLA questionnaire had no ceiling or floor effects. Conclusion: The Persian version of the UCLA questionnaire has acceptable reliability and validity for Iranian candidates for knee replacement surgery.http://rehabilitationj.uswr.ac.ir/article-1-2979-en.htmlucla activity scaleknee replacementpsychometric propertiesoutcome
spellingShingle Hadi Khoshrou
Neda Mostafaee
Hossein Negahban
Seyyed Javad Raeesi
Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery
Journal of Rehabilitation
ucla activity scale
knee replacement
psychometric properties
outcome
title Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery
title_full Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery
title_fullStr Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery
title_full_unstemmed Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery
title_short Reliability and Validity of the Persian Version of the University of California at Los Angeles (UCLA) Activity Scale in Candidates for Knee Replacement Surgery
title_sort reliability and validity of the persian version of the university of california at los angeles ucla activity scale in candidates for knee replacement surgery
topic ucla activity scale
knee replacement
psychometric properties
outcome
url http://rehabilitationj.uswr.ac.ir/article-1-2979-en.html
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AT hosseinnegahban reliabilityandvalidityofthepersianversionoftheuniversityofcaliforniaatlosangelesuclaactivityscaleincandidatesforkneereplacementsurgery
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