Monticone Marco, Capone Antonio, Frigau Luca, Marongiu Giuseppe, Abelli Paola, Mola Francesco, Maffulli Nicola, Foti Calogero
Department of Public Health, Clinical and Molecular Medicine, University of Cagliari, Cagliari, Italy.
Orthopaedic Unit, Department of Surgery, University of Cagliari, Cagliari, Italy.
J Orthop Surg Res. 2018 Apr 11;13(1):81. doi: 10.1186/s13018-018-0782-5.
The number of physically active individuals who develop knee and hip arthritis and who undergo arthroplasties of these joints ie ever increasing. It has become necessary to develop evaluation scales which address the specific issues raised by such individuals. The High Activity Arthroplasty Score is one such scales, originally developed in English.
The HAAS-I was developed by means of forward-backward translation, a final review by an expert committee and a test of the pre-final version to establish its correspondence with the original English version. The psychometric testing included reliability by means of internal consistency (Cronbach's alpha) and test-retest reliability (intraclass correlation coefficients) and construct validity by Pearson's correlations with a pain intensity numerical rating scale (NRS), the Western Ontario and McMaster University index (WOMAC, for THA subjects), the Knee injury and Osteoarthritis Outcome Scale (KOOS; for TKA subjects) and the Short-Form 36 Health Survey (SF-36).
The questionnaire was administered to 67 subjects with THA and 61 with TKA and proved to be acceptable. The questionnaire showed good internal consistency (0.85 for THA and 0.91 for TKA) and a high level of test-retest reliability (ICC = 0.97 with 95% CI 0.95-0.98 for THA; ICC = 0.95 with 95% CI 0.92-0.98 for TKA). There was a moderate correlation between the HAAS-I and NRS (r = - 0.40), there was a high correlation between the HAAS-I and WOMAC (r = - 0.68) and there were moderate to high correlations between the HAAS-I and SF-36 subscales (r = 0.34 to 0.63) for THA. There was a moderate correlation between the HAAS-I and NRS (r = - 0.77); there was a high correlation between the HAAS-I and KOOS subscales (r = - 0.79 to r = - 0.91); and there were low correlations between the HAAS-I and SF-36 subscales (r = 0.01 to 0.29) for TKA.
The HAAS-I was successfully translated into Italian and proved to have good psychometric properties that replicated the results of existing versions. Its use is recommended for clinical and research purposes.
进行膝关节和髋关节置换术的身体活跃个体的数量在不断增加。开发能够解决此类个体所引发的特定问题的评估量表变得很有必要。高活动度关节置换术评分就是这样一种量表，最初是用英文开发的。
通过前后翻译、专家委员会的最终审核以及对预终版进行测试以确定其与原始英文版本的一致性，从而开发出HAAS-I。心理测量测试包括通过内部一致性（克朗巴哈α系数）和重测信度（组内相关系数）来评估信度，以及通过与疼痛强度数字评定量表（NRS）、西安大略和麦克马斯特大学指数（WOMAC，用于全髋关节置换术患者）、膝关节损伤和骨关节炎疗效量表（KOOS；用于全膝关节置换术患者）以及简短健康调查36项量表（SF-36）的皮尔逊相关性来评估结构效度。
该问卷被用于67例全髋关节置换术患者和61例全膝关节置换术患者，结果显示该问卷是可接受的。问卷显示出良好的内部一致性（全髋关节置换术患者为0.85，全膝关节置换术患者为0.91）和较高的重测信度（全髋关节置换术患者的组内相关系数ICC = 0.97，95%置信区间为0.95 - 0.98；全膝关节置换术患者的组内相关系数ICC = 0.95，95%置信区间为0.92 - 0.98）。HAAS-I与NRS之间存在中度相关性（r = -0.40），HAAS-I与WOMAC之间存在高度相关性（r = -0.68），对于全髋关节置换术患者，HAAS-I与SF-36分量表之间存在中度到高度相关性（r = 0.34至0.63）。对于全膝关节置换术患者，HAAS-I与NRS之间存在中度相关性（r = -0.77）；HAAS-I与KOOS分量表之间存在高度相关性（r = -0.79至r = -0.91）；HAAS-I与SF-36分量表之间存在低度相关性（r = 0.01至0.29）。
HAAS-I已成功翻译成意大利语，并被证明具有良好的心理测量特性，重现了现有版本的结果。建议将其用于临床和研究目的。
