Zafar Arfa, Naz Somiya, Farooq M Nazim, Fatima Maira, Ain Qurat Ul
Islamabad College of Physiotherapy, Islamabad, Pakistan.
Margalla Institute of Health Sciences, Rawalpindi, Pakistan.
Disabil Rehabil. 2025 Aug;47(17):4526-4532. doi: 10.1080/09638288.2024.2446630. Epub 2024 Dec 28.
To linguistically and cross-culturally translate Hip Disability and Osteoarthritis Outcome Score into Urdu language (HOOS-U), and test its psychometric properties among patients with hip pain.
Translation and cross-cultural adaptation of English version of HOOS were carried out following international guidelines. Psychometric testing included reliability (internal consistency and test-retest reliability), validity (content and construct validity) and responsiveness. Baseline assessments included self-structured questionnaire, HOOS-U, SF-36, VAS-pain, and VAS-disability. After three weeks of advised physiotherapy intervention, patients fulfilled the aforementioned questionnaires along with Global Rating of Change (GROC) scale.
HOOS-U exhibited satisfactory internal consistency (Cronbach's alpha: 0.86 to 0.96) and excellent test-retest reliability (Intraclass correlation coefficient [ICC]: 0.97 to 0.99). No floor or ceiling effects were observed. Discriminant validity was confirmed by significant differences in HOOS-U scores between patients and controls (p-value <0.001). For convergent validity, HOOS-U subscales showed strong Pearson Correlation Coefficient with PF and BP subscale of SF-36, specifically the ADL subscale of HOOS-U (PF = 0.82 and BP = 0.74). HOOS-U also demonstrated strong correlations with VAS pain (-0.70 to -0.83) and VAS disability (-0.69 to 0.82). For responsiveness, all subscales improved significantly after treatment (p-value < 0.001).
HOOS-U demonstrated good psychometric properties, making it a suitable tool for assessing outcomes in Urdu-speaking individuals.
将髋关节功能障碍与骨关节炎疗效评分（Hip Disability and Osteoarthritis Outcome Score，HOOS）进行语言和跨文化层面的乌尔都语翻译（HOOS-U），并在髋关节疼痛患者中测试其心理测量学特性。
按照国际指南对HOOS的英文版进行翻译和跨文化调适。心理测量学测试包括信度（内部一致性和重测信度）、效度（内容效度和结构效度）以及反应度。基线评估包括自行编制的问卷、HOOS-U、SF-36、视觉模拟评分法疼痛评分（VAS-pain）和视觉模拟评分法功能障碍评分（VAS-disability）。在接受为期三周的建议物理治疗干预后，患者填写上述问卷以及总体变化评定量表（GROC）。
HOOS-U表现出令人满意的内部一致性（克朗巴哈系数：0.86至0.96）和出色的重测信度（组内相关系数[ICC]：0.97至0.99）。未观察到地板效应或天花板效应。患者与对照组之间HOOS-U评分存在显著差异，证实了其判别效度（p值<0.001）。对于聚合效度，HOOS-U分量表与SF-36的身体功能（PF）和身体疼痛（BP）分量表显示出很强的皮尔逊相关系数，特别是HOOS-U的日常生活活动（ADL）分量表（PF = 0.82，BP = 0.74）。HOOS-U与VAS疼痛评分（-0.70至-0.83）和VAS功能障碍评分（-0.69至0.82）也显示出很强的相关性。对于反应度，所有分量表在治疗后均有显著改善（p值<0.001）。
HOOS-U显示出良好的心 理测量学特性，使其成为评估乌尔都语使用者治疗效果的合适工具。
