Oliveira Nathalia Sundin Palmeira de, Soares Julia Ribeiro, Sá Caputo Danúbia da Cunha de, Leporace Gustavo, Batista Luiz Alberto, Cardinot Themis Moura, Oliveira Liszt Palmeira de
Postgraduate Program in Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.
Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.
Sao Paulo Med J. 2025 Aug 4;143(4):e2024176. doi: 10.1590/1516-3180.2024.0176.27112025. eCollection 2025.
The High-Activity Arthroplasty Score (HAAS) is a reliable and valid self-administered questionnaire that was developed in British English and was designed to determine the level of physical activity in patients after lower limb arthroplasty (hip and/or knee). The Brazilian version (HAAS-Brazil) was developed after a cross-cultural adaptation in 2023.
To evaluate the psychometric properties of HAAS-Brazil in patients after hip arthroplasty.
A cross-sectional quantitative and qualitative study was conducted in an orthopedic outpatient setting.
Evidence for the validity of HAAS-Brazil was assessed via psychometric testing, which followed the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN).
A total of 112 patients with a mean age of 56 years were included as participants; of these patients, 50.9% were female, with 44.6% being overweight and 85.7% being engaged in physical activity. HAAS-Brazil provided satisfactory evidence of content validity (CVC > 0.9), structural validity (AISP = 1; Hi > 0.3; VIMon = 0; VIIIO = 0), construct validity (ρ HOS-SP = 0.696; ρ SF-12 PSC = 0.554; ρ SF-1 MSC = 0.338), no ceiling or floor effect, acceptable internal consistency (Mokken ρ = 0.707; Cronbach α = 0.663), and good reliability (ICC(3,K) = 0.840 ; P < 0.001).
The HAAS-Brazil provided satisfactory validation evidence in patients who underwent hip arthroplasty.
高活动度关节置换术评分（HAAS）是一份可靠且有效的自填式问卷，以英式英语编制，旨在确定下肢关节置换术（髋关节和/或膝关节）后患者的身体活动水平。巴西版（HAAS - Brazil）于2023年经过跨文化调适后编制而成。
评估HAAS - Brazil在髋关节置换术后患者中的心理测量学特性。
在骨科门诊环境中进行了一项横断面定量和定性研究。
通过心理测量测试评估HAAS - Brazil的有效性证据，该测试遵循基于共识的健康状况测量工具选择标准（COSMIN）。
共纳入112名平均年龄为56岁的患者作为参与者；在这些患者中，50.9%为女性，44.6%超重，85.7%进行体育活动。HAAS - Brazil提供了令人满意的内容效度（CVC > 0.9）、结构效度（AISP = 1；Hi > 0.3；VIMon = 0；VIIIO = 0）、构想效度（ρ HOS - SP = 0.696；ρ SF - 12 PSC = 0.554；ρ SF - 1 MSC = 0.338）、无天花板效应或地板效应、可接受的内部一致性（Mokken ρ = 0.707；Cronbach α = 0.663）以及良好的信度（ICC(3,K) = 0.840；P < 0.001）的证据。
HAAS - Brazil在接受髋关节置换术的患者中提供了令人满意的验证证据。
