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Barnhöft: a hip specific 6-item questionnaire for children

Bengt Herngren1,2, Margaretha Stenmarker3,4, Karin Enskär5

  • 11Department of Clinical Sciences, Lund, Orthopaedics, Lund University, SE-221 00 Lund, Sweden.

Journal of Patient-Reported Outcomes
|May 15, 2018
PubMed

Insights

A new questionnaire, Barnhöft, effectively measures hip pain and function in children. This validated tool aids in identifying pediatric hip conditions and their impact on quality of life.

Area of Science:

  • Paediatric Orthopaedics
  • Health Outcomes Research
  • Quality of Life Measurement

Background:

  • Health-related quality of life (HRQoL) assessment is crucial in pediatric orthopaedics.
  • Disease-specific instruments enhance outcome evaluation for hip disorders.
  • A need existed for a culturally adapted hip function and pain instrument for Swedish children.

Purpose of the Study:

  • To translate and culturally adapt the CHOHES questionnaire for Swedish children (8-15 years).
  • To validate the adapted instrument, named Barnhöft, for assessing hip function and pain.
  • To ensure Barnhöft's comprehensibility and clinical relevance in the target population.

Main Methods:

  • Translation and cultural adaptation of the CHOHES questionnaire into Barnhöft.
  • Cognitive debriefing interviews with 15 healthy children for comprehensibility.
  • Test-retest reliability and construct validity testing in children with slipped capital femoral epiphysis (n=25) and healthy controls (n=35), compared with EQ-5D-Y.

Main Results:

  • Barnhöft demonstrated good test-retest stability, indicating reliable measurements.
  • Strong construct validity was found, with significant correlations between Barnhöft and EQ-5D-Y for pain (Spearman's rho=0.73) and functional limitations (Spearman's rho=0.67).
  • The expert committee confirmed the content validity of the Barnhöft questionnaire.

Conclusions:

  • Barnhöft is a simple, 6-item questionnaire suitable for identifying children with hip pain.
  • The instrument effectively assesses functional limitations resulting from childhood hip disease sequelae.
  • Barnhöft can be a valuable tool for evaluating outcomes in pediatric hip disorders.
Abstract

Keywords:
ChildrenHealth statusHip diseaseQuality of lifeQuestionnaire

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