Translation, Cross-Cultural Adaptation, and Validation of the Persian Version of the Harris Hip Score

Area of Science:

• Orthopedics
• Rehabilitation Medicine
• Health Outcomes Research

Background:

• The Harris Hip Score (HHS) is a standard patient-reported outcome measure for hip pathology.
• Assessing hip function is crucial for evaluating health-related quality of life and physical function.
• A validated Persian version of the HHS is needed for the Persian-speaking population.

Purpose of the Study:

• To translate and culturally adapt the Harris Hip Score (HHS) into Persian (HHS-Pr).
• To validate the HHS-Pr in patients experiencing various hip pathologies.
• To evaluate the psychometric properties of the HHS-Pr for use in a Persian-speaking cohort.

Main Methods:

• The HHS was translated and culturally adapted to Persian following established guidelines.
• 151 patients with hip pathology completed the HHS-Pr, SF-12, and WOMAC.
• Psychometric properties including criterion validity, internal consistency, content validity, test-retest reliability, and measurement precision were assessed.

Main Results:

• The Persian translation (HHS-Pr) demonstrated good criterion validity against WOMAC (r=-0.76) and SF-12 PCS (r=0.47).
• High internal consistency (Cronbach's α=0.86) and excellent test-retest reliability (ICC=0.85) were observed.
• Satisfactory content validity (CVI=0.88) and no floor/ceiling effects were found, indicating good measurement precision.

Conclusions:

• The HHS-Pr is a valid, reliable, and sensitive measure for assessing hip function in Persian-speaking patients.
• The psychometric properties support the use of HHS-Pr for evaluating functional status in this population.
• This validated tool will aid in clinical decision-making and research involving Persian-speaking individuals with hip conditions.