Transcultural validation of the risk assessment and predictor tool (RAPT) to Spanish

Area of Science:

• Orthopedic Surgery
• Rehabilitation Medicine
• Health Services Research

Background:

• Assessing patient discharge needs after total hip arthroplasty (THA) is crucial for effective care planning.
• Existing tools may not be culturally adapted or validated for Spanish-speaking populations.
• The Risk Assessment and Prediction Tool (RAPT) is a valuable instrument for predicting discharge needs.

Purpose of the Study:

• To translate and validate the Risk Assessment and Prediction Tool (RAPT) into Spanish.
• To assess the discharge needs of patients undergoing total hip arthroplasty in a Spanish-speaking context.
• To evaluate the tool's effectiveness in identifying rehabilitation and social care requirements.

Main Methods:

• The RAPT instrument was translated into Spanish using established cross-cultural adaptation guidelines (Sousa & Rojjanasrirat, 2011; Guillermin et al., 1993).
• The translated tool was administered to 134 patients post-total hip arthroplasty.
• Content Validity Index (CVI) and Cronbach's alpha were calculated to assess validity and reliability.

Main Results:

• The Spanish RAPT identified that 57.8% of patients needed home rehabilitation, 28.9% could be discharged home, and 13.3% required social worker assessment for social health center placement.
• The overall Content Validity Index (CVI) was 0.91, and Cronbach's alpha was 0.84, indicating good validity and reliability.
• The tool's identified needs aligned with actual patient needs in 94.2% of cases.

Conclusions:

• The Spanish version of the RAPT is a valid and reliable tool for assessing discharge needs in total hip arthroplasty patients.
• The RAPT demonstrates high effectiveness in identifying patient requirements for post-discharge care, including rehabilitation and social support.
• This validated tool can significantly aid in planning effective post-discharge care strategies for Spanish-speaking populations.