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The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement
Nathalia Sundin Palmeira de Oliveira1, Julia Ribeiro Soares2, Danúbia da Cunha de Sá Caputo3
1Postgraduate Program in Medical Sciences, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.
Background:
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.
Objective:
To evaluate the psychometric properties of HAAS-Brazil in patients after hip arthroplasty.
Design And Setting:
A cross-sectional quantitative and qualitative study was conducted in an orthopedic outpatient setting.
Methods:
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).
Results:
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).
Conclusion:
The HAAS-Brazil provided satisfactory validation evidence in patients who underwent hip arthroplasty.
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