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Published on: April 21, 2017
Hindi Translation and Cultural Adaptation of LIMB-Q Kids: A new patient-reported Outcome Measure for Children with
Harpreet Chhina1,2, Ashish S Ranade3, Prajakta Inglikar3
1Department of Orthopaedics, University of British Columbia, Vancouver, Canada.
Background:
LIMB-Q Kids is a new patient-reported outcome measure (PROM) for children with lower limb differences (LLDs). It has been developed with input from patients and healthcare professionals globally, including high-, low-, and lower-middle-income countries. This study aimed to translate and culturally adapt (TCA) LIMB-Q Kids into Hindi.
Methods:
The English version was translated independently into Hindi by two translators, reconciled, and back-translated into English by a third translator. This back-translated English version was compared with the original English version by the developers of LIMB-Q Kids, and revisions were made to prepare the Hindi version for cognitive debriefing interviews (CDIs). Children aged 8-18 years with LLDs were recruited from two centers in India for CDIs. Feedback from the CDIs, consultations with clinicians from India, and input from the LIMB-Q Kids developers guided final edits.
Results:
The TCA process ensured conceptual equivalency with the original version, cultural relevance, gender neutrality (where possible), and comprehension by children aged 8-18 years. Ten CDIs were conducted, revealing that 12.6% of items were challenging for some children. The remaining 87.4% of items were understood, requiring no further changes.
Conclusion:
The rigorous TCA process ensured that the Hindi version of LIMB-Q Kids is culturally appropriate and conceptually equivalent to the original version. Hindi version has strong potential as a clinical tool to assess the impact of lower limb differences on children's quality of life in Hindi-speaking populations.
Supplementary Information:
The online version contains supplementary material available at 10.1007/s43465-025-01443-0.
