[Translated article] Transcultural validation of the risk assessment and predictor tool (RAPT) to Spanish

Area of Science:

• Orthopedic Surgery
• Rehabilitation Medicine
• Health Services Research

Background:

• Effective discharge planning is crucial for patients undergoing total hip arthroplasty (THA).
• Accurate assessment of post-discharge needs impacts patient outcomes and healthcare resource utilization.
• The Risk Assessment and Prediction Tool (RAPT) is a valuable instrument for evaluating discharge requirements.

Purpose of the Study:

• To translate and validate the Risk Assessment and Prediction Tool (RAPT) into Spanish.
• To assess the discharge needs of patients following total hip arthroplasty using the Spanish RAPT.
• To ensure cross-cultural adaptation and reliability of the RAPT for Spanish-speaking populations.

Main Methods:

• The RAPT was translated into Spanish following established guidelines (Sousa and Rojjanasrirat, 2011).
• Cross-cultural adaptation was performed using the Guillermin et al. (1993) translation method.
• The psychometric properties, including content validity index (CVI) and Cronbach's alpha, were evaluated.

Main Results:

• 134 patients undergoing THA were included, with a mean age of 71.6 years.
• The Spanish RAPT identified that 57.8% required home rehabilitation, 28.9% would be discharged home, and 13.3% needed social worker assessment for a social health center.
• The overall CVI was 0.91, and Cronbach's alpha was 0.84, indicating good reliability and validity.

Conclusions:

• The translated RAPT is an effective tool for assessing patient discharge needs after THA.
• The tool demonstrated high concordance (94.2%) between identified and actual patient needs.
• The Spanish RAPT can facilitate effective planning of post-discharge care for THA patients.