Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2020

Open Access 01-12-2020 | Research

Translation, cross-cultural adaptation and validation of the Slovenian version of Harris Hip Score

Authors: Petra Josipović, Metka Moharič, Dea Salamon

Published in: Health and Quality of Life Outcomes | Issue 1/2020

Login to get access

Abstract

Introduction

The Harris Hip Score is the most widely used outcome measure for the assessment of hip pathologies. An official Slovenian version has not been culturally adapted and validated. The aim of this study was to create a Slovenian valid and reliable version of the HHS.

Materials and method

The HHS was translated and modified in Slovenian. The measurement properties of the Slovenian HHS were tested in 42 patients suffering from different hip pathologies. Reliability, responsiveness, construct validity, convergent/divergent validity and content validity of the Slovenian version of the HHS were tested.

Results

Only minor adaptation was required in the translation process. The internal consistency of the HHS expressed by Cronbach’s alpha was 0.94. The test–retest reliability expressed by the intraclass correlation coefficient was 0.983. The correlations of the HHS scale with the WOMAC scale (r = − 0.877) and the VAS scale (r = − 0.717) were statistically significant. The highest correlation between the HHS and SF-36 was with the General Health dimension (r = 0.61). while the lowest correlation was with the SF-36 Mental Health dimension (r = 0.43). MDC95% was 10.1. No floor or ceiling effects were found.

Conclusion

Slovenian version of HHS seems to has an acceptable level of reliability and validity. Slovenian HHS is short, comprehensible and easy to administer and interpret.

Trial registration

Approved by the Slovenian National Medical Ethics Committee (0120-46/2019/19).
Appendix
Available only for authorised users
Literature
1.
go back to reference Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51(4):737–55.PubMedCrossRef Harris WH. Traumatic arthritis of the hip after dislocation and acetabular fractures: treatment by mold arthroplasty. An end-result study using a new method of result evaluation. J Bone Joint Surg Am. 1969;51(4):737–55.PubMedCrossRef
2.
go back to reference Klässbo M, Larsson E, Mannevik E. Hip disability and osteoarthritis outcome score. An extension of the Western Ontario and McMaster Universities Osteoarthritis Index. Scand J Rheumatol. 2003;32(1):46–51.PubMedCrossRef Klässbo M, Larsson E, Mannevik E. Hip disability and osteoarthritis outcome score. An extension of the Western Ontario and McMaster Universities Osteoarthritis Index. Scand J Rheumatol. 2003;32(1):46–51.PubMedCrossRef
3.
go back to reference Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC. The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res. 2003;406:75–83.CrossRef Christensen CP, Althausen PL, Mittleman MA, Lee JA, McCarthy JC. The nonarthritic hip score: reliable and validated. Clin Orthop Relat Res. 2003;406:75–83.CrossRef
4.
go back to reference Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 1996;78(2):185–90.PubMedCrossRef Dawson J, Fitzpatrick R, Carr A, Murray D. Questionnaire on the perceptions of patients about total hip replacement. J Bone Joint Surg Br. 1996;78(2):185–90.PubMedCrossRef
5.
go back to reference Thorborg K, Hölmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med. 2011;45(6):478–91.PubMedCrossRef Thorborg K, Hölmich P, Christensen R, Petersen J, Roos EM. The Copenhagen Hip and Groin Outcome Score (HAGOS): development and validation according to the COSMIN checklist. Br J Sports Med. 2011;45(6):478–91.PubMedCrossRef
6.
go back to reference Garellick G, Malchau H, Herberts P. Specific or general health outcome measures in the evaluation of total hip replacement: a comparison between the Harris Hip Score and the Nottingham Health Profile. J Bone Joint Surg Br. 1998;80:600–6.PubMedCrossRef Garellick G, Malchau H, Herberts P. Specific or general health outcome measures in the evaluation of total hip replacement: a comparison between the Harris Hip Score and the Nottingham Health Profile. J Bone Joint Surg Br. 1998;80:600–6.PubMedCrossRef
7.
go back to reference Lieberman JR, Dorey F, Shekelle P, Schumacher L, Kilgus DJ, Thomas BJ, et al. Outcome after total hip arthroplasty: comparison of a traditional disease-specific and a quality-of-life measurement of outcome. J Arthroplasty. 1997;12:639–45.PubMedCrossRef Lieberman JR, Dorey F, Shekelle P, Schumacher L, Kilgus DJ, Thomas BJ, et al. Outcome after total hip arthroplasty: comparison of a traditional disease-specific and a quality-of-life measurement of outcome. J Arthroplasty. 1997;12:639–45.PubMedCrossRef
8.
go back to reference Soderman P, Malchau H, Herberts P. Outcome of total hip replacement: a comparison of different measurement methods. Clin Orthop Relat Res. 2001;390:163–72.CrossRef Soderman P, Malchau H, Herberts P. Outcome of total hip replacement: a comparison of different measurement methods. Clin Orthop Relat Res. 2001;390:163–72.CrossRef
9.
go back to reference Frihagen F, Grotle M, Madsen JE, Wyller TB, Mowinckel P, Nordsletten L. Outcome after femoral neck fractures: a comparison of Harris Hip Score, Eq-5d and Barthel Index. Injury. 2008;39:1147–56.PubMedCrossRef Frihagen F, Grotle M, Madsen JE, Wyller TB, Mowinckel P, Nordsletten L. Outcome after femoral neck fractures: a comparison of Harris Hip Score, Eq-5d and Barthel Index. Injury. 2008;39:1147–56.PubMedCrossRef
10.
go back to reference Hoeksma HL, van den Ende CH, Ronday HK, Heering A, Breedveld FC. Comparison of the responsiveness of the Harris Hip Score with generic measures for hip function in osteoarthritis of the hip. Ann Rheum Dis. 2003;62:935–8.PubMedPubMedCentralCrossRef Hoeksma HL, van den Ende CH, Ronday HK, Heering A, Breedveld FC. Comparison of the responsiveness of the Harris Hip Score with generic measures for hip function in osteoarthritis of the hip. Ann Rheum Dis. 2003;62:935–8.PubMedPubMedCentralCrossRef
11.
go back to reference Malchau H, Soderman P, Herberts P. The validity and reliability of Harris Hip Score. In: SICOT. SICOT, Sydney, 1999. Malchau H, Soderman P, Herberts P. The validity and reliability of Harris Hip Score. In: SICOT. SICOT, Sydney, 1999.
12.
go back to reference Mahomed NN, et al. The Harris hip score: comparison of patient self-report with surgeon assessment. J Bone Joint Surg. 2001;16(5):575–80. Mahomed NN, et al. The Harris hip score: comparison of patient self-report with surgeon assessment. J Bone Joint Surg. 2001;16(5):575–80.
13.
go back to reference Mahomed NN, Katz JN, Liang MH, et al: The role of patient expectations in predicting functional outcomes and satisfaction with total hip and knee arthroplasty. In: Canadian Orthopaedic Association annual meeting, Ottawa, Canada, 1998. Mahomed NN, Katz JN, Liang MH, et al: The role of patient expectations in predicting functional outcomes and satisfaction with total hip and knee arthroplasty. In: Canadian Orthopaedic Association annual meeting, Ottawa, Canada, 1998.
14.
go back to reference Lieberman J, Dorey F, Shekelle P, et al. Differences between patients’ and physicians’ evaluations of outcome after total hip arthroplasty. J Bone Joint Surg. 1996;78:835.PubMedCrossRef Lieberman J, Dorey F, Shekelle P, et al. Differences between patients’ and physicians’ evaluations of outcome after total hip arthroplasty. J Bone Joint Surg. 1996;78:835.PubMedCrossRef
15.
go back to reference Dettoni F, Pellegrino P, La Russa MR, Bonasia DE, Blonna D, Bruzzone M, Castoldi F, Rossi R. Validation and cross-cultural adaptation of the Italian version of the Harris Hip Score. Hip Int. 2015;25(1):91–7.PubMedCrossRef Dettoni F, Pellegrino P, La Russa MR, Bonasia DE, Blonna D, Bruzzone M, Castoldi F, Rossi R. Validation and cross-cultural adaptation of the Italian version of the Harris Hip Score. Hip Int. 2015;25(1):91–7.PubMedCrossRef
16.
go back to reference Çelik D, Can C, Aslan Y, Ceylan HH, Bilsel K, Ozdincler AR. Translation, cross-cultural adaptation, and validation of the Turkish version of the Harris Hip Score. Hip Int. 2014;24(5):473–9.PubMedCrossRef Çelik D, Can C, Aslan Y, Ceylan HH, Bilsel K, Ozdincler AR. Translation, cross-cultural adaptation, and validation of the Turkish version of the Harris Hip Score. Hip Int. 2014;24(5):473–9.PubMedCrossRef
18.
go back to reference Guimarães RP, Alves DPL, Silva GB, Bittar ST, Ono NK, Honda E. Tradução e adaptação transcultural do instrumento de avaliação do quadril “Harris Hip Score.” Acta Ortop Bras. 2010;18(3):142–7.CrossRef Guimarães RP, Alves DPL, Silva GB, Bittar ST, Ono NK, Honda E. Tradução e adaptação transcultural do instrumento de avaliação do quadril “Harris Hip Score.” Acta Ortop Bras. 2010;18(3):142–7.CrossRef
19.
go back to reference Söderman P, Malchau H. Is the Harris Hip Score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res. 2001;384:189–97.CrossRef Söderman P, Malchau H. Is the Harris Hip Score system useful to study the outcome of total hip replacement? Clin Orthop Relat Res. 2001;384:189–97.CrossRef
20.
go back to reference Lopez AD, Ciconelli RM, Reis FB. Medidas de avaliação de qualidade de vida e estados de saúde em ortopedia. Rev Bras Ortop. 2007;42:355–9.CrossRef Lopez AD, Ciconelli RM, Reis FB. Medidas de avaliação de qualidade de vida e estados de saúde em ortopedia. Rev Bras Ortop. 2007;42:355–9.CrossRef
21.
go back to reference Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417–32.PubMedCrossRef Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417–32.PubMedCrossRef
23.
go back to reference Bellamy N, Buchanan W, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with OA of the hip or knee. J Rheumatol. 1988;15:1833–40.PubMed Bellamy N, Buchanan W, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with OA of the hip or knee. J Rheumatol. 1988;15:1833–40.PubMed
24.
go back to reference Marn-Vukadinovic D, Jamnik H. Validation of the short form-36 health survey supported with isokinetic strength testing after sport knee injury. J Sport Rehabil. 2011;20(3):261–76.PubMedCrossRef Marn-Vukadinovic D, Jamnik H. Validation of the short form-36 health survey supported with isokinetic strength testing after sport knee injury. J Sport Rehabil. 2011;20(3):261–76.PubMedCrossRef
25.
go back to reference Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;11:851.PubMedPubMedCentralCrossRef Alghadir AH, Anwer S, Iqbal A, Iqbal ZA. Test–retest reliability, validity, and minimum detectable change of visual analog, numerical rating, and verbal rating scales for measurement of osteoarthritic knee pain. J Pain Res. 2018;11:851.PubMedPubMedCentralCrossRef
26.
go back to reference Kalairajah Y, Azurza K, Hulme C, Molloy S, Drabu KJ. Health outcome measures in the evaluation of total hip arthroplasties: a comparison between the Harris hip score and the Oxford hip score. J Arthroplasty. 2005;20:1037–41.PubMedCrossRef Kalairajah Y, Azurza K, Hulme C, Molloy S, Drabu KJ. Health outcome measures in the evaluation of total hip arthroplasties: a comparison between the Harris hip score and the Oxford hip score. J Arthroplasty. 2005;20:1037–41.PubMedCrossRef
27.
go back to reference Stucki G, Meier D, Stucki S, Michel BA, Tyndall AG, Dick W, Theiler R. Evaluation of a German version of WOMAC (Western Ontario and McMaster Universities) Arthrosis Index. Z Rheumatol. 1996;55:40–9.PubMed Stucki G, Meier D, Stucki S, Michel BA, Tyndall AG, Dick W, Theiler R. Evaluation of a German version of WOMAC (Western Ontario and McMaster Universities) Arthrosis Index. Z Rheumatol. 1996;55:40–9.PubMed
28.
go back to reference Laucis NC, Hays RD, Bhattacharyya T. Scoring the SF-36 in orthopaedics: a brief guide. J Bone Joint Surg. 2015;97(19):1628.PubMedCrossRef Laucis NC, Hays RD, Bhattacharyya T. Scoring the SF-36 in orthopaedics: a brief guide. J Bone Joint Surg. 2015;97(19):1628.PubMedCrossRef
29.
go back to reference Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: scoping review. SAGE Open Med. 2016;30(4):2050312116671725. Lins L, Carvalho FM. SF-36 total score as a single measure of health-related quality of life: scoping review. SAGE Open Med. 2016;30(4):2050312116671725.
30.
go back to reference Terwee CB, Bot SD, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.PubMedCrossRef Terwee CB, Bot SD, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60(1):34–42.PubMedCrossRef
31.
go back to reference Polit DF. Assessing measurement in health: Beyond reliability and validity. Int J Nurs Stud. 2015;52(11):1746–53.PubMedCrossRef Polit DF. Assessing measurement in health: Beyond reliability and validity. Int J Nurs Stud. 2015;52(11):1746–53.PubMedCrossRef
32.
go back to reference Atkinson G, Nevill AM. Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. Sports Med. 1998;26(4):217–38.PubMedCrossRef Atkinson G, Nevill AM. Statistical methods for assessing measurement error (reliability) in variables relevant to sports medicine. Sports Med. 1998;26(4):217–38.PubMedCrossRef
33.
go back to reference Irrgang JJ, Marx RG. Clinical outcomes in sport and exercise physical therapies. In: Kolt GS, Synder-Mackler L, editors. Physical therapies in sports and exercise. 2nd ed. Edinburgh: Elsevier; 2007. p. 206–19. Irrgang JJ, Marx RG. Clinical outcomes in sport and exercise physical therapies. In: Kolt GS, Synder-Mackler L, editors. Physical therapies in sports and exercise. 2nd ed. Edinburgh: Elsevier; 2007. p. 206–19.
34.
go back to reference George D. SPSS for windows step by step: A simple study guide and reference, 17.0 update, 10/e. Pearson Education India; 2011. George D. SPSS for windows step by step: A simple study guide and reference, 17.0 update, 10/e. Pearson Education India; 2011.
35.
go back to reference Bland J, Altman M, Douglas G. Statistics notes: Cronbach’s alpha. BMJ. 1997;314:7080–572. Bland J, Altman M, Douglas G. Statistics notes: Cronbach’s alpha. BMJ. 1997;314:7080–572.
36.
go back to reference Hinman RS, Dobson F, Takla A, O’Donnell J, Bennell KL. Which is the most useful patient-reported outcome in femoroacetabular impingement? Test-retest reliability of six questionnaires. Br J Sports Med. 2014;48(6):458–63.PubMedCrossRef Hinman RS, Dobson F, Takla A, O’Donnell J, Bennell KL. Which is the most useful patient-reported outcome in femoroacetabular impingement? Test-retest reliability of six questionnaires. Br J Sports Med. 2014;48(6):458–63.PubMedCrossRef
37.
go back to reference Marx RG, Menzes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiolog. 2003;56(8):730–5.CrossRef Marx RG, Menzes A, Horovitz L, Jones EC, Warren RF. A comparison of two time intervals for test-retest reliability of health status instruments. J Clin Epidemiolog. 2003;56(8):730–5.CrossRef
38.
go back to reference Shi HY, Mau LW, Chang JK, Wang JW, Chiu HC. Responsiveness of the Harris Hip Score and the SF-36: five years after total hip arthroplasty. Qual Life Res. 2009;18:1053–60.PubMedCrossRef Shi HY, Mau LW, Chang JK, Wang JW, Chiu HC. Responsiveness of the Harris Hip Score and the SF-36: five years after total hip arthroplasty. Qual Life Res. 2009;18:1053–60.PubMedCrossRef
39.
go back to reference Ferris LE, Shamian J, Tudiver F. The Toronto Breast Self-Examination Instrument (TBSEI): its development and reliability and validity data. J Clin Epidemiol. 1991;44:1309–17.PubMedCrossRef Ferris LE, Shamian J, Tudiver F. The Toronto Breast Self-Examination Instrument (TBSEI): its development and reliability and validity data. J Clin Epidemiol. 1991;44:1309–17.PubMedCrossRef
40.
go back to reference Pollard WE, Bobbitt RA, Bergner M, et al. The Sickness Impact Profile: reliability of a health status measure. Med Care. 1976;14:146–55.PubMedCrossRef Pollard WE, Bobbitt RA, Bergner M, et al. The Sickness Impact Profile: reliability of a health status measure. Med Care. 1976;14:146–55.PubMedCrossRef
41.
go back to reference Whalen CC, Antani M, Carey J, et al. An index of symptoms for infection with human immunodeficiency virus: reliability and validity. J Clin Epidemiol. 1994;47:537–46.PubMedCrossRef Whalen CC, Antani M, Carey J, et al. An index of symptoms for infection with human immunodeficiency virus: reliability and validity. J Clin Epidemiol. 1994;47:537–46.PubMedCrossRef
42.
go back to reference Folsom AR, Jacobs DR Jr, Caspersen CJ, et al. Test-retest reliability of the Minnesota Leisure Time Physical Activity Questionnaire. J Chronic Dis. 1986;39:505–11.PubMedCrossRef Folsom AR, Jacobs DR Jr, Caspersen CJ, et al. Test-retest reliability of the Minnesota Leisure Time Physical Activity Questionnaire. J Chronic Dis. 1986;39:505–11.PubMedCrossRef
43.
go back to reference Andresen EM, Bowley N, Rothenberg BM, et al. Test-retest performance of a mailed version of the Medical Outcomes Study 36-Item Short-Form Health Survey among older adults. Med Care. 1996;34:1165–70.PubMedCrossRef Andresen EM, Bowley N, Rothenberg BM, et al. Test-retest performance of a mailed version of the Medical Outcomes Study 36-Item Short-Form Health Survey among older adults. Med Care. 1996;34:1165–70.PubMedCrossRef
44.
go back to reference Shields RK, Enloe LJ, Evans RE, Smith KB, Steckel SD. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995;75(3):169–76 (discussion 176–179).PubMedCrossRef Shields RK, Enloe LJ, Evans RE, Smith KB, Steckel SD. Reliability, validity, and responsiveness of functional tests in patients with total joint replacement. Phys Ther. 1995;75(3):169–76 (discussion 176–179).PubMedCrossRef
Metadata
Title
Translation, cross-cultural adaptation and validation of the Slovenian version of Harris Hip Score
Authors
Petra Josipović
Metka Moharič
Dea Salamon
Publication date
01-12-2020
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2020
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-020-01592-w

Other articles of this Issue 1/2020

Health and Quality of Life Outcomes 1/2020 Go to the issue