Cross-Cultural Adaptation and Validation of the Arabic Version of the Harris Hip Score

Ibrahim Alshaygy; Musab Alageel; Abdulaziz Aljurayyan; Abdulrahman Alaseem; Anthony Griffen; Orfan Arafah; Ahmed Bin Nasser; Abdulaziz Alsudairi; Mohammed Alsubaie; Nada Alyousef; Yasmeen Almousa; Khalid Murrad; Fawzi Aljassir

doi:10.1016/j.artd.2022.07.006

Cross-Cultural Adaptation and Validation of the Arabic Version of the Harris Hip Score

Arthroplast Today. 2022 Nov 4:19:100990. doi: 10.1016/j.artd.2022.07.006. eCollection 2023 Feb.

Affiliations

¹ Orthopedic Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
² College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
³ Musculoskeletal Oncology Onit, Orthopedic Surgery, Mount Sinai Hospital, Toronto, Canada.
⁴ Prince Mohammed Bin Abdelaziz Hospital, Riyadh, Saudi Arabia.
⁵ College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Abstract

Background: The Harris Hip Score (HHS) questionnaire has been translated and validated into many languages including Italian, Portuguese, and Turkish but not Arabic. The goal of this study was to translate HHS into the Arabic language with cross-cultural adaptation to include and benefit Arabic speaking communities as it is the most widely used instrument for disease-specific hip joint evaluation and measurement of total hip arthroplasty outcome.

Methods: This questionnaire was translated following a clear and user-friendly guideline protocol. The Cronbach's alpha was used to assess the reliability and internal consistency of the items of HHS. Additionally, the constructive validity of HHS was evaluated against the 36-Item Short Form Survey (SF-36).

Results: A total of 100 participants were included in this study, of which 30 participants were re-evaluated for reliability testing. Cronbach's alpha of the total score of Arabic HHS is 0.528, and after the standardization, it changed to 0.742 which is within the recommended range (0.7-0.9). Lastly, the correlation between HHS and SF-36 was r = 0.71 (P < .001) which represents a strong correlation between the Arabic HHS and SF-36.

Conclusions: Based on the results, we believe that the Arabic HHS can be used by clinicians, researchers, and patients to evaluate and report hip pathologies and total hip arthroplasty treatment efficacy.

Keywords: Arthroplasty; Harris hip score; Hip; Osteoarthritis.