Cultural adaptation and validation of the knee injury and osteoarthritis outcome score into Sinhala language in patients with primary knee osteoarthritis: a cross-sectional study.
KOOS
Knee Joint
Osteoarthritis
Sinhala-speaking
Sri Lanka
Validation
Journal
BMC musculoskeletal disorders
ISSN: 1471-2474
Titre abrégé: BMC Musculoskelet Disord
Pays: England
ID NLM: 100968565
Informations de publication
Date de publication:
05 Aug 2024
05 Aug 2024
Historique:
received:
18
05
2024
accepted:
01
08
2024
medline:
6
8
2024
pubmed:
6
8
2024
entrez:
5
8
2024
Statut:
epublish
Résumé
Knee Injury and Osteoarthritis Outcome Score (KOOS) scale is a patient-reported outcome measurement tool. It evaluates both short- and long-term consequences of knee injury and primary osteoarthritis. This study aims to translate and validate the KOOS scale for a Sinhala-speaking Sri Lankan population. A cross sectional study was conducted in three hospitals. Four hundred and fifteen patients comprising 185 males and 227 females (3 subjects did not reveal their gender) with knee osteoarthritis (KOA) participated in the study. Seventy nine participants without KOA were recruited as controls. The functionality and quality of life level in patients and healthy participants were assessed using translated versions of the KOOS and Short Form-36 (SF-36) scales. Internal consistency of the instrument was assessed by Cronbach alpha. Construct validity and test-retest reliability were examined using the Intraclass Correlation Coefficient (ICC). Confirmatory Factor Analysis (CFA) was used to assess factorial validity. The mean age (± sd) of the KOA subjects was 54.9 (± 9.2) years and for the control group was 49.2 (± 8.0) years. Majority of the respondents were female and Sinhalese in both groups. Internal consistency reliability was high (Cronbach's alpha values ≥ 0.70). The test-retest reliability was excellent with the intraclass correlation coefficient for all subscales being above 0.90. Construct validity was assessed by the magnitude of the correlation coefficient between KOOS and SF-36 subscale scores. KOOS Pain scale moderately correlated with SF-36 bodily pain (Pearson's r = 0.41). SF-36 physical function scores had a weak positive correlation with all KOOS subscales and SF-36 emotional wellbeing was not significantly correlated with KOOS Quality of Life (QoL) subscale. A five-factor Confirmatory Factor Analysis (CFA) model yielded a Comparative Fit Index (CFI) = 0.950, Tucker Lewis Index (TLI) = 0.946, Root Mean Square Error of Approximation (RMSEA) = 0.082 and Standardised Root Mean squared Residual (SRMR) = 0.072. The Sinhala translation of the KOOS scale is a reliable and valid instrument to assess KOA in a Sinhala-speaking Sri Lankan population. Studies to assess its use as a scale to evaluate responsiveness are recommended.
Sections du résumé
BACKGROUND
BACKGROUND
Knee Injury and Osteoarthritis Outcome Score (KOOS) scale is a patient-reported outcome measurement tool. It evaluates both short- and long-term consequences of knee injury and primary osteoarthritis. This study aims to translate and validate the KOOS scale for a Sinhala-speaking Sri Lankan population.
METHODS
METHODS
A cross sectional study was conducted in three hospitals. Four hundred and fifteen patients comprising 185 males and 227 females (3 subjects did not reveal their gender) with knee osteoarthritis (KOA) participated in the study. Seventy nine participants without KOA were recruited as controls. The functionality and quality of life level in patients and healthy participants were assessed using translated versions of the KOOS and Short Form-36 (SF-36) scales. Internal consistency of the instrument was assessed by Cronbach alpha. Construct validity and test-retest reliability were examined using the Intraclass Correlation Coefficient (ICC). Confirmatory Factor Analysis (CFA) was used to assess factorial validity.
RESULTS
RESULTS
The mean age (± sd) of the KOA subjects was 54.9 (± 9.2) years and for the control group was 49.2 (± 8.0) years. Majority of the respondents were female and Sinhalese in both groups. Internal consistency reliability was high (Cronbach's alpha values ≥ 0.70). The test-retest reliability was excellent with the intraclass correlation coefficient for all subscales being above 0.90. Construct validity was assessed by the magnitude of the correlation coefficient between KOOS and SF-36 subscale scores. KOOS Pain scale moderately correlated with SF-36 bodily pain (Pearson's r = 0.41). SF-36 physical function scores had a weak positive correlation with all KOOS subscales and SF-36 emotional wellbeing was not significantly correlated with KOOS Quality of Life (QoL) subscale. A five-factor Confirmatory Factor Analysis (CFA) model yielded a Comparative Fit Index (CFI) = 0.950, Tucker Lewis Index (TLI) = 0.946, Root Mean Square Error of Approximation (RMSEA) = 0.082 and Standardised Root Mean squared Residual (SRMR) = 0.072.
CONCLUSION
CONCLUSIONS
The Sinhala translation of the KOOS scale is a reliable and valid instrument to assess KOA in a Sinhala-speaking Sri Lankan population. Studies to assess its use as a scale to evaluate responsiveness are recommended.
Identifiants
pubmed: 39103809
doi: 10.1186/s12891-024-07752-z
pii: 10.1186/s12891-024-07752-z
doi:
Types de publication
Journal Article
Validation Study
Multicenter Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
623Informations de copyright
© 2024. The Author(s).
Références
Arden N, Blanco F, Cooper C, Guermazi A, Hayashi D, Hunter D, et al. Atlas of Osteoarthritis. Tarporley: Springer Healthcare Ltd.; 2014.
doi: 10.1007/978-1-910315-16-3
Symmons D, Mathers C, Pfleger Bruce. & (2003). Global burden of osteoarthritis in the year 2000. WHO global burden of disease. World health report. 2002;5:Version 2.
Cross M, Smith E, Hoy D, Nolte S, Ackerman I, Fransen M, et al. The global burden of hip and knee osteoarthritis: estimates from the global burden of disease 2010 study. Ann Rheum Dis. 2014;73:1323–30.
doi: 10.1136/annrheumdis-2013-204763
pubmed: 24553908
Tong L, Yu H, Huang X, Shen J, Xiao G, Chen L, et al. Current understanding of osteoarthritis pathogenesis and relevant new approaches. Bone Res. 2022;10:60.
doi: 10.1038/s41413-022-00226-9
pubmed: 36127328
pmcid: 9489702
Safiri S, Kolahi AA, Smith E, Hill C, Bettampadi D, Mansournia MA et al. Global, regional and national burden of osteoarthritis 1990–2017: A systematic analysis of the Global Burden of Disease Study 2017. Annals of the Rheumatic Diseases. 2020. https://doi.org/10.1136/annrheumdis-2019-216515
Prashansanie Hettihewa A, Gunawardena NS, Atukorala I, Hassan F, Lekamge IN, Hunter DJ. Prevalence of knee osteoarthritis in a suburban, Srilankan, adult female population: a population-based study. Int J Rheum Dis. 2018;21:394–401.
doi: 10.1111/1756-185X.13225
pubmed: 29210207
Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome score (KOOS)—Development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28:88–96.
doi: 10.2519/jospt.1998.28.2.88
pubmed: 9699158
Bond M, Davis A, Lohmander S, Hawker G. Responsiveness of the OARSI-OMERACT osteoarthritis pain and function measures. Osteoarthr Cartil. 2012;20:541–7.
doi: 10.1016/j.joca.2012.03.001
Perera ELSJ. Ageing population of Sri Lanka: emerging issues, needs and policy implications: thematic report based on census of population and housing 2012. United Nations Population Fund, Sri Lanka; 2017.
Official, KOOS | Knee injury and Osteoarthritis Outcome Score distributed by Mapi Research Trust | ePROVIDE. 2024. https://eprovide.mapi-trust.org/instruments/knee-injury-and-osteoarthritis-outcome-score . Accessed 27 Jul 2024.
Ebrahimi N, Jalaie S, Salsabili N, Ansari NN, Naghdi S. Knee Injury and osteoarthritis outcome score in patients with isolated meniscus injury; validity and reliability. J Res Med Sciences: Official J Isfahan Univ Med Sci. 2017;22.
Mazaheri M, Khorrami M, Salavati M, Akhbari B, Mohammadi F. Knee injury and osteoarthritis outcome score (KOOS); reliability and validity in competitive athletes after anterior cruciate ligament reconstruction. Osteoarthr Cartil. 2011;19:406–10.
doi: 10.1016/j.joca.2011.01.010
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25:3186–91.
doi: 10.1097/00007632-200012150-00014
pubmed: 11124735
Tsang S, Royse CF, Terkawi AS. Guidelines for developing, translating, and validating a questionnaire in perioperative and pain medicine. Saudi J Anaesth. 2017;11:S80–9.
doi: 10.4103/sja.SJA_203_17
pubmed: 28616007
pmcid: 5463570
MacCallum RC, Widaman KF, Zhang S, Hong S. Sample size in factor analysis. Psychol Methods. 1999;4:84–99.
doi: 10.1037/1082-989X.4.1.84
Gunawardena NS, Seneviratne SR, de Atauda A. An approach to validation of a multi-dimensional tool. J Coll Community Physicians Sri Lanka. 2003;8:18–26.
doi: 10.4038/jccpsl.v8i1.8302
McHorney CA, Tarlov AR. Individual-patient monitoring in clinical practice: are available health status surveys adequate? Qual Life Res. 1995;4:293–307.
doi: 10.1007/BF01593882
pubmed: 7550178
Streiner DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency. J Pers Assess. 2003;80:99–103.
doi: 10.1207/S15327752JPA8001_18
pubmed: 12584072
Koo TK, Li MY. A Guideline of selecting and reporting Intraclass correlation coefficients for Reliability Research. J Chiropr Med. 2016;15:155–63.
doi: 10.1016/j.jcm.2016.02.012
pubmed: 27330520
pmcid: 4913118
Palta M, Chen H-Y, Kaplan RM, Feeny D, Cherepanov D, Fryback DG. Standard Error of Measurement of 5 Health Utility Indexes across the range of Health for Use in estimating reliability and responsiveness. Med Decis Mak. 2011;31:260–9.
doi: 10.1177/0272989X10380925
Geerinck A, Alekna V, Beaudart C, Bautmans I, Cooper C, De Souza Orlandi F, et al. Standard error of measurement and smallest detectable change of the Sarcopenia Quality of Life (SarQoL) questionnaire: an analysis of subjects from 9 validation studies. PLoS ONE. 2019;14:e0216065.
doi: 10.1371/journal.pone.0216065
pubmed: 31034498
pmcid: 6488089
De Vet HCW, Terwee CB, Mokkink LB, Knol DL. Measurement in medicine: A practical guide. Measurement in Medicine: A Practical Guide. 2011;:1–338.
Taylor R. Interpretation of the correlation coefficient: a Basic Review. J Diagn Med Sonography. 1990;6:35–9.
doi: 10.1177/875647939000600106
Hu LT. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999;6:1–55.
doi: 10.1080/10705519909540118
Fabrigar LR, Wegener DT, MacCallum RC, Strahan EJ. Evaluating the use of exploratory factor analysis in psychological research. Psychol Methods. 1999;4:272–99.
doi: 10.1037/1082-989X.4.3.272
Rosseel Y. Lavaan: an R Package for Structural equation modeling. J Stat Softw. 2012;48:1–36.
doi: 10.18637/jss.v048.i02
Ministry of Health SL. Body mass index (BMI) – Nutrition Division. https://nutrition.health.gov.lk/english/body-mass-index-bmi/ . Accessed 4 May 2023.
Roos EM, Roos HP, Ekdahl C, Lohmander LS. Knee injury and osteoarthritis outcome score (KOOS) - validation of a Swedish version. Scand J Med Sci Sports. 1998;8:439–48.
doi: 10.1111/j.1600-0838.1998.tb00465.x
pubmed: 9863983
Xie F, Li SC, Roos EM, Fong KY, Lo NN, Yeo SJ, et al. Cross-cultural adaptation and validation of Singapore English and Chinese versions of the knee injury and osteoarthritis outcome score (KOOS) in asians with knee osteoarthritis in Singapore. Osteoarthr Cartil. 2006;14:1098–103.
doi: 10.1016/j.joca.2006.05.005
Ornetti P, Parratte S, Gossec L, Tavernier C, Argenson J-N, Roos EM, et al. Cross-cultural adaptation and validation of the French version of the knee injury and osteoarthritis outcome score (KOOS) in knee osteoarthritis patients. Osteoarthr Cartil. 2008;16:423–8.
doi: 10.1016/j.joca.2007.08.007
Gonçalves RS, Cabri J, Pinheiro JP, Ferreira PL. Cross-cultural adaptation and validation of the Portuguese version of the knee injury and osteoarthritis outcome score (KOOS). Osteoarthr Cartil. 2009;17:1156–62.
doi: 10.1016/j.joca.2009.01.009
Phatama KY, Aziz A, Bimadi MH, Oktafandi IGNAA, Cendikiawan F, Mustamsir E. Knee Injury and Osteoarthritis Outcome score: validity and reliability of an Indonesian version. Ochsner J. 2021;21:63–7.
doi: 10.31486/toj.20.0088
pubmed: 33828426
pmcid: 7993429
Multanen J, Honkanen M, Häkkinen A, Kiviranta I. Construct validity and reliability of the Finnish version of the knee Injury and Osteoarthritis Outcome score. BMC Musculoskelet Disord. 2018;19:1–10.
doi: 10.1186/s12891-018-2078-7
Zulkifli MM, Kadir AA, Elias A, Bea KC, Sadagatullah AN. Psychometric properties of the malay Language Version of knee Injury and Osteoarthritis Outcome score (KOOS) questionnaire among knee osteoarthritis patients: a confirmatory factor analysis. Malaysian Orthop J. 2017;11:7.
doi: 10.5704/MOJ.1707.003
de Groot IB, Favejee MM, Reijman M, Verhaar JAN, Terwee CB. The Dutch version of the knee injury and osteoarthritis outcome score: a validation study. Health Qual Life Outcomes. 2008;6:1–11.
doi: 10.1186/1477-7525-6-16
Salavati M, Mazaheri M, Negahban H, Sohani SM, Ebrahimian MR, Ebrahimi I, et al. Validation of a persian-version of knee injury and osteoarthritis outcome score (KOOS) in iranians with knee injuries. Osteoarthr Cartil. 2008;16:1178–82.
doi: 10.1016/j.joca.2008.03.004
Ateef M, Kulandaivelan S, Alqahtani M. Cross-cultural validation of Urdu Version KOOS in Indian Population with primary knee osteoarthritis. Int J Rheumatol. 2017;2017:1–4.
doi: 10.1155/2017/1206706
Peter M, Fayers DM. Cross-cultural adaptation, reliability, internal consistency and validation of the arabic version of the knee injury and osteoarthritis outcome score (KOOS) for Egyptian people with knee injuries. W.B. Saunders; 2013.
Cheung RTH, Ngai SPC, Ho KKW. Chinese adaptation and validation of the knee Injury and Osteoarthritis Outcome score (KOOS) in patients with knee osteoarthritis. Rheumatol Int. 2016;36:1449–54.
doi: 10.1007/s00296-016-3539-7
pubmed: 27449346