The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients
ABSTRACT BACKGROUND: The High-Activity Arthroplasty Score (HAAS) is a reliable and valid self-administered questionnaire that was developed in British English and was designed to determine the level of physical activity in patients after lower limb arthroplasty (hip and/or knee). The Brazilian vers...
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| Format: | Article |
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Associação Paulista de Medicina
2025-08-01
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| Series: | São Paulo Medical Journal |
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| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802025000400207&lng=en&tlng=en |
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| author | Nathalia Sundin Palmeira de Oliveira Julia Ribeiro Soares Danúbia da Cunha de Sá Caputo Gustavo Leporace Luiz Alberto Batista Themis Moura Cardinot Liszt Palmeira de Oliveira |
| author_facet | Nathalia Sundin Palmeira de Oliveira Julia Ribeiro Soares Danúbia da Cunha de Sá Caputo Gustavo Leporace Luiz Alberto Batista Themis Moura Cardinot Liszt Palmeira de Oliveira |
| author_sort | Nathalia Sundin Palmeira de Oliveira |
| collection | DOAJ |
| description | ABSTRACT BACKGROUND: The High-Activity Arthroplasty Score (HAAS) is a reliable and valid self-administered questionnaire that was developed in British English and was designed to determine the level of physical activity in patients after lower limb arthroplasty (hip and/or knee). The Brazilian version (HAAS-Brazil) was developed after a cross-cultural adaptation in 2023. OBJECTIVE: To evaluate the psychometric properties of HAAS-Brazil in patients after hip arthroplasty. DESIGN AND SETTING: A cross-sectional quantitative and qualitative study was conducted in an orthopedic outpatient setting. METHODS: Evidence for the validity of HAAS-Brazil was assessed via psychometric testing, which followed the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN). RESULTS: A total of 112 patients with a mean age of 56 years were included as participants; of these patients, 50.9% were female, with 44.6% being overweight and 85.7% being engaged in physical activity. HAAS-Brazil provided satisfactory evidence of content validity (CVC > 0.9), structural validity (AISP = 1; Hi > 0.3; VIMon = 0; VIIIO = 0), construct validity (ρ HOS-SP = 0.696; ρ SF-12 PSC = 0.554; ρ SF-1 MSC = 0.338), no ceiling or floor effect, acceptable internal consistency (Mokken ρ = 0.707; Cronbach α = 0.663), and good reliability (ICC(3,K) = 0.840 ; P < 0.001). CONCLUSION: The HAAS-Brazil provided satisfactory validation evidence in patients who underwent hip arthroplasty. |
| format | Article |
| id | doaj-art-0c71ee1a0c7c485582abfa53ca232a1a |
| institution | Kabale University |
| issn | 1806-9460 |
| language | English |
| publishDate | 2025-08-01 |
| publisher | Associação Paulista de Medicina |
| record_format | Article |
| series | São Paulo Medical Journal |
| spelling | doaj-art-0c71ee1a0c7c485582abfa53ca232a1a2025-08-20T04:00:43ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-94602025-08-01143410.1590/1516-3180.2024.0176.27112025The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patientsNathalia Sundin Palmeira de Oliveirahttps://orcid.org/0000-0002-5804-7448Julia Ribeiro Soareshttps://orcid.org/0000-0001-9253-6248Danúbia da Cunha de Sá Caputohttps://orcid.org/0000-0002-9263-1576Gustavo Leporacehttps://orcid.org/0000-0002-7265-4658Luiz Alberto Batistahttps://orcid.org/0000-0002-4609-4095Themis Moura Cardinothttps://orcid.org/0000-0003-4191-0468Liszt Palmeira de Oliveirahttps://orcid.org/0000-0002-9051-937XABSTRACT BACKGROUND: The High-Activity Arthroplasty Score (HAAS) is a reliable and valid self-administered questionnaire that was developed in British English and was designed to determine the level of physical activity in patients after lower limb arthroplasty (hip and/or knee). The Brazilian version (HAAS-Brazil) was developed after a cross-cultural adaptation in 2023. OBJECTIVE: To evaluate the psychometric properties of HAAS-Brazil in patients after hip arthroplasty. DESIGN AND SETTING: A cross-sectional quantitative and qualitative study was conducted in an orthopedic outpatient setting. METHODS: Evidence for the validity of HAAS-Brazil was assessed via psychometric testing, which followed the COnsensus-based Standards for the selection of health status Measurement INstruments (COSMIN). RESULTS: A total of 112 patients with a mean age of 56 years were included as participants; of these patients, 50.9% were female, with 44.6% being overweight and 85.7% being engaged in physical activity. HAAS-Brazil provided satisfactory evidence of content validity (CVC > 0.9), structural validity (AISP = 1; Hi > 0.3; VIMon = 0; VIIIO = 0), construct validity (ρ HOS-SP = 0.696; ρ SF-12 PSC = 0.554; ρ SF-1 MSC = 0.338), no ceiling or floor effect, acceptable internal consistency (Mokken ρ = 0.707; Cronbach α = 0.663), and good reliability (ICC(3,K) = 0.840 ; P < 0.001). CONCLUSION: The HAAS-Brazil provided satisfactory validation evidence in patients who underwent hip arthroplasty.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802025000400207&lng=en&tlng=enArthroplasty, replacement, hipReproducibility of resultsValidation studyPatient-reported outcome measureSportsOutcome measurementReliability and validityPhysical activityExercise |
| spellingShingle | Nathalia Sundin Palmeira de Oliveira Julia Ribeiro Soares Danúbia da Cunha de Sá Caputo Gustavo Leporace Luiz Alberto Batista Themis Moura Cardinot Liszt Palmeira de Oliveira The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients São Paulo Medical Journal Arthroplasty, replacement, hip Reproducibility of results Validation study Patient-reported outcome measure Sports Outcome measurement Reliability and validity Physical activity Exercise |
| title | The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients |
| title_full | The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients |
| title_fullStr | The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients |
| title_full_unstemmed | The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients |
| title_short | The Brazilian version of the High-Activity Arthroplasty Score: psychometric property evaluation in hip replacement patients |
| title_sort | brazilian version of the high activity arthroplasty score psychometric property evaluation in hip replacement patients |
| topic | Arthroplasty, replacement, hip Reproducibility of results Validation study Patient-reported outcome measure Sports Outcome measurement Reliability and validity Physical activity Exercise |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802025000400207&lng=en&tlng=en |
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