Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study

Introduction: Hematopoietic stem cell transplantation (HSCT) is a treatment option for patients with hematologic malignancies. The aim of this study is to validate the Hematopoietic Cell Transplantation Frailty Scale in a Chilean population. Methods: This was a cross-sectional scale validation study...

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Main Authors: Luz Lorca, Barbara Puga Larrain, Ivana Leao Ribeiro, Ivana Gonzalez Valdivia, Angelia Fernández Hermoso, Francisca Bass Maturana, Francisco Canelo Lazcano
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Hematology, Transfusion and Cell Therapy
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Online Access:http://www.sciencedirect.com/science/article/pii/S2531137925002019
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author Luz Lorca
Barbara Puga Larrain
Ivana Leao Ribeiro
Ivana Gonzalez Valdivia
Angelia Fernández Hermoso
Francisca Bass Maturana
Francisco Canelo Lazcano
author_facet Luz Lorca
Barbara Puga Larrain
Ivana Leao Ribeiro
Ivana Gonzalez Valdivia
Angelia Fernández Hermoso
Francisca Bass Maturana
Francisco Canelo Lazcano
author_sort Luz Lorca
collection DOAJ
description Introduction: Hematopoietic stem cell transplantation (HSCT) is a treatment option for patients with hematologic malignancies. The aim of this study is to validate the Hematopoietic Cell Transplantation Frailty Scale in a Chilean population. Methods: This was a cross-sectional scale validation study. The sample consisted of patients with various hematologic malignancies who were transplantation candidates. The study had two stages: (1) translation (forward and backward) and (2) psychometric analysis, including face validity, test-retest reliability, and content validity. Descriptive analyses included mean, standard deviation, and the 95 % confidence interval. Reliability was assessed with Spearman's correlation, and content validity used Kendall's W test. Results: Fifty-four patients (53.7 % women) were included, with multiple myeloma being the most frequent diagnosis (33.3 %). Positive and strong correlations were identified (Spearman's Rho [ρ]: 1.0; p-value <0.001) for all items on the scale. Regarding content validity, there was agreement among evaluators for the categories of relevance and coherence (p-value <0.01; Kendall's W range: 0.13–0.17) but not for “clarity” (p-value = 0.11; Kendall's W: 0.07). Some terms in the content were adjusted without affecting the overall structure of the scale. In the retest analysis, descriptive values were similar to the initial test. Conclusion: The Spanish version of the Hematopoietic Cell Transplantation Frailty Scale for Chile is conceptually and linguistically equivalent to the original instrument. Additionally, it demonstrated adequate psychometric properties in terms of validity and reliability.
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spelling doaj-art-1aa0a5ce679c4ccfb663d8a170d8618e2025-08-20T03:38:59ZengElsevierHematology, Transfusion and Cell Therapy2531-13792025-07-0147310393310.1016/j.htct.2025.103933Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational studyLuz Lorca0Barbara Puga Larrain1Ivana Leao Ribeiro2Ivana Gonzalez Valdivia3Angelia Fernández Hermoso4Francisca Bass Maturana5Francisco Canelo Lazcano6Department of Physical Medicine and Rehabilitation, Hospital del Salvador, Santiago, Chile; Corresponding author. Hospital del Salvador, Servicio de Salud Metropolitano Oriente, Santiago de Chile.Department of Intensive Hematology, Hospital del Salvador, Santiago, ChileFaculty of Healthy Sciences, Universidad Católica del Maule, Talca, Chile; Faculty of Healthy, Universidad Santo Tomás, Talca, ChileDepartment of Physical Medicine and Rehabilitation, Hospital del Salvador, Santiago, ChileDepartment of Intensive Hematology, Hospital del Salvador, Santiago, ChileDepartment of Intensive Hematology, Hospital del Salvador, Santiago, ChileDepartment of Intensive Hematology, Hospital del Salvador, Santiago, ChileIntroduction: Hematopoietic stem cell transplantation (HSCT) is a treatment option for patients with hematologic malignancies. The aim of this study is to validate the Hematopoietic Cell Transplantation Frailty Scale in a Chilean population. Methods: This was a cross-sectional scale validation study. The sample consisted of patients with various hematologic malignancies who were transplantation candidates. The study had two stages: (1) translation (forward and backward) and (2) psychometric analysis, including face validity, test-retest reliability, and content validity. Descriptive analyses included mean, standard deviation, and the 95 % confidence interval. Reliability was assessed with Spearman's correlation, and content validity used Kendall's W test. Results: Fifty-four patients (53.7 % women) were included, with multiple myeloma being the most frequent diagnosis (33.3 %). Positive and strong correlations were identified (Spearman's Rho [ρ]: 1.0; p-value <0.001) for all items on the scale. Regarding content validity, there was agreement among evaluators for the categories of relevance and coherence (p-value <0.01; Kendall's W range: 0.13–0.17) but not for “clarity” (p-value = 0.11; Kendall's W: 0.07). Some terms in the content were adjusted without affecting the overall structure of the scale. In the retest analysis, descriptive values were similar to the initial test. Conclusion: The Spanish version of the Hematopoietic Cell Transplantation Frailty Scale for Chile is conceptually and linguistically equivalent to the original instrument. Additionally, it demonstrated adequate psychometric properties in terms of validity and reliability.http://www.sciencedirect.com/science/article/pii/S2531137925002019Hematopoietic progenitor cell transplantationFrailtyFunctionalityValidation studyHCT Frailty Scale
spellingShingle Luz Lorca
Barbara Puga Larrain
Ivana Leao Ribeiro
Ivana Gonzalez Valdivia
Angelia Fernández Hermoso
Francisca Bass Maturana
Francisco Canelo Lazcano
Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study
Hematology, Transfusion and Cell Therapy
Hematopoietic progenitor cell transplantation
Frailty
Functionality
Validation study
HCT Frailty Scale
title Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study
title_full Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study
title_fullStr Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study
title_full_unstemmed Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study
title_short Translation, cross-cultural adaptation, and validation of the HCT frailty scale for hematopoietic stem cell transplant candidates: an observational study
title_sort translation cross cultural adaptation and validation of the hct frailty scale for hematopoietic stem cell transplant candidates an observational study
topic Hematopoietic progenitor cell transplantation
Frailty
Functionality
Validation study
HCT Frailty Scale
url http://www.sciencedirect.com/science/article/pii/S2531137925002019
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