Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS)
Abstract Background Chronic hip joint disease has a high prevalence in China, and the primary scale currently used to assess functional recovery after total hip arthroplasty (THA) is the Hip disability and Osteoarthritis Outcome Score - Physical Function Short-form (HOOS-PS). Therefore, our objectiv...
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2025-08-01
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| Series: | BMC Musculoskeletal Disorders |
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| Online Access: | https://doi.org/10.1186/s12891-025-09009-9 |
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| author | Mengyuan He Benjing Song Hongbao Hu Dongfa Liao Lin Cui Li Yin Lin Wu Amuyida Shihong Li Yingchao Tang Jianxiang Long Qingyun Xie Wei Wang |
| author_facet | Mengyuan He Benjing Song Hongbao Hu Dongfa Liao Lin Cui Li Yin Lin Wu Amuyida Shihong Li Yingchao Tang Jianxiang Long Qingyun Xie Wei Wang |
| author_sort | Mengyuan He |
| collection | DOAJ |
| description | Abstract Background Chronic hip joint disease has a high prevalence in China, and the primary scale currently used to assess functional recovery after total hip arthroplasty (THA) is the Hip disability and Osteoarthritis Outcome Score - Physical Function Short-form (HOOS-PS). Therefore, our objective was to translate the HOOS-PS scale into Simplified Chinese and evaluate its reliability, validity, and responsiveness in THA patients. Methods First, we followed the widely accepted cross-cultural translation process to translate the original HOOS-PS into the Chinese version of HOOS-PS (CHOOS-PS). Then, we recruited patients with chronic hip joint disease who were scheduled to undergo THA to complete the Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Oxford Hip Score (OHS), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and CHOOS-PS scales. Subsequently, we calculated the standardized response mean (SRM), effect size (ES), Spearman correlation coefficient (r s ), standard error of measurement (SEM), intraclass correlation coefficient (ICC), Cronbach’s alpha coefficient, and confirmatory factor analysis (CFA) based on the scale scores. Result Ultimately, 142, 138, and 109 patients completed the scale assessments at three stages. The results showed that CHOOS-PS has excellent test-retest reliability (ICC = 0.848–0.919) and good internal consistency (Cronbach’s alpha = 0.892). The CHOOS-PS questionnaire demonstrated excellent correlation with the OHS scale (r s = 0.874), good correlation with all three subscales of the WOMAC (r s = 0.638–0.764), moderate to good correlation with the physical dimensions of the SF-36 (r s = 0.424–0.693), and poor to fair correlation with the mental dimensions of the SF-36 (r s = 0.165–0.319). The CFA results showed a good fit (root mean square error of approximation (RMSEA) = 0.050, the comparative fit index (CFI) = 0.995, and the Tucher-Lewis Index (TLI) value = 0.991). These results indicate that the HOOS-PS scale has good construct validity. Additionally, CHOOS-PS showed good responsiveness (ES = 1.93, SRM = 1.88). Conclusion The CHOOS-PS scale is a reliable tool for evaluating the functional outcomes of Chinese patients with chronic hip joint disease after THA. |
| format | Article |
| id | doaj-art-6192e2d34b844d3e808662ef5446b404 |
| institution | DOAJ |
| issn | 1471-2474 |
| language | English |
| publishDate | 2025-08-01 |
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| series | BMC Musculoskeletal Disorders |
| spelling | doaj-art-6192e2d34b844d3e808662ef5446b4042025-08-20T03:07:26ZengBMCBMC Musculoskeletal Disorders1471-24742025-08-012611910.1186/s12891-025-09009-9Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS)Mengyuan He0Benjing Song1Hongbao Hu2Dongfa Liao3Lin Cui4Li Yin5Lin Wu6Amuyida7Shihong Li8Yingchao Tang9Jianxiang Long10Qingyun Xie11Wei Wang12Department of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The First Veterans Hospital of Sichuan ProvinceDepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Hepatobiliary, Chongqing Emergency Medical Center, School of Medicine, Chongqing University Central Hospital, Chongqing UniversityDepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLADepartment of Orthopedics, The General Hospital of Western Theater Command PLAAbstract Background Chronic hip joint disease has a high prevalence in China, and the primary scale currently used to assess functional recovery after total hip arthroplasty (THA) is the Hip disability and Osteoarthritis Outcome Score - Physical Function Short-form (HOOS-PS). Therefore, our objective was to translate the HOOS-PS scale into Simplified Chinese and evaluate its reliability, validity, and responsiveness in THA patients. Methods First, we followed the widely accepted cross-cultural translation process to translate the original HOOS-PS into the Chinese version of HOOS-PS (CHOOS-PS). Then, we recruited patients with chronic hip joint disease who were scheduled to undergo THA to complete the Western Ontario and McMaster Universities Arthritis Index (WOMAC), the Oxford Hip Score (OHS), Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) and CHOOS-PS scales. Subsequently, we calculated the standardized response mean (SRM), effect size (ES), Spearman correlation coefficient (r s ), standard error of measurement (SEM), intraclass correlation coefficient (ICC), Cronbach’s alpha coefficient, and confirmatory factor analysis (CFA) based on the scale scores. Result Ultimately, 142, 138, and 109 patients completed the scale assessments at three stages. The results showed that CHOOS-PS has excellent test-retest reliability (ICC = 0.848–0.919) and good internal consistency (Cronbach’s alpha = 0.892). The CHOOS-PS questionnaire demonstrated excellent correlation with the OHS scale (r s = 0.874), good correlation with all three subscales of the WOMAC (r s = 0.638–0.764), moderate to good correlation with the physical dimensions of the SF-36 (r s = 0.424–0.693), and poor to fair correlation with the mental dimensions of the SF-36 (r s = 0.165–0.319). The CFA results showed a good fit (root mean square error of approximation (RMSEA) = 0.050, the comparative fit index (CFI) = 0.995, and the Tucher-Lewis Index (TLI) value = 0.991). These results indicate that the HOOS-PS scale has good construct validity. Additionally, CHOOS-PS showed good responsiveness (ES = 1.93, SRM = 1.88). Conclusion The CHOOS-PS scale is a reliable tool for evaluating the functional outcomes of Chinese patients with chronic hip joint disease after THA.https://doi.org/10.1186/s12891-025-09009-9HOOS-PS scaleChinese versionValidation |
| spellingShingle | Mengyuan He Benjing Song Hongbao Hu Dongfa Liao Lin Cui Li Yin Lin Wu Amuyida Shihong Li Yingchao Tang Jianxiang Long Qingyun Xie Wei Wang Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS) BMC Musculoskeletal Disorders HOOS-PS scale Chinese version Validation |
| title | Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS) |
| title_full | Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS) |
| title_fullStr | Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS) |
| title_full_unstemmed | Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS) |
| title_short | Adaptation and psychometric evaluation of the Chinese version of the hip disability and osteoarthritis outcome Score–Physical function Short-form (HOOS-PS) |
| title_sort | adaptation and psychometric evaluation of the chinese version of the hip disability and osteoarthritis outcome score physical function short form hoos ps |
| topic | HOOS-PS scale Chinese version Validation |
| url | https://doi.org/10.1186/s12891-025-09009-9 |
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