Translation and Cross-Cultural Adaptation into French of the Harris Hip Score and the Modified Harris Hip Score

Abstract

Purpose

The objective of this study was to develop a cross-cultural adaptation and translation into French of the original Harris Hip Score (HHS) and the modified Harris Hip Score (mHHS).

Patients and Methods

The translation and cultural-adaptation of the questionnaire were performed following a 10-step process as recommended by the International Society for Pharmacoeconomics and Outcomes Research (ISPOR). During the cognitive debriefing, each item of the questionnaire has been rated between 1 and 10 according to the comprehension level of 8 patients who underwent total hip arthroplasty.

Results

The cross-cultural adaptation process required the modification of the walking distance item by converting the number of blocks into meters but also in walking time (minutes). All the different steps have been performed without any other important changes on the translated questionnaire which has been found highly understandable by interviewed patients (9.6 ± 1.1).

Conclusion

This study successfully reports the French version development of the original HHS (HHS-Fr) and its modified patient-reported version (mHHS-Fr), thereby providing to clinicians a standardised version for the evaluation of French-speaking patients suffering from hip osteoarthritis.

Graphical Abstract

Keywords:

• hip
• PROM
• patient-reported outcome measure
• osteoarthritis
• French

Abbreviations

HHS, Harris Hip Score; HHS-Fr, French version of the Harris Hip Score; ISPOR, International Society for Pharmacoeconomics and Outcomes Research; mHHS, Modified Harris Hip Score; mHHS-Fr, French version of the Modified Harris Hip Score; OA, Osteoarthritis; PM, Project Manager; PROM, Patient-reported Outcome Measure; THA, Total Hip Arthroplasty; T1 and T2, Translators performing V1 and V2; T3 and T4, Translators performing V3 and V4; VBHC, Value-based Healthcare; VF, Final French version; V1 and V2, Adaptation from English to French; V3, French resulting version; V3 and V4, Adaptation from French resulting to English.

Data Sharing Statement

The dataset used and analyzed during the current study is available from the corresponding author on reasonable request.

Ethics Approval and Informed Consent

This study does not rely on patient health data. However, interviewed patients provided their written informed consent for the use of their answers for research purposes.

Disclosure

The authors report no conflicts of interest in this work.

Additional information

Funding

There is no funding to report.