Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jun 27;7(1):59.
doi: 10.1186/s41687-023-00604-9.

Arabic translation, cultural adaptation, and validation of the Bristol Impact of Hypermobility questionnaire

Najla Alsiri  1 , Meshal Alhadhoud  2 , Asma Alhumaid  3 , Shea Palmer  4
Affiliations

Arabic translation, cultural adaptation, and validation of the Bristol Impact of Hypermobility questionnaire

Najla Alsiri et al. J Patient Rep Outcomes. .

Abstract

Background: The Bristol Impact of Hypermobility questionnaire (BIoH) is the first condition-specific patient reported outcome measure for people with hypermobility-related conditions. The BIoH original version is in English, which limits its use for patients who speak other languages. The study aimed to translate and culturally adapt the BIoH into Arabic and determine its concurrent validity, reliability, internal consistency and smallest detectable change.

Methods: Forward-backward translation and cross-sectional designs were used. The Ethics Committee of Kuwait Ministry of Health approved the study. Spearman correlation coefficient, intraclass correlation coefficient (ICC), and Cronbach's α were used for statistical analysis. Patients with hypermobility spectrum disorders (HSD) were included, diagnosed using the 2017 classification framework.

Results: 55 HSD patients were included, aged 26.0 (18.0) years old; median (IQR), and 85.5% were women. The BIoH showed very good concurrent validity when correlated with the SF-12 total and physical component scores; r = -0.743 and - 0.740, respectively (p < 0.05). Good correlation was identified between the BIoH and the SF-12 mental component score; r = -0.496 (p < 0.05). The BIoH demonstrated excellent test-retest reliability; ICC = 0.934 (0.749-0.983 95% CI) (p < 0.05), and high internal consistency (Cronbach's α = 0.933). The smallest detectable change was 30.90 points, representing 19.8% of the mean baseline score.

Conclusions: The study successfully translated the BIoH into Arabic and demonstrated high psychometric properties. The translated score can help Arabic patients with HSD in their clinical evaluation process. Future research needs to determine the responsiveness of the Arabic version and translate the BIoH to other languages.

Keywords: Connective tissue disorders; Ehlers-Danlos syndrome; Hypermobility; Laxity.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Fig. 1
Fig. 1
Scatterplots for the correlations between the bristol impact of hypermobility (BIoH) questionnaire and the SF-12 total score, physical component score (PCS), and mental component score (MCS)
See this image and copyright information in PMC

References

    1. -Narcisi P, Richards A, Ferguson S, Pope F. A family with Ehlers-Danlos syndrome type III/ articular hypermobility syndrome has a glycine 637 to serine substitution in type III collagen. Hum Mol Genet. 1994;3:1617–1620. doi: 10.1093/hmg/3.9.1617. - DOI - PubMed
    1. -Hakim A, Grahame R. Joint hypermobility. Best Pract Res Clin Rheumatol. 2003;17(6):989–1004. doi: 10.1016/j.berh.2003.08.001. - DOI - PubMed
    1. -Hakim A, Cherkas L, Grahame R, Spector T, MacGregor A. The genetic epidemiology of joint hypermobility: a population study of females twins. Arthr Rhuem. 2004;50(8):2640–2644. doi: 10.1002/art.20376. - DOI - PubMed
    1. -Malfait F, Hakim A, Paepe A, Grahame R. The genetic basis of the joint hypermobility syndromes. Rheumatology (Oxford) 2006;45(5):502–507. doi: 10.1093/rheumatology/kei268. - DOI - PubMed
    1. -Simmonds J, Keer R. Hypermobility and the hypermobility syndrome. Man Therap. 2007;12:298–309. doi: 10.1016/j.math.2007.05.001. - DOI - PubMed

LinkOut - more resources