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. 2023 Aug 29;24(1):687.
doi: 10.1186/s12891-023-06823-x.

Translation and psychometric evaluation of the Persian version of Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS)

Hooman Minoonejad  1 , Mohammad Amin Henteh  2 , Roshanak Keshavarz  3 , Mehdi Safarzadeh  1 , Ali Montazeri  4   5
Affiliations

Translation and psychometric evaluation of the Persian version of Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS)

Hooman Minoonejad et al. BMC Musculoskelet Disord. .

Abstract

Background: The present study aimed to translate and validate the Knee Outcome Survey-Activities of Daily Living Scale (KOS-ADLS) in Iran.

Methods: Following standard forward and backward translation procedure, content and face validity were tested by specialists and a sample of 32 patients. Then, in a cross sectional study, a sample of patients with knee disorders, recruited through simple sampling, completed the KOS-ADLS and the Short-Form Health Survey (SF-36) in their first visit to physiotherapy clinics in Tehran. Regarding construct validity, the Spearman's correlation (rs) and one-way ANOVA were employed to evaluate the correlations between the Persian KOS-ADLS and SF-36 subscales (convergent validity) and known groups comparison, respectively. Test-retest reliability and internal consistency were evaluated by intraclass correlation coefficient (ICC) and the Cronbach's α coefficient.

Results: In total 101 patients were included in the study. The mean age of patients was 42.39 (SD = 9.2). The finding indicated that the KOS-ADLS had strong correlations with SF-36 physical functioning, bodily pain subscales, and also physical component summary while it had lower correlations with other subscales of the SF-36 as expected. The KOS-ADLS was able to differentiate between the subgroups of patients who differed in BMI. The acceptable level of intraclass correlation coefficient (ICC = 0.91) and Cronbach's α coefficient (α = 0.91) was obtained for the Persian KOS-ADLS. Also no floor and ceiling effects were observed for the questionnaire.

Conclusions: The Persian version of KOS-ADLS was found to be a reliable and valid outcome measure for assessing daily living activities in patients who suffer from knee pathological conditions.

Keywords: ADLS; Cross-cultural adaptation; Knee outcome survey; Persian version; Reliability; Validation.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Fig. 1
Fig. 1
Translation of KOS-ADLS English into Persian
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References

    1. Bindawas SM, Vennu V, Auais M. Health-related quality of life in older adults with bilateral knee pain and back pain: data from the Osteoarthritis Initiative. Rheumatol Int. 2015;35:2095–2101. doi: 10.1007/s00296-015-3309-y. - DOI - PMC - PubMed
    1. Bouzubar FF, Aljadi SH, Alotaibi NM, Irrgang JJ. Cross-cultural adaptation and validation of the Arabic version of the knee outcome survey-activities for daily living scale. Disabil Rehabil. 2018;40(15):1817–1828. doi: 10.1080/09638288.2017.1313319. - DOI - PubMed
    1. Szczepanik M, Bejer A, Snela S, Szymczyk D, Jabłoński J, Majewska J, et al. Polish cross-cultural adaptation and validation of the knee outcome survey activities of daily living scale (KOS-ADLS) in patients undergoing total knee arthroplasty. Med Sci Monit. 2018;24:5309. doi: 10.12659/MSM.908094. - DOI - PMC - PubMed
    1. Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833–1840. - PubMed
    1. Roos EM, Roos HP, Lohmander LS, Ekdahl C, Beynnon BD. Knee Injury and Osteoarthritis Outcome score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther. 1998;28(2):88–96. doi: 10.2519/jospt.1998.28.2.88. - DOI - PubMed

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