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The Russian-Language Version of the HOOS Questionnaire for Assessing Hip Joint Condition: Cross-Cultural Adaptation, Validation, and Testing

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1. Title Title of document The Russian-Language Version of the HOOS Questionnaire for Assessing Hip Joint Condition: Cross-Cultural Adaptation, Validation, and Testing
2. Creator Author's name, affiliation, country Anzhela S. Mulyk; N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Russian Federation
2. Creator Author's name, affiliation, country Tatiana I. Ionova; N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Russian Federation
2. Creator Author's name, affiliation, country Tatiana P. Nikitina; N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Russian Federation
2. Creator Author's name, affiliation, country Anton A. Akulaev; N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Russian Federation
2. Creator Author's name, affiliation, country Aleksandr V. Gubin; N.I. Pirogov Clinic of High Medical Technologies, Saint Petersburg State University; Russian Federation
3. Subject Discipline(s)
3. Subject Keyword(s) HOOS questionnaire; Russian-language version; validation; testing; hip osteoarthritis; quality of life
4. Description Abstract

Background. Patient-reported outcomes (PRO) play a significant role in interpreting treatment results. The HOOS is a popular patient-completed questionnaire used to assess hip joint function and quality of life. To date, there is no official Russian version of HOOS that has undergone all the language adaptation and validation procedures.

The aim of the study — to perform the cross-cultural and linguistic adaptation of the HOOS questionnaire for assessing quality of life in patients with hip joint pathology, as well as to validate the Russian version of the questionnaire, and test it in patients with hip osteoarthritis undergoing surgical treatment.

Methods. The study included 125 patients with hip osteoarthritis requiring surgical treatment. The first stage involved translating the questionnaire into Russian. The second stage involved validating the Russian version of HOOS to assess its reliability, validity, and sensitivity. Statistical analysis included calculation of Cronbach’s alpha, ICC correlations, application of the Wilcoxon signed-rank test for paired comparisons in related groups, and the Spearman’s rank correlation coefficient. Results. The values of Cronbach’s alpha for certain domains of HOOS ranged from 0.92 to 0.98, indicating good internal consistency of the questionnaire. The reproducibility of the questionnaire was evidenced by a significant correlation between domain scores upon retesting (ICC>0.7; p<0.001). Acceptable convergent and content validity of the questionnaire, as well as its sensitivity to changes in hip joint function post-surgery were demonstrated. The results of the HOOS questionnaire testing showed its informative value for assessing hip joint function before and after surgery.

Conclusion. The findings indicate the reliability, validity, and sensitivity of the Russian-language version of HOOS, as well as its suitability for assessing the hip joint condition in patients undergoing surgical treatment.

5. Publisher Organizing agency, location Vreden National Medical Research Center of Traumatology and Orthopedics
6. Contributor Sponsor(s)
7. Date (DD-MM-YYYY) 11.06.2025
8. Type Status & genre Peer-reviewed Article
8. Type Type Research Article
9. Format File format PDF (Rus),
10. Identifier Uniform Resource Identifier https://journal.rniito.org/jour/article/view/17627
10. Identifier Digital Object Identifier (DOI) 10.17816/2311-2905-17627
10. Identifier Digital Object Identifier (DOI) (PDF (Rus)) 10.17816/2311-2905-17627-1933
11. Source Title; vol., no. (year) Traumatology and Orthopedics of Russia; Vol 31, No 2 (2025)
12. Language English=en ru
13. Relation Supp. Files Приложение 1. Опросник для оценки состояния тазобедренного сустава HOOS (463KB) doi: 10.17816/2311-2905-17627-151571
Приложение 2. Распределение пациентов с коксартрозом по степени выраженности проблем для каждого вопроса HOOS в группе больных, заполнивших опросник до и после операции (450KB) doi: 10.17816/2311-2905-17627-151572
Figure 1. Mean scores for the HOOS questionnaire domains before and after surgery (36KB) doi: 10.17816/2311-2905-17627-151666
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
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