Translation, cross‐cultural adaptation and validation of Nepali version of Health Assessment Questionnaire‐Disability Index in rheumatoid arthritis patients from Nepal

Abstract

Objective To translate, cross‐culturally adapt and validate the Health Assessment Questionnaire‐Disability Index (HAQ‐DI) in Nepali language (Nepali HAQ). Methods Translation was done fulfilling the methodological standards described by Beaton. Comprehensibility testing of the preliminary version was done in 50 rheumatoid arthritis (RA) patients, and a prefinal version was prepared after making changes in the original version to maintain the equivalence with the target version. Psychometric testing was done in another group of 127 rheumatoid patients to test for content validity and reliability. Construct validity was tested with visual analog score (VAS) and numeric rating scales (NRS) for pain and stiffness. Results Nepali HAQ was comprehensible in >95% of patients. Reliability testing showed an intraclass coefficient for overall Nepali HAQ of 0.76, ranging from 0.71 to 0.95. The internal consistency was acceptable with a Cronbach's alpha of .92. Construct validity was also acceptable with a moderate correlation between Nepali HAQ and VAS and NRS. Conclusions Nepali HAQ is a comprehensible, reliable and valid tool for evaluation of the functional status of Nepalese patients with RA and should be implemented in clinical care and research settings.

Evaluation of the Psychometric Properties of the Health Assessment Questionnaire (HAQ) in a Population of Individuals With Multiple Sclerosis

“…Furthermore, it is used in most clinical trials and observational outcome studies. To date, the HAQ questionnaire is available in English ( 9 ), Dutch ( 10 ), Swedish ( 11 ), Portuguese (Brasil) ( 12 ), French ( 13 ), Spanish (Mexico) ( 14 ), Spanish (Spain) ( 15 ), Italian ( 16 ), German ( 17 ), Arabic (Kuwait) ( 18 ), Korean ( 19 ), Chinese (Singapore) ( 20 ), Danish ( 21 ), Slovak ( 22 ), Indian ( 23 ), Arabic (Egypt) ( 24 ), Spanish (Argentine) ( 25 ), Estonian ( 26 ), Greek ( 27 ), Thai ( 28 ), Turkish ( 29 ), Bengali ( 30 ), Nepali ( 31 ), Malay ( 32 ), Persian ( 33 ), and Japanese ( 34 ).…”

Content validity of the Brief and Comprehensive ICF Core Sets for common disabling conditions in a developing country

“…To our knowledge, no studies have yet conducted ICF mapping of patient-reported difficulties to analyze the content validity of ICF core sets in South Asia. This raises the question about the generalizability of ICF Core Sets in non-western developing countries, such as Nepal, where items in physical activity/disability questionnaires frequently must be modified to achieve experiential equivalence [15,16]. Problems with the utility of ICF core sets in a developing country such as Nepal may be indicative of a more widespread problem.…”

Avaliação de opiniões e atitudes de profissionais com relação ao transplante intervivos e doação em vida: adaptação transcultural e desenvolvimento de um novo instrumento

“…Há também trabalhos de adaptação para outros contextos e idiomas, como o Health Assessment Questionnaire-Disability Index (HAQ-DI) para uso no Nepal (81) , o Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) para uso na Malasia (82) , o Organizational Readiness for Implementing Change (ORIC) para uso na França (83) , o Victorian Institute of Sport Assessment-Achilles Questionnaire (VISA-A) para uso no Chile (84) , entre outros. observações na prática clínica por parte dos profissionais.…”