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Development of a French version of the Endometriosis Health Profile 5 (EHP-5): cross-cultural adaptation and psychometric evaluation

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Abstract

Purpose

The Endometriosis Health Profile 5 (EHP-5) is a short version of an endometriosis-specific quality of life questionnaire. The objective of the study was to assess the psychometric validity of its French version.

Methods

A total of 125 patients with histologically proven endometriosis who underwent surgery for painful symptoms and 80 asymptomatic controls completed the EHP-5. Principal components analysis was performed to determine the dimensions of the instrument. Internal consistency was assessed using Cronbach’s alpha. Construct validity was assessed by testing the relationship between the EHP-5 and the characteristics of endometriosis.

Results

For each item of EHP-5, endometriosis patients scored significantly higher than control women (p > 0.0001). Eleven items of the EHP-5 were unidimensional with excellent internal consistency (Cronbach’s alpha = 0.92), and a summary aggregated index was then constructed. The EHP-5 index was sensitive to the presence of endometriosis, the type, location, severity of the disease, and pain or infertility as the main complaint with effect sizes ranging from 0.48 (95 % CI 0.11–0.85) for superficial endometriosis to 2.56 (95 % CI 2.18–2.93) for deeply infiltrating endometriosis.

Conclusion

The French version of EHP-5 is valid and can be used for reporting patient-orientated outcome in future studies of French-speaking patients with endometriosis.

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Acknowledgments

This study was partly funded by the French public funding agency Délégation à la Recherche Clinique et à l’Innovation (DRCI), Versailles, France.

Author information

Authors and Affiliations

  1. Department of Gynecology and Obstetrics, Centre Hospitalier Intercommunal de Poissy – Saint-Germain, 10 rue du Champ Gaillard, 78103, Poissy, France

    Arnaud Fauconnier, Cyrille Huchon & Laura Chaillou

  2. Research Unit EA7285, Risk and Safety in Clinical Medicine for Women and Perinatal Health, Versailles St-Quentin University, Montigny-le-Bretonneux, France

    Arnaud Fauconnier, Cyrille Huchon & Gabrielle Aubry

  3. Department of Gynecology and Obstetrics, Centre Hospitalier André Mignot, Versailles, France

    Frederique Renouvel & Pierre Panel

Authors
  1. Arnaud Fauconnier
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  2. Cyrille Huchon
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  3. Laura Chaillou
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  4. Gabrielle Aubry
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  5. Frederique Renouvel
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  6. Pierre Panel
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Corresponding author

Correspondence to Arnaud Fauconnier.

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Conflict of interest

All Authors declare that they no conflict of interest.

Compliance with ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. The 11th ethics research committee of Ile-de-France considered that our study involved no intervention and was thus exempt from the French statute on biomedical research (modified version of Law 2004-806, dated August 9, 2004). We complied with all French statutes concerning patient data, confidentiality, and restrictions.

Appendix

Appendix

See Table 3.

Table 3 Eleven items of the English and French version of the Endometriosis Health Profile 5
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Fauconnier, A., Huchon, C., Chaillou, L. et al. Development of a French version of the Endometriosis Health Profile 5 (EHP-5): cross-cultural adaptation and psychometric evaluation. Qual Life Res 26, 213–220 (2017). https://doi.org/10.1007/s11136-016-1346-y

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  • DOI: https://doi.org/10.1007/s11136-016-1346-y

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