Abstract
Purpose
The Knee Injury Osteoarthritis Outcome Score (KOOS) questionnaire is one of the frequently used outcome scores in pediatric studies. However, a recent study demonstrated that the pediatric population had a limited understanding of some of its questions. Therefore, the KOOS-Child questionnaire was developed specifically for this population. Our team produced a French adaptation based on the English version. The objective of the current study was to validate the French adaptation of the KOOS-Child questionnaire.
Methods
After ethic board approval, the questionnaire was translated from English to French by two French speaking orthopedic surgeons. Following consensus, the translated version was retranslated to English by a professional translator. A group of experts compared the original and back translated version and decided on a final adapted questionnaire version. Ninety-nine 8–16 year-old patients were prospectively recruited from our pediatric orthopedic surgery clinic. Twenty-one control participants and 78 patients suffering from knee pain were recruited. The participants were asked to answer the translated French version of the KOOS-Child questionnaire and two validated French pediatric quality of life surveys.
Results
Statistical analysis demonstrated no statistically significant demographic difference between the control population and the patients suffering from a knee pathology. The mean for the five different domains of the KOOS-Child questionnaire showed statistical differences (p < 0.001) between the two groups. Construct validity was demonstrated through testing of previously validated hypothesis of correlation. Internal consistency was also confirmed in injured patients.
Conclusions
In conclusion, the current study results demonstrate good to excellent internal consistency, good construct validity and inconclusive discriminant capacity of the French adaptation of the KOOS-Child questionnaire.
Level of evidence
II.
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Abbreviations
- KOOS and KOOS-Child:
-
Knee Osteoarthritis Outcome Score-Child
- ADL:
-
Activity of daily Living
- CHAQ:
-
Childhood Health Assessment Questionnaire
- BMI:
-
Body mass index
- WHO:
-
World Health Organization
References
Ardern CL, Ekås G, Grindem H et al (2018) International olympic committee consensus statement on prevention, diagnosis, and management of pediatric anterior cruciate ligament injuries. Knee Surg Sports Traumatol Arthrosc 26(4):989–1010
Baldwin JN, McKay MJ, Simic M et al (2017) Self-reported knee pain and disability among healthy individuals: reference data and factors associated with the Knee injury and Osteoarthritis Outcome Score (KOOS) and KOOS-Child. Osteoarthr Cartil 25(8):1282–1290
Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191
Beauséjour M, Joncas J, Goulet L et al (2009) Reliability and validity of adapted French-Canadian version of Scoliosis Research Society Outcomes Questionnaire (SRS-22) in Quebec. Spine 34(6):623–628
EQ-5D instruments (2018) EuroQol Group, Rotterdam: https://euroqol.org/eq-5d-instruments/. Accessed 15 Jan 2018
Government of Canada: What a difference sex and gender make: a gender, sex and health research casebook—CIHR (2012) Government of Canada CI of HR, Ottawa. http://www.cihr-irsc.gc.ca/e/44734.html. Accessed 24 Sept 2018
Kline P (2000) The handbook of psychological testing, 2nd edn. Routledge, London
kooschildusersguide.pdf website (2013). http://www.koos.nu/kooschildusersguide.pdf. Accessed 15 Nov 2013
Örtqvist M, Roos EM, Broström EW (2012) Development of the Knee Injury and Osteoarthritis Outcome Score for children (KOOS-Child): comprehensibility and content validity. Acta Orthop 83(6):666–673
Örtqvist M, Iversen MD, Janarv P-M (2014) Psychometric properties of the Knee injury and Osteoarthritis Outcome Score for Children (KOOS-Child) in children with knee disorders. Br J Sports Med 48(19):1437–1446
Pouchot J, Larbre J-P, Lemelle I, Sommelet D, Grouteau E, David L et al (2002) Validation de la version française du Childhood Health Assessment Questionnaire (CHAQ) dans les arthrites juvéniles idiopathiques. Revue du Rhumatisme 69(9):898–914
Roos EM, Roos HP, Lohmander LS (1998) Knee Injury and Osteoarthritis Outcome Score (KOOS)—development of a self-administered outcome measure. J Orthop Sports Phys Ther 28(2):88–96
Roy-Beaudry M, Beauséjour M, Joncas J et al (2011) Validation and clinical relevance of a French-Canadian version of the spinal appearance questionnaire in adolescent patients. Spine 36(9):746–751
WHO-BMI-for-age (2018) (5–19 years). World Health Organization website. http://www.who.int/growthref/who2007_bmi_for_age/en/. Accessed 15 Jan 2018
Yurdugül H (2008) Minimum sample size for cronbach’s coefficient alpha: a monte-carlo study. HU J Educ 35:397–405
Acknowledgements
The authors wish to thank Marjolaine Roy-Beaudry and Julie Joncas for their help with the recruitment of participants and Kathleen Beaumont for editorial and language review.
Funding
This study was funded by the senior author starting grant.
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Authors and Affiliations
Contributions
ERT: Data acquisition/interpretation, Manuscript preparation/revision. SL: Study elaboration, Data acquisition. MB: Study design (analysis portion), Statistical analysis, Manuscript revision. PG: Study design, Manuscript revision. GG: Study design, Manuscript revision. MLN: Study Design, Study elaboration, Data preparation/interpretation, Manuscript preparation, Manuscript revision.
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Conflict of interest
Eliane Rioux Trottier: Financing for research project: Antimicrobial Prophylaxis For Skin Colonization With Propionibacterium Acnes In Primary Open Shoulder Surgery: A Double Blinded Randomized Controlled Trial by Wright Medical. Marie-Lyne Nault: Institutional grant at Hôpital du Sacré-Coeur de Montréal from Stryker, Smith and Nephew, Wright Medical and Johnson and Johnson. No conflict of interest with this project. Guy Grimard: Shareholder Emovi inc. No conflict of interest with this project.
Ethical approval
This article involved human participants and all procedures performed were in accordance with the ethical standards of the institutional research committee.
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Rioux Trottier, E., Beauséjour, M., Lamer, S. et al. Validation of the French version of the KOOS-child questionnaire. Knee Surg Sports Traumatol Arthrosc 27, 2361–2367 (2019). https://doi.org/10.1007/s00167-018-5302-y
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DOI: https://doi.org/10.1007/s00167-018-5302-y