The Brazilian version of the High-Activity Arthroplasty Score: cross-cultural adaptation

Authors

Keywords:

Arthroplasty, Replacement, Hip, Arthroplasty, Replacement, Knee, Patient-reported outcome measure, Surveys and questionnaires, Sports, Translation, Cultural adaptation, Quality of life, Physical activity, Exercise

Abstract

BACKGROUND: The High Activity Arthroplasty Score (HAAS) is a self-administered questionnaire, developed in British English, that reliably and validly measures the levels of sports activities in patients following hip and knee arthroplasty surgery.
OBJECTIVE: To cross-culturally adapt the HAAS to Brazilian Portuguese language.
DESIGN AND SETTING: A cross-sectional study was conducted at a public university hospital in Brazil.
METHODS: The Brazilian version of the HAAS was created through a six-step process: translation, synthesis, committee review, pretesting, back-translation, and submission to developers. The translation step was conducted by two independent bilingual translators, both native speakers of Brazilian Portuguese. The back-translation was performed by an independent translator, a native speaker of British English. To ensure the questionnaire’s comprehensibility, 46 volunteers (51% men; average age 34-63) participated in the pre-testing step.
RESULTS: The cross-cultural adaptation process necessitated modifications to certain terms and expressions to achieve cultural equivalence with the original HAAS.
CONCLUSION: The HAAS has been translated from English into Brazilian Portuguese and culturally adapted for Brazil. The validation process for HAAS-Brazil is currently underway.

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Author Biographies

Nathalia Sundin Palmeira de Oliveira, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

MD. Orthopedist, Master Student, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

Themis Moura Cardinot, Universidade Federal Rural do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

PhD. Physical Educator, Professor, Universidade Federal Rural do Rio de Janeiro (UFRRJ), Rio de Janeiro (RJ), Brazil.

Danúbia da Cunha de Sá Caputo, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

PhD. Physical Therapist, Post Doctoral Researcher, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

Julia Ribeiro Soares, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

Undergraduate Student, Faculdade de Ciências Médicas (FCM), Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

Letícia Nunes Carreras Del Castillo Mathias, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

PhD. Physiotherapist, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

Luiz Alberto Batista, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

PhD. Physical Educator, Professor, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

Liszt Palmeira de Oliveira, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

MD, PhD. Orthopedist, Professor, Universidade do Estado do Rio de Janeiro (UERJ), Rio de Janeiro (RJ), Brazil.

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Published

2025-03-27

How to Cite

1.
Oliveira NSP de, Cardinot TM, Caputo D da C de S, Soares JR, Mathias LNCDC, Batista LA, Oliveira LP de. The Brazilian version of the High-Activity Arthroplasty Score: cross-cultural adaptation. Sao Paulo Med J [Internet]. 2025 Mar. 27 [cited 2025 Oct. 15];142(3):1-10. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/3022

Issue

Vol. 142 No. 3 (2024)

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Original Article

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