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Cross-cultural adaptation and validation of the Foot and Ankle Outcome Score (FAOS) into Spanish (Chile)
Affiliation:1. Orthopaedic Department, Universidad de Chile Clinical Hospital, Santiago, Independencia, Chile;2. Medicine Faculty, Universidad de Chile, Santiago, Independencia, Chile;3. Universidad de los Andes, Chile, Clinica Universidad de los Andes, Chile;1. Orthopaedic Department, Universidad de Chile Clinical Hospital, Santiago, Independencia, Chile;2. Medicine Faculty, Universidad de Chile, Santiago, Independencia, Chile;3. Universidad de los Andes, Chile, Clinica Universidad de los Andes, Chile;1. Department of Orthopaedics, University of Calgary, 2500 University Drive NW, Calgary, AB T2N 1N4, Canada;2. Department of Orthopaedics, Kantonsspital Baselland, Rheinstrasse 26, 4410 Liestal, Switzerland;3. Department of Clinical Research, University Hospital Basel, Spitalstrasse 12, 4031 Basel, Switzerland;4. Department of Orthopaedics, University of Utah, 590 Wakara Way, Salt Lake City, UT 84108, USA;1. School of Nursing, University of Rochester, 255 Crittenden Blvd, Rochester, NY 14642, USA;2. Department of Orthopaedics, School of Medicine and Dentistry, University of Rochester, 601 Elmwood Avenue, Rochester, NY 14642, USA;3. School of Health Science and Human Performance, Movement Analysis Laboratory, Ithaca College, 953 Danby Road, Ithaca, NY 14850, USA;4. Department of Orthopaedics, Director of Sub-Internship and Medical Student Education, Director of Musculoskeletal Curriculum, University of Rochester School of Medicine and Medical Center, 601 Elmwood Avenue, Rochester, NY 14642, USA;1. Department of Orthopaedic Surgery, Nara Medical University, 840, Shijo-cho, Kashihara, Nara 634-8521, Japan;2. Department of Orthopaedic Oncology, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy;3. First Department of Orthopaedics, National and Kapodistrian University of Athens, School of Medicine, 41 Ventouri Street, 15562 Holargos, Athens, Greece;4. Department of Public Health, Health Management and Policy, Nara Medical University, 840, Shijo-cho, Kashihara, Nara 634-8521, Japan;5. Chemotherapy Unit, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli 1, 40136 Bologna, Italy;1. Department of Orthopedic Surgery, West China Hospital, Sichuan University, Chengdu, Sichuan, China;2. Department of Operation Room, West China Hospital, Sichuan University, Chengdu, Sichuan, China;1. The Department of Spondyloorthopedics and Biomechanics of the Spine, University of Medical Sciences, 28 Czerwca 1956 137, Poznań, 61-501, Poland;2. Department of Orthopaedics and Traumatology, University of Medical Sciences Poznan, Poland;3. Public Health Faculty, University of Medical Sciences Poznan, Poland
Abstract:PurposeTo adapt and validate the English version of the Foot and Ankle Outcome Score (FAOS) into Spanish FAOS-CL, following the WHO guidelines.MethodsA cross-sectional study including 318 outpatients with non-traumatic conditions. Validity, acceptability and internal consistency including correlations with the Medical Outcome Study Short Form 36 are reported.ResultsThe preliminary version resulted from the forward and back-translation and a pilot administration. Validation response rate was 99.22%. Substantial ceiling effects were observed for Symptoms and ADL and floor effect for QoL sub-scales. The FAOS-CL had excellent internal consistency (Cronbach’s α = 0.98). The principal component analysis gave five factors explaining the 72.6% of the variance. The FAOS-CL items significantly correlate with their sub-scales. FAOS-CL sub-scales significantly correlated with SF-36 components and subcomponents.ConclusionThe first Spanish version of the FAOS was generated. Culturally adapted and validated with high reliability capable of evaluating different foot and ankle conditions.
Keywords:PROMs  Orthopaedic condition  Cross-cultural adaptation  Psychometric evaluation  Spanish
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