The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery
Background: The International Hip Outcome Tool–33 (iHOT-33) was developed to evaluate patients seeking surgery for hip and/or groin (hip/groin) pain and may not be appropriate for those seeking nonsurgical treatment. Purpose: To evaluate the psychometric properties of the iHOT-33 total (iHOT-Total)...
Gespeichert in:
| Veröffentlicht in: | The American journal of sports medicine 2021-08, Vol.49 (10), p.2677-2688 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2688 |
|---|---|
| container_issue | 10 |
| container_start_page | 2677 |
| container_title | The American journal of sports medicine |
| container_volume | 49 |
| creator | Scholes, Mark J. King, Matthew G. Crossley, Kay M. Jones, Denise M. Semciw, Adam I. Mentiplay, Benjamin F. Heerey, Joshua J. Lawrenson, Peter R. Coburn, Sally L. Johnston, Richard T.R. Bell, Emily C. Girdwood, Michael Kemp, Joanne L. |
| description | Background:
The International Hip Outcome Tool–33 (iHOT-33) was developed to evaluate patients seeking surgery for hip and/or groin (hip/groin) pain and may not be appropriate for those seeking nonsurgical treatment.
Purpose:
To evaluate the psychometric properties of the iHOT-33 total (iHOT-Total) score and all subscale scores in adults with hip/groin pain who were not seeking surgery.
Study Design:
Cohort study (diagnosis); Level of evidence, 3.
Methods:
Patients with hip/groin pain who were not seeking surgery were recruited from 2 ongoing studies in Australia. Semistructured one-on-one interviews assessed content validity. Construct validity was assessed by testing hypothesized correlations between iHOT-33 and Copenhagen Hip and Groin Outcome Score (HAGOS) subscale scores. Test-retest reliability was assessed in patients not undertaking treatment and who reported “no change” in their Global Rating of Change (GROC) score at 6-month follow-up. Scores were reliable at group and individual levels if intraclass correlation coefficients (ICCs) were ≥0.80 and ≥0.90, respectively. Scores were responsive if Spearman rank correlations (ρ) between the change in the iHOT-33 score and the GROC score were ≥0.40.
Results:
In total, 278 patients with hip/groin pain (93 women; mean age, 31 years) and 55 pain-free control participants (14 women; mean age, 29 years) were recruited. The iHOT-33 demonstrated acceptable content validity. Construct validity was acceptable, with all hypothesized strong positive correlations between iHOT-33 and HAGOS subscale scores confirmed (r range, 0.60-0.76; P < .001), except for one correlation between the iHOT-Sport and HAGOS-Sport (r = .058; P < .001). All scores were reliable at the group level, except for the iHOT-33 job subscale (iHOT-Job) (ICC range, 0.78-0.88 [95% CI, 0.60-0.93]). None of the subscales met the criteria for adequate reliability for use at the individual level (all ICCs |
| doi_str_mv | 10.1177/03635465211027180 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2552994393</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_03635465211027180</sage_id><sourcerecordid>2552994393</sourcerecordid><originalsourceid>FETCH-LOGICAL-c345t-b27d1fcf7c9123da96d70d7c86f7e43982d309030005a6ce7ec3f2cebc055cc13</originalsourceid><addsrcrecordid>eNp1kc1KJDEUhYPMgD3OPMDsAm4UpjQ_nUrXchDtFoQWLWeWRTp1SyPppE1SQu_mHdz7cD6JqW5hQHGTkHu-cy65F6GflBxRKuUx4SUX41IwSgmTdEJ20IgKwQrOS_EFjQa9GIBd9C3Ge0IIleVkhJ7rO8B_lDWtSetf-AqsUQtjNw_l2lyIK--ieQQHMWLf4ZQN5y5BcCoZ75TFM7PC8z5pvwRce29f_j1xjg_MbF7n9ofYOHyZWXAp4r8m3W0MQ_g0-I2WjzqAStBudN8nfN2HWwjr7-hrp2yEH2_3Hro5O61PZsXFfHp-8vui0HwsUrFgsqWd7qSuKOOtqspWklbqSdlJGPNqwlpOKsLzt4UqNUjQvGMaFpoIoTXle-hgm7sK_qGHmJqliRqsVQ58HxuWR1lVOYlndP8deu_7PAw7UCXJTRgbKLqldPAxBuiaVTBLFdYNJc2wsebDxrLnaOuJ6hb-p35ueAVb5ZYU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2560030223</pqid></control><display><type>article</type><title>The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery</title><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Scholes, Mark J. ; King, Matthew G. ; Crossley, Kay M. ; Jones, Denise M. ; Semciw, Adam I. ; Mentiplay, Benjamin F. ; Heerey, Joshua J. ; Lawrenson, Peter R. ; Coburn, Sally L. ; Johnston, Richard T.R. ; Bell, Emily C. ; Girdwood, Michael ; Kemp, Joanne L.</creator><creatorcontrib>Scholes, Mark J. ; King, Matthew G. ; Crossley, Kay M. ; Jones, Denise M. ; Semciw, Adam I. ; Mentiplay, Benjamin F. ; Heerey, Joshua J. ; Lawrenson, Peter R. ; Coburn, Sally L. ; Johnston, Richard T.R. ; Bell, Emily C. ; Girdwood, Michael ; Kemp, Joanne L.</creatorcontrib><description>Background:
The International Hip Outcome Tool–33 (iHOT-33) was developed to evaluate patients seeking surgery for hip and/or groin (hip/groin) pain and may not be appropriate for those seeking nonsurgical treatment.
Purpose:
To evaluate the psychometric properties of the iHOT-33 total (iHOT-Total) score and all subscale scores in adults with hip/groin pain who were not seeking surgery.
Study Design:
Cohort study (diagnosis); Level of evidence, 3.
Methods:
Patients with hip/groin pain who were not seeking surgery were recruited from 2 ongoing studies in Australia. Semistructured one-on-one interviews assessed content validity. Construct validity was assessed by testing hypothesized correlations between iHOT-33 and Copenhagen Hip and Groin Outcome Score (HAGOS) subscale scores. Test-retest reliability was assessed in patients not undertaking treatment and who reported “no change” in their Global Rating of Change (GROC) score at 6-month follow-up. Scores were reliable at group and individual levels if intraclass correlation coefficients (ICCs) were ≥0.80 and ≥0.90, respectively. Scores were responsive if Spearman rank correlations (ρ) between the change in the iHOT-33 score and the GROC score were ≥0.40.
Results:
In total, 278 patients with hip/groin pain (93 women; mean age, 31 years) and 55 pain-free control participants (14 women; mean age, 29 years) were recruited. The iHOT-33 demonstrated acceptable content validity. Construct validity was acceptable, with all hypothesized strong positive correlations between iHOT-33 and HAGOS subscale scores confirmed (r range, 0.60-0.76; P < .001), except for one correlation between the iHOT-Sport and HAGOS-Sport (r = .058; P < .001). All scores were reliable at the group level, except for the iHOT-33 job subscale (iHOT-Job) (ICC range, 0.78-0.88 [95% CI, 0.60-0.93]). None of the subscales met the criteria for adequate reliability for use at the individual level (all ICCs <0.90). Minimal detectable change values (group level) ranged from 2.3 to 3.7 (95% CI, 1.7-5.0). All iHOT-33 subscale scores were responsive (ρ range, 0.40-0.58; P≤ .001), except for the iHOT-Job in patients not undertaking treatment (ρ = 0.27; P = .001).
Conclusion:
All iHOT-33 subscale scores were valid for use in patients with hip/groin pain who were not seeking surgery. Acceptable test-retest reliability was found for all subscale scores at the group level, except the iHOT-Job. All subscale scores, excluding the iHOT-Job, were responsive, regardless of undertaking physical therapist–led treatment or no treatment.</description><identifier>ISSN: 0363-5465</identifier><identifier>EISSN: 1552-3365</identifier><identifier>DOI: 10.1177/03635465211027180</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Pain ; Sports medicine ; Surgery ; Validation studies ; Validity</subject><ispartof>The American journal of sports medicine, 2021-08, Vol.49 (10), p.2677-2688</ispartof><rights>2021 The Author(s)</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c345t-b27d1fcf7c9123da96d70d7c86f7e43982d309030005a6ce7ec3f2cebc055cc13</citedby><cites>FETCH-LOGICAL-c345t-b27d1fcf7c9123da96d70d7c86f7e43982d309030005a6ce7ec3f2cebc055cc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/03635465211027180$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/03635465211027180$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,776,780,21798,27901,27902,43597,43598</link.rule.ids></links><search><creatorcontrib>Scholes, Mark J.</creatorcontrib><creatorcontrib>King, Matthew G.</creatorcontrib><creatorcontrib>Crossley, Kay M.</creatorcontrib><creatorcontrib>Jones, Denise M.</creatorcontrib><creatorcontrib>Semciw, Adam I.</creatorcontrib><creatorcontrib>Mentiplay, Benjamin F.</creatorcontrib><creatorcontrib>Heerey, Joshua J.</creatorcontrib><creatorcontrib>Lawrenson, Peter R.</creatorcontrib><creatorcontrib>Coburn, Sally L.</creatorcontrib><creatorcontrib>Johnston, Richard T.R.</creatorcontrib><creatorcontrib>Bell, Emily C.</creatorcontrib><creatorcontrib>Girdwood, Michael</creatorcontrib><creatorcontrib>Kemp, Joanne L.</creatorcontrib><title>The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery</title><title>The American journal of sports medicine</title><addtitle>Am J Sports Med</addtitle><description>Background:
The International Hip Outcome Tool–33 (iHOT-33) was developed to evaluate patients seeking surgery for hip and/or groin (hip/groin) pain and may not be appropriate for those seeking nonsurgical treatment.
Purpose:
To evaluate the psychometric properties of the iHOT-33 total (iHOT-Total) score and all subscale scores in adults with hip/groin pain who were not seeking surgery.
Study Design:
Cohort study (diagnosis); Level of evidence, 3.
Methods:
Patients with hip/groin pain who were not seeking surgery were recruited from 2 ongoing studies in Australia. Semistructured one-on-one interviews assessed content validity. Construct validity was assessed by testing hypothesized correlations between iHOT-33 and Copenhagen Hip and Groin Outcome Score (HAGOS) subscale scores. Test-retest reliability was assessed in patients not undertaking treatment and who reported “no change” in their Global Rating of Change (GROC) score at 6-month follow-up. Scores were reliable at group and individual levels if intraclass correlation coefficients (ICCs) were ≥0.80 and ≥0.90, respectively. Scores were responsive if Spearman rank correlations (ρ) between the change in the iHOT-33 score and the GROC score were ≥0.40.
Results:
In total, 278 patients with hip/groin pain (93 women; mean age, 31 years) and 55 pain-free control participants (14 women; mean age, 29 years) were recruited. The iHOT-33 demonstrated acceptable content validity. Construct validity was acceptable, with all hypothesized strong positive correlations between iHOT-33 and HAGOS subscale scores confirmed (r range, 0.60-0.76; P < .001), except for one correlation between the iHOT-Sport and HAGOS-Sport (r = .058; P < .001). All scores were reliable at the group level, except for the iHOT-33 job subscale (iHOT-Job) (ICC range, 0.78-0.88 [95% CI, 0.60-0.93]). None of the subscales met the criteria for adequate reliability for use at the individual level (all ICCs <0.90). Minimal detectable change values (group level) ranged from 2.3 to 3.7 (95% CI, 1.7-5.0). All iHOT-33 subscale scores were responsive (ρ range, 0.40-0.58; P≤ .001), except for the iHOT-Job in patients not undertaking treatment (ρ = 0.27; P = .001).
Conclusion:
All iHOT-33 subscale scores were valid for use in patients with hip/groin pain who were not seeking surgery. Acceptable test-retest reliability was found for all subscale scores at the group level, except the iHOT-Job. All subscale scores, excluding the iHOT-Job, were responsive, regardless of undertaking physical therapist–led treatment or no treatment.</description><subject>Pain</subject><subject>Sports medicine</subject><subject>Surgery</subject><subject>Validation studies</subject><subject>Validity</subject><issn>0363-5465</issn><issn>1552-3365</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><recordid>eNp1kc1KJDEUhYPMgD3OPMDsAm4UpjQ_nUrXchDtFoQWLWeWRTp1SyPppE1SQu_mHdz7cD6JqW5hQHGTkHu-cy65F6GflBxRKuUx4SUX41IwSgmTdEJ20IgKwQrOS_EFjQa9GIBd9C3Ge0IIleVkhJ7rO8B_lDWtSetf-AqsUQtjNw_l2lyIK--ieQQHMWLf4ZQN5y5BcCoZ75TFM7PC8z5pvwRce29f_j1xjg_MbF7n9ofYOHyZWXAp4r8m3W0MQ_g0-I2WjzqAStBudN8nfN2HWwjr7-hrp2yEH2_3Hro5O61PZsXFfHp-8vui0HwsUrFgsqWd7qSuKOOtqspWklbqSdlJGPNqwlpOKsLzt4UqNUjQvGMaFpoIoTXle-hgm7sK_qGHmJqliRqsVQ58HxuWR1lVOYlndP8deu_7PAw7UCXJTRgbKLqldPAxBuiaVTBLFdYNJc2wsebDxrLnaOuJ6hb-p35ueAVb5ZYU</recordid><startdate>202108</startdate><enddate>202108</enddate><creator>Scholes, Mark J.</creator><creator>King, Matthew G.</creator><creator>Crossley, Kay M.</creator><creator>Jones, Denise M.</creator><creator>Semciw, Adam I.</creator><creator>Mentiplay, Benjamin F.</creator><creator>Heerey, Joshua J.</creator><creator>Lawrenson, Peter R.</creator><creator>Coburn, Sally L.</creator><creator>Johnston, Richard T.R.</creator><creator>Bell, Emily C.</creator><creator>Girdwood, Michael</creator><creator>Kemp, Joanne L.</creator><general>SAGE Publications</general><general>Sage Publications Ltd</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>202108</creationdate><title>The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery</title><author>Scholes, Mark J. ; King, Matthew G. ; Crossley, Kay M. ; Jones, Denise M. ; Semciw, Adam I. ; Mentiplay, Benjamin F. ; Heerey, Joshua J. ; Lawrenson, Peter R. ; Coburn, Sally L. ; Johnston, Richard T.R. ; Bell, Emily C. ; Girdwood, Michael ; Kemp, Joanne L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c345t-b27d1fcf7c9123da96d70d7c86f7e43982d309030005a6ce7ec3f2cebc055cc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Pain</topic><topic>Sports medicine</topic><topic>Surgery</topic><topic>Validation studies</topic><topic>Validity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Scholes, Mark J.</creatorcontrib><creatorcontrib>King, Matthew G.</creatorcontrib><creatorcontrib>Crossley, Kay M.</creatorcontrib><creatorcontrib>Jones, Denise M.</creatorcontrib><creatorcontrib>Semciw, Adam I.</creatorcontrib><creatorcontrib>Mentiplay, Benjamin F.</creatorcontrib><creatorcontrib>Heerey, Joshua J.</creatorcontrib><creatorcontrib>Lawrenson, Peter R.</creatorcontrib><creatorcontrib>Coburn, Sally L.</creatorcontrib><creatorcontrib>Johnston, Richard T.R.</creatorcontrib><creatorcontrib>Bell, Emily C.</creatorcontrib><creatorcontrib>Girdwood, Michael</creatorcontrib><creatorcontrib>Kemp, Joanne L.</creatorcontrib><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of sports medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Scholes, Mark J.</au><au>King, Matthew G.</au><au>Crossley, Kay M.</au><au>Jones, Denise M.</au><au>Semciw, Adam I.</au><au>Mentiplay, Benjamin F.</au><au>Heerey, Joshua J.</au><au>Lawrenson, Peter R.</au><au>Coburn, Sally L.</au><au>Johnston, Richard T.R.</au><au>Bell, Emily C.</au><au>Girdwood, Michael</au><au>Kemp, Joanne L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery</atitle><jtitle>The American journal of sports medicine</jtitle><addtitle>Am J Sports Med</addtitle><date>2021-08</date><risdate>2021</risdate><volume>49</volume><issue>10</issue><spage>2677</spage><epage>2688</epage><pages>2677-2688</pages><issn>0363-5465</issn><eissn>1552-3365</eissn><abstract>Background:
The International Hip Outcome Tool–33 (iHOT-33) was developed to evaluate patients seeking surgery for hip and/or groin (hip/groin) pain and may not be appropriate for those seeking nonsurgical treatment.
Purpose:
To evaluate the psychometric properties of the iHOT-33 total (iHOT-Total) score and all subscale scores in adults with hip/groin pain who were not seeking surgery.
Study Design:
Cohort study (diagnosis); Level of evidence, 3.
Methods:
Patients with hip/groin pain who were not seeking surgery were recruited from 2 ongoing studies in Australia. Semistructured one-on-one interviews assessed content validity. Construct validity was assessed by testing hypothesized correlations between iHOT-33 and Copenhagen Hip and Groin Outcome Score (HAGOS) subscale scores. Test-retest reliability was assessed in patients not undertaking treatment and who reported “no change” in their Global Rating of Change (GROC) score at 6-month follow-up. Scores were reliable at group and individual levels if intraclass correlation coefficients (ICCs) were ≥0.80 and ≥0.90, respectively. Scores were responsive if Spearman rank correlations (ρ) between the change in the iHOT-33 score and the GROC score were ≥0.40.
Results:
In total, 278 patients with hip/groin pain (93 women; mean age, 31 years) and 55 pain-free control participants (14 women; mean age, 29 years) were recruited. The iHOT-33 demonstrated acceptable content validity. Construct validity was acceptable, with all hypothesized strong positive correlations between iHOT-33 and HAGOS subscale scores confirmed (r range, 0.60-0.76; P < .001), except for one correlation between the iHOT-Sport and HAGOS-Sport (r = .058; P < .001). All scores were reliable at the group level, except for the iHOT-33 job subscale (iHOT-Job) (ICC range, 0.78-0.88 [95% CI, 0.60-0.93]). None of the subscales met the criteria for adequate reliability for use at the individual level (all ICCs <0.90). Minimal detectable change values (group level) ranged from 2.3 to 3.7 (95% CI, 1.7-5.0). All iHOT-33 subscale scores were responsive (ρ range, 0.40-0.58; P≤ .001), except for the iHOT-Job in patients not undertaking treatment (ρ = 0.27; P = .001).
Conclusion:
All iHOT-33 subscale scores were valid for use in patients with hip/groin pain who were not seeking surgery. Acceptable test-retest reliability was found for all subscale scores at the group level, except the iHOT-Job. All subscale scores, excluding the iHOT-Job, were responsive, regardless of undertaking physical therapist–led treatment or no treatment.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><doi>10.1177/03635465211027180</doi><tpages>12</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0363-5465 |
| ispartof | The American journal of sports medicine, 2021-08, Vol.49 (10), p.2677-2688 |
| issn | 0363-5465 1552-3365 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2552994393 |
| source | SAGE Complete; Alma/SFX Local Collection |
| subjects | Pain Sports medicine Surgery Validation studies Validity |
| title | The Validity, Reliability, and Responsiveness of the International Hip Outcome Tool–33 (iHOT-33) in Patients With Hip and Groin Pain Treated Without Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-12T06%3A05%3A19IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Validity,%20Reliability,%20and%20Responsiveness%20of%20the%20International%20Hip%20Outcome%20Tool%E2%80%9333%20(iHOT-33)%20in%20Patients%20With%20Hip%20and%20Groin%20Pain%20Treated%20Without%20Surgery&rft.jtitle=The%20American%20journal%20of%20sports%20medicine&rft.au=Scholes,%20Mark%20J.&rft.date=2021-08&rft.volume=49&rft.issue=10&rft.spage=2677&rft.epage=2688&rft.pages=2677-2688&rft.issn=0363-5465&rft.eissn=1552-3365&rft_id=info:doi/10.1177/03635465211027180&rft_dat=%3Cproquest_cross%3E2552994393%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2560030223&rft_id=info:pmid/&rft_sage_id=10.1177_03635465211027180&rfr_iscdi=true |