Cultural adaptation and psychometric validation of the exercise adherence Rating scale Mexican Spanish version (EARS-Mx)

IF 2.2 3区医学 Q1 REHABILITATION

Musculoskeletal Science and Practice Pub Date : 2025-03-07 DOI:10.1016/j.msksp.2025.103308

B.D. Pérez-Huerta , B. Díaz-Pulido , F. Godínez-Jaimes , R. Gómez-Rodríguez , E.L. Godfrey , B. Sánchez-Sánchez

{"title":"Cultural adaptation and psychometric validation of the exercise adherence Rating scale Mexican Spanish version (EARS-Mx)","authors":"B.D. Pérez-Huerta , B. Díaz-Pulido , F. Godínez-Jaimes , R. Gómez-Rodríguez , E.L. Godfrey , B. Sánchez-Sánchez","doi":"10.1016/j.msksp.2025.103308","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The aim has been to translate and cross-culturally adapt the Exercise Adherence Rating Scale (EARS) for Mexican Spanish speaking population with non-specific chronic low back pain and assess its psychometric properties.</div></div><div><h3>Methods</h3><div>The study had two phases: translation and cultural adaptation, followed by psychometric validation. Reliability was assessed with internal consistency (Cronbach's alpha) and test-retest reliability (intraclass correlation coefficient); validity with construct validity (Spearman's correlation) and factor analysis; sensitivity to change with effect size and standardized response mean difference; feasibility by completion time in seconds; and ceiling/floor effects were calculated.</div></div><div><h3>Results</h3><div>A total of 161 subjects were included. Cronbach's alpha (0.93; 95% CI 0.92–0.95) indicated good internal consistency, and intraclass correlation (0.95; 95% CI: 0.89–0.97) showed excellent test-retest reliability. Weak correlations between the EARS vs. the Visual Analogue Pain Rating Scale and the Roland Morris Disability Questionnaire were found (r = −0.29 and r = 0.00 respectively). All effect size values indicated that the scale presented a significant sensitivity to change. The average time to complete the EARS-Mx was 219 s. No ceiling or floor effect was detected.</div></div><div><h3>Conclusion</h3><div>The EARS-Mx showed semantic, conceptual, idiomatic, content and operational equivalence with respect to the original scale, and appropriate metric properties of reliability, validity, sensitivity to change and feasibility.</div></div>","PeriodicalId":56036,"journal":{"name":"Musculoskeletal Science and Practice","volume":"77 ","pages":"Article 103308"},"PeriodicalIF":2.2000,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Musculoskeletal Science and Practice","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2468781225000566","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The aim has been to translate and cross-culturally adapt the Exercise Adherence Rating Scale (EARS) for Mexican Spanish speaking population with non-specific chronic low back pain and assess its psychometric properties.

Methods

The study had two phases: translation and cultural adaptation, followed by psychometric validation. Reliability was assessed with internal consistency (Cronbach's alpha) and test-retest reliability (intraclass correlation coefficient); validity with construct validity (Spearman's correlation) and factor analysis; sensitivity to change with effect size and standardized response mean difference; feasibility by completion time in seconds; and ceiling/floor effects were calculated.

Results

A total of 161 subjects were included. Cronbach's alpha (0.93; 95% CI 0.92–0.95) indicated good internal consistency, and intraclass correlation (0.95; 95% CI: 0.89–0.97) showed excellent test-retest reliability. Weak correlations between the EARS vs. the Visual Analogue Pain Rating Scale and the Roland Morris Disability Questionnaire were found (r = −0.29 and r = 0.00 respectively). All effect size values indicated that the scale presented a significant sensitivity to change. The average time to complete the EARS-Mx was 219 s. No ceiling or floor effect was detected.

Conclusion

The EARS-Mx showed semantic, conceptual, idiomatic, content and operational equivalence with respect to the original scale, and appropriate metric properties of reliability, validity, sensitivity to change and feasibility.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Musculoskeletal Science and Practice Health Professions-Physical Therapy, Sports Therapy and Rehabilitation

CiteScore

4.10

自引率

8.70%

发文量

152

审稿时长

48 days

期刊介绍： Musculoskeletal Science & Practice, international journal of musculoskeletal physiotherapy, is a peer-reviewed international journal (previously Manual Therapy), publishing high quality original research, review and Masterclass articles that contribute to improving the clinical understanding of appropriate care processes for musculoskeletal disorders. The journal publishes articles that influence or add to the body of evidence on diagnostic and therapeutic processes, patient centered care, guidelines for musculoskeletal therapeutics and theoretical models that support developments in assessment, diagnosis, clinical reasoning and interventions.