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Background <p>LIMB-Q Kids is a new patient-reported outcome measure (PROM) for children with lower limb differences (LLDs). It has been developed with input from patients and healthcare professionals globally, including high-, low-, and lower-middle-income countries. This study aimed to translate and culturally adapt (TCA) LIMB-Q Kids into Hindi.</p> Methods <p>The English version was translated independently into Hindi by two translators, reconciled, and back-translated into English by a third translator. This back-translated English version was compared with the original English version&#xa0;by the developers of LIMB-Q Kids, and revisions were made to prepare the Hindi version for cognitive debriefing interviews (CDIs). Children aged 8–18&#xa0;years with LLDs were recruited from two centers in India&#xa0;for CDIs. Feedback from the CDIs, consultations with clinicians&#xa0;from India, and input from the LIMB-Q Kids developers guided final edits.</p> Results <p>The TCA process ensured conceptual equivalency with the original version, cultural relevance, gender neutrality (where possible), and comprehension by children aged 8–18&#xa0;years. Ten CDIs were conducted, revealing that 12.6% of items were challenging for some children. The remaining 87.4% of items were understood, requiring no further changes.</p> Conclusion <p>The rigorous TCA process ensured that the Hindi version of LIMB-Q Kids is culturally appropriate and conceptually equivalent to the original version. Hindi version has strong potential as a clinical tool to assess the impact of lower&#xa0;limb differences on children’s quality of life in Hindi-speaking populations.</p>

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Hindi Translation and Cultural Adaptation of LIMB-Q Kids: A new patient-reported Outcome Measure for Children with Lower Limb Differences

  • 期刊论文

  • 发表日期：

    2025年6月20日

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  • Harpreet Chhina,
  • Ashish S. Ranade,
  • Prajakta Inglikar,
  • Aditya Aggarwal,
  • Anthony Cooper

摘要

Background

LIMB-Q Kids is a new patient-reported outcome measure (PROM) for children with lower limb differences (LLDs). It has been developed with input from patients and healthcare professionals globally, including high-, low-, and lower-middle-income countries. This study aimed to translate and culturally adapt (TCA) LIMB-Q Kids into Hindi.

Methods

The English version was translated independently into Hindi by two translators, reconciled, and back-translated into English by a third translator. This back-translated English version was compared with the original English version by the developers of LIMB-Q Kids, and revisions were made to prepare the Hindi version for cognitive debriefing interviews (CDIs). Children aged 8–18 years with LLDs were recruited from two centers in India for CDIs. Feedback from the CDIs, consultations with clinicians from India, and input from the LIMB-Q Kids developers guided final edits.

Results

The TCA process ensured conceptual equivalency with the original version, cultural relevance, gender neutrality (where possible), and comprehension by children aged 8–18 years. Ten CDIs were conducted, revealing that 12.6% of items were challenging for some children. The remaining 87.4% of items were understood, requiring no further changes.

Conclusion

The rigorous TCA process ensured that the Hindi version of LIMB-Q Kids is culturally appropriate and conceptually equivalent to the original version. Hindi version has strong potential as a clinical tool to assess the impact of lower limb differences on children’s quality of life in Hindi-speaking populations.