Original scientific paper

https://doi.org/10.47960/2303-8616.2025.1.11.18

TRANSLATION, CROSS-CULTURAL ADAPTATION, AND PSYCHOMETRIC EVALUATION OF THE BOSNIA AND HERZEGOVINA VERSION OF THE FOOT AND ANKLE OUTCOME SCORE IN PATIENTS WITH ANKLE SPRAIN: A CROSS-SECTIONAL STUDY

Darko Bilić orcid.org/0000-0003-1123-5545 ; Rehabilitation Center „Život“, 88 000 Mostar, Bosnia and Herzegovina & Faculty of Health Studies, University of Mostar, 88 000 Mostar, Bosnia and Herzegovina
Olivera Perić orcid.org/0000-0001-7334-8620 ; Faculty of Health Studies, University of Mostar, 88 000 Mostar, Bosnia and Herzegovina
Livia Puljak orcid.org/0000-0002-8467-6061 ; Center for Evidence-Based Medicine and Health Care, Catholic University of Croatia, 10 000 Zagreb, Croatia
Antonija Hrkać orcid.org/0000-0001-9513-9977 ; Faculty of Health Studies, University of Mostar, 88 000 Mostar, Bosnia and Herzegovina *

* Corresponding author.

Abstract

Objectives: To translate, adapt, and evaluate the psychometric properties of the Bosnia and
Herzegovina version of the Foot and Ankle Outcome Score (BH-FAOS) in patients with ankle
sprain.
Methods: In this cross-sectional study, 55 patients with ankle sprains were included. Four
psychometric measures were assessed: construct validity (correlation of FAOS and Short
Form Quality of Life Questionaire – SF-12), content validity (the patient’s perception of the
importance of FAOS questions), reliability (test-retest and internal consistency, Bland-Altman
analysis), and responsiveness (after physical therapy intervention).
Results: Satisfactory construct validity was determined. All subscales of FAOS were in
moderate correlation (r > 0.3) with the physical and mental health components of the SF-12
(r>0.30). All FAOS subscales demonstrated excellent reliability [Interclass Correlation
Coefficient (ICC) values >0.90; Cronbach’s alpha values ≥0.98].
Conclusions: The BH-FAOS is a reliable and valid instrument for assessing outcomes in
patients with ankle sprains. The acceptable reliability and construct validity make it suitable
for research and clinical purposes. Future studies are needed to establish psychometric
properties for patients with different foot and ankle problems.

Keywords

Translation; Cross-Cultural Comparison; Psychometrics; Outcome Assessment; Health Care; Ankle Injuries

Hrčak ID:

331549

URI

https://hrcak.srce.hr/331549

Publication date:

27.5.2025.

Article data in other languages: croatian

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