Cross-cultural adaptation and validation of a Norwegian version of the Goodman Satisfaction Score (GSS-NO) for patients with total hip and knee arthroplasty

Authors

  • Ingvild Buset Bergvad Department of Surgery, Lovisenberg Diaconal Hospital, Oslo; Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway https://orcid.org/0009-0000-4264-4574
  • Anders Kottorp Faculty of Health and Society, Malmö University, Malmö, Sweden
  • Arild Aamodt Department of Surgery, Lovisenberg Diaconal Hospital, Oslo, Norway https://orcid.org/0000-0002-2879-9382
  • Anners Lerdal Department of Surgery, Lovisenberg Diaconal Hospital, Oslo; Department of Interdisciplinary Health Sciences, Institute of Health and Society, Faculty of Medicine, University of Oslo, Norway https://orcid.org/0000-0002-7144-5096
  • Søren T Skou The Research and Implementation Unit PROgrez, Department of Physiotherapy and Occupational Therapy, Næstved-Slagelse-Ringsted Hospitals, Slagelse; Research Unit for Musculoskeletal Function and Physiotherapy, Department of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark https://orcid.org/0000-0003-4336-7059
  • Maren Falch Lindberg Department of Surgery, Lovisenberg Diaconal Hospital, Oslo; Department of Public Health Science, Institute of Health and Society, Faculty of Medicine, University of Oslo, Oslo, Norway https://orcid.org/0000-0003-2074-2071

DOI:

https://doi.org/10.2340/17453674.2024.42703

Keywords:

Arthroplasty, Hip, Knee, Satisfaction, Validation

Abstract

Background and purpose: Measuring patient satisfaction after total hip (THA) and total knee arthroplasty (TKA) is important. We aimed to cross-culturally adapt and examine the psychometric properties of the self-reported Goodman Satisfaction Score (GSS) in a sample of Norwegian patients following primary THA and TKA.
Methods: The GSS was translated and adapted into Norwegian (GSS-NO) following standard guidelines. 800 patients from the Norwegian Arthroplasty Register who had undergone surgery 6–11 months prior were invited to complete GSS-NO and questions on sociodemographic factors, pain, and function in a cross-sectional study. We examined validity in relation to internal structure, response processes, and precision using Rasch analysis, relationships between the GSS-NO and pain and function using Pearson’s correlation coefficients, and test–retest reliability using linear weighted kappa statistics.
Results: The GSS-NO was adapted with few challenges. 404 patients (49% THA, 51% TKA) returned complete answers. The GSS-NO met all criteria regarding the rating scale functioning. Local independence among items and unidimensionality was supported and there was acceptable goodness-of-fit. The internal consistency was 0.94. We found no systematic differential item functioning by age, sex, work status, education, cohabitation status, or hip or knee surgery. The correlation coefficients between GSS-NO and pain and function outcomes were 0.79 (95% confidence interval [CI] 0.76–0.82) and 0.79 (CI 0.76–0.82), respectively. Test–retest reliability with weighted kappa ranged from 0.43–0.55 for THA and 0.54–0.81 for TKA.
Conclusion: The cross-cultural adaptation of GSS-NO proved to be a valid and reliable measure for use in Norwegian-speaking patients following primary THA and TKA.

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Published

2025-01-10

How to Cite

Bergvad , I. B., Kottorp, A., Aamodt, A., Lerdal, A., Skou, S. T., & Lindberg, M. F. (2025). Cross-cultural adaptation and validation of a Norwegian version of the Goodman Satisfaction Score (GSS-NO) for patients with total hip and knee arthroplasty. Acta Orthopaedica, 96, 52–58. https://doi.org/10.2340/17453674.2024.42703

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