# The Italian version of the Majeed pelvic score: translation, cross-cultural adaptation and validation

## TL;DR

This study translated and validated the Majeed pelvic score for Italian patients, confirming its reliability but noting a need for better mental health assessment.

## Contribution

The paper provides a validated Italian version of the Majeed pelvic score with psychometric evaluation.

## Key findings

- The Italian version of the Majeed pelvic score showed high internal consistency and test-retest reliability.
- A significant correlation was found between the Majeed score and the physical component of the SF-12.
- The questionnaire had a ceiling effect and poor discriminant validity for the 'walking distance' item.

## Abstract

The assessment of functional outcomes after pelvic ring fracture remains a controversial topic. The Majeed pelvic score (MPS) is the most commonly used pelvic-specific questionnaire in the literature. The aim of this study is translation, cross-cultural adaptation and validation of the Italian version of MPS.

The study was articulated in two phases. Phase 1 consisted in translation and cross-cultural adaptation of MPS, from English into Italian. The psychometric properties were tested on 52 Italian patients (Phase 2). Construct validity was assessed by correlation with Short-Form 12 (SF-12). 33 patients repeated the questionnaire after 14 days to assess its reproducibility. All data were subsequently analyzed (descriptive statistics, multitrait analysis, reliability and construct validity assessment).

The questionnaire was clear and easily understood (no missing data). A ceiling effect was detected for all items of the scale. Multitrait analysis showed good results for each outcome measure, except for the item “walking distance” that showed poor item discriminant validity. A significant correlation between the MPS and the physical component summary (PCS) of the SF-12 was found, while there was a weak correlation with the mental component summary (MCS). The questionnaire showed high internal consistency (Cronbach’s alpha: 0.91–0.99) and very good test–retest reliability (intraclass correlation coefficients: 0.92–0.96).

The Italian version of the MPS has demonstrated to be reliable and valid in the evaluation of patients with pelvic ring fractures. There is still however a need for an instrument capable of evaluating the mental component in these types of injuries.

The online version contains supplementary material available at 10.1007/s12306-024-00858-6.