Cross-cultural adaptation and validation of a French version of the Measure of Stroke Environment (MOSE) in stroke survivors in Sub-Saharan Africa

Orthelo Léonel Gbètoho Atigossou; Penielle Mahutchegnon Mitchaї; Aristide S Honado; Germain Mabèrou Houngbédji; Gbètogo Maxime Kiki; Fatimata Ouédraogo; Fiacre S D Akplogan; François Routhier; Véronique H Flamand; Charles Sèbiyo Batcho

doi:10.1080/09638288.2024.2396549

Cross-cultural adaptation and validation of a French version of the Measure of Stroke Environment (MOSE) in stroke survivors in Sub-Saharan Africa

Disabil Rehabil. 2024 Sep 11:1-8. doi: 10.1080/09638288.2024.2396549. Online ahead of print.

Authors

Orthelo Léonel Gbètoho Atigossou^{1

2

3}, Penielle Mahutchegnon Mitchaї^{3

4}, Aristide S Honado^{1

2

5}, Germain Mabèrou Houngbédji³, Gbètogo Maxime Kiki^{1

2}, Fatimata Ouédraogo^{6

7}, Fiacre S D Akplogan^{2

8}, François Routhier^{1

2}, Véronique H Flamand^{1

2}, Charles Sèbiyo Batcho^{1

2}

Affiliations

¹ School of Rehabilitation Sciences, Université Laval, Quebec City, Canada.
² Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux de la Capitale Nationale (CIUSSS-CN), Quebec City, Canada.
³ Ecole Supérieure de Kinésithérapie (ESK), Faculté des Sciences de la Santé (FSS), Université d'Abomey-Calavi, Cotonou, Benin.
⁴ Service de Kinésithérapie, Centre Hospitalier Départemental Mono-Couffo, Lokossa, Benin.
⁵ Service de Rééducation, Centre Hospitalier Universitaire Départemental de l'Ouémé et du Plateau (CHUD-OP), Porto-Novo, Benin.
⁶ School of Rehabilitation, Université de Montréal, Montreal, Canada.
⁷ Marie Enfant Rehabilitation Center, Sainte-Justine University Hospital Research Center, Montreal, Canada.
⁸ Department of Anatomy, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.

PMID: 39258582
DOI: 10.1080/09638288.2024.2396549

Abstract

Purpose: To investigate the psychometric properties of the MOSE-Benin, a French-language version of the Measure of Stroke Environment (MOSE) for Sub-Saharan Africa.

Materials and methods: The original English version of the MOSE has been translated into French following the guidelines for cross-cultural adaptation. The resulting questionnaire (MOSE-Benin) was administered to a convenience sample of participants recruited in Benin, a French-speaking country.

Results: Eighty-two stroke survivors (41 females; mean ± SD: 54.94 ± 11.6 years old) participated in the study. Internal consistency of each domain of the MOSE-Benin and the overall questionnaire was high (Cronbach's α: 0.78 to 0.92). Test-retest reliability was excellent (n = 31; ICC: 0.977 to 0.998). Overall, the standard error of measurement (SEM) and the minimum detectable change (MDC) showed very low values (SEM = 0.85; MDC = 2.35). Convergent validity demonstrated moderate correlations for the three domains in separate comparison respectively with the ACTIVLIM-Stroke questionnaire, the Participation Measurement Scale, and the communication domain of the Stroke Impact Scale (r or ρ: 0.42 to 0.54; p < 0.0001).

Conclusion: MOSE-Benin has good evidence regarding psychometric properties (i.e., content validity, convergent validity, internal consistency, and test-retest reliability) that can support its use for the assessment of perceived environmental barriers after stroke in a French-speaking Sub-Saharan African country, such as Benin.

Keywords: French language; Stroke survivors; Sub-Saharan Africa; assessment tool; environmental barriers; psychometric properties.

Plain language summary

Stroke survivors in French-speaking Sub-Saharan Africa may face environmental challenges related to acceptability, physical environment, and communication.Stroke survivors should be assessed in their communities to identify environmental barriers, using valid and robust tools.A French version of the MOSE (MOSE-Benin) is now available and can be used to assess the environmental concerns faced by stroke survivors in Sub-Saharan Africa.