Translation and validation of the Endometriosis Health Profile (EHP-5) in patients with laparoscopically diagnosed endometriosis

Development of a French version of the Endometriosis Health Profile 5 (EHP-5): cross-cultural adaptation and psychometric evaluation

“…The EHP-5 underwent cross-cultural adaption in only two other countries: Turkey and Iran [27,28]. Consistent with our findings, these studies have confirmed that the EHP-5 is very easy to administer and is well-suited to patients suffering from endometriosis.…”

“…Contrary to ours, the data completeness was 100 % for the core questionnaire in the Turkish study, but only women willing to answer the questions were included. In the modular part, they have found the same missing data rate for Children (52.7 %) as ours [28]. In this study, the rate of missing data was also high for Work (19.0 %) and Infertility (15.5 %) which could be explained by cultural differences or differential sampling.…”

“…In this study, there was an important floor effect [25 % for the five items of the core questionnaire, which could be interpreted by the fact that the population sample had less severe forms of endometriosis than ours [27]. Our study has shown that Infertility and Sexual Intercourse had the highest possible negative impact on QoL for patients with endometriosis; this is to put in relation with the Turkish study where Pain and Infertility were the most prominent factors impairing QoL measured by the EHP-5 questionnaire [28].…”

“…Contrary to ours, both of the study have evaluated the dimensional aspect of the questionnaire separately for the core and the modular part. Both studies found a high level of internal consistency for the core part of the questionnaire [27,28]. We have chosen to analyze the dimensional aspect of the 11 items of EHP-5 together and have found excellent internal consistency; we have thus selected to use the sum of the ratings for all of the items to score the EHP-5.…”

“…In the Turkish study, the evaluation of the core and modular questionnaires with 2-week test-retest reliability revealed excellent test-retest reliability [28].…”