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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Methodol. Sep 20, 2026; 16(3): 120002
Published online Sep 20, 2026. doi: 10.5662/wjm.120002
Translation of the strength, assistance in walking, rising from a chair, climbing stairs, and falls questionnaire into Hindi
Harsha S Prakash, Amit Sehrawat, Arti Rana, Anusha Mruthyunjaya Swamy, Sai Prasath, Mahesh Koulagi, Deepak Sundriyal
Harsha S Prakash, Amit Sehrawat, Arti Rana, Anusha Mruthyunjaya Swamy, Sai Prasath, Mahesh Koulagi, Deepak Sundriyal, Department of Medical Oncology Haematology, All India Institute of Medical Sciences, Rishikesh 249203, Uttarakhand, India
Author contributions: Prakash HS, Sehrawat A and Sundriyal D designed the research study; Prakash HS, Rana A, Swamy AM, and Prasath S performed the research and data collection; Prakash HS and Koulagi M analyzed the data; Prakash HS drafted the manuscript; Sehrawat A and Sundriyal D critically revised the manuscript for important intellectual content; and all authors reviewed and approved the final version of the manuscript.
AI contribution statement: ChatGPT and Grammarly were used during the preparation of the manuscript. No part of the main text (abstract, introduction, materials and methods, results, discussion, or conclusion) was generated by AI. AI tools were used solely for language polishing and writing assistance. AI tools did not contribute to the study design or interpretation of results. No images included in the manuscript were generated using AI. We confirm that all scientific content, analysis, and interpretations are entirely the work of the authors.
Institutional review board statement: The study was reviewed and approved by the Institutional Ethics Committee of the All India Institute of Medical Sciences, Rishikesh, India (Approval No. AIIMS/IEC/25/597).
Informed consent statement: All study participants provided written informed consent prior to study enrollment.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: The technical appendix, statistical code, and anonymized dataset are available from the corresponding author upon reasonable request at [dramitsehrawat@gmail.com]. Participants provided informed consent for use of anonymized research data. No additional unpublished data are available.
Corresponding author: Amit Sehrawat, Department of Medical Oncology Haematology, All India Institute of Medical Sciences, Virbhadra Road, Rishikesh 249203, Uttarakhand, India. dramitsehrawat@gmail.com
Received: February 14, 2026
Revised: March 6, 2026
Accepted: March 25, 2026
Published online: September 20, 2026
Processing time: 146 Days and 19.4 Hours
Abstract
BACKGROUND

Sarcopenia is common among cancer patients and is associated with adverse clinical outcomes. The strength, assistance in walking, rising from a chair, climbing stairs, and falls (SARC-F) questionnaire is a simple screening tool for evaluating sarcopenia; however, no validated Hindi version is currently available for use in Indian oncology practice.

AIM

To translate and culturally adapt the SARC-F questionnaire into Hindi and assess its reliability and content validity.

METHODS

This single-center cross-sectional study was conducted at a tertiary cancer center in India. The questionnaire was translated using forward-backward translation following World Health Organization and International Society for Pharmacoeconomics and Outcomes Research guidelines. Pilot testing assessed clarity and cultural relevance. Adult Hindi-speaking cancer patients completed the finalized questionnaire. Reliability and content validity were evaluated using Cronbach’s alpha and content validity indices, and descriptive statistics with Pearson correlation analyses were performed.

RESULTS

A total of 100 patients were included (mean age 50.9 ± 12.6 years; 63% female). The Hindi SARC-F demonstrated acceptable internal consistency (Cronbach’s α = 0.70). Content validity was excellent, with a scale-level content validity index of 0.92 and item-level indices ranging from 0.80 to 1.00. The median SARC-F score was 1 (interquartile range 0-3). No statistically significant correlations were observed between SARC-F scores and age, performance status, or body composition parameters (all P > 0.05).

CONCLUSION

The Hindi SARC-F is linguistically valid, culturally appropriate, and suitable for functional sarcopenia screening in Hindi-speaking cancer patients.

Keywords: Sarcopenia; Hindi translation; Sarcopenia screening questionnaire; Cancer patients; Cross-cultural adaptation

Core Tip: This study presents the first Hindi translation and cross-cultural adaptation of the strength, assistance in walking, rising from a chair, climbing stairs, and falls questionnaire for sarcopenia screening among cancer patients in India. Using standardized forward-backward translation and international adaptation guidelines, the Hindi version demonstrated acceptable internal consistency and strong content validity. The translated tool provides a linguistically and culturally appropriate instrument for functional assessment in Hindi-speaking populations and may facilitate routine sarcopenia screening in resource-constrained oncology settings.

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