Original article / research
Hindi Translation and Validation of the
Manchester COPD Fatigue Scale:
A Cross-sectional Study
YC01-YC06
Correspondence
Dr. Mousumi Saha,
Assistant Professor, Maharishi Markandeshwar Institute of Physiotherapy and
Rehabilitation, Maharishi Markandeshwar (Deemed to be University), Mullana,
Ambala-133207, Haryana, India.
E-mail: msaha0029@gmail.com
Introduction: The most common yet under-evaluated symptom in patients with Chronic Obstructive Pulmonary Disease (COPD) is fatigue which has significant implications for quality of life and functional status. To assess this multidimensional construct accurately a disease specific tool is essential. The Manchester COPD Fatigue Scale (MCFS) is a validated tool to measure fatigue but due to its unavailability in Hindi it cannot be put to use in the Indian population with COPD. So for that reason, the aim of the study is to translate it into Hindi language and validate it to ensure correct assessment of fatigue in Hindi speaking patients with COPD.
Aim: To systematically translate the MCFS into the Hindi language and evaluate its content validity in patients with COPD.
Materials and Methods: The present cross-sectional study was conducted at the Maharishi Markandeshwar Institute of Physiotherapy and Rehabilitation, Mullana, Ambala, Haryana, India, from September 2025 to February 2026. The study was conducted by using a methodological design which included forward-backward translation and expert review by Delphi method to appropriately assess the clarity and conception of the translated version of the scale. The statistical analysis was done using the Item level Content Validity Index (I-CVI). The purpose of the current study is to create a Hindi version of this scale so, after the approval from the original developer, the authors created the Hindi version of the scale using a forwardbackward translation process. Eight experts then evaluated the content validity of the scale.
Results: The Hindi version of the MCFS demonstrated excellent content validity with high item-level and scale-level content validity indices i.e., 0.97.
Conclusion: The Hindi version of the MCFS was successfully translated and demonstrated excellent content validity in Hindi speaking patients with COPD.