scholarly journals German Translation, Linguistic Validation, and Cultural Adaptation of the Environmental Audit Tool—High Care

2021 ◽  
pp. 193758672110430
Author(s):  
Anne Fahsold ◽  
Richard Fleming ◽  
Hilde Verbeek ◽  
Bernhard Holle ◽  
Rebecca Palm
Keyword(s):  
Nursing Homes ◽  
Cultural Adaptation ◽  
Content Validity ◽  
World Health ◽  
Environmental Audit ◽  
Audit Tool ◽  
Linguistic Validation ◽  
Validity Indices ◽  
High Care

Background: In dementia-specific care, the design of the environment is regarded as an influential element in the support and maintenance of skills and can improve the quality of life of residents. To date, there is no valid instrument in the German-speaking countries with which the quality of the physical environment in residential long-term care facilities can be systematically assessed. Objective: To report the translation, linguistic validation, cultural adaptation, and content validity evaluation of the Australian Environmental Audit Tool—High Care in preparation for use in German nursing homes. Method: The procedure was guided by an adapted multistep process of the World Health Organization (1998) and included focus groups involving potential users of the new tool such as scientific experts and healthcare professionals ( n = 40). Content validity indices were calculated following a two-step expert survey. Results: The final draft versions of the German Environmental Audit Tool (G-EAT) included 74 and 77 items, for non-secured units and secure units, respectively, divided into 10 key design principles according to the Australian original. The evaluation of content validity showed that cultural differences existed in several items. Conclusions: The G-EAT provides the means for conducting a valid assessment of the environmental quality of people with dementia in German nursing homes. However, its usability in healthcare research must be preceded by testing its interrater reliability.

scholarly journals Cultural adaptation and validation of the Sidamic version of the World Health Organization Quality-of-Life-Bref Scale measuring the quality of life of women with severe preeclampsia in southern Ethiopia, 2020

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Birhanu Jikamo ◽  
Mulat Adefris ◽  
Telake Azale ◽  
Kassahun Alemu
Keyword(s):  
Quality Of Life ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Severe Preeclampsia ◽  
World Health ◽  
Southern Ethiopia ◽  
World Health Organization Quality ◽  
Organization Quality ◽  
Health Organization

Abstract Background Women with severe preeclampsia often present with more health complaints compared to those with uncomplicated pregnancies. Estimating the quality of life of women affected with severe preeclampsia could provide direction for further interventions. However, the current measurement of the quality of life has not been culturally adapted and validated for this population. This study aimed to translate, culturally adapt, and test the reliability and validity of the World Health Organization Quality-of-Life-Bref Scale (WHOQOL-BREF) in southern Ethiopia among women with severe preeclampsia. Methods An institutional-based cross-sectional study was conducted in southern Ethiopia in selected hospitals with randomly recruited women with severe preeclampsia. Cultural adaptation and validation techniques were used to translate and adapt the WHOQOL-BREF scale. Face, content validity, forward and backward translations, and synthesis were computed using an expert panel. The scale was pretested and adjusted accordingly. Internal consistency (Cronbach’s alpha) and test–retest reliability (Intraclass Correlation Coefficient = ICC) were examined. Confirmatory factor analysis (CFA) was computed to test the fit of the structure to the local setting before conducting exploratory factor analysis (EFA). Multiple methods for determining the number of factors extracted (scree test, eigenvalues) were used. We compared the original English structure with the new structure in the study setting and extracted a new structure using EFA. Results The internal consistency reliabilities ranged from 0.8045 to 0.9123 indicating good-to-excellent reliability. The item‑level content validity ranged from 0.86 to 1.00; the scale‑level content validity index was 0.97. In CFA, the model fit indices were unacceptable (Comparative Fit Index (CFI = 0.87), Root Mean Square Error of Approximation (RMSEA = 0.23), Standardized Root Mean Square Residual (SRMR = 0.38), Tucker Lewis Index (TLI = 0.85) and (PCLOSE = 0.00). Three new factor structures were extracted using EFA for current research with a total variance was 91%. Conclusions The failure of the original scale in this study population highlights the importance of culturally adapting tool to local settings. EFA confirmed a three-factor structure, inconsistent with the original English structure.

scholarly journals Translation and cross-cultural adaptation of the Sport Imagery Questionnaire to Brazilian Portuguese

2017 ◽  
Vol 6 (2) ◽  
Author(s):  
Alberto Filgueiras
Keyword(s):  
Sport Psychology ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Quantitative Assessment ◽  
Brazilian Portuguese ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Validity Coefficient ◽  
Imagery Techniques

Imagery can be defined as a human capacity of mentally rehearse and reproduce a skill. The use of imagery techniques is common among athletes. To contribute with sport psychologists on the quantitative assessment of mental training based on Allan Paivio’s model, this study aims to translate, adapt and assess content validity of the Sport Imagery Questionnaire in Brazil. The process of adaptation followed the guidelines of the International Test Commission. Three independent translators translated to Brazilian Portuguese; then the synthesis of those items produced the first version of the instrument that was back-translated to English. This first version in Brazilian Portuguese with the original and back-translated versions in English were sent to four bilingual sport psychology specialists. Content Validity Coefficient was used to evaluate cultural adequacy, understanding and quality of translation of each item and the questionnaire. Results showed an average CVC of 0,88 for adequacy, 0,87 for understanding and 0,85 for quality of translation among items and a CVC of 0,88 for the scale as a whole. Obtained data was discussed through the light of sports practice and culture in Brazil.

scholarly journals Socio-Demographic, Clinical and Psychological Profile of Frailty Patients Living in the Home Environment and Nursing Homes: A Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
Author(s):  
Marta Muszalik ◽  
Agnieszka Kotarba ◽  
Ewa Borowiak ◽  
Grażyna Puto ◽  
Mateusz Cybulski ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Nursing Homes ◽  
Community Dwelling ◽  
World Health ◽  
Study Group ◽  
Psychological Profile ◽  
Frailty Syndrome ◽  
World Health Organization Quality

Introduction: Frailty syndrome, as a physiological syndrome, is characterized by a gradual decline in physiological reserve and a lowered resistance to stress-inducing factors, leading to an increased risk of adverse outcomes. It is significantly connected with dependence on care and frequent hospitalizations.Objectives: The aim of the study was to describe socio-demographic, clinical and psychological profile of frailty older adults living in their own homes and to nursing homes.Methods: The study was conducted with 180 patients who were over 60 years of age, the mean (±SD) was 74.1 (±8.8) years. Among the subjects, 90 individuals were community-dwelling older adults. The survey used a list of socio-demographic questions, as well as the following scales: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), SHARE-FI, and The World Health Organization Quality of Life (WHOQOL-Bref).Results: Pre-frailty was confirmed in 49 (27.2%) patients, and frailty syndrome was noticed in 47 patients (26.1%). The prevalence of frailty syndrome in the study group was related to: place of living (p < 0.001), age (p < 0.001), widowhood (p < 0.001), a poor economic situation (p < 0.001), basic education level (p < 0.001), living alone (p < 0.001), longer duration of illness (p < 0.001), comorbidities (p < 0.001), more medications taken (p < 0.001), deterioration of hearing (p = 0.003), impairment of cognitive functions (p < 0.001), depression (p < 0.001), and decreased quality of life (p < 0.001).Discussion: A lot of socio-demographic and medical factors, particularly cognitive and mental functioning were connected with the prevalence and progression of frailty syndrome in the study group. Quality of life was significantly dependent on the presence of frailty syndrome, both in homes and in nursing homes.

scholarly journals Quality Improvement Questionnaires – Nursing Homes (QIQ-NH): validation of questionnaires for measuring quality of care in nursing homes from various perspectives

2020 ◽  
Author(s):  
Mattanja Triemstra ◽  
Juliane Menting ◽  
Bellis van den Berg
Keyword(s):  
Quality Improvement ◽  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Family Caregivers ◽  
Content Validity ◽  
Nursing Home Care ◽  
Cognitive Interviews ◽  
National Quality

Abstract Background This study aims to describe the validation and optimization of a new instrument specifically designed to measure and improve the quality of care in nursing homes; the Quality Improvement Questionnaires for Nursing Homes (QIQ-NH). This instrument comprises several questionnaires on the perceived quality of care for various perspectives (e.g. clients, family and professional caregivers) and covers eight themes of the national quality framework for nursing home care in the Netherlands. Methods Data was collected in six nursing homes between September 2017 and June 2018, among 359 residents, 48 family caregivers and 648 professional caregivers who completed a subgroup-specific questionnaire of the QIQ-NH. The construct and criterion validity of the three questionnaires were tested with item- and scale analyses. The content validity of the questionnaires was tested in cognitive interviews with 20 participants (7 residents, 5 family caregivers, 8 professional caregivers). Results Psychometric analyses confirmed the multidimensionality and reliability of the three questionnaires, and the cognitive interviews showed various possibilities for further optimization of the instruments. The construct, criterion and content validity of the three questionnaires ranged from acceptable to good. Cronbach’s alphas were > .70 for almost all scales. More than half of the items were candidate for optimization according to the cognitive interviews, mainly due to clarity or knowledge problems, and the questionnaires of the QIQ-NH were optimized accordingly. Conclusions The Quality Improvement Questionnaires for Nursing Homes (QIQ-NH) provides a solid basis to continuously measure and improve the quality of nursing home care, by covering the national quality themes and by integrating the various perspectives of all parties involved. With real-time feedback, the instrument enables the management and care teams to select possibilities or areas for improvement and to implement and continuously monitor the effects of quality improvement strategies in nursing homes.

Environmental Audit Tool--High Care

2015 ◽  
Author(s):  
Richard Fleming ◽  
Kirsty Bennett
Keyword(s):  
Environmental Audit ◽  
Audit Tool ◽  
High Care

Second Victim Experience and Support Tool: cultural adaptation and psychometric evaluation in Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Scarpis ◽  
E Ruscio ◽  
B Bianchet ◽  
A Doimo ◽  
V Moretti ◽  
...  
Keyword(s):  
Internal Consistency ◽  
Cultural Adaptation ◽  
Content Validity ◽  
The United States ◽  
Cross Cultural ◽  
World Health ◽  
Italian Version ◽  
Support Tool ◽  
Cross Cultural Adaptation ◽  
Second Victim

Abstract Background ”Second victims” are defined as “healthcare workers (HCWs) involved in an unanticipated adverse patient event, who experienced professional and psychological distress”. The Second Victim Experience and Support Tool (SVEST) is a survey developed and validated in the United States, which describes the experience of second victims. This study aims to perform the cross-cultural adaptation of the SVEST and to evaluate its psychometric characteristics in the Italian context. Methods The translation and cross-cultural adaptation process was performed according to the World Health Organization’s guidelines, from March to May 2019. Then HCWs involved in direct patient care (a potential second victim) were asked to complete the Italian version of SVEST in a validation survey, from June to November 2019 at the Academic Hospital of Udine. SVEST consists of 29 items, divided into 7 dimensions, 2 outcome variables and 7 support options. The IT-SVEST was assessed for internal consistency through Cronbach’s α, for content validity with Content Validity Index for Scales (S-CVI) and for Item (I-CVI) and for construct validity with Confirmatory Factor Analysis (CFA). Results Collected surveys were 349. Women were 79.4%. Nurses were 40.1%, 18.9% were doctors and 8.6% were residents. HCWs involved in a patients’ adverse event were 205 (58.7%). Out of these, 66.3% were near misses. The internal consistency of the instrument was adequate in its overall evaluation with Cronbach α = 0.88 (95% C.I.=0.86). S-CVI was 0.94 and I-CVI was 0.70. The CFA results showed a good model fit for the nine-factor structure (chi2=676.18, 327 df, p < 0.001). Root Mean Squared Error of Approximation, Akaike’s information criterion, Comparative Fix Index Tucker-Lewis Index values also suggested a good fit to the data. Conclusions The Italian version of the SVEST (IT-SVEST) can be used to evaluate second victim experiences, demonstrating adequate validity, reliability and good psychometric properties. Key messages Healthcare institutions need an instrument that can direct efforts to prevent and reduce the second victim experience. IT-SVEST is a reliable and valid instrument to obtain accurate information on second victim experience.

scholarly journals Development of the Russian version of quality of life questionnaire in patients with GERD – GERD-HRQL

2020 ◽  
Vol 92 (8) ◽  
pp. 12-17
Author(s):  
T. I. Ionova ◽  
T. P. Nikitina ◽  
E. A. Mayevskaya ◽  
N. V. Cheremushkina ◽  
R. I. Shaburov ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Face Validity ◽  
Expert Evaluation ◽  
Linguistic Validation ◽  
Cross Cultural Adaptation ◽  
Russian Version ◽  
Test Version

Gastroesophageal reflux disease (GERD) is a common chronic disease of the upper gastrointestinal tract with long course of the disease and followed by different symptoms significantly reducing quality of life (QoL) in pts. Assessment of QoL in pts with GERD may be of value for comprehensive evaluation of treatment effect as well as for monitoring of pts during treatment course in a real clinical practice. Aim. Development of the Russian version of GERD-HRQL questionnaire to assess symptomatic outcomes of GERD in research and real clinical practice. Materials and methods. GERD-HRQL questionnaire (V. Velanovich, USA) consists of 11 items: 10 items for assessment of the most frequent symptoms/problems related with QoL in pts with GERD and 1 item for assessment of patient-reported global satisfaction with health condition. Results. In accordance with international guidelines, the new language version of the tool may be used in research and clinical practice after cross cultural adaptation, linguistic validation and psychometric testing. This paper presents the results of cross-cultural adaptation and linguistic validation of the Russian version of GERD-HRQL. The following steps of linguistic and cultural adaptation of GERD-HRQL for Russia were conducted after the permission from the author of GERD-HRQL was obtained: forward translation with creation of two forward translations of GERD-HRQL in Russian, reconciliation and expert evaluation of translations of GERD-HRQL in Russian and creation of the preliminary version of GERD-HRQL in Russian, back translation, harmonization, creation of the first test-version of GERD-HRQL in Russian, cognitive debriefing and decentering, creation of the second test-version of GERD-HRQL in Russian, final expert evaluation and development of the final test-version of GERD-HRQL in Russian. Satisfactory face validity of the Russian test-version of GERD-HRQL was shown: face validity indices were 0.98, 0.95, 0.92, and 0.97. Conclusion. As the result of translation, cross cultural adaptation and linguistic validation, the Russian version of GERD-HRQL for the use in pts with GERD in Russia was developed. The Russian version of GERD-HRQL may be used in research studies and clinical practice after testing its psychometric properties.

scholarly journals Culture in the spotlight—cultural adaptation and content validity of the integrated palliative care outcome scale for dementia: A cognitive interview study

2021 ◽  
pp. 026921632110044
Author(s):  
Farina Hodiamont ◽  
Helena Hock ◽  
Clare Ellis-Smith ◽  
Catherine Evans ◽  
Susanne de Wolf-Linder ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Cultural Adaptation ◽  
Content Validity ◽  
Cognitive Interview ◽  
Psychometric Testing ◽  
Interview Study ◽  
People With Dementia ◽  
Palliative Care Outcome Scale ◽  
Care Outcome

Background: Dementia is a life-limiting disease with high symptom burden. The Integrated Palliative Care Outcome Scale for Dementia (IPOS-Dem) is the first comprehensive person-centered measure to identify and measure palliative care needs of people with dementia. However, such a measure is missing in the German health care system. Aim: To develop a culturally adapted German version of the IPOS-Dem and determine its content validity as a foundation for comprehensive psychometric testing. Design: Cognitive interview study with intermittent analysis and questionnaire adaptation. Interview guide and coding frame followed thematic analysis according to Willis complemented by Tourangeau’s model of cognitive aspects of survey methodology: comprehension, retrieval, judgment, response. Participants: Purposive sample with professionals ( n = 29) and family carers ( n = 6) of people with advanced dementia in seven nursing homes and person’s own home care in four interview rounds ( n = 11; 10; 7; 7). Results: IPOS-Dem was regarded as comprehensive and accessible. Cultural adaption pertained to issues of comprehension and judgment. Comprehension challenges referred to the person-centered concept of “being affected by” used in the POS-measures. Judgment problems related to persons with limited communication causing challenges in assessment. Conclusion: Most issues of cultural adaptation could be addressed by questionnaire modifications. However, interviews unveiled fundamental challenges for using proxy reported person-centered assessments. Continuous training on how to use the instrument is imperative to integrate the person-centered approach of palliative care into nursing homes as a key provider of generalist palliative care for people with dementia. The refined version is ready for psychometric testing.

scholarly journals Quality evaluation questionnaires – nursing homes (QEQ-NH); validation of questionnaires for measuring quality of care in nursing homes from various perspectives

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mattanja Triemstra ◽  
Juliane Menting ◽  
Bellis van den Berg
Keyword(s):  
Nursing Home ◽  
Quality Of Care ◽  
Nursing Homes ◽  
Family Caregivers ◽  
Content Validity ◽  
Quality Evaluation ◽  
Nursing Home Care ◽  
Cognitive Interviews ◽  
National Quality

Abstract Background This study aims to describe the validation and optimization of a new instrument designed to comprehensively measure and evaluate the quality of care in nursing homes; the Quality Evaluation Questionnaires for Nursing Homes (QEQ-NH). This instrument comprises several questionnaires on the perceived quality of care for various perspectives (e.g. clients, family and professional caregivers) and covers eight themes of the national quality framework for nursing home care in the Netherlands. Methods Data were collected in six nursing homes between September 2017 and June 2018, among 359 residents, 48 family caregivers and 648 professional caregivers who completed a subgroup-specific questionnaire of the QEQ-NH. Construct and criterion validity of the three questionnaires were tested with item- and scale analyses. Content validity of the questionnaires was tested in cognitive interviews with 20 participants (7 residents, 5 family caregivers and 8 professional caregivers). Results Psychometric analyses confirmed the multidimensionality and reliability of the three questionnaires, and the cognitive interviews showed various possibilities for further optimization of the instrument. Construct, criterion and content validity of the three questionnaires ranged from acceptable to good. Cronbach’s alphas were > .70 for almost all scales. More than half of the items were candidate for optimization according to the cognitive interviews, mainly due to clarity or knowledge problems, and the questionnaires of the QEQ-NH were optimized accordingly. Conclusions The Quality Evaluation Questionnaires for Nursing Homes (QEQ-NH) provide a solid basis to measure the quality of nursing home care, by covering the national quality themes and by integrating the various perspectives of all parties involved. With real-time feedback, the instrument provides the management and care teams with information to select possibilities or areas for improvement and to continuously monitor the effects of quality improvement in nursing homes.

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