scholarly journals A framework for cross-cultural development and implementation of complex interventions to improve palliative care in nursing homes: the PACE steps to success programme

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jo Hockley ◽  
◽  
Katherine Froggatt ◽  
Lieve Van den Block ◽  
Bregje Onwuteaka-Philipsen ◽  
...  
Keyword(s):  
Palliative Care ◽  
Nursing Homes ◽  
Cultural Adaptation ◽  
Complex Interventions ◽  
Cultural Development ◽  
Cross Cultural ◽  
Cultural Norms ◽  
Cross Cultural Adaptation ◽  
The Cross ◽  
Local Languages

Abstract Background The PACE Steps to Success programme is a complex educational and development intervention to improve palliative care in nursing homes. Little research has investigated processes in the cross-cultural adaptation and implementation of interventions in palliative care across countries, taking account of differences in health and social care systems, legal and regulatory policies, and cultural norms. This paper describes a framework for the cross-cultural development and support necessary to implement such an intervention, taking the PACE Steps to Success programme as an exemplar. Methods The PACE Steps to Success programme was implemented as part of the PACE cluster randomised control trial in seven European countries. A three stage approach was used, a) preparation of resources; b) training in the intervention using a train-the-trainers model; and c) cascading support throughout the implementation. All stages were underpinned by cross-cultural adaptation, including recognising legal and cultural norms, sensitivities and languages. This paper draws upon collated evidence from minutes of international meetings, evaluations of training delivered, interviews with those delivering the intervention in nursing homes and providing and/or receiving support. Results Seventy eight nursing homes participated in the trial, with half randomized to receive the intervention, 3638 nurses/care assistants were identified at baseline. In each country, 1–3 trainers were selected (total n = 16) to deliver the intervention. A framework was used to guide the cross-cultural adaptation and implementation. Adaptation of three English training resources for different groups of staff consisted of simplification of content, identification of validated implementation tools, a review in 2 nursing homes in each country, and translation into local languages. The same training was provided to all country trainers who cascaded it into intervention nursing homes in local languages, and facilitated it via in-house PACE coordinators. Support was cascaded from country trainers to staff implementing the intervention. Conclusions There is little guidance on how to adapt complex interventions developed in one country and language to international contexts. This framework for cross-cultural adaptation and implementation of a complex educational and development intervention may be useful to others seeking to transfer quality improvement initiatives in other contexts.

Transformation and Cross-Cultural Adaptation of Teacher Candidates in an International Student Teaching Program

2021 ◽  
pp. 154134462110285
Author(s):  
Kelley M. King ◽  
Kathryn V. Dixon ◽  
Ricardo González-Carriedo ◽  
Lisbeth Dixon-Krauss
Keyword(s):  
Student Teaching ◽  
Transformational Learning ◽  
Cultural Adaptation ◽  
Teacher Candidates ◽  
International Student ◽  
Cross Cultural ◽  
Cross Cultural Adaptation ◽  
Cultural Adaptability ◽  
The Cross ◽  
International Student Teaching

This case study addressed effects of international student teaching on U.S. teacher candidates’ cross-cultural adaptability and perspectives on language, culture, and schooling. Interviews and the Cross-Cultural Adaptability Inventory were collected from 18 participants before and after 4 weeks student teaching internationally. Interviews were coded using the Cross-Cultural Adaptability Inventory dimensions and interpreted using Mezirow’s transformational learning theory. Findings suggested that increased cross-cultural adaptation aligns with transformational learning. Transformational learning led participants to question assumptions and consider incorporating different perspectives in future teaching.

scholarly journals Cross-Cultural Adaptation and Validation of the Brazilian Portuguese Version of an Observational Measure for Parent–Child Responsive Caregiving

2021 ◽  
Vol 18 (3) ◽  
pp. 1246
Author(s):  
Alessandra Schneider ◽  
Michelle Rodrigues ◽  
Olesya Falenchuk ◽  
Tiago N. Munhoz ◽  
Aluisio J. D. Barros ◽  
...  
Keyword(s):  
Cultural Adaptation ◽  
Child Outcomes ◽  
Developed Countries ◽  
Brazilian Portuguese ◽  
Cross Cultural ◽  
Rater Reliability ◽  
Cross Cultural Adaptation ◽  
Portuguese Version ◽  
Brief Assessment ◽  
The Cross

Responsive caregiving is the dimension of parenting most consistently related to later child functioning in both developing and developed countries. There is a growing need for efficient, psychometrically sound and culturally appropriate measurement of this construct. This study describes the cross-cultural validation in Brazil of the Responsive Interactions for Learning (RIFL-P) measure, requiring only eight minutes for assessment and coding. The cross-cultural adaptation used a recognized seven-step procedure. The adapted version was applied to a stratified sample of 153 Brazilian mother–child (18 months) dyads. Videos of mother–child interaction were coded using the RIFL-P and a longer gold standard parenting assessment. Mothers completed a survey on child stimulation (18 months) and child outcomes were measured at 24 months. Internal consistency (α = 0.94), inter-rater reliability (r = 0.83), and intra-rater reliability (r = 0.94) were all satisfactory to high. RIFL-P scores were significantly correlated with another measurement of parenting (r’s ranged from 0.32 to 0.47, p < 0.001), stimulation markers (r = 0.34, p < 0.01), and children’s cognition (r = 0.29, p < 0.001), language (r = 0.28, p < 0.001), and positive behavior (r = 0.17, p < 0.05). The Brazilian Portuguese version is a valid and reliable instrument for a brief assessment of responsive caregiving.

scholarly journals Cross-cultural adaptation and content validation into Portuguese of the Subjective Global Nutritional Assessment for pediatric patients hospitalized with cancer

2017 ◽  
Vol 30 (3) ◽  
pp. 307-320
Author(s):  
Danúbia da Cunha Antunes SARAIVA ◽  
Wanélia Vieira AFONSO ◽  
Nivaldo Barroso de PINHO ◽  
Wilza Arantes Ferreira PERES ◽  
Patricia de Carvalho PADILHA
Keyword(s):  
Cultural Adaptation ◽  
Health Care Professionals ◽  
Cultural Context ◽  
Pediatric Patients ◽  
Nutritional Assessment ◽  
Cross Cultural ◽  
Expert Committee ◽  
Content Validation ◽  
Cross Cultural Adaptation ◽  
The Cross

ABSTRACT Objective Cross-cultural adaptation and content validation of the Brazilian Portuguese version of the Subjective Global Nutritional Assessment questionnaire (originally in English) for use in hospitalized children and adolescents being treated in a reference institute of oncology. Methods The cross-cultural adaptation process consisted of the following stages: conceptual, item, semantic, and operational equivalence. The conceptual equivalence and item was carried out through discussion with members of an expert committee. Semantic equivalence was evaluated through initial translation, synthesis of translations, back translation, discussions with experts, and pretest with 32 patients. During operational equivalence, the experts discussed about the format of questions and instructions, setting, target populations, and mode of administration to later propose a final version. Content validation was performed by the expert committee. Results Minor modifications were made in the instrument to facilitate its use in the Brazilian socio-cultural context. Pretest results showed that the instrument is easily understood by health care professionals and the target population. Conclusion The cross-cultural adaptation and validation of the Subjective Global Nutritional Assessment allowed obtaining a Brazilian version equivalent to the original. The adapted instrument will be an important tool for the subjective assessment of the nutritional status of pediatric patients hospitalized with cancer.

scholarly journals A Hybrid Method for the Cross-Cultural Adaptation of Self-Report Measures

2020 ◽  
Author(s):  
Atul Kumar Goyal ◽  
Jaimanti Bakshi ◽  
Naresh K Panda ◽  
Rakesh Kapoor ◽  
Dharam Vir ◽  
...  
Keyword(s):  
Hybrid Method ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Self Report ◽  
Cross Cultural Adaptation ◽  
The Cross

scholarly journals CROSS-CULTURAL ADAPTATION OF THE ADOLESCENT PEDIATRIC PAIN TOOL FOR BRAZILIAN CHILDREN AND ADOLESCENTS WITH CANCER

2019 ◽  
Vol 28 ◽  
Author(s):  
Paula Saud De Bortoli ◽  
Eufemia Jacob ◽  
Thaíla Corrêa Castral ◽  
Cláudia Benedita dos Santos ◽  
Ananda Maria Fernandes ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Expert Committee ◽  
Adaptation Process ◽  
Pediatric Pain ◽  
Cross Sectional ◽  
Cross Cultural Adaptation ◽  
The Cross ◽  
Brazilian Children

ABSTRACT Objective: to describe the steps in the cross-cultural adaptation process of the Adolescent Pediatric Pain Tool, a pain assessment measure, for use with Brazilian children and adolescents with cancer. Method: a methodological and cross-sectional study was undertaken. The steps in the cross-cultural adaptation process of the tool that resulted in the semantic validation followed an adapted method, including: initial translation, consensus version of translations, evaluation by Expert Committee, back-translation, comparison with original tool and actual semantic validation. Results: the initial translation process of the tool until the final consensus was reached took approximately four months. In the evaluation by the Expert Committee, three health professionals participated in the study, who were knowledgeable on the theme and mastered the English language. In the semantic validation, 35 children and adolescents aged between eight and 18 unfinished years participated, who were patients at the institution where children and adolescents with cancer were treated and monitored. After concluding all steps, the researchers met to discuss the proposed changes. At the end of the cross-cultural adaptation process of the Adolescent Pediatric Pain Tool, all initially proposed 67 pain descriptors were maintained in their Portuguese version. Conclusion: the steps in the cross-cultural adaptation process of the Adolescent Pediatric Pain Tool were executed and described in detail, evidencing the rigorous development of the study.

scholarly journals Qualitative Study of the Cross-Cultural Adaptation of Macao Students in Mainland China

2020 ◽  
Vol 10 (5) ◽  
pp. 128
Author(s):  
Chia-Wen Lee ◽  
Weidong Wu ◽  
Zhi-Yu Tan ◽  
Cheng-Fu Yang
Keyword(s):  
Cultural Adaptation ◽  
Mainland China ◽  
Cross Cultural ◽  
Educational Systems ◽  
Structured Interviews ◽  
Language Of Instruction ◽  
Cross Cultural Adaptation ◽  
Cultural Adaption ◽  
Mandarin Language ◽  
The Cross

Education research is increasingly paying attention to students’ cross-cultural adaption in Mainland China. As a special administrative region of China, educational systems and language of instruction of Macao are different from those of Mainland China. This study analyzes the cross-cultural adaptation of Macao students in Mainland China by using qualitative semi-structured interviews. The results show that study motivation, medium of instruction, and social integration are important factors determining how Macao students adapt to university programs. Failure to adapt to the language of instruction is the most direct, prominent, and enduring problem that Macao students encounter when studying in the Mainland. The current study’s findings have practical implications for faculties who provide support and training to Macao students in Mainland China. The study discovers that strengthening the Mandarin language skills of Macao students is currently a priority.

The cross-cultural adaptation and psychometric validation of the MSSS-88 for use in Italian patients with multiple sclerosis

2017 ◽  
Vol 41 (4) ◽  
pp. 465-471 ◽  
Author(s):  
Marcella Ottonello ◽  
Leonardo Pellicciari ◽  
Diego Centonze ◽  
Calogero Foti ◽  
Caterina Pistarini ◽  
...  
Keyword(s):  
Multiple Sclerosis ◽  
Cultural Adaptation ◽  
Cross Cultural ◽  
Psychometric Validation ◽  
Cross Cultural Adaptation ◽  
The Cross
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