Cross-cultural adaptation, validity, and reliability of the Nepali version of the Exercise Adherence Rating Scale: A methodological study

Abstract Background: The Exercise Adherence Rating Scale (EARS) is a commonly used outcome tool, which helps to identify the adherence rate of exercises and reasons for adherence and non-adherence. There is no evidence of the availability of any measurement tools to assess exercise adherence in the Nepalese context and cultural background. Therefore, we conducted a cross-cultural adaptation of the EARS into the Nepali language and investigated its reliability and validity. Methods: Cross-cultural adaptation of the EARS was done based on Beaton guidelines. Psychometric properties were evaluated among 18 participants aged 18 years or older with pre-diabetes or confirmed diagnosis of any disease who were prescribed with home exercises by physiotherapists. Any disease that limited participants from doing exercise and individuals unwilling to participate were excluded. Reliability was evaluated through internal consistency, using Cronbach’s alpha. Exploratory Factor Analysis (EFA) was performed to explore construct validity and confirm its unidimensionality. Receiver Operating Characteristic (ROC) curve was analyzed to identify cut-off score, sensitivity and specificity of the tool.Results: The Cronbach’s alpha was 0.94 for EARS-adherence behavior. The EFA of 6-items adherence behavior revealed the presence of one factor with an eigenvalue exceeding one. The scree-plot suggested for extraction of only one factor with strong loading (75.84%). The Area Under the Curve was 0.91 with 95% confidence interval 0.77 to 1.00 at p = 0.004. The cutoff score was found 17.5 with 89% sensitivity and 78% specificity.Conclusions: The EARS was cross-culturally adapted to the Nepali language. The reliability and construct validity of the Nepali version of the EARS were acceptable to assess exercise adherence in Nepali-speaking individuals. This validated tool might facilitate the evaluation of exercise-related interventions. Future studies could investigate other psychometric properties of the Nepali EARS.

Download Full-text

Cross-cultural adaptation, validity, and reliability of the Nepali version of the Exercise Adherence Rating Scale: a methodological study

Health and Quality of Life Outcomes ◽

10.1186/s12955-020-01588-6 ◽

2020 ◽

Vol 18 (1) ◽

Author(s):

Shambhu P. Adhikari ◽

Rubee Dev ◽

Jayana N. Shrestha

Keyword(s):

Construct Validity ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Rating Scale ◽

Exercise Adherence ◽

Cross Cultural ◽

Cronbach’S Alpha ◽

Adherence Behavior ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha

Abstract Background The Exercise Adherence Rating Scale (EARS) is a commonly used outcome tool, which helps to identify the adherence rate of exercises and reasons for adherence and non-adherence. There is no evidence of the availability of any measurement tools to assess exercise adherence in the Nepalese context and cultural background. Therefore, we conducted a cross-cultural adaptation of the EARS into the Nepali language and investigated its reliability and validity. Methods Cross-cultural adaptation of the EARS was done based on Beaton guidelines. Psychometric properties were evaluated among 18 participants aged 18 years or older with pre-diabetes or confirmed diagnosis of any disease who were prescribed with home exercises by physiotherapists. Any disease that limited participants from doing exercise and individuals unwilling to participate were excluded. Reliability was evaluated through internal consistency, using Cronbach’s alpha. Exploratory Factor Analysis (EFA) was performed to explore construct validity and confirm its unidimensionality. Receiver Operating Characteristic (ROC) curve was analyzed to identify cut-off score, sensitivity and specificity of the tool. Results The Cronbach’s alpha was 0.94 for EARS-adherence behavior. The EFA of 6-items adherence behavior revealed the presence of one factor with an eigenvalue exceeding one. The scree-plot suggested for extraction of only one factor with strong loading (75.84%). The Area Under the Curve was 0.91 with 95% confidence interval 0.77–1.00 at p = 0.004. The cutoff score was found 17.5 with 89% sensitivity and 78% specificity. Conclusions The EARS was cross-culturally adapted to the Nepali language. The reliability and construct validity of the Nepali version of the EARS were acceptable to assess exercise adherence in Nepali-speaking individuals. This validated tool might facilitate the evaluation of exercise-related interventions. Future studies could investigate other psychometric properties of the Nepali EARS.

Download Full-text

Cross-cultural adaptation, validity, and reliability of the Nepali version of the Exercise Adherence Rating Scale: A methodological study

10.21203/rs.3.rs-30348/v3 ◽

2020 ◽

Author(s):

Shambhu Prasad Adhikari ◽

Rubee Dev ◽

Jayana N Shrestha

Keyword(s):

Construct Validity ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Rating Scale ◽

Exercise Adherence ◽

Cross Cultural ◽

Cronbach’S Alpha ◽

Adherence Behavior ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha

Download Full-text

Cross-Cultural Adaptation and Validation of the Exercise Adherence Rating Scale to Nepali language: A Methodological Study

10.21203/rs.3.rs-30348/v1 ◽

2020 ◽

Author(s):

Shambhu Prasad Adhikari ◽

Rubee Dev ◽

Jayana N Shrestha

Keyword(s):

Construct Validity ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Rating Scale ◽

Exercise Adherence ◽

Cross Cultural ◽

Cronbach’S Alpha ◽

Adherence Behavior ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha

Abstract Background The Exercise Adherence Rating Scale (EARS) is a commonly used outcome tool, which helps to identify the adherence rate of exercises and reasons for adherence and non-adherence. There is no evidence of availability of any measurement tools to assess exercise adherence in Nepalese context and cultural background. Therefore, we conducted a cross-cultural adaptation of the EARS in to Nepali language and investigated its reliability and validity.Methods Cross-cultural adaptation of the EARS was done based on Beaton guidelines. Psychometric properties were evaluated among 18 participants aged 18 years or older with pre-diabetes or confirmed diagnosis of any disease who were prescribed with home exercises by physiotherapists. Any disease that limited participants from doing exercise and individuals unwilling to participate were excluded. Reliability was evaluated through internal consistency, using the Cronbach’s alpha. Exploratory Factor Analysis (EFA) was performed to explore construct validity and confirm its unidimensionality. Receiver Operating Characteristic (ROC) curve was analyzed to identify cut-off score, sensitivity and specificity of the tool.Results The Cronbach’s alpha was 0.94 for EARS-adherence behavior. The EFA of 6-items adherence behavior revealed the presence of one factor with an eigenvalue exceeding one. The scree-plot suggested for extraction of only one factor with strong loading (75.84%). The Area Under the Curve was 0.91 with 95% confidence interval 0.77 to 1.00 at p = 0.004. The cutoff score was found 17.5 with 89% sensitivity and 78% specificity.Conclusions The EARS was cross-culturally adapted to Nepali language. The reliability and construct validity of the Nepali version of the EARS were acceptable to assess exercise adherence in Nepali-speaking individuals. This validated tool might facilitate the evaluation of exercise related interventions. Future studies could investigate other psychometric properties of the Nepali EARS.

Download Full-text

Cross-cultural adaptation and psychometric properties of the short version of COPSOQ II-Brazil

Revista de Saúde Pública ◽

10.11606/s1518-8787.2021055003123 ◽

2021 ◽

Vol 55 ◽

pp. 69 ◽

Cited By ~ 1

Author(s):

Josiane Sotrate Gonçalves ◽

Cristiane Shinohara Moriguchi ◽

Thaís Cristina Chaves ◽

Tatiana de Oliveira Sato

Keyword(s):

Construct Validity ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Cross Cultural ◽

Short Version ◽

Cronbach’S Alpha ◽

Retest Reliability ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha ◽

Test Retest Reliability

OBJECTIVES Translate and culturally adapt the short version of Copenhagen Psychosocial Questionnaire II (COPSOQ II) into Brazilian Portuguese (COPSOQ II-Br) and evaluate its psychometric properties. METHODS Translation and cultural adaptation followed the standardized guidelines. Structural validity was assessed using exploratory factorial analysis. Test-retest reliability was evaluated by intraclass correlation coefficient (ICC3,1) and internal consistency by Cronbach’s alpha. Floor and ceiling effect was considered acceptable if less than 15% of participants reported the lowest or highest scores. Measurement error was assessed by standard error of measurement (SEM), while construct validity was tested by correlating the COPSOQ II-Br, the Job Content Questionnaire and the Nordic Musculoskeletal Questionnaire. RESULTS The study evaluated a total of 211 civil servants and service providers in the test and 157 in the retest. After cross-cultural adaptation, the COPSOQ II-Br structure comprised seven domains and 11 dimensions. Most dimensions showed acceptable floor and ceiling effects, excepting “Work family conflicts” (floor effect of 26.1%), and “Meaning and commitment” and “Job satisfaction,” with ceiling floor of 27.5% and 22.3%, respectively. Cronbach’s alpha values reached the recommended levels (varied between 0.70 and 0.87). Test-retest reliability indicated that all dimensions had ICC between 0.71 and 0.81. SEM ranged from 0.6 to 2.2 and the construct validity showed good results with the tested instruments (significant positive and negative correlations). CONCLUSIONS All psychometric properties of the short version COPSOQ II-Br are suitable for use in Brazil. The instrument is thus validated and can be used by occupational health and human resources professionals to evaluate psychosocial working conditions.

Download Full-text

Translation and cross-cultural adaptation of the Clinical Competence Questionnaire for use in Brazil

Revista Latino-Americana de Enfermagem ◽

10.1590/1518-8345.1757.2898 ◽

2017 ◽

Vol 25 (0) ◽

Cited By ~ 1

Author(s):

Danielle Ritter Kwiatkoski ◽

Maria de Fátima Mantovani ◽

Evani Marques Pereira ◽

Carina Bortolato-Major ◽

Ângela Taís Mattei ◽

...

Keyword(s):

Nursing Students ◽

Psychometric Properties ◽

Clinical Competence ◽

Cultural Adaptation ◽

Intraclass Correlation ◽

Cross Cultural ◽

Expert Committee ◽

Cronbach’S Alpha ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha

ABSTRACT Objective: translating and transculturally adapting the Clinical Competence Questionnaire to Brazilian senior undergraduate Nursing students, as well as measuring psychometric properties of the questionnaire. Method: a methodological study carried out in six steps: translation of the Clinical Competence Questionnaire instrument, consensus of the translations, back-translation, analysis by an expert committee, pre-testing and then presentation of the cross-cultural adaptation process to the developers. Psychometric properties were measured using Cronbach's alpha, intraclass correlation coefficient and content validity index. Results: the instrument was translated, transculturally adapted and its final version consisted of 48 items. Cronbach's alpha coefficient was 0.90, and the agreement index of the items was 99% for students and 98% for evaluators. Conclusion: the Clinical Competence Questionnaire was translated and adapted to Brazilian students, and the psychometric properties of the Portuguese version of the questionnaire presented satisfactory internal consistency regarding the studied sample.

Download Full-text

BEHAVIORAL REGULATION IN SPORT QUESTIONNAIRE (BRSQ): USE IN YOUNG BRAZILIAN ATHLETES

Revista Brasileira de Medicina do Esporte ◽

10.1590/1517-869220192501184936 ◽

2019 ◽

Vol 25 (1) ◽

pp. 45-52

Author(s):

Dartagnan Pinto Guedes ◽

Vilmar Aparecido Caus ◽

Sandro Lucas Sofiati

Keyword(s):

Factor Analysis ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Cross Cultural ◽

Behavioral Regulation ◽

Cronbach’S Alpha ◽

Young Athletes ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha ◽

Conceptual Equivalence

ABSTRACT Introduction: The Behavioral Regulation in Sport Questionnaire (BRSQ) was originally proposed in English in order to identify sports motivation regulations according to the self-determination theory. Objectives: To translate into Portuguese, to perform cross-cultural adaptation, and to examine the psychometric properties of the BRSQ in a sample of young Brazilian athletes. Methods: The original version was translated according to international recommendations. A panel of judges analyzed the translated versions of the questionnaire, using semantic, idiomatic, cultural and conceptual equivalence as analysis criteria. The final version of the translated questionnaire was administered in a sample of 1217 young athletes (410 girls and 807 boys) aged 12 to 17 years. An exploratory factor analysis was carried out to identify initial psychometric properties, followed by a confirmatory factor analysis. Cronbach's alpha coefficient was used to assess the internal consistency of each factor associated with the BRSQ. Results: After minor changes identified in the translation process, the panel of judges was of the opinion that the Portuguese version of the BRSQ had semantic, idiomatic, cultural and conceptual equivalence. The factor analysis confirmed the structure of the eight factors proposed originally, through the statistical indicators χ2/gl = 1.87, CFI = 0.940, GFI = 0.945, AGFI = 0.958 and RMSR = 0.052 (95% CI 0.043 – 0.062). The Cronbach's alpha ranged from 0.71 to 0.85. Conclusions: Translation, cross-cultural adaptation and analysis of the psychometric qualities of the BRSQ were satisfactory, facilitating its application in future studies involving young athletes in Brazil. Level of Evidence III; Retrospective comparative study.

Download Full-text

Preliminary stages of cross-cultural adaptation of the Brazilian Portuguese version of McMaster Family Assessment Device

Jornal Brasileiro de Psiquiatria ◽

10.1590/0047-2085000000125 ◽

2016 ◽

Vol 65 (3) ◽

pp. 201-208 ◽

Cited By ~ 1

Author(s):

Eliane Traebert ◽

Karoliny dos Santos ◽

Luciana Müller Carvalho ◽

Jane da Silva ◽

Jefferson Traebert

Keyword(s):

Internal Consistency ◽

Cultural Adaptation ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Family Assessment ◽

Cronbach’S Alpha ◽

Family Assessment Device ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha ◽

General Functioning

ABSTRACT Objective To carry out the preliminary stages of the cross-cultural adaptation of the Family Assessment Device (FAD) to Brazilian Portuguese language and examine its reliability. Methods The translation and cross-cultural adaptation of the FAD were developed according to the methods internationally recommended. The resulting product was applied to 80 individuals who completed the questionnaire on two different occasions, seven days apart. Internal consistency was obtained through Cronbach’s alpha, and reliability was estimated by using the Bland and Altman method. Results The internal consistency obtained was very good (Cronbach’s alpha = 0.910). The mean differences of FAD dimensions found in the Bland and Altman test were the following: -0.21 (Problem Solving); -0.32 (Communication); -0.17 (Roles); 0.2 (Affective Responsiveness); -0.27 (Affective Involvement); -0.08 (Behavior Control); -0.02 (General Functioning). Conclusion The processes of translation and cross-cultural adaptation were successful. Assessment of the structural validity and external construct validity is recommended for the improvement of the Brazilian version.

Download Full-text

Cross-cultural adaptation of the Beliefs about Medicines Questionnaire into Portuguese

Sao Paulo Medical Journal ◽

10.1590/s1516-31802013000100018 ◽

2013 ◽

Vol 131 (2) ◽

pp. 88-94 ◽

Cited By ~ 17

Author(s):

Teresa Salgado ◽

Alexandra Marques ◽

Leonor Geraldes ◽

Shalom Benrimoj ◽

Robert Horne ◽

...

Keyword(s):

General Population ◽

Cultural Adaptation ◽

Cross Cultural ◽

English Version ◽

Cronbach’S Alpha ◽

Component Structure ◽

Original English Version ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha ◽

Beliefs About Medicines

CONTEXT AND OBJECTIVES The Beliefs about Medicines Questionnaire (BMQ-Specific) has proven useful for measuring patients' beliefs and associating them with non-adherence to treatment in several illness groups. The aim was to cross-culturally adapt the BMQ-Specific into Portuguese for the general population of medicine users. DESIGN AND SETTING Cross-sectional study conducted among users of public hospitals and outpatient clinics in Guarda and Covilhã, Portugal. METHODS The BMQ-Specific was translated using international recommendations for performing cross-cultural adaptation and was administered to 300 patients. An initial principal component analysis (PCA) was conducted with the extraction criterion of eigenvalue > 1.0, followed by a second PCA with restriction to two components. Reliability was assessed by calculating Cronbach's alpha coefficient. RESULTS The mean scores obtained for the Necessity and Concerns subscales of the Portuguese BMQ-Specific were 19.9 (standard deviation, SD = 2.8) (range 10 to 25) and 17.7 (SD = 3.9) (range 6 to 30), respectively. The first PCA produced an unstable three-component structure for the Portuguese BMQ-Specific. The final PCA solution yielded a two-component structure identical to the original English version (a five-item Necessity and a six-item Concerns subscale), and explained 44% of the variance. Cronbach's alpha for the complete Portuguese BMQ-Specific was 0.70, and 0.76 and 0.67 for the Necessity and Concerns subscales, respectively. CONCLUSION A cross-culturally adapted Portuguese version of the BMQ-Specific questionnaire for use among the general population of medicine users was obtained, presenting good internal consistency and component structure identical to the original English version.

Download Full-text

Self-assessment questionnaire for family doctors’ assessment of quality improvement competencies: a cross-cultural adaptation in Slovenia

Slovenian Journal of Public Health ◽

10.2478/sjph-2014-0005 ◽

2014 ◽

Vol 53 (1) ◽

pp. 34-41 ◽

Cited By ~ 1

Author(s):

Zalika Klemenc-Ketiš ◽

Primož Kuhar ◽

Janko Kersnik ◽

Genc Burazeri ◽

Katarzyna Czabanowska

Keyword(s):

Quality Improvement ◽

Cultural Adaptation ◽

Reference Group ◽

Family Physicians ◽

Cross Cultural ◽

Cronbach’S Alpha ◽

Self Assessment ◽

Cross Sectional ◽

Cross Cultural Adaptation ◽

Cronbach's Alpha

Abstract Aim: To perform a cross-cultural adaptation of the Quality Improvement Competency Self Assessment (QICS) questionnaire for family physicians into the Slovenian language and to validate it in a representative sample of Slovenian FPs. Methods: This cross-sectional observational postal survey was conducted in a random sample of 398 Slovenian FPs. We used the QICS questionnaire that was developed on the basis of the new Quality Improvement Competency Framework for family medicine. The QICS questionnaire consists of 37 items included in six domains. The questions can be answered on a five-point Likert scale. The validity of the translation was provided by the backward translation from Slovenian to the English language and by the reference group consisting of experienced FPs in the consensus process. The reliability of the questionnaire was assessed by Cronbach’s alpha coefficient and Spearman rho to determine the test-retest reliability (the questionnaire was sent to the physicians in the sample twice in a period of two weeks). Results: The final sample consisted of 100 (25.1%) family physicians, out of which 71 (71.0%) were women. Mean age of the sample was 43.3 ± 9.6 years. Mean score of the QICS questionnaire was 127.0 ± 30.1 points (first round) and 127.8 ± 30.6 points (second round). Cronbach’s alpha scores were 0.984 (first round) and 0.988 (second round). Spearman’s rho for the summary score of the whole scale was 0.829 with p < 0.001. Conclusion: The Slovenian version of the QICS questionnaire proved to be a valid and reliable tool for selfassessment of quality improvement competencies by FPs in terms of continuous professional development.

Download Full-text