Translation and adaptation of the ABE BPSD score (ABS) for behavioral and psychological symptoms in dementia in elderly Filipinos

Abstract

AbstractBackgroundDementia is not a disease in is itself but a collection of related to cognitive decline. Aside from cognitive decline, behavioral and psychological symptoms of dementia (BPSD), which multifactorial in origin and is often brought about by maladaptation to the environment and struggles with the activities of daily living. Several tool have been made to screen BPSD, one of which is the Abe BPSD Score.MethodTwo bilingual persons independently translated the scale to the Filipino language. The translated version underwent evaluation by a team of experts composed of 5 neurologists, 5 experts in dementia and 5 psychiatrists. The items were further refined and revised, accordingly, by these specialists. The revised questionnaire was used for the face validity with 30 cognitively intact adults. The final Filipino version of the questionnaire was back translated by another independent native speaker of the Filipino language. The final Filipino version and the version translated to English were compared.ResultAll items had a CVR or >0.49 for the evaluation of content validity ratio (see table 1) and clarity of > 79% (see table 3) so that all items were retained and deemed appropriate. Regarding relevance, item 1 needed to be revised. There was a significant change of the ranking of the symptoms as compared to the English version of the Abe’s BPSD Score, thus the order of the symptoms were revised.ConclusionThe Filipino version of the Abe score for BPSD, ABS‐P, is a simple and easily understandable scoring system for assessing the presence and extent of BPSD. The translated and adapted Filipino version is practical for use in daily clinical practice since it has short administration time. A validation study can subsequently be carried out with the ABS‐P.