Conceptual Equivalence Research Articles

THE ADAPTATION AND PSYCHOMETRIC ANALYSIS OF THE GLOBAL TRANSFORMATIONAL LEADERSHIP (GTL) SCALE FOR TURKISH EDUCATIONAL INSTITUTIONS

The objective of this research is to translate and culturally adapt the Global Transformational Leadership Scale (GTL) by Carless et al. (2000) into Turkish, with a focus on its application in educational institutions. Effective leadership is essential in transforming schools into vibrant learning environments that foster teachers' professional growth and boost student achievement. Among various leadership styles, transformational leadership, with its emphasis on vision, support, and innovation, stands out due to its potential to maximize performance and foster school success. The adaptation process followed a rigorous methodology to ensure the scale's semantic and conceptual equivalence in Turkish culture. This process involved translation, back-translation, and revisions based on expert feedback. The research was conducted with a sample of 322 teachers from a mid-sized city in eastern Türkiye, and data collection took place in three phases: linguistic equivalence testing with English teachers, parallel testing with the Multifactor Leadership Questionnaire and other relevant scales, and test-retest reliability analysis. CFA was performed to verify the scale's factor structure, and various validity and reliability measures were assessed, including convergent validity, nomological validity, and measurement invariance across gender, education level, and tenure. The results indicated that the adapted GTL scale is a reliable and valid instrument for measuring transformational leadership in Turkish educational institutions.

Cross-cultural adaptation and measurement properties of the Brazilian Portuguese version of the Parkinson’s disease sleep scale-2 (PDSS-2)

ObjectivesThe Parkinson’s Disease Sleep Scale-2 (PDSS-2) is an updated tool designed to identify specific sleep disturbances in individuals with Parkinson’s disease (PD). However, for its application in Brazil, a process of cross-cultural adaptation and validation of its measurement properties is required. MethodsThis methodological study adapted the PDSS-2 to Brazilian Portuguese (PDSS-2-Br) and assessed its measurement properties, including internal consistency, test-retest reliability, measurement error, construct validity, and interpretability. The adapted scale was administered on two occasions within a 7-day interval to 50 individuals with PD. Test–retest reliability was evaluated using kappa statistics (k) for individual items, the intraclass correlation coefficient (ICC) for total scores, the standard error of measurement (SEM), the minimal detectable change (MDC), and a Bland-Altman plot. Construct validity was assessed through Spearman correlation coefficients between the PDSS-2-Br and independent variables, while interpretability was evaluated by examining ceiling and floor effects. ResultsThe PDSS-2-Br showed satisfactory semantic, idiomatic, cultural, and conceptual equivalence. It also demonstrated good internal consistency (α=0.64), adequate test-retest reliability between items (κw 0.42–0.94, 95 % CI=0.30–0.95) and total score (ICC=0.94; 95 % CI=0.89–0.96), acceptable measurement error (SEM, 2.07 points; MDC, 5.74 points), with no ceiling and floor effects, and 87.5 % of pre-defined hypotheses were confirmed, indicating adequate construct validity (Spearman correlations coefficients for the rs=0.50, p<0.001) of the PDSS-2-Br. ConclusionThe measurement properties of the PDSS-2-Br are consistent with those of the original version, confirming the scale's validity and reliability in assessing sleep disorders among the Brazilian population with PD.

A Kinematic Approach to the Classical SIR Model

Given the risk and impact of infectious-contagious X diseases, which are expected to increase in frequency and unpredictability due to climate change and anthropogenic penetration of the wilderness, it is crucial to advance descriptions and explanations that improve the understanding and applicability of current theories. An inferential approach is to find analogies with better-studied contexts from which new questions and hypotheses can be raised through their concepts, propositions, and methods. Kinematics emerges as a promising analog field in physics by interpreting states’ changes in a contagion process as a movement. Consequently, this work explores, for a contagion process, the representations and conceptual equivalents for position, displacement, velocity, momentum, and acceleration, introducing some metrics. It also discusses some epistemological aspects and proposes future perspectives.

Nursing procedures for assisting victims of violence in emergency units

The objective of this study was to carry out the cross-cultural adaptation of the Questionnaire on Preservation of Traces in Victim Assistance by Nurses to the Brazilian reality. The method used was composed by the steps: (1) semantic equivalence; (2) idiomatic equivalence; (3) empirical equivalence; (4) conceptual equivalence; and (5) pre-test. Based on the experts' analysis and recommendations, adjustments were made regarding semantic and empirical equivalence; during the assessment of idiomatic and conceptual equivalence, no changes were made. The pre-test was performed with 24 nurses and the value of Cronbach's alpha coefficient was α = 0.973. The instrument's feasibility assessment showed that most participants found it easy to understand the questionnaire's instructions and questions and mark the answers, which demonstrates its validity with the sample in the pre-test. The performance of the forensic nurse is essential in emergency services. The adapted instrument is valid for use in the Brazilian context.

Translation and cross-cultural adaptation of the Nepali version of the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form.

The International Consultation on Incontinence Questionnaire Urinary Incontinence Short Form (ICIQ-UI SF) is a questionnaire for evaluating the frequency, severity, and impact on quality of life of persons with. Urinary incontinence is a stigma, and a Nepali version of the change women to persons will help to screen for incontinence, and be valuable for clinicians, researchers, and for persons with urinary incontinence. After receiving ethical clearance and permission from ICIQ, the translation and cross-cultural adaptation was conducted using the ICIQ module protocol. This incorporated initial translation of the questionnaire, backward translation with involvement of ICIQ. The necessary adjustments were made during a meeting with the reconciliation expert team. After the approval from the ICIQ, interviews were conducted with eight women with urinary incontinence for conceptual equivalence. After cognitive debriefing, the comments were checked and proofreading of the questionnaires for comprehensibility, readability and accuracy of the grammar were done. Final typesetting and formatting were checked to match the original ICIQ-UI SF. The IICIQ-UI SF was successfully translated and cross-culturally adapted while maintaining the characteristics of the original source. Through translation, review from the experts and interviews conducted with Nepalese women experiencing urinary incontinence, a relevant and comprehensive ICIQ-UI SF was developed to use in Nepal. The questionnaire will be of great value for clinical use and future studies involving Nepalese women.

Relation between Deese-Roediger-Mcdermott recall measures of false memory and the fading affect bias

The fading affect bias (FAB) is the faster fading of unpleasant affect than pleasant affect for autobiographical event memories, and it is considered a healthy coping mechanism because it is positively related to healthy measures (e.g., self-esteem and positive PANAS), whereas it is negatively related to unhealthy measures (e.g., psychological distress and negative PANAS). Some researchers suggest that Deese-Roediger McDermott (DRM) critical lure false memories for words are conceptually equivalent to false memories for autobiographical event memories, which has not been examined. Based on the finding that false autobiographical event memories negatively predict FAB, the current study tested if false DRM word memories would negatively predict FAB for autobiographical event memories, which would demonstrate support for the conceptual equivalence of DRM memories and autobiographical event memories. We found that three measures of false word recall positively predicted FAB, which is a result that is contrary to prior findings and the contention that DRM false memories for words are conceptually the same as autobiographical event memories.

Enhancing streamflow predictions with machine learning and Copula-Embedded Bayesian model averaging

This study proposes a two-step probabilistic post-processing approach that combines different machine learning-based postprocessors through the Copula-Embedded Bayesian Model Averaging (COP-BMA) method to improve the performance of a hydrological model for streamflow predictions. The proposed approach serves a two-fold purpose: firstly, it aims to enhance the accuracy of streamflow predictions, and secondly, it provides probabilistic results that implicitly address the structural uncertainty inherent in different postprocessing methods. We validate our approach by applying it to the Conceptual Functional Equivalent, a lumped hydrologic model utilized for simulating extreme floods during Hurricane Harvey. The validation is conducted across twelve distinct watersheds in the Southeast Texas region at both daily and monthly scales. The findings indicate that the proposed framework significantly enhances the performance of the hydrologic model across the studied watershed. Specifically, on a daily time scale, there is a 23% and 53% improvement in the NSE and KGE respectively, while on a monthly time scale, the framework enhances NSE by 21% and KGE by 25%. Additionally, the MAE (cms) was notably reduced from 4.64 to 2.23 on the daily scale, and from 2.8 to 1.65 on the monthly scale.

Cross-cultural adaptation and psychometric validation of the Chichewa (Malawi) PedsQL™ 4.0 Generic Core Scales child self-report and PedsQL™ 4.0 GCS teen self-report

BackgroundThe PedsQL™ 4.0 Generic Core Scales (GSC) have been translated into over 60 languages, but use in the sub-Saharan African region is limited. This study aimed to cross-culturally adapt and validate the PedsQL™ 4.0 GCS child self-report and teen self-report versions into the Chichewa language for Malawi.MethodsThe English (USA) versions were adapted (translation, back translation and cognitive interviews to evaluate conceptual equivalence) into Chichewa. We recruited 289 children (8–17 years) in Blantyre, Malawi. Classical psychometrics at the item level (missing data, endorsement frequencies, item redundancy) and scale level (internal consistency, convergent, discriminant and known groups validity) was used to evaluate the new Chichewa versions.ResultsSix items were found to need cultural adaptation for Malawi. There were problems with missing data (< 5%) and adjacent endorsement frequency (< 10%) among younger children. Internal consistency reliability was acceptable (Cronbach α > 0.7). Convergent validity was generally strong (correlations > 0.4). Discriminant validity (p > 0.05) was evident with respect to gender and age, but not for school grade (p < 0.05). Effect sizes indicating known groups validity were in the expected direction but of variable magnitude.ConclusionWe have successfully adapted the PedsQL™ 4.0 GCS child self-report and teen self-report into Chichewa for use in Malawi. Many aspects of the psychometric evaluation were promising, though some elements were more mixed and we have not yet been able to evaluate test-retest reliability or responsiveness. We suggest that the PedsQL™4.0 GCS child and teen self-reports should be used with caution among children and adolescents in Malawi.

Questionnaire Translation and Validation of Problem-Focused Coping in Increasing Work to Family Enrichment in Context of Laos

This study aims to translate and validate a questionnaire of problem-focused coping in increasing work to family enrichment in the context of Laos. The questionnaire is translated by using forward and backward translation process with two Lao bilingual translations: then this questionnaire is evaluated through three validity criteria (content validity, face validity, and construct validity) and reliability process. The findings show that the questionnaire translation is available locally, culturally acceptable, and conceptual equivalence for Lao language. Lao questionnaire version is fulfilled acceptable standards of validity and reliability analysis. This study suggests that the Lao questionnaire version is locally accepted to proceed for further actual study in Lao context.

Cross - cultural adaptation of the Low Vision Quality of life scale

IntroductionThe quality of life related to visual function is a multidimensional construct that complements the functional assessment of patients with low vision. It shows the individual's perception of the course of ocular disease and its treatment within the framework of a value system and a sociocultural context. This clinical-epidemiological outcome is recognized as objective and valuable. MethodologyA content validation study was conducted, which involved translating and back-translating the scale to evaluate semantic, idiomatic, conceptual, and experiential equivalence in the resulting version. The study included the participation of 21 individuals, and a quantitative evaluation was performed using Aiken's V coefficient to analyze the scores assigned in the categories of relevance and experiential capacity. ResultsThe questionnaire presentation was reorganized. The examples were expanded, and some optical aids were mentioned. Additionally, terms were changed to improve comprehension and reduce rudeness. Out of the 25 items, 11 had an Aiken V coefficient of less than 1.0. ConclusionsThe obtained version is comparable to the original questionnaire. However, the idiomatic twists specific to the local context emphasize the need for content validation to ensure correct interpretation and contribute to the updating of the scale.

Transcultural adaptation and validation of the 4-Domain Sports PROM into Italian

ObjectivesThis work aims to evaluate and validate the process of cross-cultural adaptation and validation of the 4-Domain Sports PROM (4-DSP) into Italian, assessing its understandability and reproducibility in all questionnaire domains for Italian-speaking patients. MethodsCross-sectional study, level of evidence II. The questionnaire was self-administered by 100 patients (80 males and 20 females) who had undergone anterior cruciate ligament (ACL) reconstruction and had a one-year minimum follow-up. The mean age and standard deviation (SD) was 31.20 ​± ​12.65 years. According to their level of sports participation, 51% were recreational, 31% were regional, 12% were national, and 6% were international athletes. All patients filled in the 4-DSP questionnaire without direct supervision of their trainer/coach or researcher. All data were collected and processed anonymously. The translation and cultural adaptation of the 4-DSP involved six phases: (1) translation, (2) synthesis, (3) back-translation, (4) pre-test, (5) expert committee review and (6) final version approval by the author of the original version for publication. ResultsThe cross-cultural validation of the questionnaire 4-DSP into Italian presented a global Cronbach's alpha of 0.65, Conceptual equivalence to translation and relevance were 99.09% and 99.81%, respectively, and the percentage of agreement was 99.09%. ConclusionThe cross-culturally validated version of the 4-DSP into Italian proved to be adequately understandable and reproducible in all questionnaire domains and can be safely and reliably used in Italian-speaking patients. Level of evidenceStudy level II.

Validation of Autism Stigma Knowledge – Questionnaire (ASK-Q) for Brazilian Portuguese

BackgroundLow levels of knowledge among health professionals about autism spectrum disorders (ASD) can impair the care provided to people with autism. In Brazil, there are still no validated instruments that assess the knowledge of pharmacy students and pharmacists regarding ASD. ObjectiveThis study aimed to carry out the cross-cultural adaptation of the Autism Stigma Knowledge Questionnaire (ASK-Q) into Brazilian Portuguese and to evaluate the evidence of content validity. MethodsThis study was conducted in two stages, as recommended in the literature. Stage 1 corresponded to cross-cultural adaptation carried out in six phases (translation of the ASK-Q, synthesis of the translations, evaluation by a committee of experts, evaluation by the target audience of pharmacy students and pharmacists, reverse translation, and evaluation by the author of the original instrument). Step 2 corresponds to the assessment of content validity evidence. ResultsThe instrument presented semantic, idiomatic, conceptual, and cultural equivalences, and the author considered the adaptation adequate. Content validity had an adequate coefficient (0.89). The ASK-Q was cross-culturally adapted to the Brazilian context according to the main theoretical framework. ConclusionsFuture studies will be conducted to evaluate other evidence for the validity of the ASK-Q-Brasil. These studies will be fundamental in assessing knowledge about ASD.

Cross-cultural adaptation and validation of the CFAbd-Score for gastrointestinal symptoms in patients with cystic fibrosis

ObjectiveTranslating and cross-culturally adapting the CFAbd-Score, Cystic Fibrosis (CF) Abdominal Score, to use in Brazilian spoken Portuguese. The CFAbd-Score is a questionnaire for assessing CF-related abdominal symptoms and their influence on the quality of life (QoL). It comprises 28 questions on five domains: abdominal pain, bowel movements, eating and appetite, gastroesophageal reflux symptoms, and the impact of gastrointestinal (GI) symptoms on QoL. MethodCross-cultural adaptation included assessment of conceptual and item equivalence, semantic, operational, and measurement equivalence. Content validity was assessed. The validation and psychometric analysis phase included 97 people with CF (pwCF), median age:14.58y (IQR 9/19), and 105 healthy individuals, 15.10y (IQR 9/20). Exploratory factor analysis (FA) identified retained factors. Internal consistency of the extracted domains was evaluated using Cronbach's α, and the Kaiser-Meyer-Olkin test (KMO) was used to check the sample adequacy. Bartlett's test tested the null hypothesis that the correlation matrix is an identity matrix. ResultsAll items were considered relevant to the construct and good semantic equivalence of the version was recognized. FA showed the appropriate weight of all items and good internal consistency, with Cronbach's alpha 0.89. Bartlett's test significance level (p < 0.001) and KMO coefficient of 0.72 indicated good adequacy for structure. Internal consistency coefficients (Cronbach's alpha) were good for abdominal pain: 0.84; abdominal bloating: 0.73; flatulence: 0.76; heartburn: 0.81, and low for reflux: 0.54. ConclusionThe CFAbd-Score was adapted to the Brazilian spoken Portuguese and demonstrated content and semantic equivalence. The final version showed appropriate validity, and internal consistency, preserving the psychometric properties of the original version.

A qualitative exploration of food choice motives of urban indigenous food gatekeepers in Fiji: Implications for the use of the food choice questionnaire

Pacific Island Countries (PICs) have exceptionally high rates of obesity and non-communicable diseases. The causes are complex but one prominent factor is the notable shift from traditional plant and seafood diets to diets high in unhealthy processed foods. Literature is sparse on the motives behind food choice decisions of Pacific Islanders. The widely used Food Choice Questionnaire (FCQ) (Steptoe et al., 1995) is a multi-dimensional tool capturing nine potential food choice motives. This study used a hybrid thematic analysis. Fourteen in-depth semi-structured interviews with urban indigenous Fijian mothers were conducted to (1) explore how the nine FCQ motives impact food choice (2) to examine conceptual equivalence of the nine FCQ motives and (3) to identify additional food choice motives, not captured in the FCQ. Mothers identified seven of the nine FCQ motives (i.e., health, mood, convenience, sensory appeal, weight control and familiarity) and three new food choice motives (i.e., food that is filling, religious dietary restrictions and food quality) as important determinants of food choice. Moreover, while choosing foods that promote health and well-being was identified as an important food choice motive, mothers also identified four other motives, that they considered important, which lead to over-eating and unhealthy eating. Food choice is a complex, layered decision, driven by multiple considerations, some more important than others. These findings can inform diet-related interventions and policy within this community. Adapting the FCQ for broader PIC use through further qualitative exploration in PICs, and validating the adapted FCQ with larger samples will enhance its utility in measuring food choice motives in PICs.

Evidence of the validity of the child self‐regulation &amp; behaviour questionnaire for the Brazilian context

AbstractPoor early childhood self‐regulation is related to many mental health problems and antisocial behaviours, so it is important to use psychometrically sound instruments to assess children's self‐regulation and behavioural development. The aim of this study is to report the translation, adaptation, as well as explore the construct validity of the child self‐regulation &amp; behaviour questionnaire (CSBQ) for the Brazilian context. The process consisted of different steps, such as transcultural translation, item intelligibility analysis, and psychometric analysis based on classical and contemporary theories. The validation process was carried out on a sample of 277 parents/caregivers (35.00 ± 6.72 years old) of 281 children (4.92 ± 1.45 years old; 156 females). The final Brazilian version showed adequate values of semantic, idiomatic, and conceptual equivalence. The validation process resulted in a seven‐dimensional model with 33 items. The validation of Brazilian CSBQ is promising for investigating early self‐regulation and behaviour problems in low‐middle income contexts.

Health literacy in prostate cancer: What do Spanish men know about prostate cancer? A cross-sectional descriptive study

IntroductionProstate cancer is the tumor with the highest incidence in Spanish men. The implementation of health literacy and therapeutic education programs adapted to the needs of the population could be a resource to minimize the sequelae derived from the treatments used to combat this pathology. To this end, it would be necessary to know the level of health literacy about prostate cancer. ObjectiveTo determine the level of health literacy in prostate cancer in the Spanish male population using the validated version of the PCKQ-12 for the Spanish population. MethodologyCross-sectional, population-based, descriptive study. Spanish-speaking men of legal age were included. To carry out the study, an ad hoc questionnaire was designed on the Google Forms platform, which was distributed via WhatsApp. Previously, it was necessary to validate the PCKQ-12 to the Spanish population in two phases, a first phase for translation and cross-cultural adaptation and a second phase to test the measurement properties. ResultsThe Spanish version of the PCKQ-12 showed good language, conceptual, semantic and content equivalence and could be used to assess health literacy in prostate cancer. Three hundred and seventy Spanish men with a mean age of 43.87 (SD 13.65) years responded to the questionnaire. The level of prostate cancer health literacy found was low (6.72 points), being 2 points higher in health men. ConclusionHealth literacy about prostate cancer in the Spanish male population is low.

Cross-cultural adaptation of National Early Warning Score 2 to Angolan Portuguese

ObjectiveTo make a cross-cultural adaptation of the National Early Warning Score 2 (NEWS 2) from English to Angolan Portuguese. MethodsA methodological research of cross-cultural adaptation was conducted, involving sequential stages of forward translation, translation synthesis, back-translation, and the application of the Delphi Panel methodology for analyzing semantic, idiomatic, experiential, and conceptual equivalence between the translated and the original versions. This process culminated in the development of a pre-final version, which subsequently underwent testing in a cohort of nurses (n = 37). The Intraclass Correlation Coefficient was calculated to assess inter-rater reliability of ratings. Cronbach's alpha was used for evaluating the internal consistency and reliability within the items of the NEWS 2 score. ResultsThe cross-cultural adaptation process allowed us to prepare the final version of this tool. The data collected during the testing phase facilitated the examination of inter-rater reliability of ratings and the internal consistency and reliability within the items of the NEWS2 score. The Intraclass Correlation Coefficient observed at this step was 0.992. The Cronbach's alpha was 0.993. ConclusionThe cross-cultural adaptation of the NEWS 2 scoring system to Angolan Portuguese was successful, providing healthcare professionals in Angola with the means to effectively use the tool.

Translation and linguistic validation of 24 PROMIS item banks into French

PurposeThe Patient-Reported Outcome Measurement Information System (PROMIS®) was developed to provide reliable, valid, and normed item banks to measure health. The item banks provide standardized scores on a common metric allowing for individualized, brief assessment (computerized adaptive tests), short forms (e.g. heart failure specific), or profile assessments (e.g. PROMIS-29). The objective of this study was to translate and linguistically validate 24 PROMIS adult item banks into French and highlight cultural nuances arising during the translation process.MethodsWe used the FACIT translation methodology. Forward translation into French by two native French-speaking translators was followed by reconciliation by a third native French-speaking translator. A native English-speaking translator fluent in French then completed a back translation of the reconciled version from French into English. Three independent reviews by bilingual translators were completed to assess the clarity and consistency of terminology and equivalency across the English source and French translations. Reconciled versions were evaluated in cognitive interviews for conceptual and linguistic equivalence.ResultsTwenty-four adult item banks were translated: 12 mental health, 10 physical health, and two social health. Interview data revealed that 577 items of the 590 items translated required no revisions. Conceptual and linguistic differences were evident for 11 items that required iterations to improve conceptual equivalence and two items were revised to accurately reflect the English source.ConclusionFrench translations of 24 item banks were created for routine clinical use and research. Initial translation supported conceptual equivalence and comprehensibility. Next steps will include validation of the item banks.

Assessment and validation of the pet-owner relationship scale for Brazil.

This study aimed to perform a cross-cultural adaptation of the cat-owner/dog-owner relationship scales. The method involved several stages: conceptual, item, semantic, operational, measurement, and functional equivalence. Procedures included translation, synthesis of translations, back-translation, consensus on the English versions, external evaluation by the original authors, expert committee evaluation, and pre-tests. The study surveyed 234 pet owners across Brazil using a 20-item questionnaire. Data analysis utilized confirmatory factor analysis, covariance-based modeling, and multigroup analysis. The study confirmed the content and construct validity of the model, demonstrating good convergent validity. Hypotheses testing revealed significant inverse relationships between Perceived Cost and Perceived Emotional Closeness, and between Perceived Cost and Pet-Owner Interactions. A positive correlation was found between Perceived Emotional Closeness and Pet-Owner Interactions, with Perceived Emotional Closeness also mediating the relationship between Perceived Cost and Pet-Owner Interactions. No significant differences were found across different pet owner groups, indicating the scale's invariance and reliability across various demographics. The study significantly expands understanding of the complex dynamics in pet-owner relationships and emphasizes the interplay between emotional and practical factors. It offers valuable insights for future research and practices in animal and human welfare.

Translation and cultural adaptation of the HFMEA into European Portuguese

ABSTRACT Introduction Health organizations are faced with daily challenges, requiring them to provide a quality service, ensuring effectiveness and efficiency. Risk management is one of the conditioning factors to achieve this purpose, ensuring preventive actions for all processes, promoting the identification of risk to the mitigation of its consequences for the patient, professionals, or organization. Patient safety is a priority and healthcare organizations should be concerned with the implementation of methodologies and tools to promote risk management, such as Healthcare Failure Mode and Effects Analysis (HFMEA). HFMEA has a high potential for risk management in healthcare organizations, with a proactive, prospective, and continuous approach to improvement. Objective Translation and adaptation of the HFMEA instrument into European Portuguese. Materials and methods A methodological study was carried out based on the proposal presented by Beaton and followed the recommendations of the International Test Commission and World Health Organization. Results The HFMEA 2021 was linguistically translated and culturally adapted to the new context ensuring reliability, content validity was assured by a group of experts, which ensured semantic, idiomatic, experimental, and conceptual equivalence between the original instrument and the translation. Conclusions HFMEA 2021 was successfully translated and adapted to European Portuguese, allowing its application.