Semantic Equivalence Research Articles

Cross-cultural adaptation of the 5-Question Stigma Indicators in trachoma-affected communities, Ethiopia

Stigma is common in people affected with Neglected Tropical Diseases (NTDs). However, no validated tools are available to assess and monitor stigma in trachoma-affected communities. We tested the cross-cultural equivalence of the 5-question stigma indicator-affected persons (5-QSI-AP) scale in persons with trachomatous trichiasis (TT), the blinding stage of trachoma, and the 5-question stigma indicator-community stigma (5-QSI-CS) scale in person without TT, in Amhara region, Ethiopia. Conceptual, item, semantic, and operational equivalence were assessed through exploratory qualitative methods; measurement equivalence was assessed quantitatively through internal consistency, construct validity, and reproducibility. A total of 390 people participated: 181 were persons with TT, 182 persons without TT, 19 mental health, trachoma, social science, and linguistics experts, and eight interviewers. Items included in both scales were adequately relevant and important to explore stigma in the target culture. Concern about others knowing that they have TT, shame, avoidance by others, and problems getting married or in their marriage were among the issues persons with TT faced in this study community. The 5-QSI-AP had a Cronbach’s α of 0.57 for internal consistency and showed adequate discriminant validity where persons with central corneal opacity from TT had higher mean stigma scores than their counterparts. The 5-QSI-CS had a Cronbach’s α of 0.70 for internal consistency and a correlation of r = 0.23 with the Social Distance Scale (SDS) for convergent validity. The test-retest reliability analysis between the initial and repeat measures produced an intraclass correlation coefficient of 0.60 and 0.53 for the 5-QSI-AP and 5-QSI-CS respectively, and no evidence of systematic bias in mean stigma scores. The 5-QSI scales have satisfactory cultural validity to assess and monitor stigma in this trachoma-affected Amharic-speaking study population. With further cross-cultural validation, these brief and easy to administer scales would offer the possibility to rapidly measure and monitor stigma associated with NTDs.

Legal regulation of combating harassment in the field of work: national and foreign experience

The article points out that there is a common belief that harassment is sexual harassment, although in reality the term has a much broader meaning. Harassment is a problem of a global nature, which manifests itself in various spheres of social interaction and takes place in the life of every country. It is emphasized that the national legislation of many countries makes it possible to effectively combat harassment at the workplace and prevent this shameful phenomenon. The definition of the concept of harassment and measures to combat it are established in the relevant general anti-discrimination laws, in labor legislation and subordinate legal acts, which contributes to the effective implementation of national state policies on the prevention and counteraction of discrimination in the field of work. Attention is drawn to the fact that currently the term «harassment» is not used in Ukrainian legislation. However, the closest semantic equivalent of this term is the concept of «sexual harassment», the definition of which is contained in the Law of Ukraine «On Ensuring Equal Rights and Opportunities of Women and Men». The legal regulation of anti-harassment, in particular in labor relations, in Ukraine is based on normative legal acts that belong to different branches of law. It is emphasized that the Code of Labor Laws of Ukraine does not contain direct regulations on the prohibition of sexual harassment (harassment) at the workplace. This Code does not contain special norms that would determine the procedural issues of establishing the fact of sexual harassment, its fixation, proof, investigation and specifics of disciplinary responsibility for committing harassment. Despite the absence of the regulatory concept of «harassment» in Ukrainian legislation, in Ukraine, victims of sexual harassment at the workplace are provided with legal tools to protect their rights and interests. These tools range from filing sexual harassment complaints with authorized entities to criminal prosecution of the perpetrators. The legislation of Ukraine on combating sexual harassment at work is part of the anti-discrimination legislation, which is currently dynamically developing and adapting to modern needs.

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.

Translation and cross-cultural adaptation of the self evaluation of breathing questionnaire (SEBQ) into Danish

ABSTRACT Background and Purpose Dysfunctional breathing (DB) with or without an underlying medical condition is associated with impaired quality of life. DB-related symptoms can be measured with the 25-item Self Evaluation of Breathing Questionnaire (SEBQ). However, the SEBQ is not available in Danish.The aim of the present study was to translate and cross-culturally adapt the SEBQ into Danish and to assess the face validity of the Danish version of the questionnaire in individuals with DB-related symptoms. Materials and Methods The SEBQ was translated and cross-culturally adapted into Danish using an internationally acknowledged six-step forward-backward translation guideline in an interactive process with an expert committee of clinicians, translators, methodologists and the SEBQ developer. Face validity was explored through semi-structured interviews with 24 adult individuals with DB-related symptoms (age 20–70 years, female n = 14). Results The SEBQ was successfully translated and cross-culturally adapted into Danish. Three major modifications were made following the translation process and participant interviews. First, an introductory paragraph, including a recall period of the previous seven days, was added. Second, the administration of the questionnaire was changed from a paper to an electronic version. Finally, adaptations regarding semantic equivalence, especially concerning being ‘breathless’ and ‘short of breath’, were performed. The participants expressed that the final version of the SEBQ embraced their DB-related symptoms, was understandable, and easy to complete. Conclusion The SEBQ is the first available Danish questionnaire to measure DB-related symptoms, following an internationally acknowledged cross-cultural adaptation and face validity evaluation approach. This promising validation should be followed by an assessment of measurement properties in individuals with DB-related symptoms to investigate the adequacy of the SEBQ in a Danish context.

Psychometric Properties of the Chinese Version of the Psy-Flex Among Parents of Children with Autism Spectrum Disorder.

This research aimed to translate the original English version of the Psy-Flex, a scale of psychological flexibility, into Chinese and to test its psychometric properties among parents of children with autism spectrum disorder (ASD). Two phases were conducted: (1) translation from English to Chinese (Psy-Flex-C), followed by a semantic equivalence evaluation between two versions, a pre-test, and an evaluation of the Psy-Flex-C in terms of face validity with 20 parents of autistic children, and content validity of the Psy-Flex-C with eight experts. (2) A cross-sectional study with 248 parents of autistic children was conducted for validation, and a subgroup of 50 participants was randomly selected to assess the test-retest reliability at a 2-week interval. The Psy-Flex-C showed satisfactory semantic equivalence with the original version and demonstrated adequate internal consistency (Cronbach's α = 0.84) and test-retest stability (weighted kappa statistic = 0.88). Concurrent validity was supported by a moderate correlation between the Psy-Flex-C and the Comprehensive Assessment of Acceptance and Commitment Therapy Processes (Pearson's r = 0.54, p < 0.01). The Psy-Flex-C showed a significant mean score difference between parents with high and low parenting stress (t = 5.43, p < 0.001). Similar to the original scale, confirmatory factor analysis showed the best fitting one-factor structure of the Psy-Flex-C (X2/df = 1.62, p = 0.13, RMSEA = 0.05, GFI = 0.99, CFI = 0.99, TLI = 0.98, SRMR = 0.023). The Psy-Flex-C can be a reliable and valid instrument to self-report psychological flexibility in parents of children with ASD. Future research is recommended to test the Psy-Flex-C using diverse samples from different cultures and contexts to enhance its generalizability.

Measuring Happiness and Life Satisfaction amongst Swedish Citizens: an Inquiry into Semantic Equivalence in Comparative Survey Research

A consistent empirical finding is that Scandinavian countries by international standards score steadily high in terms of subjectively reported levels of happiness and life satisfaction. Intrigued by previous findings in Denmark (Lolle and Goul Anderson in Metode Og Forskningsdesign 1:95–119, 2013, in Journal of Happiness Studies 6:1–14)), this paper confirms that this is partly due to language effects. In this paper, Sweden serves as a case study that, similar to the Danish study, seeks to determine whether it is possible to establish semantic equivalence between translated survey items. By using randomized experiments on a representative sample of Swedish citizens with fluent skills in English, we test the effects of different designs in question wordings and response scale labels implemented by international surveys. The results reveal significant differences in answers on happiness. While the mean differences are very small, the distribution of answers is substantial enough to confirm a strong semantic threshold between the English term happy the Swedish term lycklig. Hence, it requires something more to be “very happy” in Swedish than in English. Notably, language appears to have a lesser impact on the distribution of responses across language groups when using a numbered response scale with endpoint labels, indicating that a particular question design either mitigates or intensifies translational effects. Happiness, it is concluded, is not easily translated and survey practitioners should bear this caveat in mind when operationalizing the concept across countries and cultures.

Predicting language, cognition, and social skills in individuals with Autism spectrum disorder using the Arabic validation of Gilliam Autism Rating scale-Third Edition

The Gilliam Autism Rating Scale-Third Edition (GARS-3) has emerged as a pivotal instrument in the diagnostic assessment of Autism Spectrum Disorder (ASD), with its utility extending across linguistic and cultural boundaries. This study endeavors to adapt and validate the GARS-3 for the Arabic-speaking population, addressing the paucity of culturally congruent diagnostic tools in the Arab world. The primary objective is to validate the Arabic version of GARS-3 (A-GARS-3) to assess children with and without ASD, ensuring the scale’s reliability and validity within the target population. A methodical cross-sectional study design was employed, encompassing a sample of 178 participants from both educational and clinical settings in Saudi Arabia. The process involved direct translation, expert panel review, back-translation, and pilot testing to ensure semantic equivalence and cultural relevance. Data were collected using the A-GARS-3, and analyses included Exploratory and Confirmatory Factor Analysis (EFA and CFA), internal consistency reliability measures, and a One-Way Analysis of Variance (ANOVA) to establish concurrent validity. The A-GARS-3 demonstrated high internal consistency (Cronbach’s alpha = 0.971; McDonald’s omega = 0.972) and strong construct validity, with factor loadings and model fit indices substantiating the factor structure. Predictive validity was confirmed through significant correlations between the Autism Index and the subscales, particularly in the domains of social interaction and communication. The A-GARS-3 is a psychometrically sound instrument that offers reliable assessment for ASD within the Arab cultural context. The positive validation outcomes indicate that the scale is an effective, culturally adapted tool for the localized diagnosis of ASD. The validated scale has significant implications for enhancing ASD screening and diagnostic practices in Arabic-speaking regions, potentially improving early diagnosis and intervention strategies.

Cross-cultural adaptation of the Quebecois Patient-Centered Coordination by a Care Team Questionnaire for use in France

BackgroundThe prevalence of chronic disease and multimorbidity is increasing and the associated disease and treatment burden is particularly heavy. Coordinated multidisciplinary, patient-centered care is particularly important for people living with chronic disease or multimorbidity. There was no valid tool to measure the quality of coordinated patient-centered care from the patient’s perspective until the Patient-Centered Coordination by a Care Team (PCCCT) questionnaire was recently developed in Canada (Quebec/Ontario). The Quebecois version has been validated but is not directly transferable to France due to linguistic, cultural and health system differences between the two countries. To perform a cross-cultural adaptation of the Quebecois PCCCT questionnaire is therefore necessary to obtain a questionnaire’s new version adapted for use in France, ensuring item and semantic equivalence.MethodsThe adaptation process consisted of two stages, both of which were supervised by a scientific committee made up of five healthcare professionals. The first stage was a Delphi consensus involving a multidisciplinary healthcare professional panel to evaluate and harmonize the clarity and appropriateness of the questionnaire for patients in the French health system. During the second stage, adult patients with one or more chronic diseases, from various age, sex, socio-occupational categories, assessed the comprehensibility and conformity of the adapted version of the questionnaire resulting from stage 1 and improved it if necessary. This was achieved using cognitive interviews.ResultsDuring Stage 1, two rounds were undertaken with 10 professional experts resulting in consensual reformulation of 10 out of the 14 items. These newly formulated items and the 4 remaining items were submitted to patients in Stage 2. Cognitive interviews were undertaken with 14 patients, testing 3 successively adapted versions of the questionnaire, until three consecutive patients did not find any ambiguity or misunderstanding. The final version resulting from the cross-cultural adaptation process aimed at being used in France, has item and semantic equivalence to the original Quebecois version.ConclusionsMeasurement equivalence will be addressed in a future study. This French version is intended to be a useful resource for the health system reforms aimed at promoting more integrated and patient-centered care pathways.

Ich zerbreche mir den Kopf: îmi sparg capul? Äquivalenzbeziehungen und falsche Freunde Rumänisch – Deutsch

Abstract Phraseologisms are meaningful in everyday language use and reflect the culture and world view of a people. This work has the following objectives: On the one hand, Romanian somatisms are pointed out and their German equivalents are presented; on the other hand, the focus is on a comparison of Romanian and German phraseologisms under semantic and structural-lexical aspects. This present article is focused on analysing equivalences and false friends between Romanian and German phraseologisms with the lexeme head. The head is the most important part of the human body, as it houses the brain - the organ known for its cognitive functions. The phrasemes of the two languages are analysed according to the three types of equivalence: full equivalence, partial equivalence and semantic equivalence. Among the analysed equivalence types, false friends also appear as a transversal phenomenon. In the analysis section, which is based on idiomatic dictionaries and an internet corpus, these phenomena are analysed in German and Romanian native speakers and verified by examples on the internet.

Validating the Persian Version of the Self-stigma of Seeking Help (SSOSH) Scale

Background: Stigma presents significant barriers to mental health treatment, influencing treatment decisions and recovery outcomes. Standardized rating scales play a crucial role in assessing Self-stigma, which is essential for intervention efforts aimed at improving mental health outcomes globally. Objectives: This study aims to investigate the internal consistency, face validity, content validity, and factor structure of the Persian version of the Self-stigma of Seeking Help (SSOSH) scale in a group of people with mental health disorders referred to the outpatient clinics of Roozbeh Psychiatry Hospital and several private clinics in Tehran, Iran. Methods: First, a bilingual psychiatrist translated the scale into Persian. Content and face validity were then evaluated by six psychiatrists. A pilot test was conducted with ten patients to assess comprehensibility. A back translation into English was performed by a non-professional, and the result was compared to the original version by a bilingual psychiatrist. The final Persian version of the questionnaire was administered to 347 patients with various mental health disorders, recruited from Roozbeh Hospital, a referral psychiatry hospital, and several private clinics in Tehran. Demographic characteristics were collected via questionnaires, and the type of disorder was determined based on the specialist's evaluation. This process was conducted from October 2023 to May 2024. The Content Validity Index (CVI) and Content Validity Ratio (CVR) were calculated, and internal consistency was analyzed using Cronbach’s alpha and McDonald's Omega tests. Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA) were performed to explore and understand the data structure. Results: The Persian version demonstrated reasonable comprehensibility and translation equivalence, ensuring both semantic and content equivalence. The SSOSH achieved a CVI &gt; 0.8 and CVR &gt; 0.96. All items obtained an acceptable score (greater than 1.5) for face validity. The internal consistency of the total score was good (α = 0.733, ω = 0.818). The EFA revealed that the Persian version had three factors accounting for 57% of the total variance, and the CFA suggested this model fits the data reasonably well, though there is room for improvement. Conclusions: The Persian SSOSH scale exhibits good internal consistency and acceptable face and content validity for use in Persian-speaking patients with mental health disorders. While the three-factor structure identified by the EFA requires further investigation, the application of this tool among other Iranians warrants additional evaluation.

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.

Validation of the Chinese Version of Quality of Life Instrument (QUALIDEM-C) for People With Dementia in Long-Term Care Home.

To validate and examine the psychometric properties of the Chinese version of QUALIDEM (QUALIDEM-C). The psychometric properties of the Chinese QUALIDEM were tested in a sample of 150 residents in long-term care homes. Concurrent validity, internal consistency, inter-rater reliability, test-retest reliability and factor structure were determined. QUALIDEM-C demonstrated good semantic equivalence with original version and good content validity. QUALIDEM-C showed satisfactory internal consistency (Cronbachs' alpha=0.895), inter-rater reliability (ICC=0.970) and test-retest reliability (ICC=0.942). Acceptable concurrent validity was showed by consistently moderate correlations of QUALIDEM-C with generic and disease specific quality of life measures. QUALIDEM-C is reliable and valid scales to measure quality of life of residents in long-term care home. Its applicability across residents with different levels of cognitive function favors its use over other measures in this context. It is potentially an effective tool, rather by multiple measures, to evaluate quality of life in future long-term care home research.

English-to-Hindi translation divergence study of English phrasal verbs

English phrasal verbs pose complex semantic interpretations and cause significant problems in their translation into the target language. The paper selects some frequent and highly polysemous English phrasal verbs listed with 10 or more senses in the English WordNet, collects sample English sentences from the British National Corpus and examines their Hindi translation equivalents in terms of the morpho-syntactic structure of Hindi verbs and the representation of semantic information. This study attempts to present the semantic equivalence in rendering the identical semantics in the verbal system of both languages under consideration. The study found that the most frequent and common way of realising the concepts represented by English phrasal verbs in Hindi is by incorporating the compound verb constructions in the Hindi language. Besides that, we observe multiple mapping patterns of English phrasal verbs in Hindi, including the simple Hindi verb (v), compound verb (v1-v2), and conjunct verb (noun/adjective/adverb-verb) constructions.

When long jumps fall short: control-flow tracking and misuse detection for nonlocal jumps in C

The C programming language offers setjmp/ longjmp as a mechanism for nonlocal control flow. This mechanism has complicated semantics. As most developers do not encounter it day-to-day, they may be unfamiliar with all its intricacies – leading to subtle programming errors. At the same time, most static analyzers lack proper support, implying that otherwise sound tools miss whole classes of program deficiencies. We propose a concrete semantics of a subset of C with setjmp/ longjmp, where interprocedural longjmps are performed directly, as well as an equivalent formulation where such jumps are implemented via stack-unwinding at the call-sites. Reflecting this semantic equivalence, we propose an approach for lifting existing interprocedural analyses to support setjmp/ longjmp and to flag their misuse. To deal with the nonlocal semantics, our approach leverages side-effecting transfer functions, which, when executed, may additionally trigger contributions for program points that are not static control-flow successors. We showcase our analysis on a real-world example and propose a set of litmus tests for other analyzers.

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.

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.

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.