Translation, Cross-Cultural Adaptation, and Validation of Measurement Instruments: A Practical Guideline for Novice Researchers

Journal of Multidisciplinary Healthcare, Год журнала: 2024, Номер Volume 17, С. 2701 - 2728

Опубликована: Май 1, 2024

Abstract: Cross-cultural validation of self-reported measurement instruments for research is a long and complex process, which involves specific risks bias that could affect the process results. Furthermore, it requires researchers to have wide range technical knowledge about translation, adaptation pre-test aspects, their purposes options, different psychometric properties, required evidence assessment quantitative data processing analysis using statistical software. This article aimed: 1) identify all guidelines recommendations cross-cultural adaptation, within healthcare sciences; 2) describe methodological approaches established in these conducting validation; 3) provide practical guideline featuring various options novice involved translating, adapting, validating instruments. Forty-two on or were obtained from "CINAHL with Full Text" (via EBSCO) "MEDLINE Text". A content was conducted similarities differences recommended. Bases differences, we proposed an eight-step includes: a) forward translation; synthesis translations; back 4) harmonization; 5) pre-testing; 6) field testing; 7) validation, 8) properties. It because provides extensive comprehensive information available researchers. first literature review carried out sciences regarding recommended by existing guidelines. Keywords: comparison, decision-making, design, studies, health services

Язык: Английский

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The impact of digital transformational leadership on digital intensity among primary healthcare entities: a moderated mediation model

BMC Health Services Research, Год журнала: 2025, Номер 25(1)

Опубликована: Янв. 22, 2025

Uncertain times require healthcare entities to demonstrate strong leadership, develop digitalisation, and respond change in a creative flexible manner. Based on emerging new institutional theory, we developed tested model of how digital transformational leadership (DTL) affects intensity (DI) among through the mediating role organisational agility (OA). In this article, also examine moderating country studied relationship. The study population consisted 400 managers primary from Poland Netherlands. Data was collected using questionnaire method with seven-point Likert scale. gathered data analysed descriptive statistics structural equation modelling (SEM). analysis performed statistical package SPSS Andrew F. Hayes PROCESS macro AMOS v. 29 (Predictive Solution, Poland). results (SEM) revealed that DTL directly indirectly DI, OA mediates Moreover, indirect effect is moderated by country. This contributes development DI offers practical insights for navigating uncertainty volatility post-pandemic market. Ultimately, work provides important into style organizations relation transformation, considering system's role.

Язык: Английский

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eHealth literacy and the use of NHS111 online urgent care service in England: A cross-sectional survey (Preprint)

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e50376 - e50376

Опубликована: Апрель 11, 2024

Many health care systems have used digital technologies to support delivery, a trend amplified by the COVID-19 pandemic. "Digital first" may exacerbate inequalities due variations in eHealth literacy. The relationship between literacy and web-based urgent service use is unknown.

Язык: Английский

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Spanish and Catalan Versions of the eHealth Literacy Questionnaire: Translation, Cross-Cultural Adaptation, and Validation Study

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e49227 - e49227

Опубликована: Май 10, 2024

Background The rise of digital health services, especially following the outbreak COVID-19, has led to a need for literacy policies that respond people’s needs. Spain is country with highly developed infrastructure, but there are currently no tools available measure fully. A well-thought-through questionnaire strong psychometric properties such as eHealth Literacy Questionnaire (eHLQ) important assess levels, in context fast-growing field health. Objective This study aims adapt eHLQ and gather evidence its quality 2 Spain’s official languages: Spanish Catalan. Methods systematic cultural adaptation process was followed. Data from Spanish-speaking (n=400) Catalan-speaking people were collected. Confirmatory factor analysis used confirm previously established structure. For reliability, Cronbach α categorical ω obtained every subscale. Evidence convergent discriminant validity provided through correlation total score Scale. based on relations other variables evaluated by examining extreme values educational level, socioeconomic use technology variables. Results Regarding confirmatory analysis, 7-factor correlated model 7 one-factor models had adequate goodness-of-fit indexes both Moreover, measurement invariance between Catalan versions. Reliability estimates considered all scales versions >0.80. evidence, Scale showed moderate (Spanish: range 0.57-0.76 P<.001; Catalan: 0.41-0.64 P<.001). According relationship external variables, languages could discriminate maximum minimum categories level education, use. Conclusions appear be psychometrically sound questionnaires assessing literacy. They useful Catalonia researchers, policy makers, service managers explore needs, skills, competencies provide interesting insights into their interactions engagement regarding own experiences growth Spain.

Язык: Английский

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Promoting participation in remote digital health studies: An expert interview study

Digital Health, Год журнала: 2023, Номер 9

Опубликована: Янв. 1, 2023

Background Remote digital health studies are on the rise and promise to reduce operational inefficiencies of in-person research. However, they encounter specific challenges in maintaining participation (enrollment retention) due their exclusive reliance technology across all study phases. Objective The goal this was collect experts’ opinions how facilitate remote studies. Method We conducted 13 semi-structured interviews with principal investigators, researchers, software developers who had recent experiences Informed by Unified Theory Acceptance Use Technology (UTAUT) framework, we performed a thematic analysis mapped various approaches successful participation. Results Our analyses revealed four themes: (1) planning increase participation, where experts suggest that should be planned based adequate knowledge what motivates, engages, disengages target population; (2) participant enrollment, highlighting enrollment strategies selected carefully, attached support, focused inclusivity; (3) retention, minimize effort complexity tasks ensure is adapted responsive needs, (4) requirements for development relevant guidelines foster future Conclusions findings highlight significant seamless researcher involvement enabling high Future can benefit from collected inform balances scientific requirements.

Язык: Английский

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Preliminary validity testing of the eHealth Literacy Questionnaire (eHLQ): a Confirmatory Factor Analysis (CFA) in Norwegian hospitalized patients

BMC Psychology, Год журнала: 2023, Номер 11(1)

Опубликована: Ноя. 23, 2023

To perform the first psychometric analysis of Norwegian version eHLQ using confirmative factor (CFA) procedures in a population patients admitted to hospital cross-sectional design. The consists 35 items capturing 7-dimensional eHealth Literacy Framework (eHLF) which describes users' attributes, user's interaction with technologies and experience digital health systems.The 7 independent scales was translated from Danish culturally adapted into language following standardised protocol. Assessment construct validity undertaken data survey 260 hospitalized at University Hospital Oslo area during two-week period June 2021. included correlation (Pearsons R), internal consistency (Cronbach's alpha) confirmatory (CFA).All loadings were high acceptable (i.e. > 0.6), except for five had somewhat lower loadings. Regarding consistency, alpha ranged 0.73 0.90. For optimal CFA fit different scale models, correlated residuals required seven scales. Overall our shows an intermediate orginal construct. Scale intercorrelations all below 0.8, indicating overall discriminant between dimensions.The results indicate that almost scales, model achieved. this study represented variety diagnoses, recruited geographically limited area. Further studies on properties larger samples, diverse settings by more comprehensive approaches are warranted.

Язык: Английский

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Serbian Version of the eHealth Literacy Questionnaire (eHLQ): Translation, Cultural Adaptation, and Validation Study Among Primary Health Care Users

Journal of Medical Internet Research, Год журнала: 2024, Номер 26, С. e57963 - e57963

Опубликована: Апрель 9, 2024

As digital health services are increasingly developing and becoming more interactive in Serbia, a comprehensive instrument for measuring eHealth literacy (EHL) is needed.

Язык: Английский

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Variations in digital health literacy for pediatric caregivers of hospitalized children: implications for digital health equity

Journal of the American Medical Informatics Association, Год журнала: 2024, Номер unknown

Опубликована: Дек. 17, 2024

We sought to assess whether race, ethnicity, and preferred language were associated with digital health literacy in pediatric caregivers.

Язык: Английский

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Feasibility and acceptability of a health app platform providing individuals with a budget to purchase preselected apps to work on their health and wellbeing: a quantitative evaluation study (Preprint)

JMIR Formative Research, Год журнала: 2024, Номер 8, С. e51408 - e51408

Опубликована: Янв. 23, 2024

Background The potential of health apps for promotion and disease prevention is widely recognized. However, uptake limited due to barriers individuals face in finding suitable trustworthy apps, such as the overwhelming amount available apps. Therefore, app platform “FitKnip” was developed, enabling purchase preselected, with a budget 100 euros (a currency exchange rate EUR €1=US $1.0831 applicable). aimed empower improve their vitality, ultimately supporting more healthy society. Objective primary aim this study evaluate terms feasibility acceptability. Potential effects on empowerment outcomes were secondarily explored. Methods This quantitative part mixed methods prospective pre-post interventional design. We collected web-based user data, self-reported questionnaires over 5 measurements an 8-month period. Use statistics tracked platform, including number purchased spent per registered within platform. measured user-friendliness using System Usability Scale (SUS) satisfaction Client Satisfaction Questionnaire–8 (CSQ-8) several 10-point Likert items. asked participants indicate, scale from 1 (not at all) 10 (completely), how much contributed various areas related empowerment. assessed health-related quality life by 12-item Short-Form Health Survey (SF-12) one’s perceived level stress 10-item Perceived Stress (PSS-10). Results A total 1650 included, whom 42% (685/1650) bought least app. majority those one (244/685, 35.6%). rated user-friendly (SUS mean 66.5, SD 20.7; range 66.5-70.0), acceptability moderate (CSQ-8 20.0, 1.5; 19.6-20.0). furthermore showed that generally satisfied highly ease payment system (median 8, IQR 7-10), look feel 7, 6-8), well provided 9, 7-10). Participants less 6, 4-7) diversity offered Conclusions promising initiative enhance public health. Feasibility are critical success, they ensure accessible, user-friendly, meets end users’ needs preferences. can help increase uptake, engagement, platform’s adoption effectiveness.

Язык: Английский

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Serbian Version of the eHealth Literacy Questionnaire (eHLQ): Translation, Cultural Adaptation, and Validation Study Among Primary Health Care Users (Preprint)

Опубликована: Март 1, 2024

As digital health services are increasingly developing and becoming more interactive in Serbia, a comprehensive instrument for measuring eHealth literacy (EHL) is needed. This study aimed to translate, culturally adapt, investigate the psychometric properties of Serbian version Literacy Questionnaire (eHLQ); evaluate EHL population primary care (PHC) users Serbia; explore factors associated with their EHL. The validation was conducted 8 PHC centers territory Mačva district Western Serbia. A stratified sampling method used obtain representative sample. Translation Integrity Procedure followed adapt questionnaire language. eHLQ were analyzed through examination factorial structure, internal consistency, test-retest reliability. Descriptive statistics calculated determine participant characteristics. Differences between groups tested by 2-tailed Students <i>t</i> test ANOVA. Univariable multivariable linear regression analyses related total 475 enrolled. mean age 51.0 (SD 17.3; range 19-94) years, most participants female (328/475, 69.1%). Confirmatory factor analysis validated 7-factor structure questionnaire. Values incremental fit index (0.96) comparative (0.95) above cutoff ≥0.95. root square error approximation value 0.05 below suggested ≤0.06. Cronbach α entire scale 0.95, indicating excellent reliability, ranging from 0.81 0.90 domains. intraclass correlation coefficient ranged 0.63 0.82, moderate good highest scores obtained <i>understanding concepts language</i> (mean 2.86, SD 0.32) <i>feel safe control</i> 2.89, 0.33) Statistically significant differences (all <i>P</i>&lt;.05) all 7 observed age, education, perceived material status, searching information on internet, occupation (except domain 4). In models, internet being aged younger than 65 years higher values except variable age. demonstrates that can be useful tool measurement planning interventions at individual level due its strong context.

Язык: Английский

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