Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease

Background: For children with inflammatory bowel disease (IBD), understanding their condition may lead to better outcomes. Knowledge assessment is imperative to identify where education may be required. An IBD knowledge assessment tool (IBD-KID2) is available in English; the aim of this study was to...

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Main Authors: Angharad Vernon-Roberts, Francesca Musto, Marina Aloi, Andrew S. Day
Format: Article
Language:English
Published: MDPI AG 2023-04-01
Series:Gastrointestinal Disorders
Subjects:
Online Access:https://www.mdpi.com/2624-5647/5/2/16
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author Angharad Vernon-Roberts
Francesca Musto
Marina Aloi
Andrew S. Day
author_facet Angharad Vernon-Roberts
Francesca Musto
Marina Aloi
Andrew S. Day
author_sort Angharad Vernon-Roberts
collection DOAJ
description Background: For children with inflammatory bowel disease (IBD), understanding their condition may lead to better outcomes. Knowledge assessment is imperative to identify where education may be required. An IBD knowledge assessment tool (IBD-KID2) is available in English; the aim of this study was to translate IBD-KID2 in to Italian and assess its validity/reliability among children with IBD. Methods: IBD-KID2 has fifteen items, scoring one point per correct answer. IBD-KID2 items were assessed for cultural comprehension/relevance by Italian gastroenterologists using a content validity index; those items with a maximum score proportion <0.78 were reviewed. IBD-KID2 was then translated using ‘forward–backward’ process and reviewed for content/meaning. A prospective study among Italian children with IBD enabled score comparisons with established populations (z test), and reliability was assessed using test–retest completion (Pearson correlation (r), paired <i>t</i>-test). Results: Twenty-five children participated: 16 (64%) male, mean age 14.9 years (SD2.4), Crohn’s disease 13 (52%). The mean IBD-KID2 score was 8.8 (SD2.8), with no association with independent variables. Test–retest showed strong correlation between scores (r = 0.78, <i>p</i> < 0.001), with no mean difference (<i>p</i> = 0.39). Comparison with other pediatric IBD populations (NZ/Australia/Canada) showed no score difference (<i>p</i> = 0.62, CI −0.9 to 1.5). Conclusions: The translation of IBD-KID2 to Italian used a rigorous methodology. Scores showed the translated tool has equivalence and generalizability to Italian children with IBD.
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spelling doaj.art-1b5f3700c0fa4aea8b3e859abf1922c62023-11-18T10:31:46ZengMDPI AGGastrointestinal Disorders2624-56472023-04-015218719710.3390/gidisord5020016Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel DiseaseAngharad Vernon-Roberts0Francesca Musto1Marina Aloi2Andrew S. Day3Department of Paediatrics, University of Otago, Christchurch 8011, New ZealandPediatric Gastroenterology and Liver Unit, Department of Maternal and Child Health, Umberto I Hospital, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyPediatric Gastroenterology and Liver Unit, Department of Maternal and Child Health, Umberto I Hospital, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, ItalyDepartment of Paediatrics, University of Otago, Christchurch 8011, New ZealandBackground: For children with inflammatory bowel disease (IBD), understanding their condition may lead to better outcomes. Knowledge assessment is imperative to identify where education may be required. An IBD knowledge assessment tool (IBD-KID2) is available in English; the aim of this study was to translate IBD-KID2 in to Italian and assess its validity/reliability among children with IBD. Methods: IBD-KID2 has fifteen items, scoring one point per correct answer. IBD-KID2 items were assessed for cultural comprehension/relevance by Italian gastroenterologists using a content validity index; those items with a maximum score proportion <0.78 were reviewed. IBD-KID2 was then translated using ‘forward–backward’ process and reviewed for content/meaning. A prospective study among Italian children with IBD enabled score comparisons with established populations (z test), and reliability was assessed using test–retest completion (Pearson correlation (r), paired <i>t</i>-test). Results: Twenty-five children participated: 16 (64%) male, mean age 14.9 years (SD2.4), Crohn’s disease 13 (52%). The mean IBD-KID2 score was 8.8 (SD2.8), with no association with independent variables. Test–retest showed strong correlation between scores (r = 0.78, <i>p</i> < 0.001), with no mean difference (<i>p</i> = 0.39). Comparison with other pediatric IBD populations (NZ/Australia/Canada) showed no score difference (<i>p</i> = 0.62, CI −0.9 to 1.5). Conclusions: The translation of IBD-KID2 to Italian used a rigorous methodology. Scores showed the translated tool has equivalence and generalizability to Italian children with IBD.https://www.mdpi.com/2624-5647/5/2/16generalizabilitytranslationvalidityItalianforward–backwardequivalence
spellingShingle Angharad Vernon-Roberts
Francesca Musto
Marina Aloi
Andrew S. Day
Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease
Gastrointestinal Disorders
generalizability
translation
validity
Italian
forward–backward
equivalence
title Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease
title_full Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease
title_fullStr Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease
title_full_unstemmed Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease
title_short Italian Cross-Cultural Adaptation of a Knowledge Assessment Tool (IBD-KID2) for Children with Inflammatory Bowel Disease
title_sort italian cross cultural adaptation of a knowledge assessment tool ibd kid2 for children with inflammatory bowel disease
topic generalizability
translation
validity
Italian
forward–backward
equivalence
url https://www.mdpi.com/2624-5647/5/2/16
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