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

Background: The 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 langu...

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Main Authors: Ngwira, LG, Maheswaran, H, Petrou, S, Niessen, LW, Smith, SC
格式: Journal article
語言:English
出版: SpringerOpen 2024
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author Ngwira, LG
Maheswaran, H
Petrou, S
Niessen, LW
Smith, SC
author_facet Ngwira, LG
Maheswaran, H
Petrou, S
Niessen, LW
Smith, SC
author_sort Ngwira, LG
collection OXFORD
description Background: The 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. Methods: The 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. Results: Six 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. Conclusion: We 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.
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spelling oxford-uuid:15089688-4941-4d3a-a238-2e661e39561f2024-09-10T20:07:48ZCross-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-reportJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:15089688-4941-4d3a-a238-2e661e39561fEnglishJisc Publications RouterSpringerOpen2024Ngwira, LGMaheswaran, HPetrou, SNiessen, LWSmith, SCBackground: The 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. Methods: The 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. Results: Six 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. Conclusion: We 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.
spellingShingle Ngwira, LG
Maheswaran, H
Petrou, S
Niessen, LW
Smith, SC
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
title 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_short 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
title_sort 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
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