Cross-cultural comparisons of the content of SF-36 translations across 10 countries:: Results from the IQOLA project

Cross-cultural comparisons of the content of SF-36 translations across 10 countries:: Results from the IQOLA project
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DOI:
10.1016/s0895-4356(98)00083-3
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发表时间:
1998-11-01
影响因子:
7.2
通讯作者:
Ware, JE
Ware, JE
中科院分区:
医学2区
文献类型:
--
作者:
Wagner, AK;Gandek, B;Ware, JE

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在跨文化研究中越来越多地使用经翻译和文化适应的与健康有关的生活质量测量方法。为了评估结果的可比性,研究人员需要知道不同国家使用的问卷内容的可比性。基于国际生活质量评估(IQOLA)调查人员对10个国家SF-36翻译版本内容的逐项讨论,我们讨论了SF-36翻译中出现的困难。我们还审查了IQOLA调查人员确定的解决方案,以翻译项目和回答选择,以便它们适用于每个国家,并在各国之间具有可比性。我们将问题和解决方案与每个项目的难度等级和概念等效性联系起来。最多。难以翻译的项目是指在美国以外不常见的活动的物理功能项目和源版本中使用口语表达的项目。识别源项的来源,它们对美国英语受访者的意义以及美国英语同义词,以响应特定国家的翻译问题,极大地帮助了翻译过程。这种对SF-36项目翻译内容的比较表明,翻译在文化上是适当的,并且在内容上具有可比性。(C) 1998爱思唯尔科学有限公司
Increasingly, translated and culturally adapted health-related quality of life measures are being used in cross-cultural research. To assess comparability of results, researchers need to know the comparability of the content of the questionnaires used in different countries. Based on an item-by-item discussion among International Quality of Life Assessment (IQOLA) investigators of the content of the translated versions of the SF-36 in 10 countries, We discuss the difficulties that arose in translating the SF-36. We also review the solutions identified by IQOLA investigators to translate items and response choices so that they are appropriate within each country as well as comparable across countries. We relate problems and solutions to ratings of difficulty and conceptual equivalence for each item. The most. difficult items to translate were physical functioning items that refer to activities not common outside the United States and items that use colloquial expressions in the source version. Identifying the origin of the source items, their meaning to American English-speaking respondents and American English synonyms, in response to country-specific translation issues, greatly helped the translation process. This comparison of the content of translated SF-36 items suggests that the translations are culturally appropriate and comparable in their content. (C) 1998 Elsevier Science Inc.