A qualitative assessment of cross-cultural adaptation of intermediate measures for schizophrenia in multisite international studies

PSYCHIATRY RESEARCH

卷:206

Article

Gonzalez, Jodi M.¹  Rubin, Maureen²  Fredrick, Megan M.¹  Velligan, Dawn I.¹ 

[1] Univ Texas Hlth Sci Ctr San Antonio, Dept Psychiat, San Antonio, TX 78229 USA

[2] Univ Texas San Antonio, Dept Social Work, San Antonio, TX USA

关键词: Co-primary measures;    Test adaptation;    Functional capacity measures;    Cross-cultural assessment;    International clinical trials;   

DOI  :  10.1016/j.psychres.2012.10.015

来源: Elsevier

【 摘 要 】

In this substudy of the Measurement and Treatment Research to Improve Cognition in Schizophrenia we examined qualitative feedback on the cross-cultural adaptability of four intermediate measures of functional outcome (Independent Living Scales, UCSD Performance-Based Skills Assessment, Test of Adaptive Behavior in Schizophrenia, and Cognitive Assessment Interview). Feedback was provided by experienced English-fluent clinical researchers at 31 sites in eight countries familiar with medication trials. Researchers provided feedback on test subscales and items which were rated as having adaptation challenges. They noted the specific concern and made suggestions for adaptation to their culture. We analyzed the qualitative data using a modified Grounded Theory approach guided by the International Testing Commission Guidelines model for test adaptation. For each measure except the Cognitive Assessment Interview (CAI), the majority of subscales were reported to require major adaptations in terms of content and concepts contained in the subscale. In particular, social, financial, transportation and health care systems varied widely across countries-systems which are often used to assess performance capacity in the U.S. We provide suggestions for how to address future international test development and adaptation. (C) 2012 Elsevier Ireland Ltd. All rights reserved.

【 授权许可】

Free