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Gepubliceerd in: Quality of Life Research 4/2021

03-01-2021

Cross-cultural adaptation into French and validation of the SCAR-Q questionnaire

Auteurs: Thomas Radulesco, Julien Mancini, Martin Penicaud, Jean-Jacques Grob, Marie-Aleth Richard, Patrick Dessi, Nausicaa Malissen, Justin Michel

Gepubliceerd in: Quality of Life Research | Uitgave 4/2021

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Abstract

Purpose

Most questionnaires designed to evaluate patient-reported outcomes regarding scarring are available in English. The objective was to generate a validated French version of the SCAR-Q questionnaire.

Methods

The SCAR-Q questionnaire (including Appearance, Symptom and Psychological impact scales) was translated into French using a translation-back-translation process in accordance with international guidelines (ISPOR and WHO). For validation, two hundred patients consulting in our tertiary center completed the questionnaire. We tested scale reliability (Cronbach’s α), floor/ceiling effects and item redundancy (inter-item correlations). Structural validity was tested using confirmatory factor analysis (CFA) with the robust weighted least squares (WLSMV) estimator and Delta parameterization. Model fit was examined using the root mean square error of approximation (RMSEA), the comparative fit index (CFI) and the Tucker-Lewis index (TLI). Correlations between scales and scale repeatability were tested (Spearman coefficient, Intra-class-coefficient).

Results

Four steps were required to obtain a translation consistent with the original version. Two hundred patients completed the questionnaire for validation. Internal consistency analysis found Cronbach’s alphas > 0.7 for all scales (0.90 < α < 0.97). No floor or ceiling effect was found for all items (max = 85%). A ceiling effect was observed for all scales. Appearance and psychosocial impact scale items showed redundancy, with many inter-item correlations above 0.7. The CFA of the original structure displayed a reasonable fit, with RMSEA = 0.065, CFI = 0.974 and TLI = 0.972. Scales were positively correlated (0.45 <  ρ < 0.65; p < 0.001). Test–retest intra-class correlation coefficients ranged from 0.94 to 0.99 for all scales.

Conclusion

A French version of the SCAR-Q questionnaire is validated, ready for use.
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Literatuur
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Metagegevens
Titel
Cross-cultural adaptation into French and validation of the SCAR-Q questionnaire
Auteurs
Thomas Radulesco
Julien Mancini
Martin Penicaud
Jean-Jacques Grob
Marie-Aleth Richard
Patrick Dessi
Nausicaa Malissen
Justin Michel
Publicatiedatum
03-01-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 4/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02719-8

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