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The Spanish Translation and Cultural Adaptation of Five Mental Health Outcome Measures

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Abstract

In this paper we report on the process of translating five mental health outcome measures into Spanish and adapting them to Latino culture. The instruments considered are the World Health Organization-Disability Assessment Scale, the Burden Assessment Scale, the Family Burden Scale, Lehman's Quality of Life Interview and the Continuity of Care in Mental Health Services Interview. A systematic process of translation and adaptation of the instruments was followed with the goal of achieving cultural equivalence between the English and Spanish versions of the instruments in five dimensions: semantic, content, technical, construct, and criterion equivalence. In this paper we present data about the semantic, content, and technical equivalence. Various steps were taken to achieve equivalence in these dimensions, including the use of a bilingual committee, a multi-national bilingual committee, back-translation, and focus groups with mental health patients and their relatives.

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REFERENCES

  • Alegría, M., B. Pescosolido, D. Santos, and M. Vera 1997 Can We Conceptualize and Measure Continuity of Care in Individual Episodes? The Cases of Mental Health Services in Puerto Rico. Sociological Focus 30(2): 113–129.

    Google Scholar 

  • Attkisson, C., J. Cook, M. Karno, A. Lehman, T.H. McGlashan, H. Y. Meltzer, M. O'Connor, D. Richardson, A. Rosenblatt, K. Wells et al. 1992 Clinical Services Research. Schizophrenia Bulletin 18(4): 561–626.

    Google Scholar 

  • Berkanovic, E. 1980 The Effect of Inadequate Language Translation on Hispanics' Responses to Health Surveys. American Journal of Public Health 70(12): 1273–1281.

    Google Scholar 

  • Berry, J. 1969 On Cross-Cultural Comparability. International Journal of Psychology 4: 119–128.

    Google Scholar 

  • Bravo, M., G. Canino, M. Rubio-Stipec, and M. Woodbury 1991 A Cross-Cultural Adaptation of a Diagnostic Instrument: the DIS Adaptation in Puerto Rico. Culture, Medicine and Psychiatry 15(1): 1–18.

    Google Scholar 

  • Bravo, M., M. Woodbury-Fariña, G. Canino, and M. Rubio-Stipec 1993 The Spanish Translation and Cultural Adaptation of the Diagnostic Interview Schedule for Children (DISC) in Puerto Rico. Culture, Medicine and Psychiatry 17(3): 329–344.

    Google Scholar 

  • Brislin, R.W. 1970 Back-Translation for Cross-Cultural Research. Journal of Cross-Cultural Psychology 1: 187–216. Brislin, R.W. 1986 The Wording and Translation of Research Instruments. In Field Methods in Cross-Cultural Research. W.L. Lonner and J.W. Berry, eds., pp. 137–164. Newbury Park, CA: Sage.

    Google Scholar 

  • Brislin, R.W., W. Lonner, and R. Thorndike 1973 Cross-Cultural Research Methods. New York: John Wiley and Sons.

    Google Scholar 

  • Canino, G., H.R. Bird, M. Rubio-Stipec, M. Woodbury, J.C. Ribera, S. Huertas, and M. Sesman 1987 Reliability of Child Diagnosis in a Hispanic Sample. Journal of the American Academy of Child and Adolescent Psychiatry 26(4): 560–565.

    Google Scholar 

  • Canino, G., and M. Bravo 1994 The Adaptation and Testing of Diagnostic and Outcome Measures for Cross Cultural Research. International Review of Psychiatry 6: 281–286.

    Google Scholar 

  • Canino, G., M. Bravo, R. Ramírez, V.E. Febo, M. Rubio-Stipec, R. Lewis-Fernández, D. Hasin, and B. Grant 1999 The Spanish Alcohol Use Disorder and Associated Disabilities Interview Schedule (AUDADIS): Reliability and Concordance With Clinical Diagnoses in a Hispanic Population. Journal of Studies on Alcohol 60(6): 790–799.

    Google Scholar 

  • Canino, G., I.A. Canino, and M. Bravo 1994 Diagnostic Assessment With Hispanic Children. Sociotam 4(2): 29–41.

    Google Scholar 

  • Fetzer Institute 1999 Multidimensional Measurement of Religiousness/Spirituality for Use in Health Research. Kalamazoo, MI: Fetzer Institute.

    Google Scholar 

  • Flaherty, J.A. 1987 Appropriate and Inappropriate Research Methodologies for Hispanic Mental Health. In Health and Behavior: Research Agenda for Hispanics. M. Gaviria, ed., pp. 177–186. Chicago: University of Illinois Press.

    Google Scholar 

  • Flaherty, J.A., F.M. Gaviria, D. Pathak, T. Mitchell, R. Wintrob, J.A. Richman, and S. Birz 1988 Developing instruments for cross-cultural psychiatric research. Journal of Nervous and Mental Disease 176(5): 257–263.

    Google Scholar 

  • Gaviria, M., D.S. Pathak, T. Mitchell, J.A. Flaherty, R.M. Winthrop, H. Martínez, C. García-Pacheco, J. Richman, and S. Birz 1985 Developing Instruments for Cross-Cultural Research. Paper Presented at the American Psychiatric Convention, Dallas, Texas.

  • Geisinger, K.F. 1994 Cross-Cultural Normative Assessment: Translation and Adaptation Issues Influencing the Normative Interpretation of Assessment Instruments. Psychological Assessment 6: 304–312.

    Google Scholar 

  • Guarnaccia, P.J. 1996 Anthropological Perspectives: The Importance of Culture in the Assessment of Quality of Life. In Quality of Life and Pharmacoeconomics in Clinical Trials. B. Spilker, ed., pp. 523–528. Philadelphia: Lippincott-Raven Publishers.

    Google Scholar 

  • Guarnaccia, P.J., and P. Parra 1996 Ethnicity, Social Status, and Families' Experiences of Caring for a Mentally Ill Family Member. Community Mental Health Journal 32(3): 243–260.

    Google Scholar 

  • Guarnaccia, P.J., P. Parra, A.I. Deschamps, G. Milstein, and N. Argiles 1992 Si Dios quiere: Hispanic Families' Experiences of Caring for a Seriously Mentally Ill Family Member. Culture, Medicine and Psychiatry 16(2): 187–215.

    Google Scholar 

  • Guarnaccia, P.J., M. Rivera, F. Franco, and C. Neighbors 1996 The Experiences of ataques de nervios: Toward an Anthropology of Emotions in Puerto Rico. Culture, Medicine and Psychiatry 20(3): 343–367.

    Google Scholar 

  • Guarnaccia, P.J., and L.H. Rogler 1999 Research on Culture-Bound Syndromes: New Directions. American Journal of Psychiatry 156(9): 1322–1327.

    Google Scholar 

  • Hargreaves, W.A., M. Shumway, T.W. Hu, and B. Cuffel 1998 Cost-Outcome Methods for Mental Health. San Diego: Academic Press.

    Google Scholar 

  • Hilton, A., and M. Skrutkowski 2002 Translating Instruments Into Other Languages: Development and Testing Process. Cancer Nursing 25(1): 1–7.

    Google Scholar 

  • Hohmann, A. 1996 Measurement Sensitivity in Clinical Mental Health Services Research: Recommendation for the Future. In Outcomes Assessment in Clinical Practice. L.I. Sedeter and B. Dickey, eds., pp. 161–168.

  • Jones, P.S., J.W. Lee, L.R. Phillips, X.E. Zhang, and K.B. Jaceldo 2001 An Adaptation of Brislin's Translation Model for Cross-Cultural Research. Nursing Research 50(5): 300–304.

    Google Scholar 

  • Kessler, R.C., K.A. McGonagle, S. Zhao, C.B. Nelson, M. Huges, S. Eshleman, H.U. Wittchen, and K.S. Kendler 1994 Lifetime and 12 Month Prevalence of DSM-III R Psychiatric Disorders in the United States: Results from the National Comorbidity Survey. Archives of General Psychiatry 51: 8–19.

    Google Scholar 

  • Lehman, A.F. 1988 A Quality of Life Interview for the Chronically Mentally Ill. Evaluating and Program Planning 11: 51–62. Lehman, A.F. 1995a Measuring Quality of Life in a Reformed Health System. Health Affairs 4: 90–101. Lehman, A.F. 1995b Toolkit for Evaluating Quality of Life for Persons with Severe Mental Illness. Cambridge, MA: Evaluation Center at HSRI.

    Google Scholar 

  • Lehman, A.F., J.G. Slaughter, and P. Myers 1992 Quality of Life Experiences of the Chronically Mentally Ill. Evaluating and Program Planning 15: 7–12.

    Google Scholar 

  • Lewis-Fernandez R., P.J. Guarnaccia, I.E. Martinez, E. Salman, A. Schmidt, and M. Liebowitz 2002 Comparative Phenomenology of Ataques de Nervios, Panic Attacks, and Panic Disorder. Culture, Medicine and Psychiatry 26(2): 199–223.

    Google Scholar 

  • Lewis-Fernández, R., and A. Kleinman 1995 Cultural Psychiatry: Theoretical, Clinical, and Research Issues. Psychiatric Clinics of North America 18: 433–448.

    Google Scholar 

  • Lopez, S.R., and P.J. Guarnaccia 2000 Cultural Psychopathology: Uncovering the Social World of Mental Illness. Annual Review of Psychology 51: 571–598.

    Google Scholar 

  • Manson, S.M., H. James, A. Shore, E. Baron, L. Ackerson, and G. Neligh 1992 Alcohol Abuse and Dependence Among American Indians. In Alcoholism—North America, Europe and Asia: A Coordinated Analysis of Population Data from Ten Regions. John Helzer and Glorisa Canino, eds., pp. 113–130. London: Oxford University Press.

    Google Scholar 

  • Marin, G.I., and B.A. VanOss Marin 1991 Research With Hispanic Populations—Applied Social Research. Methods Series Vol. 23. Newbury Park, CA: Sage.

    Google Scholar 

  • Phillips, L.R., I. Luna, C.K. Russell, G. Baca, Y.M. Lim, S.L. Cromwell, and E. Torres de Ardon 1996 Toward a Cross-Cultural Perspective of Family Caregiving. Western Journal of Nursing Research 18: 236–251.

    Google Scholar 

  • Reinhard, S.C., G.D. Gubman, A.V. Horwitz, and S. Minsky 1994 Burden Assessment Scale for Families of the Seriously Mentally Ill. Evaluation and Program Planning 1: 261–269.

    Google Scholar 

  • Rogler, L.H. 1996 Framing Research on Culture in Psychiatric Diagnosis: The Case of the DSM-IV. Psychiatry 59: 145–155.

    Google Scholar 

  • Rogler, L.H. 1999 Methodological Sources of Cultural Insensitivity in Mental Health Research. American Psychology 54(6): 424–433.

    Google Scholar 

  • Rogler, L.H., R.G. Malgady, and O. Rodríguez 1989 Hispanics and Mental Health: A Framework for Research. Malabrar, FL: Robert E. Kriger.

    Google Scholar 

  • Schulberg, H.C., and E. Bromet 1981 Strategies for Evaluating the Outcome of Community Services for the Chronically Mentally Ill. American Journal of Psychiatry 138: 930–935.

    Google Scholar 

  • Vázquez Barquero, J.L., E. Vázquez Bourgon, S. Herrera Castanedo, J. Saiz, M. Uniarte, F. Morales, L. Gaite, A. Herran, and T.B. Ustun 2000 Spanish Version of the New World Health Organization Disability Assessment Schedule II (WHO-DAS II): Initial Phase of Development and Pilot Study (Cantabria Disability Group). Actas Esp. Psiquiatría 28(2): 77–88.

    Google Scholar 

  • Ware, N.C., T. Tugenberg, B. Dickey, and C.A. McHorney 1999 An Ethnographic Study of the Meaning of Continuity of Care in Mental Health Services. Psychiatric Services 50: 395–400

    Google Scholar 

  • Weidmer, B., J. Brown, and L. Garcia 1999 Translating the CAHPSTM 1.0 Survey Instruments Into Spanish. Medical Care 37: MS89-MS96.

    Google Scholar 

  • World Health Organization 2000 Disability Assessment Schedule: WHODAS II: Phase 2 Field Trials—Health Services Research, 36-Item Interviewer Administered, Day Codes Version. Geneva, Switzerland: World Health Organization.

    Google Scholar 

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Matías-Carrelo, L.E., Chávez, L.M., Negrón, G. et al. The Spanish Translation and Cultural Adaptation of Five Mental Health Outcome Measures. Cult Med Psychiatry 27, 291–313 (2003). https://doi.org/10.1023/A:1025399115023

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