Translation and psychometric assessment of the mastectomy module of the BREAST-Q questionnaire for use in Nigeria

被引：0

作者：

Olasehinde, Olalekan ^{[1
,6
]}

Lynch, Kathleen A. ^{[2
,13
]}

Goldman, Debra A. ^{[3
]}

Agodirin, Olaide ^{[4
,6
]}

Okereke, Chukwuma ^{[5
,6
]}

Wuraola, Funmilola O. ^{[1
,6
]}

Owoade, Israel Adeyemi ^{[6
]}

Akinmaye, Promise Rebecca ^{[6
]}

Ajibade, Olusola ^{[7
]}

Barber, Karin ^{[8
]}

Ogunwale, Joshua ^{[9
]}

Alatise, Olusegun ^{[1
,6
]}

Kingham, T. Peter ^{[6
,9
,10
]}

Pusic, Andrea ^{[11
]}

Romanoff, Anya ^{[10
,12
]}

机构：

[1] Obafemi Awolowo Univ, Dept Surg, Ife, Nigeria

[2] Mem Sloan Kettering Canc Ctr, Dept Psychiat & Behav Sci, New York 10065, NY USA

[3] Mem Sloan Kettering Canc Ctr, Dept Epidemiol & Biostat, New York, NY USA

[4] Univ Ilorin, Teaching Hosp, Dept Surg, Ilorin, Nigeria

[5] Fed Med Ctr Owo, Dept Surg, Owo, Nigeria

[6] African Res Grp Oncol, Osun, Nigeria

[7] Obafemi Awolowo Univ, Dept Linguist, Ife, Nigeria

[8] Univ Birmingham, Anthropol Sch Hist & Cultures, Dept African Studies, Birmingham, England

[9] Mem Sloan Kettering Canc Ctr, Dept Surg, New York, NY USA

[10] Mem Sloan Kettering Canc Ctr, Global Canc Dispar Initiat, New York, NY USA

[11] Brigham & Womens Hosp, Div Plast Surg, Boston, MA USA

[12] Icahn Sch Med Mt Sinai, Dept Global Hlth & Hlth Syst Design, New York, NY USA

[13] NYU Sch Global Publ Hlth, Dept Social & Behav Sci, New York, NY 10003 USA

来源：

JOURNAL OF PATIENT-REPORTED OUTCOMES | 2024年 / 8卷 / 01期

关键词：

Patient reported outcomes; BREAST-Q; Breast cancer; Nigeria; CANCER;

D O I：

10.1186/s41687-024-00692-1

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

BackgroundThe majority of non-metastatic breast cancer patients in sub-Saharan Africa are recommended to have mastectomy. The impact of mastectomy on a predominantly young African patient population requires evaluation. The BREAST-Q is a validated patient-reported outcome measure of quality-of-life following breast surgery that has been translated into 30 languages-none in Africa. This study aimed to translate and assess the psychometric properties of the mastectomy module of the BREAST-Q for use in Nigeria.MethodsThe BREAST-Q mastectomy module was translated from English to Yoruba and its psychometric properties assessed using best practice guidelines. Translation was performed in 4 steps: forward translation (x2), back translation, back translation review, and cognitive interviews with post-mastectomy patients. The translated BREAST-Q instrument was administered to post-mastectomy patients (n = 21) alongside the EORTC-QLQ BR23 to evaluate construct validity. Test-retest reliability was evaluated using intraclass correlation coefficients (ICC); surveys were re-administered 4 weeks apart.ResultsThe translation process identified English phrases not amenable to direct translation, including "emotionally healthy" and descriptions of pain ("nagging," "throbbing," "sharp"). Translations were amended to reflect local context and question intent. During cognitive interviews, patients provided suggestions to simplify complex phrases, e.g. "discomfort in your breast area.". Internal consistency within scales was over 0.70 for psychosocial wellbeing (alpha = 0.84-0.87), sexual wellbeing (alpha = 0.98-0.99), physical wellbeing in chest (alpha = 0.84-0.86), and satisfaction with care (alpha = 0.89-0.93). ICC for test-retest reliability was moderate (0.46-0.63).ConclusionsThe Yoruba version of the BREAST-Q mastectomy module presents a unique opportunity to adequately capture the experiences of Nigerian women post mastectomy. This instrument is being used in a pilot study of Nigerian patients to identify targets for intervention to improve the patient experience and compliance with breast cancer surgery.

引用

页数：8