Cross-cultural Adaptation of the Psychosocial Impact of Assistive Device Scale (PIADS) for Puerto Rican Assistive Technology Users

Abstract

Assistive technology (AT) is important for individuals with disabilities’ independence and participation in daily life, and there is a lack of valid AT outcome tools for the Puerto Rican population. This pilot study examined the content validity of a new adaptation of the Psychosocial Impact of Assistive Device Scale (PIADS): the Puerto Rican-Spanish PIADS (PR-PIADS). Following standard procedures, the cultural adaptation methodology included a bilingual multidisciplinary committee review of the original (English language) and Spanish versions of the PIADS and pilot testing of the preliminary version of the PR-PIADS with 20 AT users. The committee recommended a total of 58 semantic and conceptual modifications of the Spanish PIADS. Pilot data analysis resulted in 4 additional semantic and conceptual modifications of items that did not reach the minimum content validity ratio of 0.42 for a panel composed by 20 members: competence (0), efficiency (−0.6), performance (−0.95), and eagerness to take chances (−0.6). This pilot study demonstrated evidence of initial content validity of the PR-PIADS. Future research is required before using this tool with greater confidence to address the construct validity and reliability that are also critical to a successful cultural adaptation.

Cross-Cultural Adaptation and Face Validity of the Functional Mobility Assessment into Brazilian Portuguese

“…These findings demonstrate the importance of the cross-cultural adaptation once the translated version from the previous stages was not enough to make the instrument precisely into Brazilian Portuguese. A similar result was found in the adaptation of the Psychosocial Impact of Assistive Device Scale (PIADS), intended for Puerto Rican assistive technology users [27]. Fifty-eight changes were suggested by five experts for the instrument adapted to Spanish, which shows the relevance of Stage 5-expert committee-in the adaptation process of an instrument to a given language and context [27].…”

“…Such a process supports the work of researchers and practitioners, who can be able to describe the same phenomenon similarly even when applying the instrument in different cultures, ensuring that the instrument works as expected [27].…”

Cross-cultural adaptation, face validity and reliability of the Model of Human Occupation Screening Tool to Brazilian Portuguese

“…Changes were suggested in all the different stages, which is to be expected, considering that the objective of each stage is to revise the translated versions in order to attain a single version of the instrument. The literature reinforces the importance of this process, with theorists that cross-cultural adaptation has the potential to improve understanding of the translated version and make it possible to describe the same phenomenon in different cultures (BEATON et al, 2000;WILD et al, 2005;ORELLANO;JUTAI, 2013).…”

Assistive Technology Needs and Measurement of the Psychosocial Impact of Assistive Technologies for Independent Living of Older Hispanics: Lessons Learned

“…The scale seems to have the power to predict the abandonment and retention of an assistive device [ 13 ]. The PR-PIADS was developed using standard procedures to culturally adapt the Spanish Spain version of the PIADS for the Puerto Rican population, demonstrating evidence of content validity [ 25 ]. The PR-PIADS has demonstrated evidence of content validity in the areas of semantic, content, idiomatic, and technical equivalence with the original version [ 25 ].…”

“…Since the psychosocial impact associated with the use of AT is an important aspect that determines its integration into the daily life of the user [ 23 ], the evaluation of the effect of these devices on quality of life as an outcome measure is important to optimize the process of prescribing and providing AT [ 24 ]. Based on this, the purpose of the present study was to (1) describe the AT needs of a sample of Hispanic older adults with functional limitations, (2) describe the psychosocial impact of AT on the dimensions of adaptability, competence, and self-esteem, as reported by a sample of older adults living in Puerto Rico and measured by the Puerto Rican version of Psychosocial Impact of Assistive Device Scale, and (3) identify methodological challenges and lessons learned in using the Puerto Rican version of the Psychosocial Impact of Assistive Device Scale (PR-PIADS) [ 25 ] with Hispanic older adults.…”