Development and Validation of the Xhosa Translations of the Beck Inventories: 1. Challenges of the Translation Process

Steele, Gary I.; Edwards, David

doi:10.1080/14330237.2008.10820188

Cited by 13 publications

(8 citation statements)

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“…[6,7,15–19] Kortmann [15] had difficulties with the Amharic translation of the Self-Reporting Questionnaire (SRQ) in Ethiopia; more than one in four (26%) of affirmative responses proved invalid due to double-barreled questions, motivational biases, or a lack of conceptual congruity. Two items, “have you noticed any interference or anything else unusual with your thinking?” and “do you ever hear voices without knowing where they are coming from or which other people cannot hear?” are both long and have more than one question embedded within them, which made them difficult for respondents to understand and answer.…”

Section: Resultsmentioning

confidence: 99%

“…[6,7] Several other studies highlighted ways in which questions were not understood correctly either due to wording, connotation, or question structure. [6,7,[15][16][17][18][19] Kortmann [15] had difficulties with the Amharic translation of the Self-Reporting Questionnaire (SRQ) in Ethiopia; more than one in four (26%) of affirmative responses proved invalid due to double-barreled questions, motivational biases, or a lack of conceptual congruity. Two items, "have you noticed any interference or anything else unusual with your thinking?"…”

Section: Linguistic Equivalencementioning

confidence: 99%

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Measuring Depression and Anxiety in Sub-Saharan Africa

2013

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Background Despite being one of the leading causes of disability worldwide, fewer than 10% of depressed individuals in low-resource settings have access to treatment. Mounting evidence suggests that nonspecialist workers are capable of providing counseling and case management at the community level. They often use brief psychiatric screening instruments as clinical tools to identify cases and monitor symptoms over time. In order for such tools to be used in diverse settings, they must demonstrate adequate reliability and validity in addition to cross-cultural relevance. To be used to guide routine care they also need to be flexibly adapted and sensitive to change. The goal of this paper is to assess the cross-cultural validity of brief psychiatric screening instruments in sub-Saharan Africa, identify best practices, and discuss implications for clinical management and scale-up of mental health treatment in resource-poor settings. Method Systematic review of studies assessing the validity of screening instruments for depression, anxiety, and mental distress in sub-Saharan Africa using Medline and PsycINFO. Results Sixty-five studies from 16 countries assessing the validity of brief screening instruments for depression, anxiety, and/or mental distress. Conclusions Despite evidence of underlying universality in the experience of depression and anxiety in sub-Saharan Africa, differences in the salience, manifestation, and expression of symptoms suggest the need for the local adaptation of instruments. Rapid ethnographic assessment has emerged as a promising, low-cost, and efficient strategy for doing so.

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Section: Resultsmentioning

confidence: 99%

Section: Linguistic Equivalencementioning

confidence: 99%

Measuring Depression and Anxiety in Sub-Saharan Africa

2013

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“…The development of psychological resource material and the translation of well studied and established psychometric tools into African languages may further assist in improving access (Health Professions Council of South Africa, 2006). A number of selfreport inventories have already been translated from English into Xhosa (Drennan, Levett, & Swartz, 1991;Smit, van den Berg, Bekker, Seedat, & Stein, 2006;Steele & Edwards, 2008). However, studies report difficulties in finding Xhosa equivalents for psychological terms commonly used in English.…”

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confidence: 99%

A Xhosa language translation of the CORE-OM using South African university student samples

Campbell

Young

2016

Transcult Psychiatry

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The translation of well established psychometric tools from English into Xhosa may assist in improving access to psychological services for Xhosa speakers. The aim of this study was to translate the Clinical Outcomes in Routine Evaluation - Outcome Measure (CORE-OM), a measure of general distress and dysfunction developed in the UK, into Xhosa for use at South African university student counselling centres. The CORE-OM and embedded CORE-10 were translated into Xhosa using a five-stage translation design. This design included (a) forward-translation, (b) back-translation, (c) committee approach, (d) qualitative piloting, and (e) quantitative piloting on South African university students. Clinical and general samples were drawn from English-medium South African universities. Clinical samples were generated from university student counselling centres. General student samples were generated through random stratified cluster sampling of full-time university students. Qualitative feedback from the translation process and results from quantitative piloting of the 34-item CORE-OM English and Xhosa versions supported the reduction of the scale to 10 items. This reduced scale is referred to as the South African CORE-10 (SA CORE-10). A measurement and structural model of the SA CORE-10 English version was developed and cross-validated using an English-speaking university student sample. Equivalence of this model with the SA CORE-10 Xhosa version was investigated using a first-language Xhosa-speaking university sample. Partial measurement equivalence was achieved at the metric level. The resultant SA CORE-10 Xhosa and English versions provide core measures of distress and dysfunction. Additional, culture- and language-specific domains could be added to increase sensitivity and specificity.

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“…In making screening tools available for use in people across different languages, research has documented the loss of meaning in translation. 21 , 22 Steele and Edwards 23 argue that the translation process is often plagued by practical and methodological difficulties that threaten the validity of the cross-cultural research projects. Hermanns et al 24 argue that the translation of concepts across cultures is crucial in order to develop culturally appropriate measurement tools, diagnoses and services for people with depression and anxiety disorders.…”

Section: Introductionmentioning

confidence: 99%

The development of the visual screening tool for anxiety disorders and depression: Addressing barriers to screening for depression and anxiety disorders in hypertension and/or diabetes

Ogle

Koen

Niehaus

2018

Afr. j. prim. health care fam. med.

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BackgroundThere is a lack of screening tools for common mental disorders that can be applied across cultures, languages and levels of education in people with diabetes and hypertension.AimTo develop a visual screening tool for depression and anxiety disorders that is applicable across cultures and levels of education.SettingParticipants were purposively recruited from two not-for-profit organisations and two public health facilities – a maternal mental health unit and a primary health care centre.MethodThis was a qualitative cross-sectional study. Thirteen drawings based on the Hospital Anxiety and Depression Scale depicting symptoms of anxiety disorders and depression were drawn. Participants described emotions and thoughts depicted in the drawings. Data were analysed through content analysis.ResultsThirty-one women (66%) and 16 men (34%) participated in the development of the visual screening tool. The mean age was 34 (standard deviation [SD] 12.46). There were 32 (68%) black participants, 11 (23%) mixed race participants and 4 (9%) white participants. Two participants (4%) had no schooling, 14 (31%) primary schooling, 8 (18%) senior schooling, 13 (29%) matric qualification and 8 (18%) had post-matric qualification. Participants correctly described 10 out of the 13 visual depiction of symptoms as associated with depression and anxiety disorders, with no differences between levels of education and cultural groups.ConclusionTen drawings were appropriate for inclusion in the visual screening tool for anxiety disorders and depression (VISTAD). The VISTAD will be validated against the mini international neuropsychiatric interview (MINI) in a primary care population with hypertension and/or diabetes.

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Development and Validation of the Xhosa Translations of the Beck Inventories: 1. Challenges of the Translation Process

Cited by 13 publications

References 13 publications

Measuring Depression and Anxiety in Sub-Saharan Africa

Measuring Depression and Anxiety in Sub-Saharan Africa

A Xhosa language translation of the CORE-OM using South African university student samples

The development of the visual screening tool for anxiety disorders and depression: Addressing barriers to screening for depression and anxiety disorders in hypertension and/or diabetes

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