MON-P187: Translation and Cross-Cultural Adaptation of the Scored Patient-Generated Subjective Global Assessment (PG-SGA) To the Thai Setting

Nitichai, Nicha; Angkatavanich, Jongjit; Somlaw, Nicha; Sirichindakul, Boonchoo; Chittawatanarat, Kaweesak; Jager‐Wittenaar, Harriët

doi:10.1016/s0261-5614(17)30900-7

Cited by 5 publications

(13 citation statements)

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“…Boxes 1-4 of the PG-SGA SF were all perceived as easy to complete by the patients, even though about two-thirds of the study population had a lower level of education (ie, primary or secondary education). The excellent results on perceived difficulty are in line with those found in the pilot testing of the Dutch (S-DI = 0.96), 21 Portuguese (S-DI = 0.94), 27 Thai (S-DI = 0.95), 28 and German language versions (S-DI = 0.91) 29 of the PG-SGA, demonstrating broad applicability and reproducibility across language versions. Our results on difficulty with completing the PG-SGA SF also appear to be in line with those reported on the self-completion of the MUST.…”

Section: Discussionsupporting

confidence: 82%

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

et al. 2019

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Background We aimed to assess feasibility of self‐completion of the Patient‐Generated Subjective Global Assessment Short Form (PG‐SGA SF) by head and neck cancer patients, and to assess self‐reported increased awareness regarding malnutrition risk after self‐completion. Methods Participants were randomized to complete the PG‐SGA SF by paper or app. Feasibility was assessed by time needed to complete the PG‐SGA SF, perceived difficulty, and help needed during completion. Participants were asked if they knew what malnutrition was (yes/no) and if they could define “malnutrition.” They were also asked 9 questions on whether they perceived increased awareness of malnutrition risk after having completed the PG‐SGA SF and 2 on their intention to change lifestyle habits. Results Of all participants (n = 59; 65.9 ± 12.6 years; 73% male), 55% completed the PG‐SGA SF paper version and 46% the Pt‐Global app. Median time needed for self‐completion of the PG‐SGA SF was 2 minutes 41 seconds (interquartile range: 1 minute 49 seconds–3 minutes 50 seconds). Forty‐eight percent needed help with completion, indicating acceptable feasibility. Participants who completed the Pt‐Global app needed help significantly more often (66%; 21/32) than those who completed the PG‐SGA SF paper version (26%; 7/27) (P = 0.005). All difficulty scores were excellent. For 7/9 questions on malnutrition risk awareness, >50% of the participants answered positively. Conclusion The results of this study show that self‐completion of the PG‐SGA SF by head and neck cancer patients is feasible and that awareness regarding malnutrition risk may increase after completing the PG‐SGA SF.

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Section: Discussionsupporting

confidence: 82%

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

et al. 2019

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“…Assessment of comprehensibility, difficulty, and content validity was performed using the methodology used in previous studies for the Dutch, Thai, German, and Norwegian versions of the PG-SGA [8,15,16,18]. Before calculating item and scale scores, we converted the four-point Likert scales to a dichotomous not present (0) and present (1), as in previous studies [8,15,16,18].…”

Section: Discussionmentioning

confidence: 99%

“…Development of the Japanese version of the PG-SGA was performed according to the 10 steps of the ISPOR "Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-reported Outcome Measures" [14]. The specifics of the ISPOR process as applied to PG-SGA translations was described in a Dutch study [15], which served as the basis for the development of other language versions of the PG-SGA [15][16][17][18].…”

Section: Methodsmentioning

confidence: 99%

A Japanese translation, cultural adaptation, and linguistic and content validity confirmation of the Scored Patient-Generated Subjective Global Assessment

Miura

Elgersma

Okizaki

et al. 2021

Support Care Cancer

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Purpose The Scored Patient-Generated Subjective Global Assessment (PG-SGA © ) is a globally recognized and used nutritional screening, assessment, monitoring, and triaging tool. The aim of this study was to translate and culturally adapt the original English PG-SGA for the Japanese speaking populations and to assess its linguistic validity (i.e., comprehensibility, difficulty) and content validity, as perceived by Japanese patients and healthcare professionals. Methods In accordance with methodology used in previous Dutch, Thai, German, and Norwegian PG-SGA studies, we followed the ten steps of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Principles of Good Practice for Translation and Cultural Adaptation for Patient-Reported Outcome Measures. The study enrolled 50 patients and 50 healthcare professionals (HCPs) to evaluate the comprehensibility and difficulty of the translated and culturally adapted PG-SGA. The HCPs also evaluated the content validity of the translation. We evaluated each item and quantified scale indices for content validity (item content validity index (I-CVI), scale content validity index (S-CVI)), comprehensibility (item comprehensibility index (I-CI), scale comprehensibility index (S-CI)), and difficulty (item difficulty index (I-DI), scale difficulty index (S-DI)). Results Patients evaluated the comprehensibility and difficulty of the patient component as excellent (S-CI = 0.97, S-DI = 0.96). The professionals rated the Japanese version of both components of the PG-SGA as very relevant (S-CVI = 0.94). The professionals evaluated the comprehensibility of the professional component as being acceptable (S-CI = 0.88) but difficult (S-DI = 0.69), based predominantly on items related to physical examination (I-DI = 0.33-0.67). ConclusionThe PG-SGA was systematically translated and culturally adapted for the Japanese setting according to the ISPOR process. The Japanese version of the PG-SGA was perceived as comprehensive, easy to use, and relevant. Perceived difficulty in professional components, specifically in the context of metabolic demand and physical examination, will require appropriate training for professionals in order to optimize implementation.

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“…It was tested in cancer patients and healthcare professionals with the supervision of copyright holder and an international expert on translation and cultural adaptation of the PG-SGA. The results showed it has conceptual equivalence to the original English PG-SGA and considered easy to use and comprehensible by cancer patients and healthcare professionals (Nitichai et al, 2018). Utilization of this tool in each own country's language could better reflect nutrition status of cancer patients as well as promote meta-analysis and inter-country comparison of nutrition status in cancer patients since the Scored PG-SGA was translated and culturally adapted to several languages (Jager-Wittenaar and Ottery, 2017).…”

Section: Introductionmentioning

confidence: 92%

“…The nutritional status of all cancer patients was assessed using Thai PG-SGA (Nitichai et al, 2018) and SGA (Detsky et al 1987) by a trained dietitian experienced in using both tools. In the evaluation process, the trained dietitian applies strict criteria to the standard protocols and making measurements with great care in categorizing nutritional status by PG-SGA and SGA.…”

Section: Nutritional Assessmentmentioning

confidence: 99%

Validation of the Scored Patient-Generated Subjective Global Assessment (PG-SGA) in Thai Setting and Association with Nutritional Parameters in Cancer Patients

Nitichai

Angkatavanich

Somlaw

et al. 2019

Asian Pac J Cancer Prev

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Background: The Scored Patient-Generated Subjective Global Assessment (PG-SGA) is a multidimensional tool to assess malnutrition and risk factors. The objectives of this study are to determine the validity of the Thai version of the Scored PG-SGA (Thai PG-SGA) and examine the correlations with selected nutritional parameters. Methods: This observational analytic study included 195 cancer patients aged greater than 18 years at a university-affiliated hospital in Bangkok, Thailand. All patients were assessed for nutritional status by Thai PG-SGA in comparison to subjective global assessment (SGA). Anthropometry, body composition, and hand grip strength were evaluated. Results: According to PG-SGA global assessment categories, 39% (75) of 195 cancer patients were well nourished, 27% (53) were moderately malnourished and 34% (67) of patients were severely malnourished. Thai PG-SGA had a sensitivity of 99.1% and a specificity of 86.0% at predicting SGA classification. PG-SGA numerical scores were significantly different between well-nourished and malnourished groups (4.2 ± 2.4 Vs 16.3 ± 4.9; p < 0.001). The PG-SGA scores, nutritional status assessed by PG-SGA, and nutritional status assessed by SGA were correlated with weight, % weight loss in one month, body mass index, body fat, and hand grip strength (p < 0.001) respectively. Conclusions: Thai PG-SGA showed high sensitivity and good specificity in predicting malnutrition in Thai cancer patients. This tool demonstrated the correlations with anthropometric parameters, body composition, and muscle strength.

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MON-P187: Translation and Cross-Cultural Adaptation of the Scored Patient-Generated Subjective Global Assessment (PG-SGA) To the Thai Setting

Cited by 5 publications

References 0 publications

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

Self‐Completion of the Patient‐Generated Subjective Global Assessment Short Form Is Feasible and Is Associated With Increased Awareness on Malnutrition Risk in Patients With Head and Neck Cancer

A Japanese translation, cultural adaptation, and linguistic and content validity confirmation of the Scored Patient-Generated Subjective Global Assessment

Validation of the Scored Patient-Generated Subjective Global Assessment (PG-SGA) in Thai Setting and Association with Nutritional Parameters in Cancer Patients

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