Translation and cultural adaptation of the Communication Assessment Tool (CAT), developing a Danish and Norwegian version

Abstract

Objective To translate and cultural adapt the 14-item Communication Assessment Tool (CAT) into Norwegian and Danish, making them as similar as possible. Design This was a translation and validation study including individual interviews for content and face validity and a patient survey for internal consistency and floor-ceiling effect. Setting Outpatient clinic at the Department of Internal Medicine, Lillebaelt Hospital, Denmark and a Norwegian general practice. Participants Ten patients were included for individual interviews and 440 participants completed the survey. Main Outcome Measure Translation and validation of the CAT. Results Despite minor differences in the use of words in the translated versions of CAT, the final versions were very similar. Based on the content and face validation and after agreement with the developers, it was decided to include a ‘non-applicable’ answering option, not a part of the original version. The use of ‘non-applicable’ for each item ranged from 0% to 30% in Norway and from 0% to 6.1% in Denmark. The overall CAT score, i.e. items rated excellent, were 55.5% in Norway and 50.3% in Denmark. For each item, the CAT score ranged between 31.3% and 69.8% in Norway and 33.7% and 57.4% in Denmark. Conclusion The translated and validated CAT can be used to measure patients’ perspectives on clinicians’ communication skills in Denmark and Norway.

Individualized care for older adults with diabetes and its relationship with communication, psychosocial self‐efficacy, resources and support for self‐management and socio‐demographics

“…In the US' study, the overall mean percentage of excellent ratings of 73% (SD = 39.6) was higher. However, this study's results were consistent with those from primary care facilities and adult patients in Denmark and Norway where the CAT items rated excellent was 55.5% in Norway and 50.3% in Denmark (Iversen et al, 2019).…”

Developing and piloting a communication assessment tool assessing patient perspectives on communication with pharmacists (CAT-Pharm)

“…It is noteworthy that assessing the difference between Italy and Malta was not among the primary objectives of the study; however, significant differences emerged that warrant further investigation in a larger cohort of patients. The utility of the tool to detect differences in practice is an application of the tool to be investigated in terms of its use as a performance indicator for service development within pharmaceutical health systems [22][23][24]. Confirming results of previous studies, patients desire more opportunities to ask questions and for more active involvement in decisions regarding their care [13,[25][26][27].…”

Translation and Cultural Adaptation of a Romanian Version of the Communication Assessment Tool (CAT_Ro)

“…Among the existing tools, CAT was the most appropriate option because it is validated in several languages, easy to use and interpret, easy to understand by patients, the duration is adequate, but at the same time, it is quite complex and comprehensive [27][28][29][30][31].…”