Translating the patient perception of integrated care survey to measure integrated care in The Netherlands: Combining equivalence and contextualization approaches for optimal results

TY - JOUR

T1 - Translating the patient perception of integrated care survey to measure integrated care in The Netherlands

T2 - Combining equivalence and contextualization approaches for optimal results

AU - Tietschert, Maike V.

AU - Angeli, Federica

AU - van Raak, Arno J.A.

AU - Singer, Sara J.

AU - Ruwaard, Dirk

N1 - © 2016 The Author(s).

PY - 2016/8/23

Y1 - 2016/8/23

N2 - Introduction: An increase in initiatives to improve integration of care provides the need for instruments that assess the degree of integrated care as perceived by patients across cultural contexts. This article aims to explain the relevance of equivalence and contextualization approaches in translating and adapting the Patient Perception of Integrated Care Survey developed in the US for use in the Netherlands. Theory and methods: The World Health Organization guidelines guided the translation and adaptation, including a forward-backward translation and patient-feedback through informal contacts (N4) and cognitive interviews (N14). Results: The forward-backward translation produced a Dutch version of the Patient Perception of Integrated Care Survey with minor adaptations. Patients evaluated the survey as very relevant. Alterations resulted from structural and cultural differences and specificities of patients with chronic conditions. Conclusions and discussion: A context-sensitive translation process is key to developing instruments for cross-cultural health research. Our results show that equivalence- and contextualization methods provide equally relevant, yet substantially different contributions to the translation outcome and should both be incorporated when translating instruments for different cultural contexts. The results support the applicability of the Patient Perception of Integrated Care Survey in the Netherlands and are promising for its adoption in other cultural contexts.

AB - Introduction: An increase in initiatives to improve integration of care provides the need for instruments that assess the degree of integrated care as perceived by patients across cultural contexts. This article aims to explain the relevance of equivalence and contextualization approaches in translating and adapting the Patient Perception of Integrated Care Survey developed in the US for use in the Netherlands. Theory and methods: The World Health Organization guidelines guided the translation and adaptation, including a forward-backward translation and patient-feedback through informal contacts (N4) and cognitive interviews (N14). Results: The forward-backward translation produced a Dutch version of the Patient Perception of Integrated Care Survey with minor adaptations. Patients evaluated the survey as very relevant. Alterations resulted from structural and cultural differences and specificities of patients with chronic conditions. Conclusions and discussion: A context-sensitive translation process is key to developing instruments for cross-cultural health research. Our results show that equivalence- and contextualization methods provide equally relevant, yet substantially different contributions to the translation outcome and should both be incorporated when translating instruments for different cultural contexts. The results support the applicability of the Patient Perception of Integrated Care Survey in the Netherlands and are promising for its adoption in other cultural contexts.

KW - Cross-cultural

KW - Integrated care

KW - Patient perception

KW - Survey translation

KW - Translation method

UR - http://www.scopus.com/inward/record.url?scp=84983537875&partnerID=8YFLogxK

U2 - 10.5334/ijic.2022

DO - 10.5334/ijic.2022

M3 - Article

AN - SCOPUS:84983537875

SN - 1568-4156

VL - 16

JO - International Journal of Integrated Care

JF - International Journal of Integrated Care

IS - July-September

M1 - 11

ER -