Swedish translation and cultural adaptation of the scored Patient-Generated Subjective Global Assessment (PG-SGA©)-A validated tool for screening and assessing malnutrition in clinical practice and research.

IF 1.9 4区医学 Q2 NURSING Scandinavian Journal of Caring Sciences Pub Date : 2024-09-01 Epub Date: 2024-05-07 DOI:10.1111/scs.13267

Rebecca Lindström, Ylva Orrevall, Kerstin Belqaid, Jenny McGreevy, Anna Ottenblad, Elisabet Rothenberg, Frode Slinde, Faith D Ottery, Harriët Jager-Wittenaar, Sandra Einarsson

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Abstract

Introduction: The scored Patient-Generated Subjective Global Assessment (PG-SGA©) is a validated tool for the screening, assessment and monitoring of malnutrition, and triaging of interventions. It contains a patient-generated component and a healthcare professional (HCP)-generated component.

Aim: To translate the PG-SGA into Swedish, assess the linguistic and content validity of the Swedish version, and ensure conceptional, semantic and operational equivalence to the original English PG-SGA.

Methods: In line with the methodology used in previously translated and culturally adapted versions, the standardised 10-step process suggested by the International Society for Health Economics and Outcomes Research (ISPOR) was followed. In step 7, a cross-sectional study targeting patients n = 51 and HCPs n = 52 was performed at a university hospital in Sweden. Using separate questionnaires, patients assessed the patient component and HCPs, the professional component regarding perceived comprehensibility and difficulty (linguistic validity). The HCPs also assessed perceived relevance (content validity) of all items on the PG-SGA. Item indices for comprehensibility (I-CI), difficulty (I-DI) and content validity (I-CVI) were calculated and averaged into scale indices (S-CI, S-DI and S-CVI). Cut-off standards for item and scale indices were used as reference.

Results: The Swedish version of the PG-SGA rated excellent for comprehensibility (S-CI 0.96) and difficulty (S-DI 0.93) for the patient component. The professional component rated acceptable for comprehensibility (S-CI 0.89) and below acceptable for difficulty (S-DI 0.70), with the physical examination rated most difficult (I-DI 0.39 to 0.69). Content validity for the full Swedish PG-SGA was rated excellent (S-CVI 0.94).

Conclusion: The patient component was considered clear and easy to complete. The full Swedish PG-SGA was considered relevant by HCPs for screening and assessment of malnutrition. Due to perceived difficulty with the physical examination, training of Swedish HCPs in using the PG-SGA is essential before implementing the professional component into clinical practice or research.

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瑞典语翻译和文化适应性评分患者生成的主观全面评估（PG-SGA©）--临床实践和研究中筛查和评估营养不良的有效工具。

介绍：经评分的患者自创主观全面评估（PG-SGA©）是一种经过验证的工具，用于筛查、评估和监测营养不良情况，并对干预措施进行分流。目的：将 PG-SGA 翻译成瑞典语，评估瑞典语版本在语言和内容上的有效性，并确保在概念、语义和操作上与原始英语 PG-SGA 等同：根据之前翻译和文化适应版本所使用的方法，我们采用了国际卫生经济学与结果研究学会（ISPOR）建议的标准化 10 步流程。在第 7 步，在瑞典的一家大学医院进行了一项横断面研究，研究对象包括患者 n = 51 和 HCPs n = 52。患者和医疗保健人员分别使用不同的调查问卷，对患者部分和医疗保健人员专业部分的可理解性和难度（语言有效性）进行评估。医疗保健人员还对 PG-SGA 所有项目的相关性（内容有效性）进行了评估。计算可理解性（I-CI）、难度（I-DI）和内容有效性（I-CVI）的项目指数，并将其平均化为量表指数（S-CI、S-DI 和 S-CVI）。项目和量表指数的临界标准被用作参考：瑞典语版 PG-SGA 患者部分的可理解性（S-CI 0.96）和难度（S-DI 0.93）均为优秀。专业部分的可理解度（S-CI 0.89）为可接受，难度（S-DI 0.70）低于可接受，其中体格检查的难度最大（I-DI 0.39 至 0.69）。瑞典 PG-SGA 全文的内容效度被评为优秀（S-CVI 0.94）：结论：患者部分被认为清晰且易于完成。全套瑞典 PG-SGA 被卫生保健人员认为适用于营养不良的筛查和评估。由于认为体格检查存在困难，因此在将专业部分应用于临床实践或研究之前，必须对瑞典卫生保健人员进行使用 PG-SGA 的培训。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Scandinavian Journal of Caring Sciences NURSING-

CiteScore

4.60

自引率

5.30%

发文量

期刊介绍： Scandinavian Journal of Caring Sciences is an established quarterly, peer reviewed Journal with an outstanding international reputation. As the official publication of the Nordic College of Caring Science, the Journal shares their mission to contribute to the development and advancement of scientific knowledge on caring related to health, well-being, illness and the alleviation of human suffering. The emphasis is on research that has a patient, family and community focus and which promotes an interdisciplinary team approach. Of special interest are scholarly articles addressing and initiating dialogue on theoretical, empirical and methodological concerns related to critical issues. All articles are expected to demonstrate respect for human dignity and accountability to society. In addition to original research the Journal also publishes reviews, meta-syntheses and meta-analyses.