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Adapting functional assessments for use in a new context: a balancing act
Christina Schulze1, Julie Page, Anders Kottorp
1School of Health Professions, Institute of Occupational Therapy, Research and Development, Zurich University of Applied Sciences, Zurich, Switzerland. sina@zhaw.ch
Scandinavian Journal of Occupational Therapy
|May 30, 2013
Summary
Adapting assessments like the Pediatric Evaluation Disability Inventory (PEDI) requires careful committee review to ensure semantic, conceptual, and cultural equivalence. Challenges in harmonization can lead to misfitting items, necessitating clear recommendations for future adaptations.
Area of Science:
- Health Sciences
- Psychometrics
- Cross-cultural Adaptation
Background:
- Committee review is standard for adapting assessments to new contexts.
- Ensuring equivalence in translated assessments is crucial for validity.
Purpose of the Study:
- To explore harmonization issues during committee review.
- To illustrate challenges using the German adaptation of the Pediatric Evaluation Disability Inventory (PEDI).
- To achieve semantic, conceptual, and cultural equivalence in the adapted PEDI.
Main Methods:
- Harmonization involved balancing fidelity to the original with contextual adaptation.
- Decision-making and consensus-building within the committee were key.
- Group dynamics and the planned review process were considered.
Main Results:
- Achieving full equivalence between original and translated assessments proved challenging.
- A risk of misfitting items persisted post-adaptation.
- Influencing factors and researcher challenges in assessment adaptation were identified.
Conclusions:
- Recommendations for conducting effective committee reviews for assessment adaptation were formulated.
- The study highlights the complexities of cross-cultural assessment translation.
