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Qualitative and Quantitative Validation of Tools with Rating Scales Aimed at Assessing the Quality of University Service-Learning

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Validity and reliability testing: Urdu translated modified Response to Symptoms Questionnaire.

Saleema Allana¹, Tazeen Ali, Khurshid Khowaja

¹School of Nursing and Midwifery, The Aga Khan University, Karachi. saleema.allana@aku.edu

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|June 15, 2013

Summary

The Urdu version of the Response to Symptoms Questionnaire (RSQ) is valid and reliable for assessing acute coronary syndrome (ACS) patients in Pakistan. This validated tool aids in understanding pre-hospital delay factors in Urdu-speaking populations.

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Area of Science:

Cardiology
Health Services Research
Psychometrics

Background:

Assessing factors contributing to pre-hospital delay in acute coronary syndrome (ACS) is crucial for timely intervention.
Validated patient-reported outcome measures are essential for accurate research and clinical practice.
The original Response to Symptoms Questionnaire (RSQ) requires translation and validation for Urdu-speaking populations.

Purpose of the Study:

To determine the validity and reliability of the Urdu-translated, modified Response to Symptoms Questionnaire (RSQ).
To evaluate the tool's suitability for use among acute coronary syndrome (ACS) patients in Karachi, Pakistan.

Main Methods:

A qualitative tool validation study was conducted.
The English RSQ was translated into Urdu and modified.
Content and face validity were assessed by five cardiology experts.
Test-retest and inter-rater reliability were computed using 5% of the parent study's sample.

Main Results:

Sufficient conceptual and semantic equivalence was achieved between the Urdu and English RSQ versions.
The Content Validity Index was 1 for both relevance and linguistic clarity.
Test-retest reliability was 95.9%, and inter-rater reliability was K = 0.97.

Conclusions:

The Urdu-translated modified RSQ demonstrates acceptable content validity, test-retest reliability, and inter-rater reliability.
This validated Urdu RSQ is recommended for evaluating pre-hospital delay factors in Urdu-speaking ACS patients.
The tool's validation supports its use in research and clinical settings for the target population.