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Nepali Translation, Validity and Reliability Study of the Cohen-Hoberman Inventory of Physical Symptoms for
Lori Maria Walton1, Renee Hakim, Jennifer Schwartz
1Physical Therapy, The University of Scranton, Scranton, Pennsylvania (Drs Walton, Hakim, Schwartz, and Neff-Futrell); School of Sport and Health Sciences, University of Brighton, Brighton, United Kingdom (Dr Raigangar); and Department of Health Promotion and Wellness, State University of New York (SUNY), Oswego (Dr Zaaeed).
Background And Objectives:
Language-appropriate outcome measurements help to improve health equity. The purpose of this study was to translate and validate the Cohen-Hoberman Inventory of Physical Symptoms (CHIPS) in Nepali for Bhutanese refugee utilization.
Methods:
English-Nepali forward and back translations of CHIPS were completed by an official translator and evaluated by three content experts. A scaled rubric measured the following constructs: neurogenic stress response (NSR), somatic stress response (SSR), and visceral stress response (VSR). Data were analyzed using SPSS 26.0.
Results:
The Nepali version of CHIPS reported good content validity, strong internal consistency (Cronbach's α = .94), and inter-rater reliability (ICC = 0.91). Kappa statistic reported 88% to 96% agreement. Constructs of NSR (0.91), SSR (0.94), and VSR (0.94) reported strong internal consistency.
Conclusions:
The Nepali translated version of CHIPS showed strong validity and reliability for utilization in the Bhutanese refugee population and improves health access to outcome measurements for a vulnerable population.
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