Cross-Cultural Adaptation and Linguistic Validation of the Hypoglycaemia Symptom Rating Scale (HypoSRQ) among Malaysian Patients with Diabetes Mellitus

Linguistic Validation of HypoSRQ
Vol. 11 No. 1 : 2016 (72-82)

TAN CE TAN CE
Tong SF Tong SF
AIDA J AIDA J
Zuhra H Zuhra H

Abstract
The Hypoglycaemia Symptom Rating Questionnaire (HypoSRQ) is potentially useful for local research on hypoglycaemia. However, it requires adaptation and validation in local settings. This study reports the process and results of cross-cultural adaptation and linguistic validation of HypoSRQ for Malay and English versions in our local setting. The HypoSRQ underwent forward and backward translation and adaptation with support from professional translators and a clinical psychologist. Cognitive debriefing was done among patients with Type 1 and Type 2 diabetes mellitus from varying sociodemographic backgrounds. Discussion was done together with the original developers of the HypoSRQ to decide on the best version for local use. The finalised versions were proofread and formatted with the help of Health Psychology Research. Cognitive debriefing for Malay version involved 7 patients and for the English version5 patients. Direct literal translation into Malay language was unsuitable due to technical terms which were difficult for laypersons to understand. Amendments were made based on findings from the cognitive debriefing process. Participants found the questionnaire fairly easy to understand. The HypoSRQ-My (Malay) and HypoSRQ-EMy (English) is easily understood by local participants. These tools may undergo psychometric evaluation for future use in local settings.

Keywords : cross-cultural comparison linguistic validation, Hypoglycemia, questionnaires, Translations,

Correspondance Address
Tong Seng Fah, Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Jalan Yaacob Latif, Bandar Tun Razak, 56000 Cheras, Kuala Lumpur, Malaysia. Tel: +603-9145 6117 Fax: +603-91459479 Email: tsf@ppukm.ukm.edu.my


References
Brod, M., Christensen, t., Thomsen, T.L., Bushnell, D.M. 2011. The impact of non-severe hypoglycemic events on work productivity and diabetes management. Value Health 14(5): 665-671. Geelhoed-Duijvestijn, P.H., Pedersen-Bjergaard, U., Weitgasser, R., Lahtela, J., Jensen, M.M., Ostenson, C.G. 2013. Effects of patient-reported non-severe hypoglycemia on healthcare resource use, work-time loss, and wellbeing in insulin-treated patients with diabetes in seven European countries. J Med Econ 16(12): 1453-1461. Hambleton, R.K., Patsula, L., 1998. Adapting tests for use in multiple languages and cultures Social Indicators Research 45: 153–171. Health Psychology Research Ltd, 2014. HypoSRQ: Hypoglycaemia Symptom Rating Questionnaire - 18 Questions. URL:http://www.healthpsychologyresearch.com/information/currently-available-translated-questionnaires/hyposrq-hypoglycaemia-symptom-rating. [Accessed May 11, 2016]. Henderson, J., Allen, K.V., Deary, I.J., Frier, B.M. 2003. Hypoglycaemia in insulin treated Type 2 diabetes: frequency, symptoms and impaired awareness. Diabet Med 20(12): 1016-1021. Jaap, A.J., Jones, G.C., Mccrimmon, R.J., Deary, I.J., Frier, B.M. 1998. Perceived symptoms of hypoglycaemia in elderly type 2 diabetic patients treated with insulin. Diabet Med 15(5): 398-401. Mafauzy, M. 2006. Diabetes control and complications in public hospitals in Malaysia. Med J Malaysia 61(4): 477-483. Marrett, E., Stargardt, T., Mavros, P., Alexander, C.M. 2009. Patient reported outcomes in a survey of patients treated with oral antihyperglycaemic medications: associations with hypoglycaemia and weight gain. Diabetes Obes Metab 11(12): 1138-1144. Mastura, I., Mimi, O., Piterman, L., Teng, C.L., Wijesinha, S. 2007. Self-monitoring of blood glucose among diabetes patients attending government health clinics. Med J Malaysia 62(2): 147-151. Mccoy, R.G., Van Houten, H.K., Ziegenfuss, J.Y., Shah, N.D., Wermers, R.A., Smith, S.A. 2012. Increased mortality of patients with diabetes reporting severe hypoglycemia. Diabetes Care 35(9): 1897-1901. Murata, G.H., Duckworth, W.C., Shah, J.H., Wendel, C.S., Mohler M.J., Hoffman, R.M. 2005. Hypoglycemia in stable, insulin-treated veterans with type 2 diabetes: a prospective study of 1662 episodes. J Diabetes Complications 19(1): 10-17. Taylor, M.D., 2012. Evaluation of a new hypoglycaemia symptom measure: the hypoglycaemia symptom rating questionnaire (HypoSRQ). PhD thesis. Royal Holloway, University of London. Taylor, M.D., Hans, T.S., Ward, H., McBride, J., Yap, I., Bradley. C. 2013. Evaluation of the hypoglycaemia symptom rating questionnaire (’HypoSRQ’) and its relationship with hypoglycaemic episodes measured using continuous glucose monitoring [Abstract O-65]. Diabetes Technology & Therapeutics 15(Supp 1): A23–A24. Vexiau, P., Mavros, P., Krishnarajah, G., lyu, R., Yin, D. 2008. Hypoglycaemia in patients with type 2 diabetes treated with a combination of metformin and sulphonylurea therapy in France. Diabetes Obes Metab 10 (Suppl 1): 16-24. Weinger, K., Jacobson, A.M., Draelos, M.T., Finkelstein, D.M., Simonson, D.C. 1995. Blood glucose estimation and symptoms during hyperglycemia and hypoglycemia in patients with insulin-dependent diabetes mellitus. Am J Med 98(1): 22-31. Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee Lorenz, A., Erikson, P. 2005. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 8(2): 94-104.