A new measure for multi-professional medical team communication: design and methodology for multilingual measurement development.

bilingual communication health equity implementation science measurement

Journal

Frontiers in pediatrics
ISSN: 2296-2360
Titre abrégé: Front Pediatr
Pays: Switzerland
ID NLM: 101615492

Informations de publication

Date de publication:
2023
Historique:
received: 06 03 2023
accepted: 09 05 2023
medline: 19 6 2023
pubmed: 19 6 2023
entrez: 19 6 2023
Statut: epublish

Résumé

As implementation science in global health continues to evolve, there is a need for valid and reliable measures that consider diverse linguistic and cultural contexts. A standardized, reproducible process for multilingual measure development may improve accessibility and validity by participants in global health settings. To address this need, we propose a rigorous methodology for multilingual measurement development. We use the example of a novel measure of multi-professional team communication quality, a determinant of implementation efforts. The development and translation of this novel bilingual measure is comprised of seven steps. In this paper, we describe a measure developed in English and Spanish, however, this approach is not language specific. Participants are engaged throughout the process: first, an interprofessional panel of experts and second, through cognitive interviewing for measure refinement. The steps of measure development included: (1) literature review to identify previous measures of team communication; (2) development of an initial measure by the expert panel; (3) cognitive interviewing in a phased approach with the first language (English); (4): formal, forward-backward translation process with attention to colloquialisms and regional differences in languages; (5) cognitive interviewing repeated in the second language (Spanish); (6) language synthesis to refine both instruments and unify feedback; and (7) final review of the refined measure by the expert panel. A draft measure to assess quality of multi-professional team communication was developed in Spanish and English, consisting of 52 questions in 7 domains. This measure is now ready for psychometric testing. This seven-step, rigorous process of multilingual measure development can be used in a variety of linguistic and resource settings. This method ensures development of valid and reliable tools to collect data from a wide range of participants, including those who have historically been excluded due to language barriers. Use of this method will increase both rigor and accessibility of measurement in implementation science and advance equity in research and practice.

Sections du résumé

Background UNASSIGNED
As implementation science in global health continues to evolve, there is a need for valid and reliable measures that consider diverse linguistic and cultural contexts. A standardized, reproducible process for multilingual measure development may improve accessibility and validity by participants in global health settings. To address this need, we propose a rigorous methodology for multilingual measurement development. We use the example of a novel measure of multi-professional team communication quality, a determinant of implementation efforts.
Methods UNASSIGNED
The development and translation of this novel bilingual measure is comprised of seven steps. In this paper, we describe a measure developed in English and Spanish, however, this approach is not language specific. Participants are engaged throughout the process: first, an interprofessional panel of experts and second, through cognitive interviewing for measure refinement. The steps of measure development included: (1) literature review to identify previous measures of team communication; (2) development of an initial measure by the expert panel; (3) cognitive interviewing in a phased approach with the first language (English); (4): formal, forward-backward translation process with attention to colloquialisms and regional differences in languages; (5) cognitive interviewing repeated in the second language (Spanish); (6) language synthesis to refine both instruments and unify feedback; and (7) final review of the refined measure by the expert panel.
Results UNASSIGNED
A draft measure to assess quality of multi-professional team communication was developed in Spanish and English, consisting of 52 questions in 7 domains. This measure is now ready for psychometric testing.
Conclusions UNASSIGNED
This seven-step, rigorous process of multilingual measure development can be used in a variety of linguistic and resource settings. This method ensures development of valid and reliable tools to collect data from a wide range of participants, including those who have historically been excluded due to language barriers. Use of this method will increase both rigor and accessibility of measurement in implementation science and advance equity in research and practice.

Identifiants

pubmed: 37334217
doi: 10.3389/fped.2023.1127633
pmc: PMC10272604
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1127633

Informations de copyright

© 2023 Malone, Rivera, Puerto-Torres, Prewitt, Sakaan, Counts, Al Zebin, Arias, Bhattacharyya, Gunasekera, Johnson, Kambugu, Kaye, Mandrell, Mack, McArthur, Mendez, Morrissey, Sharara-Chami, Snaman, Sniderman, Luke, Graetz and Agulnik.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Sara Malone (S)

Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, United States.

Jocelyn Rivera (J)

Department of Pediatrics, Hospital Infantil Teletón de Oncologia (HITO), Querétaro, Mexico.

Maria Puerto-Torres (M)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Kim Prewitt (K)

Center for Public Health Systems Science, Washington University, St. Louis, MO, USA.

Firas Sakaan (F)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Lara Counts (L)

Department of Surgery, Washington University in St. Louis School of Medicine, St. Louis, MO, United States.

Zebin Al Zebin (Z)

Pediatric Hematology and Oncology, King Hussein Cancer Center, Amman, Jordan.

Anita V Arias (AV)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Parthasarathi Bhattacharyya (P)

Department of Pediatric Oncology Critical Care, Tata Medical Center, Kolkata, India.

Sanjeeva Gunasekera (S)

National Cancer Institute, Maharagama, Sri Lanka.

Sherry Johnson (S)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Joyce Kambugu (J)

Pediatric Oncology, Uganda Cancer Institute, Kampala, Uganda.

Erica C Kaye (EC)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Belinda Mandrell (B)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Jennifer W Mack (JW)

Department of Hematology and Oncology, Dana-Farber Cancer Institute and Boston Children's Hospital, Boston, MA, United States.

Jennifer McArthur (J)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Alejandra Mendez (A)

Pediatric Intensive Care Unit, Unidad Nacional de Oncologia Pediatrica (UNOP), Guatemala City, Guatemala.

Lisa Morrissey (L)

Department of Hematology and Oncology, Dana-Farber Cancer Institute and Boston Children's Hospital, Boston, MA, United States.

Rana Sharara-Chami (R)

Pediatric Critical Care Medicine, American University of Beirut, Beirut, Lebanon.
Pediatric Intensive Care Unit, LJ Murphy Inova Children's Hospital, Fairfax, VA, United States.

Jennifer Snaman (J)

Department of Hematology and Oncology, Dana-Farber Cancer Institute and Boston Children's Hospital, Boston, MA, United States.

Elizabeth Sniderman (E)

Northern Alberta Children's Cancer Program, Stollery Children's Hospital, Edmonton, AB, Canada.

Douglas A Luke (DA)

Center for Public Health Systems Science, Washington University, St. Louis, MO, USA.

Dylan E Graetz (DE)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Asya Agulnik (A)

Division of Critical Care Medicine, Department of Global Pediatric Medicine, St. Jude Children's Research Hospital, Memphis, TN, United States.

Classifications MeSH