Skip to main content
Top
Published in: BMC Health Services Research 1/2010

Open Access 01-12-2010 | Research article

Cross-cultural adaptation and patients' judgments of a Question Prompt List for Italian-speaking cancer patients

Authors: Caterina Caminiti, Francesca Diodati, Silvia Filiberti, Barbara Marcomini, Maria Antonietta Annunziata, Maria Ollari, Rodolfo Passalacqua

Published in: BMC Health Services Research | Issue 1/2010

Login to get access

Abstract

Background

Question Prompt Lists (QPLs) have proven very effective in encouraging cancer patients to ask questions, allowing them to take up a more active role during visits with the oncologist. As no such tool has yet been validated for Italian-speaking users, we carried out the cross-cultural adaptation and evaluation of an existing Australian Question Prompt List.

Methods

Cross-cultural adaptation was performed in accordance with the five steps described by Guillemin and Beaton. Forward and back translations of the original tool were carried out, and the products discussed by an Expert Committee who agreed on a prefinal version of the Italian QPL, which was submitted to 30 volunteer patients for evaluation. They rated each question's adequacy of content, clarity of wording, usefulness, and generated anxiety, on a 3-point Likert scale. Based on the analysis of patient ratings, the final version of the Italian QPL was produced.

Results

Few discrepancies between the two back translations and the original version of the instrument were noted, indicating that the Italian translation (synthesis of the 2 forward translations) was substantially accurate. Most volunteer patients felt that the questionnaire was adequate, easy to understand and useful. Only a few minor criticisms were expressed. Certain questions on diagnosis and prognosis generated the highest level of anxiety. Patient comments and ratings on clarity highlighted the need to clarify common health care terms which are not widely used by the public (i.e. guideline, multidisciplinary team and clinical trial)

Conclusions

This cross-cultural adaptation has produced an Italian Question Prompt List that is now available for multi-center international studies and can be safely used with Italian-speaking cancer patients.
Appendix
Available only for authorised users
Literature
1.
go back to reference Fallowfield L, Jenkins V: Effective communication skills are the key to good cancer care. Eur J Cancer. 1999, 35: 1592-1597. 10.1016/S0959-8049(99)00212-9.CrossRefPubMed Fallowfield L, Jenkins V: Effective communication skills are the key to good cancer care. Eur J Cancer. 1999, 35: 1592-1597. 10.1016/S0959-8049(99)00212-9.CrossRefPubMed
2.
go back to reference Baile WF, Aaron J: Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol. 2005, 17: 331-335. 10.1097/01.cco.0000167738.49325.2c.CrossRefPubMed Baile WF, Aaron J: Patient-physician communication in oncology: past, present, and future. Curr Opin Oncol. 2005, 17: 331-335. 10.1097/01.cco.0000167738.49325.2c.CrossRefPubMed
3.
go back to reference Passalacqua R, Campione F, Caminiti C, Salvagni S, Barilli A, Bella M, Barni S, Barsanti G, Caffo O, Carlini P, Cinquemani G, Di Costanzo F, Giustini L, Labianca R, Mazzei A, Olmeo N, Paccagnella A, Toscano L, Cocconi G: Patients' opinions, feelings, and attitudes after a campaign to promote the Di Bella therapy. Lancet. 1999, 353: 1310-1314. 10.1016/S0140-6736(98)10253-2.CrossRefPubMed Passalacqua R, Campione F, Caminiti C, Salvagni S, Barilli A, Bella M, Barni S, Barsanti G, Caffo O, Carlini P, Cinquemani G, Di Costanzo F, Giustini L, Labianca R, Mazzei A, Olmeo N, Paccagnella A, Toscano L, Cocconi G: Patients' opinions, feelings, and attitudes after a campaign to promote the Di Bella therapy. Lancet. 1999, 353: 1310-1314. 10.1016/S0140-6736(98)10253-2.CrossRefPubMed
4.
go back to reference Jenkins V, Fallowfield L, Saul J: Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer. 2001, 84: 48-51. 10.1054/bjoc.2000.1573.CrossRefPubMedPubMedCentral Jenkins V, Fallowfield L, Saul J: Information needs of patients with cancer: results from a large study in UK cancer centres. Br J Cancer. 2001, 84: 48-51. 10.1054/bjoc.2000.1573.CrossRefPubMedPubMedCentral
5.
go back to reference Yun YH, Lee CG, Kim SY, Lee SW, Heo DS, Kim JS, Lee KS, Hong YS, Lee JS, You CH: The attitudes of cancer patients and their families toward the disclosure of terminal illness. J Clin Oncol. 2004, 22: 307-314. 10.1200/JCO.2004.07.053.CrossRefPubMed Yun YH, Lee CG, Kim SY, Lee SW, Heo DS, Kim JS, Lee KS, Hong YS, Lee JS, You CH: The attitudes of cancer patients and their families toward the disclosure of terminal illness. J Clin Oncol. 2004, 22: 307-314. 10.1200/JCO.2004.07.053.CrossRefPubMed
6.
go back to reference Piredda M, Rocci L, Gualandi R, Petitti T, Vincenzi B, De Marinis MG: Survey on learning needs and preferred sources of information to meet these needs in Italian oncology patients receiving chemotherapy. Eur J Oncol Nurs. 2008, 12: 120-126. 10.1016/j.ejon.2007.10.004.CrossRefPubMed Piredda M, Rocci L, Gualandi R, Petitti T, Vincenzi B, De Marinis MG: Survey on learning needs and preferred sources of information to meet these needs in Italian oncology patients receiving chemotherapy. Eur J Oncol Nurs. 2008, 12: 120-126. 10.1016/j.ejon.2007.10.004.CrossRefPubMed
7.
go back to reference Chapman K, Abraham C, Jenkins V, Fallowfield L: Lay understanding of terms used in cancer consultations. Psychooncology. 2003, 12: 557-566. 10.1002/pon.673.CrossRefPubMed Chapman K, Abraham C, Jenkins V, Fallowfield L: Lay understanding of terms used in cancer consultations. Psychooncology. 2003, 12: 557-566. 10.1002/pon.673.CrossRefPubMed
8.
go back to reference Mystakidou K, Parpa E, Tsilila E, Katsouda E, Vlahos L: Cancer information disclosure in different cultural contexts. Support Care Cancer. 2004, 12: 147-154. 10.1007/s00520-003-0552-7.CrossRefPubMed Mystakidou K, Parpa E, Tsilila E, Katsouda E, Vlahos L: Cancer information disclosure in different cultural contexts. Support Care Cancer. 2004, 12: 147-154. 10.1007/s00520-003-0552-7.CrossRefPubMed
9.
go back to reference Hagerty RG, Butow PN, Ellis PM, Dimitry S, Tattersall MH: Communicating prognosis in cancer care: a systematic review of the literature. Ann Oncol. 2005, 16: 1005-1053. 10.1093/annonc/mdi211.CrossRefPubMed Hagerty RG, Butow PN, Ellis PM, Dimitry S, Tattersall MH: Communicating prognosis in cancer care: a systematic review of the literature. Ann Oncol. 2005, 16: 1005-1053. 10.1093/annonc/mdi211.CrossRefPubMed
10.
go back to reference Passalacqua R, Caminiti C, Salvagni S, Barni S, Beretta GD, Carlini P, Contu A, Di Costanzo F, Toscano L, Campione F: Effects of media information on cancer patients' opinions, feelings, decision-making process and physician-patient communication. Cancer. 2004, 100: 1077-1084. 10.1002/cncr.20050.CrossRefPubMed Passalacqua R, Caminiti C, Salvagni S, Barni S, Beretta GD, Carlini P, Contu A, Di Costanzo F, Toscano L, Campione F: Effects of media information on cancer patients' opinions, feelings, decision-making process and physician-patient communication. Cancer. 2004, 100: 1077-1084. 10.1002/cncr.20050.CrossRefPubMed
11.
go back to reference Costantini M, Morasso G, Montella M, Borgia P, Cecioni R, Beccaro M, Sguazzotti E, Bruzzi P, ISDOC Study Group: Diagnosis and prognosis disclosure among cancer patients. Results from an Italian mortality follow-back survey. Ann Oncol. 2006, 17: 853-859. 10.1093/annonc/mdl028.CrossRefPubMed Costantini M, Morasso G, Montella M, Borgia P, Cecioni R, Beccaro M, Sguazzotti E, Bruzzi P, ISDOC Study Group: Diagnosis and prognosis disclosure among cancer patients. Results from an Italian mortality follow-back survey. Ann Oncol. 2006, 17: 853-859. 10.1093/annonc/mdl028.CrossRefPubMed
12.
go back to reference Jefford M, Tattersall MH: Informing and involving cancer patients in their own care. Lancet Oncol. 2002, 3: 629-637. 10.1016/S1470-2045(02)00877-X.CrossRefPubMed Jefford M, Tattersall MH: Informing and involving cancer patients in their own care. Lancet Oncol. 2002, 3: 629-637. 10.1016/S1470-2045(02)00877-X.CrossRefPubMed
13.
go back to reference Dimoska A, Tattersall MH, Butow PN, Shepherd H, Kinnersley P: Can a "prompt list" empower cancer patients to ask relevant questions?. Cancer. 2008, 113: 225-237. 10.1002/cncr.23543.CrossRefPubMed Dimoska A, Tattersall MH, Butow PN, Shepherd H, Kinnersley P: Can a "prompt list" empower cancer patients to ask relevant questions?. Cancer. 2008, 113: 225-237. 10.1002/cncr.23543.CrossRefPubMed
14.
go back to reference Passalacqua R, Caminiti C, Campione F, Diodati F, Todeschini R, Bisagni G, Labianca R, Dalla Chiesa M, Bracci R, Aragona M, Artioli F, Cavanna L, Masina A, De Falco F, Marzocchini B, Iacono C, Contu A, Di Costanzo F, Bertetto O, Annunziata MA: Prospective, multicenter, randomized trial of a new organizational modality for providing information and support to cancer patients. J Clin Oncol. 2009, 27: 1794-1799. 10.1200/JCO.2007.15.0615.CrossRefPubMed Passalacqua R, Caminiti C, Campione F, Diodati F, Todeschini R, Bisagni G, Labianca R, Dalla Chiesa M, Bracci R, Aragona M, Artioli F, Cavanna L, Masina A, De Falco F, Marzocchini B, Iacono C, Contu A, Di Costanzo F, Bertetto O, Annunziata MA: Prospective, multicenter, randomized trial of a new organizational modality for providing information and support to cancer patients. J Clin Oncol. 2009, 27: 1794-1799. 10.1200/JCO.2007.15.0615.CrossRefPubMed
16.
go back to reference Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P, ISPOR Task Force for Translation and Cultural Adaptation: 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. 2005, 8: 94-104. 10.1111/j.1524-4733.2005.04054.x.CrossRefPubMed Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, Erikson P, ISPOR Task Force for Translation and Cultural Adaptation: 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. 2005, 8: 94-104. 10.1111/j.1524-4733.2005.04054.x.CrossRefPubMed
17.
go back to reference Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46: 1417-1432. 10.1016/0895-4356(93)90142-N.CrossRefPubMed Guillemin F, Bombardier C, Beaton D: Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993, 46: 1417-1432. 10.1016/0895-4356(93)90142-N.CrossRefPubMed
18.
go back to reference Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000, 25: 3186-3191.CrossRef Beaton DE, Bombardier C, Guillemin F, Ferraz MB: Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000, 25: 3186-3191.CrossRef
19.
go back to reference Brown R, Butow P, Dunn S, Tattersall M: Promoting patient participation and shortening cancer consultations: a randomised trial. Br J Cancer. 2001, 85: 1273-1282. 10.1054/bjoc.2001.2073.CrossRefPubMedPubMedCentral Brown R, Butow P, Dunn S, Tattersall M: Promoting patient participation and shortening cancer consultations: a randomised trial. Br J Cancer. 2001, 85: 1273-1282. 10.1054/bjoc.2001.2073.CrossRefPubMedPubMedCentral
20.
go back to reference Tamburini M, Gangeri L, Brunelli C, Boeri P, Borreani C, Bosisio M, Karmann CF, Greco M, Miccinesi G, Murru L, Trimigno P: Cancer patients' needs during hospitalisation: a quantitative and qualitative study. BMC Cancer. 2003, 3: 12-10.1186/1471-2407-3-12.CrossRefPubMedPubMedCentral Tamburini M, Gangeri L, Brunelli C, Boeri P, Borreani C, Bosisio M, Karmann CF, Greco M, Miccinesi G, Murru L, Trimigno P: Cancer patients' needs during hospitalisation: a quantitative and qualitative study. BMC Cancer. 2003, 3: 12-10.1186/1471-2407-3-12.CrossRefPubMedPubMedCentral
Metadata
Title
Cross-cultural adaptation and patients' judgments of a Question Prompt List for Italian-speaking cancer patients
Authors
Caterina Caminiti
Francesca Diodati
Silvia Filiberti
Barbara Marcomini
Maria Antonietta Annunziata
Maria Ollari
Rodolfo Passalacqua
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2010
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/1472-6963-10-16

Other articles of this Issue 1/2010

BMC Health Services Research 1/2010 Go to the issue