Top

Published in:

01-09-2019 | Malnutrition | Original Article

Tri-country translation, cultural adaptation, and validity confirmation of the Scored Patient-Generated Subjective Global Assessment

Authors: Nicole Erickson, Lena J. Storck, Alexandra Kolm, Kristina Norman, Theres Fey, Vanessa Schiffler, Faith D. Ottery, Harriët Jager-Wittenaar

Published in: Supportive Care in Cancer | Issue 9/2019

Abstract

Purpose

The Scored Patient-Generated Subjective Global Assessment (PG-SGA) is the only malnutrition (risk) assessment tool that combines patient-generated measures with professional-generated (medical) factors. We aimed to apply international standards to produce a high quality, validated, translation and cultural adaptation of the original PG-SGA for the Austrian, German, and Swiss setting.

Methods

Analogue to methodology used for the Dutch, Portuguese, and Thai versions of PG-SGA, the ten steps of the International Society for Pharmacoeconomics and Outcomes Research’s principles of good practice for translation and cultural adaptation were followed. Comprehensibility and difficulty of the translation were assessed in 103 patients and 104 healthcare professionals recruited from all three German-speaking countries. Content validity of the translation was assessed among healthcare professionals (HCP). Item and scale indices were calculated for content validity (I-CVI; S-CVI), comprehensibility (I-CI; S-CI), and difficulty (I-DI; S-DI).

Results

Patients' perceived comprehensibility and difficulty of the PG-SGA fell within the range considered to be excellent (S-CI = 0.90, S-DI = 0.90), HCP-perceived content validity (S-CVI = 0.90) was also excellent, while HCP-perceived comprehensibility fell within the high range of acceptable (S-CI = 0.87). The professional component of the PG-SGA was perceived as below acceptable (S-DI = 0.72) with the physical exam being rated the most difficult (I-DI=0.29-0.75).

Conclusions

The systematic approach resulted in a high-quality validation of the German language version of the PG-SGA, that is internationally comparable, comprehensible, easy to complete, and considered relevant for use in Austria, Germany and Switzerland.

Cederholm T, Bosaeus I, Barazzoni R, Bauer J, Van Gossum A, Klek S et al (2015) Diagnostic criteria for malnutrition - an ESPEN consensus statement. Clin Nutr 34(3):335–340. https://doi.org/10.1016/j.clnu.2015.03.001CrossRefPubMed

Cederholm T, Jensen GL (2017) To create a consensus on malnutrition diagnostic criteria: a report from the Global Leadership Initiative On Malnutrition (GLIM) meeting at the ESPEN congress 2016. Clin Nutr 36(1):7–10. https://doi.org/10.1016/j.clnu.2016.12.001CrossRefPubMed

Poulia KA, Klek S, Doundoulakis I, Bouras E, Karayiannis D, Baschali A, Passakiotou M, Chourdakis M (2017) The two most popular malnutrition screening tools in the light of the new ESPEN consensus definition of the diagnostic criteria for malnutrition. Clin Nutr 36(4):1130–1135. https://doi.org/10.1016/j.clnu.2016.07.014CrossRefPubMed

Barker LA, Gout BS, Crowe TC (2011) Hospital malnutrition: prevalence, identification and impact on patients and the healthcare system. Int J Environ Res Public Health 8(2):514–527. https://doi.org/10.3390/ijerph8020514CrossRefPubMedPubMedCentral

Lim SL, Ong KC, Chan YH, Loke WC, Ferguson M, Daniels L (2012) Malnutrition and its impact on cost of hospitalization, length of stay, readmission and 3-year mortality. Clin Nutr 31(3):345–350. https://doi.org/10.1016/j.clnu.2011.11.001CrossRefPubMed

Navarro DA, Boaz M, Krause I, Elis A, Chernov K, Giabra M, Levy M, Giboreau A, Kosak S, Mouhieddine M, Singer P (2015) Improved meal presentation increases food intake and decreases readmission rate in hospitalized patients. Clin Nutr 35:1153–1158. https://doi.org/10.1016/j.clnu.2015.09.012.CrossRefPubMed

Löser C (2010) Malnutrition in hospital: the clinical and economic implications. Dtsch Arztebl Int 107(51–52):911–917. https://doi.org/10.3238/arztebl.2010.0911.CrossRefPubMedPubMedCentral

Escamilla DM, Jarrett P (2016) The impact of weight loss on patients with cancer. Nurs Times 112(11):20–22PubMed

Marin Caro MM, Laviano A, Pichard C (2007) Impact of nutrition on quality of life during cancer. Curr Opin Clin Nutr Metab Care 10(4):480–487. https://doi.org/10.1097/MCO.0b013e3281e2c983CrossRefPubMed

10.

Ravasco P, Monteiro Grillo I, Camilo M (2007) Cancer wasting and quality of life react to early individualized nutritional counselling! Clin Nutr 26(1):7–15. https://doi.org/10.1016/j.clnu.2006.10.005CrossRefPubMed

11.

Ottery FD (1996) Definition of standardized nutritional assessment and interventional pathways in oncology. Nutrition 12(1 Suppl):S15–S19CrossRef

12.

Jager-Wittenaar H, Ottery FD (2017) Assessing nutritional status in cancer: role of the Patient-Generated Subjective Global Assessment. Curr Opin Clin Nutr Metab Care. 20(5):322–329. https://doi.org/10.1097/MCO.0000000000000389CrossRefPubMed

13.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB (2000) Guidelines for the process of cross-cultural adaptation of self-report measures. Spine 25(24):3186–3191CrossRef

14.

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. https://doi.org/10.1111/j.1524-4733.2005.04054.xCrossRefPubMed

15.

Sealy MJ, Hass U, Ottery FD, van der Schans CP, Roodenburg JLN, Translation J-WH (2017) Cultural adaptation of the Scored Patient-Generated Subjective Global Assesment: an interdisciplinary nutritional instrument appropriate for Dutch cancer patients. Cancer Nurs 41:450–462. https://doi.org/10.1097/NCC.0000000000000505.CrossRef

16.

Nitichai N, Angkatavanich J, Somlaw N, Sirichindakul B, Chittawatanarat K, Voravud N, Jager-Wittenaar H, Ottery FD (2017) MON-P187: translation and cross-cultural adaptation of the Scored Patient-Generated Subjective Global Assessment (PG-SGA) to the Thai setting. Clin Nutr 36:S247. https://doi.org/10.1016/S0261-5614(17)30900-7

17.

Sealy MJ, Ottery FD, van der Schans CP, Roodenburg JLN, Jager-Wittenaar H (2018) Evaluation of change in dietitians’ perceived comprehensibility and difficulty of the Patient-Generated Subjective Global Assessment (PG-SGA) after a single training in the use of the instrument. J Hum Nutr Diet 31(1):58–66. https://doi.org/10.1111/jhn.12491CrossRefPubMed

18.

Pinto P, Pinho JP, Vigáio A, Ottery FD, Jager-Wittenaar H (2016) MON-LB258: does training improve perceived comprehensibility, difficulty and content validity of the Portuguese scored PG-SGA? Clin Nutr 35:S247–S2S8. https://doi.org/10.1016/S0261-5614(16)30892-5.CrossRef

Title: Tri-country translation, cultural adaptation, and validity confirmation of the Scored Patient-Generated Subjective Global Assessment
Authors: Nicole Erickson
Lena J. Storck
Alexandra Kolm
Kristina Norman
Theres Fey
Vanessa Schiffler
Faith D. Ottery
Harriët Jager-Wittenaar
Publication date: 01-09-2019
Publisher: Springer Berlin Heidelberg
Keyword: Malnutrition
Published in: Supportive Care in Cancer / Issue 9/2019
Print ISSN: 0941-4355
Electronic ISSN: 1433-7339
DOI: https://doi.org/10.1007/s00520-019-4637-3

Webinar | 19-02-2024 | 17:30 (CET)

Keynote webinar | Spotlight on antibody–drug conjugates in cancer

Watch now

Antibody–drug conjugates (ADCs) are novel agents that have shown promise across multiple tumor types. Explore the current landscape of ADCs in breast and lung cancer with our experts, and gain insights into the mechanism of action, key clinical trials data, existing challenges, and future directions.

Dr. Véronique Diéras

Prof. Fabrice Barlesi

Developed by: Springer Medicine

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Please log in to get access to this content

Other articles of this Issue 9/2019

Prophylactic use of antiemetics for prevention of opioid-induced nausea and vomiting: a survey about Italian physicians’ practice

Human Development Index and its association with staff spiritual care provision: a Middle Eastern oncology study

Usability of an online application for reporting the burden of side effects in cancer patients

Patient perspectives on adapting meaning-centered psychotherapy in advanced cancer for the Chinese immigrant population

Respectful encounters from healthcare professionals and return to work among 9032 long-term sick-listed due to cancer or due to other diagnoses: results from a Swedish population-based survey

Managing malignant pleural mesothelioma: experience and perceptions of health care professionals caring for people with mesothelioma

Keynote webinar | Spotlight on antibody–drug conjugates in cancer