Skip to main content
Top
Published in: Health and Quality of Life Outcomes 1/2015

Open Access 01-12-2015 | Research

Translation, cross-cultural adaptation and psychometric evaluation of yoruba version of the short-form 36 health survey

Authors: Chidozie Emmanuel Mbada, Gafar Atanda Adeogun, Michael Opeoluwa Ogunlana, Rufus Adesoji Adedoyin, Adesanmi Akinsulore, Taofeek Oluwole Awotidebe, Opeyemi Ayodiipo Idowu, Olumide Ayoola Olaoye

Published in: Health and Quality of Life Outcomes | Issue 1/2015

Login to get access

Abstract

Background and objective

The Short-Form Health Survey (SF-36) is a valid quality of life tool often employed to determine the impact of medical intervention and the outcome of health care services. However, the SF-36 is culturally sensitive which necessitates its adaptation and translation into different languages. This study was conducted to cross-culturally adapt the SF-36 into Yoruba language and determine its reliability and validity.

Methods

Based on the International Quality of Life Assessment project guidelines, a sequence of translation, test of item-scale correlation, and validation was implemented for the translation of the Yoruba version of the SF-36. Following pilot testing, the English and the Yoruba versions of the SF-36 were administered to a random sample of 1087 apparently healthy individuals to test validity and 249 respondents completed the Yoruba SF-36 again after two weeks to test reliability. Data was analyzed using Pearson’s product moment correlation analysis, independent t-test, one-way analysis of variance, multi trait scaling analysis and Intra-Class Correlation (ICC) at p < 0.05.

Results

The concurrent validity scores for scales and domains ranges between 0.749 and 0.902 with the highest and lowest scores in the General Health (0.902) and Bodily Pain (0.749) scale. Scale-level descriptive result showed that all scale and domain scores had negative skewness ranging from −2.08 to −0.98. The mean scores for each scales ranges between 83.2 and 88.8. The domain scores for Physical Health Component and Mental Health Component were 85.6 ± 13.7 and 85.9 ± 15.4 respectively. The convergent validity was satisfactory, ranging from 0.421 to 0.907. Discriminant validity was also satisfactory except for item ‘1’. The ICC for the test-retest reliability of the Yoruba SF-36 ranges between 0.636 and 0.843 for scales; and 0.783 and 0.851 for domains.

Conclusion

The data quality, concurrent and discriminant validity, reliability and internal consistency of the Yoruba version of the SF-36 are adequate and it is recommended for measuring health-related quality of life among Yoruba population.
Appendix
Available only for authorised users
Literature
1.
go back to reference Schölzel-Dorenbos CJM, Krabbe PFM, Olde Rikkert MGM. Quality of Life in Dementia Patients and Their Proxies: A Narrative Review of the Concept and Measurement Scales. Handbook of Disease Burdens and Quality of Life Measures. 2010; p. 3671–3689. Schölzel-Dorenbos CJM, Krabbe PFM, Olde Rikkert MGM. Quality of Life in Dementia Patients and Their Proxies: A Narrative Review of the Concept and Measurement Scales. Handbook of Disease Burdens and Quality of Life Measures. 2010; p. 3671–3689.
2.
go back to reference Maciejewski M. Generic Measures. In: Kane LR, editor. Understanding Health Care Outcomes Research. Maryland: Aspen: Gaithersburg; 1993. Maciejewski M. Generic Measures. In: Kane LR, editor. Understanding Health Care Outcomes Research. Maryland: Aspen: Gaithersburg; 1993.
3.
go back to reference Patrick DL, Erickson P: Health Status and Health Policy. Quality of Life in Health Care Evaluation and Resources Allocation. New York: Oxford University Press; 1993. p. 414–428. Patrick DL, Erickson P: Health Status and Health Policy. Quality of Life in Health Care Evaluation and Resources Allocation. New York: Oxford University Press; 1993. p. 414–428.
4.
go back to reference Lohr KN. Applications of health status assessment measures in clinical practice. Overview of the third conference on advances in health status assessment. Med Care. 1992;30(5 Suppl):MS1–14.PubMed Lohr KN. Applications of health status assessment measures in clinical practice. Overview of the third conference on advances in health status assessment. Med Care. 1992;30(5 Suppl):MS1–14.PubMed
5.
go back to reference Sanjuas Benito C. Measuring quality of life: generic or specific questionnaires? Arch Bronconeumol. 2005;41:107–9.CrossRefPubMed Sanjuas Benito C. Measuring quality of life: generic or specific questionnaires? Arch Bronconeumol. 2005;41:107–9.CrossRefPubMed
6.
go back to reference Klooster PM, Vonkemen HE, Taal E, Siemons L, Hendriks L, De Jong AJL, et al. Performance of the Dutch SF-36 version 2 as a measure of Health-related quality of life in patients with rheumatoid arthritis. Health and Quality of life outcome. 2013;11:77.CrossRef Klooster PM, Vonkemen HE, Taal E, Siemons L, Hendriks L, De Jong AJL, et al. Performance of the Dutch SF-36 version 2 as a measure of Health-related quality of life in patients with rheumatoid arthritis. Health and Quality of life outcome. 2013;11:77.CrossRef
7.
go back to reference Mcsweeny AJ, Creer TL. Health-related quality of life assessment in medical care. Dis Mon. 1995;41(1):6–71.CrossRef Mcsweeny AJ, Creer TL. Health-related quality of life assessment in medical care. Dis Mon. 1995;41(1):6–71.CrossRef
8.
go back to reference Streiner D, Norman G. Health measurement scales: a practical guide to their development and use. New York: Oxford University Press; 2008.CrossRef Streiner D, Norman G. Health measurement scales: a practical guide to their development and use. New York: Oxford University Press; 2008.CrossRef
9.
go back to reference Ware Jr JE. SF-36 Health Survey Update. In: Maruish M, editor. The Use of Psychological Testing for Treatment Planning and Outcome Assessment, vol. 3. Mahwah, New Jersey: Lawrence Erlbaum Associates; 2004. p. 693–718. Ware Jr JE. SF-36 Health Survey Update. In: Maruish M, editor. The Use of Psychological Testing for Treatment Planning and Outcome Assessment, vol. 3. Mahwah, New Jersey: Lawrence Erlbaum Associates; 2004. p. 693–718.
10.
go back to reference Ware JE, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment Project. J Clin Epidemiol. 1998;51(11):903–12.CrossRefPubMed Ware JE, Gandek B. Overview of the SF-36 Health Survey and the International Quality of Life Assessment Project. J Clin Epidemiol. 1998;51(11):903–12.CrossRefPubMed
11.
go back to reference Ware JE, Kosinski M, Dewey JE: How to score version 2 of the SF-36 health survey. Lincoln, RI: QualityMetric Incorporated; 2000. Ware JE, Kosinski M, Dewey JE: How to score version 2 of the SF-36 health survey. Lincoln, RI: QualityMetric Incorporated; 2000.
12.
go back to reference Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa A. Translation, Adaptation and validation of the SF-36 health survey for use in Japan. J Clin Epidemiol. 1998;51(11):1037–44.CrossRefPubMed Fukuhara S, Bito S, Green J, Hsiao A, Kurokawa A. Translation, Adaptation and validation of the SF-36 health survey for use in Japan. J Clin Epidemiol. 1998;51(11):1037–44.CrossRefPubMed
13.
go back to reference Asnani M, Lipps G, Reid M. Component structure of the SF-36 in Jamaicans with Sickle cell disease. West Indian Med J. 2007;56(5):491–7.PubMed Asnani M, Lipps G, Reid M. Component structure of the SF-36 in Jamaicans with Sickle cell disease. West Indian Med J. 2007;56(5):491–7.PubMed
14.
go back to reference Khader S, Mourani MM, Al-Akour N. Normative data and psychometric properties of short form 36 health survey (SF-36, Version 1.0) in the population of North Jordan. East Mediterr Health J. 2011;17(5):368–74.PubMed Khader S, Mourani MM, Al-Akour N. Normative data and psychometric properties of short form 36 health survey (SF-36, Version 1.0) in the population of North Jordan. East Mediterr Health J. 2011;17(5):368–74.PubMed
15.
go back to reference Ware Jr JE, Sherbourne CD. The MOS 36‐Item Short‐Form Health Survey (SF‐36): I. Conceptual Framework and Item Selection. Med Care. 1992;30:473–83.CrossRefPubMed Ware Jr JE, Sherbourne CD. The MOS 36‐Item Short‐Form Health Survey (SF‐36): I. Conceptual Framework and Item Selection. Med Care. 1992;30:473–83.CrossRefPubMed
16.
go back to reference Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 SF-36 in Turkish urban population. BMC Public Health. 2006;6:247.CrossRefPubMedPubMedCentral Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B, et al. Normative data and discriminative properties of short form 36 SF-36 in Turkish urban population. BMC Public Health. 2006;6:247.CrossRefPubMedPubMedCentral
17.
go back to reference Cheung GW, Rensvold RB. Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Equ Model. 2002;9:233–55.CrossRef Cheung GW, Rensvold RB. Evaluating goodness-of-fit indexes for testing measurement invariance. Struct Equ Model. 2002;9:233–55.CrossRef
18.
go back to reference Sudano JJ, Perzynski A, Love TE, Lewis SA, Murray PM, Huber G, et al. Measuring Disparities: Bias in the SF-36v2 among Spanish-speaking Medical Patients. Med Care. 2011;49(5):480–8.CrossRefPubMedPubMedCentral Sudano JJ, Perzynski A, Love TE, Lewis SA, Murray PM, Huber G, et al. Measuring Disparities: Bias in the SF-36v2 among Spanish-speaking Medical Patients. Med Care. 2011;49(5):480–8.CrossRefPubMedPubMedCentral
19.
go back to reference Li L, Wang HM, Shen Y. Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health. 2003;57:259–63.CrossRefPubMedPubMedCentral Li L, Wang HM, Shen Y. Chinese SF-36 Health Survey: translation, cultural adaptation, validation, and normalisation. J Epidemiol Community Health. 2003;57:259–63.CrossRefPubMedPubMedCentral
20.
go back to reference Sararaks S, Azman AB, Low LL, Ugayah BR, Azlah AM, Hooi LN, et al. Validity and Reliability of the SF-36”: The Malaysian context. Med J Malaysia. 2005;60:2. Sararaks S, Azman AB, Low LL, Ugayah BR, Azlah AM, Hooi LN, et al. Validity and Reliability of the SF-36”: The Malaysian context. Med J Malaysia. 2005;60:2.
21.
go back to reference Motamed N, Ayatollahi AR, Zare N, Sadeghi-Hassanabadi A. Validity and reliability of the Persian translated of the SF-36 version 2 questionnaire. East Mediterr Health J. 2005;11(3):349–57.PubMed Motamed N, Ayatollahi AR, Zare N, Sadeghi-Hassanabadi A. Validity and reliability of the Persian translated of the SF-36 version 2 questionnaire. East Mediterr Health J. 2005;11(3):349–57.PubMed
22.
go back to reference Agu KA, Okojie O, Oqua D, King R, Isah M, Iyaji PG, et al. Health-Related quality of life and CD4 cells status of patients receiving antiretroviral therapy in Nigeria. West African Journal of Pharmacy. 2012;23(2):87–97. Agu KA, Okojie O, Oqua D, King R, Isah M, Iyaji PG, et al. Health-Related quality of life and CD4 cells status of patients receiving antiretroviral therapy in Nigeria. West African Journal of Pharmacy. 2012;23(2):87–97.
23.
go back to reference Ewunife OI, Aguwa CN, Adibe MO, Barikpaoar E, Onwuka CJ. Health state utility of a population of Nigerian hypertensive patients. BMC Research Notes. 2011;4:528.CrossRef Ewunife OI, Aguwa CN, Adibe MO, Barikpaoar E, Onwuka CJ. Health state utility of a population of Nigerian hypertensive patients. BMC Research Notes. 2011;4:528.CrossRef
24.
go back to reference Jaiyesimi AO, Sofela EA, Rufai AA. Health related quality of life and its determinants in Nigerian breast cancer patients. Afr J Med Med Sci. 2007;36(3):259–65.PubMed Jaiyesimi AO, Sofela EA, Rufai AA. Health related quality of life and its determinants in Nigerian breast cancer patients. Afr J Med Med Sci. 2007;36(3):259–65.PubMed
25.
go back to reference Ogunlana MO, Adedokun B, Dairo MD, Odunaya NA. Profile and predictor of health-related quality of life among hypertensive patient in South-western Nigeria. BMC Cardiovascular Disorder. 2009;9:25.CrossRef Ogunlana MO, Adedokun B, Dairo MD, Odunaya NA. Profile and predictor of health-related quality of life among hypertensive patient in South-western Nigeria. BMC Cardiovascular Disorder. 2009;9:25.CrossRef
26.
go back to reference Mbada CE, Ayanniyi O, Ogunlade SO, Orimolade EA, Oladiran AB, Ogundele AO. Influence of McKenzie protocol and 2 modes of endurance exercises on Health-Related Quality of Life of patients with Long term mechanical Low-Back Pain. Pan Afr Med J. 2014;18(Suppl 1:5):17. Mbada CE, Ayanniyi O, Ogunlade SO, Orimolade EA, Oladiran AB, Ogundele AO. Influence of McKenzie protocol and 2 modes of endurance exercises on Health-Related Quality of Life of patients with Long term mechanical Low-Back Pain. Pan Afr Med J. 2014;18(Suppl 1:5):17.
27.
go back to reference Balogun TA. An Endangered Nigerian Indigenous Language: The Case of Yorùbá Language. African Nebula. 2013;6:70–82. Balogun TA. An Endangered Nigerian Indigenous Language: The Case of Yorùbá Language. African Nebula. 2013;6:70–82.
28.
go back to reference Williamson K, Blench R. Niger-Congo Languages. In: D, Nurse Ed. African Languages: An Introduction. Cambridge: Cambridge University Press; 2000. Williamson K, Blench R. Niger-Congo Languages. In: D, Nurse Ed. African Languages: An Introduction. Cambridge: Cambridge University Press; 2000.
29.
go back to reference World Health Organization. Guidelines for conducting community surveys on injuries and violence. Edited by Sethi D, Habibula S, McGee K, Peden M, Bennet S, Hyder AA, Klevens J, Odero W, Suriyawongpaisal P. World Health Organization, Geneva. 2004. http://apps.who.int. Accessed 12 jun 2014. World Health Organization. Guidelines for conducting community surveys on injuries and violence. Edited by Sethi D, Habibula S, McGee K, Peden M, Bennet S, Hyder AA, Klevens J, Odero W, Suriyawongpaisal P. World Health Organization, Geneva. 2004. http://​apps.​who.​int. Accessed 12 jun 2014.
30.
go back to reference Aaronson NK, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, et al. International Quality of Life Assessment Project. Qual Life Res. 1992;1:349–51.CrossRefPubMed Aaronson NK, Acquadro C, Alonso J, Apolone G, Bucquet D, Bullinger M, et al. International Quality of Life Assessment Project. Qual Life Res. 1992;1:349–51.CrossRefPubMed
31.
go back to reference Bullinger M, Anderson R, Cella D, Aaronson N. Developing and evaluating cross-cultural instruments from minimum requirements to optimal models. Qual Life Res. 1993;2(6):451–9.CrossRefPubMed Bullinger M, Anderson R, Cella D, Aaronson N. Developing and evaluating cross-cultural instruments from minimum requirements to optimal models. Qual Life Res. 1993;2(6):451–9.CrossRefPubMed
32.
go back to reference Gandek B, Ware J. Methods for validating and norming translations of health status questionnaires: The IQOLA Project approach. J Clin Epidemiol. 1998;51(11):953–9.CrossRefPubMed Gandek B, Ware J. Methods for validating and norming translations of health status questionnaires: The IQOLA Project approach. J Clin Epidemiol. 1998;51(11):953–9.CrossRefPubMed
33.
go back to reference Acquardo C, Conway K, Hareendran A, Aaronson N. Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008;11(3):509–21.CrossRef Acquardo C, Conway K, Hareendran A, Aaronson N. Literature review of methods to translate health-related quality of life questionnaires for use in multinational clinical trials. Value Health. 2008;11(3):509–21.CrossRef
34.
go back to reference Ware Jr JE, Snow KK, Kosinski M, Gandek B. SF-36 manual and interpretation guide. Boston: The Health Institute, New England Medical Center; 1993. Ware Jr JE, Snow KK, Kosinski M, Gandek B. SF-36 manual and interpretation guide. Boston: The Health Institute, New England Medical Center; 1993.
35.
go back to reference Aaronson NK, Muller M, Cohen PDA, Essink-Bot ML, Fekkes M, Sanderman R. Translation, validation, and norming of the Dutch language version of the SF-36 Health Survey in community and chronic disease populations. J Clin Epidemiol. 1998;51:1055–68.CrossRefPubMed Aaronson NK, Muller M, Cohen PDA, Essink-Bot ML, Fekkes M, Sanderman R. Translation, validation, and norming of the Dutch language version of the SF-36 Health Survey in community and chronic disease populations. J Clin Epidemiol. 1998;51:1055–68.CrossRefPubMed
36.
go back to reference Lam CK, Gandek B, Ren XS, Chan MS. Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol. 1998;51(11):1139–47.CrossRefPubMed Lam CK, Gandek B, Ren XS, Chan MS. Tests of scaling assumptions and construct validity of the Chinese (HK) version of the SF-36 Health Survey. J Clin Epidemiol. 1998;51(11):1139–47.CrossRefPubMed
37.
go back to reference Butterworth P, Crosier T. The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health. 2004;4:44.CrossRefPubMedPubMedCentral Butterworth P, Crosier T. The validity of the SF-36 in an Australian National Household Survey: demonstrating the applicability of the Household Income and Labour Dynamics in Australia (HILDA) Survey to examination of health inequalities. BMC Public Health. 2004;4:44.CrossRefPubMedPubMedCentral
38.
go back to reference Jenkinson C, Layte R, Lawrence K. Development and testing of the Medical Outcomes Study 36-Item Short Form Health Survey summary scale scores in the United Kingdom. Med Care. 1997;35:410–6.CrossRefPubMed Jenkinson C, Layte R, Lawrence K. Development and testing of the Medical Outcomes Study 36-Item Short Form Health Survey summary scale scores in the United Kingdom. Med Care. 1997;35:410–6.CrossRefPubMed
39.
go back to reference Hopman W, Towheed T, Anastassiades T, Tenenhouse A, Poliquin S, Berger C, et al. Canadian Normative Data for the SF-36 Health Survey. CMAJ. 2000;163(3):265–71.PubMedPubMedCentral Hopman W, Towheed T, Anastassiades T, Tenenhouse A, Poliquin S, Berger C, et al. Canadian Normative Data for the SF-36 Health Survey. CMAJ. 2000;163(3):265–71.PubMedPubMedCentral
40.
go back to reference Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875–82.CrossRefPubMed Montazeri A, Goshtasebi A, Vahdaninia M, Gandek B. The Short Form Health Survey (SF-36): translation and validation study of the Iranian version. Qual Life Res. 2005;14(3):875–82.CrossRefPubMed
41.
go back to reference Scott KM, Tobias MI, Sarfati D, Haslett SJ. SF-36 health survey reliability, validity and norms for New Zealand. Aust NZJ Public Health. 1999;23(4):401–6.CrossRef Scott KM, Tobias MI, Sarfati D, Haslett SJ. SF-36 health survey reliability, validity and norms for New Zealand. Aust NZJ Public Health. 1999;23(4):401–6.CrossRef
42.
go back to reference Cruz LN, Fleck MP, Oliveira MR, Camey SA, Hoffmann JF, Bagattini AM, et al. Health-related quality of life in Brazil: normative data for the SF-36 in a general population sample in the south of the country. Cien Saude Colet. 2013;18(7):1911–21.CrossRefPubMed Cruz LN, Fleck MP, Oliveira MR, Camey SA, Hoffmann JF, Bagattini AM, et al. Health-related quality of life in Brazil: normative data for the SF-36 in a general population sample in the south of the country. Cien Saude Colet. 2013;18(7):1911–21.CrossRefPubMed
43.
go back to reference Nunnally JC, Bernstein IR. Psychometric Theory. 3rd ed. New York: McGraw-Hil; 1994. Nunnally JC, Bernstein IR. Psychometric Theory. 3rd ed. New York: McGraw-Hil; 1994.
44.
go back to reference Sheikh KA, Yagoub U, Elsatouhy M, Al Sanosi R, Mohamud SA: Reliability and Validity of the Arabic Version of the SF-36 Health Survey Questionnaire in Population of Khat Chewers—Jazan Region-Kingdom of Saudi Arabia. Applied Research Quality Life. 2013; DOI 10.1007/s11482-013-9291-1 Sheikh KA, Yagoub U, Elsatouhy M, Al Sanosi R, Mohamud SA: Reliability and Validity of the Arabic Version of the SF-36 Health Survey Questionnaire in Population of Khat Chewers—Jazan Region-Kingdom of Saudi Arabia. Applied Research Quality Life. 2013; DOI 10.​1007/​s11482-013-9291-1
Metadata
Title
Translation, cross-cultural adaptation and psychometric evaluation of yoruba version of the short-form 36 health survey
Authors
Chidozie Emmanuel Mbada
Gafar Atanda Adeogun
Michael Opeoluwa Ogunlana
Rufus Adesoji Adedoyin
Adesanmi Akinsulore
Taofeek Oluwole Awotidebe
Opeyemi Ayodiipo Idowu
Olumide Ayoola Olaoye
Publication date
01-12-2015
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2015
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-015-0337-y

Other articles of this Issue 1/2015

Health and Quality of Life Outcomes 1/2015 Go to the issue