caa a22 4500 475847571 CHVBK 20180406123918.0 cr unu---uuuuu 170329e20000301xx s 000 0 eng 10.1023/A:1008903304950 doi (NATIONALLICENCE)springer-10.1023/A:1008903304950 Development of three African language translations of the FACT-G [Elektronische Daten] [V. Mullin, D. Cella, C.-H. Chang, S. Eremenco, M. Mertz, L. Lent, C. Falkson, G. Falkson] This pilot study investigated the feasibility of translating a quality of life instrument, the Functional Assessment of Cancer Therapy - General version (FACT-G) and the breast cancer version (FACT-B), which consists of the FACT-G plus 10 additional items, into three South African languages (Pedi, Tswana, and Zulu). The international, interdisciplinary research team hypothesized that we could develop reliable and valid translations, and that valuable information could be gleaned from the responses of the three groups of traditional African people, which could inform the Western-trained medical profession. Understanding of cross-cultural views of cancer including its diagnosis and treatment could lead to better communication between the two cultures (Western and Traditional) resulting in increased utilization of Western medical treatment and increased treatment compliance by three of the underserved black populations. A total of 167 respondents completed one of three translated questionnaires, which assessed the patients' quality of life in 5 domains: Physical Well-Being, Social and Family Well-Being, Relationship with Doctor, Emotional Well-Being, and Functional Well-Being, plus for breast cancer patients the additional items on the FACT-B. However, only the items from the FACT-G (the 'score' of the FACT-B) were statistically analyzed for this pilot project. Results showed that it was possible to develop a reliable instrument in the three languages by modifying the standard translation methodology. Translation of physical and functional concepts was most straightforward. Translation of emotional items posed some difficulty. As expected, based upon observations about cultural differences in social values and functioning, the Social/Family Well-Being subscale was problematic. Analysis of this subscale provides information on cultural differences which may be important to physicians desiring to effectively treat this population with sensitivity and dignity. Methodology may be generalizable to other third world patient populations in translation of existing health status questionnaires. Kluwer Academic Publishers, 2000 Mullin V. International Health Consultation, Evanston Northwestern Healthcare, Valparaiso, USA aut Cella D. Evanston Northwestern Healthcare, Northwestern University, USA aut Chang C.-H Evanston Northwestern Healthcare, Northwestern University, USA aut Eremenco S. Evanston Northwestern Healthcare, Valparaiso, SA aut Mertz M. Pretoria Academic Hospitals, RSA, USA aut Lent L. Evanston Northwestern Healthcare, Valparaiso, SA aut Falkson C. Pretoria Academic Hospitals, RSA, USA aut Falkson G. Pretoria Academic Hospitals, RSA, USA aut Quality of Life Research Kluwer Academic Publishers 9/2(2000-03-01), 139-149 0962-9343 9:2<139 2000 9 11136 https://doi.org/10.1023/A:1008903304950 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1008903304950 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Mullin V. International Health Consultation, Evanston Northwestern Healthcare, Valparaiso, USA aut NATIONALLICENCE 700 1- Cella D. Evanston Northwestern Healthcare, Northwestern University, USA aut NATIONALLICENCE 700 1- Chang C.-H Evanston Northwestern Healthcare, Northwestern University, USA aut NATIONALLICENCE 700 1- Eremenco S. Evanston Northwestern Healthcare, Valparaiso, SA aut NATIONALLICENCE 700 1- Mertz M. Pretoria Academic Hospitals, RSA, USA aut NATIONALLICENCE 700 1- Lent L. Evanston Northwestern Healthcare, Valparaiso, SA aut NATIONALLICENCE 700 1- Falkson C. Pretoria Academic Hospitals, RSA, USA aut NATIONALLICENCE 700 1- Falkson G. Pretoria Academic Hospitals, RSA, USA aut NATIONALLICENCE 773 0- Quality of Life Research Kluwer Academic Publishers 9/2(2000-03-01), 139-149 0962-9343 9:2<139 2000 9 11136 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer