caa a22 4500 606179240 CHVBK 20210128100800.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s11136-014-0805-6 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0805-6 Developing the Polish Educational Needs Assessment Tool (Pol-ENAT) in rheumatoid arthritis and systemic sclerosis: a cross-cultural validation study using Rasch analysis [Elektronische Daten] [Matylda Sierakowska, Stanisław Sierakowski, Justyna Sierakowska, Mike Horton, Mwidimi Ndosi] Objectives: To undertake cross-cultural adaptation and validation of the educational needs assessment tool (ENAT) for use with people with rheumatoid arthritis (RA) and systemic sclerosis (SSc) in Poland. Methods: The study involved two main phases: (1) cross-cultural adaptation of the ENAT from English into Polish and (2) Cross-cultural validation of Polish Educational Needs Assessment Tool (Pol-ENAT). The first phase followed an established process of cross-cultural adaptation of self-report measures. The second phase involved completion of the Pol-ENAT by patients and subjecting the data to Rasch analysis to assess the construct validity, unidimensionality, internal consistency and cross-cultural invariance. Results: An adequate conceptual equivalence was achieved following the adaptation process. The dataset for validation comprised a total of 278 patients, 237 (85.3%) of which were female. In each disease group (145, RA and 133, SSc), the 7 domains of the Pol-ENAT were found to fit the Rasch model, X 2(df)=16.953(14), p=0.259 and 8.132(14), p=0.882 for RA and SSc, respectively. Internal consistency of thePol-ENAT was high (patient separation index=0.85 and 0.89 for SSc and RA, respectively), and unidimensionality was confirmed. Cross-cultural differential item functioning (DIF) was detected in some subscales, and DIF-adjusted conversion tables were calibrated to enable cross-cultural comparison of data between Poland and the UK. Conclusion: Using a standard process in cross-cultural adaptation, conceptual equivalence was achieved between the original (UK) ENAT and the adapted Pol-ENAT. Fit to the Rasch model, confirmed that the construct validity, unidimensionality and internal consistency of the ENAT have been preserved. The Author(s), 2014 Rheumatoid arthritis nationallicence Systemic sclerosis nationallicence Patient education nationallicence Needs assessment nationallicence Cross-cultural validation nationallicence Rasch analysis nationallicence Sierakowska Matylda Department of Integrated Medical Care, Medical University of Bialystok, Białystok, Poland aut Sierakowski Stanisław Department of Rheumatology and Internal Diseases, Medical University of Bialystok, Białystok, Poland aut Sierakowska Justyna Department of English Literature, University of Bialystok, Białystok, Poland aut Horton Mike Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK aut Ndosi Mwidimi Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK aut Quality of Life Research Springer International Publishing 24/3(2015-03-01), 721-733 0962-9343 24:3<721 2015 24 11136 https://doi.org/10.1007/s11136-014-0805-6 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0805-6 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sierakowska Matylda Department of Integrated Medical Care, Medical University of Bialystok, Białystok, Poland aut NATIONALLICENCE 700 1- Sierakowski Stanisław Department of Rheumatology and Internal Diseases, Medical University of Bialystok, Białystok, Poland aut NATIONALLICENCE 700 1- Sierakowska Justyna Department of English Literature, University of Bialystok, Białystok, Poland aut NATIONALLICENCE 700 1- Horton Mike Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK aut NATIONALLICENCE 700 1- Ndosi Mwidimi Academic Department of Rehabilitation Medicine, Leeds Institute of Rheumatic and Musculoskeletal Medicine, University of Leeds, Leeds, UK aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/3(2015-03-01), 721-733 0962-9343 24:3<721 2015 24 11136