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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Home mechanical ventilation is used with patients with severe&#44; chronic respiratory failure&#44; a condition that has a serious impact on quality of life&#46; the aim of this study was to produce a translation and cultural adaptation of the Severe Respiratory Insufficiency&#46; Questionnaire for the Spanish population&#44; the first health-related quality of life questionnaire specifically designed for patients receiving home mechanical ventilation&#46;</p> <span class="elsevierStyleSectionTitle">Methods</span><p class="elsevierStyleSimplePara elsevierViewall">Four bilingual German-Spanish translators were used to translate and back-translate the questionnaire&#46; Meetings were held with the translators following each step of the translation process to produce a single version that could be used in the next step&#46; At the end of the process&#44; the questionnaire was piloted to assess its comprehensibility&#46; A scoring system using a scale of 1 &#40;lowest&#41; to 10 &#40;highest&#41; was used to rate both translation difficulty and the naturalness of the language produced&#46; the equivalence of the original and translated items was also evaluated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">Three Spanish versions of the questionnaire were produced&#46; Task difficulty was rated as quite low&#58; the mean &#40;SD&#41; ratings were 1&#46;4 &#40;0&#46;6&#41; for translation and 2&#46;2 &#40;1&#46;1&#41; for back translation&#46; the naturalness of the translated items was rated as very high&#44; with scores improving with the successive versions &#40;version 1&#44; 8&#46;4&#59; version 2&#44; 8&#46;7&#59; version 3&#44; 9&#46;1&#59; <span class="elsevierStyleItalic">P</span>&#60;&#46;001&#41;&#46; Thirty of the questionnaire items &#40;61&#46;2&#37;&#41; were judged to be fully equivalent&#44; 13 &#40;26&#46;5&#37;&#41; to be similar&#44; and 6 &#40;12&#46;2&#37;&#41; to be non-equivalent&#46; the meaning conveyed by 5 of the items was changed or clarified during piloting&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">The translation of the questionnaire using the translation&#8212;back-translation procedure has produced a version that is both comparable to the original and accessible to the Spanish population&#46; Its validity is currently being tested in a multicenter study&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La ventilaci&#243;n mec&#225;nica domiciliaria se aplica a pacientes con insuficiencia respiratoria cr&#243;nica y grave&#44; lo que tiene un impacto considerable en su calidad de vida&#46; El objetivo de este trabajo ha sido realizar una traducci&#243;n y adaptaci&#243;n transcultural para la poblaci&#243;n espa&#241;ola del cuestionario Severe Respiratory Insuficiency &#40;SRI&#41;&#44; el primer cuestionario de calidad de vida relacionada con la salud espec&#237;fico para estos pacientes&#46;</p> <span class="elsevierStyleSectionTitle">M&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Intervinieron 4 traductores biling&#252;es alem&#225;n-espa&#241;ol siguiendo el m&#233;todo de la traducci&#243;n y retrotraducci&#243;n&#46; Despu&#233;s de cada paso se realizaron reuniones con los traductores para obtener una versi&#243;n &#250;nica antes de continuar&#46; Al final del proceso se realiz&#243; una prueba piloto para valorar su comprensibilidad&#46; El proceso de traducci&#243;n se evalu&#243; en dificultad y naturalidad&#44; mediante una escala entre 1 &#40;m&#237;nimo&#41; y 10 &#40;m&#225;ximo&#41;&#44; as&#237; como en equivalencia de los &#237;tems con la versi&#243;n original&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se obtuvieron 3 versiones en espa&#241;ol&#46; La dificultad de la traducci&#243;n fue considerablemente baja para la traducci&#243;n &#40;media &#177; desviaci&#243;n est&#225;ndar&#41; 1&#44;4 &#177; 0&#44;6&#41; y la retrotraducci&#243;n &#40;2&#44;2 &#177; 1&#44;1&#41;&#46; La naturalidad de los &#237;tems fue muy elevada y mejor&#243; con las sucesivas versiones &#40;versi&#243;n 1&#58; 8&#44;4&#59; versi&#243;n 2&#58; 8&#44;7&#59; versi&#243;n 3&#58; 9&#44;1&#59; p &#60; 0&#44;001&#41;&#46; Se catalogaron como totalmente equivalentes 30 &#237;tems &#40;61&#44;2&#37;&#41;&#44; 13 &#40;26&#44;5&#37;&#41; fueron similares y 6 &#40;12&#44;2&#37;&#41; no fueron equivalentes&#46; Durante la prueba piloto se matizaron 5 &#237;tems&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La traducci&#243;n del cuestionario siguiendo el m&#233;todo de la traducci&#243;n-retrotraducci&#243;n ha dado una versi&#243;n espa&#241;ola equiparable a la original y asequible para los pacientes&#46; Actualmente se est&#225; llevando a cabo la validaci&#243;n del cuestionario mediante un estudio multic&#233;ntrico&#46;</p>"
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Vol. 42. Issue 11.
Pages 588-593 (November 2006)
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Vol. 42. Issue 11.
Pages 588-593 (November 2006)
Original Articles
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Health-Related Quality of Life of Patients Receiving Home May Mechanical Ventilation: The Spanish Version of the Severe Respiratory Insufficiency Questionnaire
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José Luis López-Camposa,
Corresponding author
lcampos@separ.es

Correspondence: Dr. J.L. López-Campos. Avda. Reina Mercedes, 35, 6.° D. 41012 Sevilla. España
, Inmaculada Faildeb, Antonio León Jiméneza, Fernando Masa Jiménezc, Emilia Barrot Cortésd, José María Benítez Moyae, Rut Ayerbe Garcíaf, Wolfram Windischgg
a Sección de Neumología y Alergia, Hospital Universitario Puerta del Mar, Cádiz, Spain
b Área de Medicina Preventiva y Salud Pública, Universidad de Cádiz, Cádiz, Spain
c Servicio de Neumología, Hospital San Pedro de Alcántara, Cáceres, Spain
d Unidad Médico-Quirúrgica de Enfermedades Respiratorias, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain
e Servicio de Neumología, Hospital Universitario Virgen Macarena, Sevílla, Spain
f Servicio de Neumología, Hospital Juan Ramón Jiménez, Huelva, Spain
g Abt, Pneumologie, Universitätsklinikum Freiburg, Freiborg, Germany
This item has received
Article information
Objective

Home mechanical ventilation is used with patients with severe, chronic respiratory failure, a condition that has a serious impact on quality of life. the aim of this study was to produce a translation and cultural adaptation of the Severe Respiratory Insufficiency. Questionnaire for the Spanish population, the first health-related quality of life questionnaire specifically designed for patients receiving home mechanical ventilation.

Methods

Four bilingual German-Spanish translators were used to translate and back-translate the questionnaire. Meetings were held with the translators following each step of the translation process to produce a single version that could be used in the next step. At the end of the process, the questionnaire was piloted to assess its comprehensibility. A scoring system using a scale of 1 (lowest) to 10 (highest) was used to rate both translation difficulty and the naturalness of the language produced. the equivalence of the original and translated items was also evaluated.

Results

Three Spanish versions of the questionnaire were produced. Task difficulty was rated as quite low: the mean (SD) ratings were 1.4 (0.6) for translation and 2.2 (1.1) for back translation. the naturalness of the translated items was rated as very high, with scores improving with the successive versions (version 1, 8.4; version 2, 8.7; version 3, 9.1; P<.001). Thirty of the questionnaire items (61.2%) were judged to be fully equivalent, 13 (26.5%) to be similar, and 6 (12.2%) to be non-equivalent. the meaning conveyed by 5 of the items was changed or clarified during piloting.

Conclusions

The translation of the questionnaire using the translation—back-translation procedure has produced a version that is both comparable to the original and accessible to the Spanish population. Its validity is currently being tested in a multicenter study.

Key words:
Quality of life
Home mechanical ventilation
Cross-cultural studies
Objetivo

La ventilación mecánica domiciliaria se aplica a pacientes con insuficiencia respiratoria crónica y grave, lo que tiene un impacto considerable en su calidad de vida. El objetivo de este trabajo ha sido realizar una traducción y adaptación transcultural para la población española del cuestionario Severe Respiratory Insuficiency (SRI), el primer cuestionario de calidad de vida relacionada con la salud específico para estos pacientes.

Métodos

Intervinieron 4 traductores bilingües alemán-español siguiendo el método de la traducción y retrotraducción. Después de cada paso se realizaron reuniones con los traductores para obtener una versión única antes de continuar. Al final del proceso se realizó una prueba piloto para valorar su comprensibilidad. El proceso de traducción se evaluó en dificultad y naturalidad, mediante una escala entre 1 (mínimo) y 10 (máximo), así como en equivalencia de los ítems con la versión original.

Resultados

Se obtuvieron 3 versiones en español. La dificultad de la traducción fue considerablemente baja para la traducción (media ± desviación estándar) 1,4 ± 0,6) y la retrotraducción (2,2 ± 1,1). La naturalidad de los ítems fue muy elevada y mejoró con las sucesivas versiones (versión 1: 8,4; versión 2: 8,7; versión 3: 9,1; p < 0,001). Se catalogaron como totalmente equivalentes 30 ítems (61,2%), 13 (26,5%) fueron similares y 6 (12,2%) no fueron equivalentes. Durante la prueba piloto se matizaron 5 ítems.

Conclusiones

La traducción del cuestionario siguiendo el método de la traducción-retrotraducción ha dado una versión española equiparable a la original y asequible para los pacientes. Actualmente se está llevando a cabo la validación del cuestionario mediante un estudio multicéntrico.

Palabras clave:
Calidad de vida
Ventilación mecánica domiciliaria
Estudios transculturales
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Copyright © 2006. Sociedad Española de Neumología y Cirugía Torácica (SEPAR)
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