Adaptation of the Client Diagnostic Questionnaire for East Africa

Dados Bibliográficos

ID19591412
AutoresEdith Kamaru Kwobah (0000-0002-1754-2127, Moi University, autor correspondente), Suzanne Goodrich (0000-0002-0620-7585, Indiana University School of Medicine, autor correspondente), Jayne Lewis Kulzer (University of California, San Francisco, autor correspondente), Michael Kanyesigye (0000-0003-1936-7681, Mbarara University of Science and Technology, autor correspondente), Sarah Obatsa (Kenya Medical Research Institute, autor correspondente), Julius Cheruiyot (AMPATH, autor correspondente), Lorna Kiprono (AMPATH, autor correspondente), Colma Kibet (AMPATH, autor correspondente), Felix Ochieng (Kenya Medical Research Institute, autor correspondente), Elizabeth A Bukusi (0000-0002-2031-2808, Kenya Medical Research Institute, autor correspondente), Susan Ofner (0000-0001-8107-7859, Indiana University School of Medicine, autor correspondente), Steven A Brown (0000-0001-8526-6761, Indiana University School of Medicine, autor correspondente), Constantin T Yiannoutsos (0000-0001-9014-3651, Indiana University – Purdue University Indianapolis, autor correspondente), Lukoye Atwoli (0000-0001-7710-9723, Moi University, autor correspondente), Kara Wools‐Kaloustian (0000-0002-3277-4452, Indiana University School of Medicine, autor correspondente)
EditoresAbhijit Nadkarni (0000-0001-5832-5236)
Ano2024
Volume4
Fascículo3
Páginase0001756
Data de publicação2024-03-19
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoPLOS Global Public Health (JOURNAL)
Identificadores do periódicoISSN: 2767-3375 • E-ISSN: 2767-3375
EditoraPublic Library of Science (PLoS) (PUBLISHER)
DOI10.1371/journal.pgph.0001756
PMID38502647
OpenAlexW4392946788
IdiomaEN
Citações recebidas1
Referências citadas25

Research increasingly involves cross-cultural work with non-English-speaking populations, necessitating translation and cultural validation of research tools. This paper describes the process of translating and criterion validation of the Client Diagnostic Questionnaire (CDQ) for use in a multisite study in Kenya and Uganda. The English CDQ was translated into Swahili, Dholuo (Kenya) and Runyankole/Rukiga (Uganda) by expert translators. The translated documents underwent face validation by a bilingual committee, who resolved unclear statements, agreed on final translations and reviewed back translations to English. A diagnostic interview by a mental health specialist was used for criterion validation, and Kappa statistics assessed the strength of agreement between non-specialist scores and mental health professionals’ diagnoses. Achieving semantic equivalence between translations was a challenge. Validation analysis was done with 30 participants at each site (median age 32.3 years (IQR = (26.5, 36.3)); 58 (64.4%) female). The sensitivity was 86.7%, specificity 64.4%, positive predictive value 70.9% and negative predictive value 82.9%. Diagnostic accuracy by the non-specialist was 75.6%. Agreement was substantial for major depressive episode and positive alcohol (past 6 months) and alcohol abuse (past 30 days). Agreement was moderate for other depressive disorders, panic disorder and psychosis screen; fair for generalized anxiety, drug abuse (past 6 months) and Post Traumatic Stress Disorder (PTSD); and poor for drug abuse (past 30 days). Variability of agreement between sites was seen for drug use (past 6 months) and PTSD. Our study successfully adapted the CDQ for use among people living with HIV in East Africa. We established that trained non-specialists can use the CDQ to screen for common mental health and substance use disorders with reasonable accuracy. Its use has the potential to increase case identification, improve linkage to mental healthcare, and improve outcomes. We recommend further studies to establish the psychometric properties of the translated tool

Anxiety · Face validity · Kappa · Mental health · Panic disorder · Psychiatry · Psychometrics · Substance abuse · Clinical Psychology · Medicine · Mental Health Treatment and Access · Migration, Health and Trauma · Psychiatric care and mental health services · Psychology