Cross-Cultural Adaptation of the Breast Cancer and Lymphedema Symptom Experience Index in Bengali

Bibliographic Data

ID7894825
AuthorsVincent Singh Paramanandam (0000-0002-9976-9172, Macquarie University, Sydney, New South Wales, Australia, corresponding author), Elizabeth Dylke (The University of Sydney, New South Wales, Australia), Elizabeth S Dylke (0000-0002-7115-8142, The University of Sydney), Mei R Fu (0000-0003-3891-0109, University of Missouri–Kansas City), Anuradha Daptardar (Tata Memorial Hospital, Mumbai, India), Manali Kamat (Tata Memorial Hospital, Mumbai, India), Manali Viraj Kamat (Tata Memorial Hospital), Sarika Mahajan (0000-0002-7295-0756, Tata Memorial Hospital, Mumbai, India), Sharon Kilbreath (The University of Sydney, New South Wales, Australia), Sharon L Kilbreath (0000-0002-8024-8641, The University of Sydney)
Year2025
Volume36
Issue5
Pages506-517
Publication date2025-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Transcultural Nursing (JOURNAL)
Journal identifiersISSN: 1043-6596 • E-ISSN: 1552-7832
PublisherSAGE Publications (PUBLISHER • US)
DOI10.1177/10436596251345338
PMID40579999
OpenAlexW4411746711
LanguageEN
Citations received1
References cited45

Introduction: Breast cancer–related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors’ quality of life. The Breast Cancer–related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language. Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema. Results: Content validity was confirmed by ≥98% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9% and 51% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50% of predefined hypotheses met. Test–retest reliability (intraclass correlation coefficient [ICC 2,1 ]) was .46 (95% confidence interval [CI] = [–0.2, 0.8], p = .076). Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women

Bengali · Breast cancer · Cancer · Confidence interval · Distress · Gynecology · Intraclass correlation · Lymphedema · Obstetrics · Physical therapy · Prom · Psychometrics · Quality of life (healthcare · Clinical Psychology · Lymphatic System and Diseases · Medicine · Nursing · Internal Medicine

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