Academic Journal
The use of culturally adapted and translated depression screening questionnaires with South Asian haemodialysis patients in England.
| Title: | The use of culturally adapted and translated depression screening questionnaires with South Asian haemodialysis patients in England. |
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| Authors: | Shivani Sharma, Sam Norton, Kamaldeep Bhui, Roisin Mooney, Emma Caton, Tarun Bansal, Clara Day, Andrew Davenport, Neill Duncan, Philip A Kalra, Maria Da Silva-Gane, Gurch Randhawa, Graham Warwick, David Wellsted, Magdi Yaqoob, Ken Farrington |
| Source: | PLoS ONE, Vol 18, Iss 4, p e0284090 (2023) |
| Publisher Information: | Public Library of Science (PLoS), 2023. |
| Publication Year: | 2023 |
| Collection: | LCC:Medicine LCC:Science |
| Subject Terms: | Medicine, Science |
| More Details: | BackgroundDepression is common amongst patients receiving haemodialysis (HD). Assessment and intervention when faced with language and cultural barriers is challenging. To support clinician decisions, we conducted a cross-sectional study to assess the use of culturally adapted and translated versions of commonly-used depression screening questionnaires with South Asian patients receiving HD in England.MethodsPatients completed adapted versions of the Patient Health Questionnaire (PHQ-9), the Centre for Epidemiological Studies Depression Scale Revised (CESD-R), and the Beck Depression Inventory II (BDI-II). All questionnaires were available in Gujarati, Punjabi, Urdu, and Bengali. A comparative sample of white-Europeans completed the questionnaires in English. The research was based across 9 National Health Service (NHS) Trusts in England. Structural validity of translated questionnaires was assessed using confirmatory factor analysis. Diagnostic accuracy was explored in a subgroup of South Asians against ICD-10 categories using the Clinical Interview Schedule Revised (CIS-R) with receiver operating curve (ROC) analysis.Results229 South Asian and 120 white-European HD patients participated. A single latent depression factor largely accounted for the correlations between items of the PHQ-9, CESD-R and BDI-II. Issues with measurement equivalence implied that scores on the translations may not be comparable with the English language versions. Against CIS-R based ICD-10 diagnosis of depression, sensitivity was modest across scales (50-66.7%). Specificity was higher (81.3-93.8%). Alternative screening cut-offs did not improve positive predictive values.ConclusionsCulturally adapted translations of depression screening questionnaires are useful to explore symptom endorsement amongst South Asian patients. However, data indicate that standard cut-off scores may not be appropriate to classify symptom severity. Use of the CIS-R algorithms for optimal case identification requires further exploration in this setting. Strategies to encourage recruitment of under-represented groups in renal research are also warranted, especially for in-depth discussions related to psychological care needs. |
| Document Type: | article |
| File Description: | electronic resource |
| Language: | English |
| ISSN: | 1932-6203 |
| Relation: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0284090&type=printable; https://doaj.org/toc/1932-6203 |
| DOI: | 10.1371/journal.pone.0284090&type=printable |
| DOI: | 10.1371/journal.pone.0284090 |
| Access URL: | https://doaj.org/article/e39bc095b33d46cabab78aea5f952ac5 |
| Accession Number: | edsdoj.39bc095b33d46cabab78aea5f952ac5 |
| Database: | Directory of Open Access Journals |
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| ISSN: | 19326203 |
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| DOI: | 10.1371/journal.pone.0284090&type=printable |
| Published in: | PLoS ONE |
| Language: | English |