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Transcultural Research Prof. N.J.Mathers Institute of primary and community care University of Sheffield.UK 06/Nov/2007.

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Presentation on theme: "Transcultural Research Prof. N.J.Mathers Institute of primary and community care University of Sheffield.UK 06/Nov/2007."— Presentation transcript:

1 Transcultural Research Prof. N.J.Mathers Institute of primary and community care University of Sheffield.UK 06/Nov/2007

2 Transcultural Research Taiwan November 2007 The Challenges. Health Status or Health Outcome? Objectives of Measuring Health What is meant by Health?

3 Transcultural Research Taiwan November 2007 What is meant by health? 1. Clinical? [eg symptoms, complications] 2. Functional? [eg mobility, self care, pain] 3. Psychosocial? [eg mental health, social functioning] Positive [well being] or Negative aspects [anxiety]?

4 Transcultural Research Taiwan November 2007 1. Whose Perspective? Professional [eg McGill Pain Questionnaire] or Patient [eg MYMOPS] 2.Context of the measurement? [ie who is the target population?]

5 Transcultural Research Taiwan November 2007 Validity and Reliability. Content Validity Criterion Validity Construct Validity

6 Transcultural Research Taiwan November 2007 Reliability Test retest reliability Internal Consistency Inter rater reliability

7 Transcultural Research Taiwan November 2007 Practical Considerations Mode of Administration Time for Administration Data Processing and Analysis Costs

8 Transcultural Research Taiwan November 2007 Assessing Health Outcome: Structure Process Outcome

9 Transcultural Research Taiwan November 2007 Transcultural Measurement Sequential Approach [language adaptation] Parallel Approach

10 Transcultural Research Taiwan November 2007 Methodological Problems Technical [eg literacy, interviews] Conceptual [ eg expression of emotion] Linguistic [eg retain functional equivalence]

11 Transcultural Research Taiwan November 2007 Forward-backward Translation Role of Translators Bilingual Expert Panel Pre-testing of measure

12 Transcultural Research Taiwan November 2007 Cross Cultural Equivalence Content Equivalence Semantic Equivalence Conceptual Equivalence Technical Equivalence Criterion Equivalence

13 Transcultural Research Taiwan November 2007 Summary Definitions of Health Validity & Reliability of Measures Equivalence of Methods Practical Considerations

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