Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2025
Cross-Cultural Adaptation of the Breast Cancer and Lymphedema Symptom Experience Index in Bengali.
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Paramanandam Vincent Singh, Dylke Elizabeth, Fu Mei R, Daptardar Anuradha, Kamat Manali, Mahajan Sarika, Kilbreath Sharon
Аннотация
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 [ICC2,1]) 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.
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 [ICC2,1]) 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.