title: Translation and cultural adaptation of a mental health outcome measure: the BASIS-R(c).
abstract: Culturally and linguistically appropriate outcome measures are needed to address the needs of Latino consumers of mental health services. The revised Behavior and Symptom Identification Scale (BASIS-R(c)) is an English-language consumer self-report measure designed to assess outcome of behavioral health or substance abuse treatment. This study sought to develop a culturally and linguistically appropriate version of the BASIS-R(c) for Spanish-speaking Latinos. To achieve this goal, the English instrument was translated and adapted into Spanish by an international bilingual committee and tested in four focus groups and 45 cognitive interviews with Puerto Ricans, Dominicans, and Mexicans living in the United States and Puerto Rico. Focus groups and cognitive interviews provided qualitative and quantitative information about the instrument's content and format, and respondents' understanding of the instructions, questionnaire items, time frame, and response options. Respondents' ratings of the clarity and importance of each item were also obtained. Analyses of focus group and cognitive interview data identified items that were confusing or difficult for participants. Findings suggest that the Spanish version of the BASIS-R(c) incorporated the cultural diversity of the three groups of Latinos in this study without compromising the validity of the English version of the BASIS.
authors.affiliation: Department of Psychiatry, Cambridge Health Alliance, 1493 Cambridge Street, Cambridge, MA 02139, USA. dharma_cortes@hms.harvard.edu
authors.forename: Dharma E
authors.initials: DE
authors.lastname: Cortés
authors.forename: Mariana
authors.initials: M
authors.lastname: Gerena
authors.forename: Glorisa
authors.initials: G
authors.lastname: Canino
authors.forename: Sergio
authors.initials: S
authors.lastname: Aguilar-Gaxiola
authors.forename: Vivian
authors.initials: V
authors.lastname: Febo
authors.forename: Cristina
authors.initials: C
authors.lastname: Magaña
authors.forename: Jesús
authors.initials: J
authors.lastname: Soto
authors.forename: Susan V
authors.initials: SV
authors.lastname: Eisen
mesh_terms: D000293:Adolescent; D000328:Adult; D003071:Cognition; D018864:Cultural Diversity; D004293:Dominican Republic / Q000208:ethnology; D005260:Female; D017144:Focus Groups; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008605:Mental Health Services; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D019303:Multilingualism; D017063:Outcome Assessment, Health Care / Q000379:methods*; D011594:Psychometrics / Q000295:instrumentation*; D011647:Puerto Rico / Q000208:ethnology; D011795:Surveys and Questionnaires; D014481:United States