title: Italian translation and cultural adaptation of the communication assessment tool in an outpatient surgical clinic.
abstract: The aim of the study is to translate and cross-culturally adapt, for use in the Italian context, the Communication Assessment Tool (CAT) developed by Makoul and colleagues.
  
  
  
  The study was performed in the out-patient clinic of the Surgical Department of Cardarelli Hospital in Naples, Italy. It involved a systematic, standardized, multi-step process adhering to internationally accepted and recommended guidelines. Corrections and adjustments to the translation addressed both linguistic factors and cultural components.
  
  
  
  The CAT was translated into Italian by two independent Italian mother-tongue translators. The consensus version was then back-translated by an English mother-tongue translator. This translation process was followed by a consensus meeting between the authors of translation and investigators, and then by two comprehension tests on a total of 65 patients.
  
  
  
  Results of the translation and cross-cultural adaptation were satisfactory and indicate that the Italian translation of the CAT can be used with confidence in the Italian context.
authors.affiliation: Medicina Nucleare AORN Cardarelli, Via A. Cardarelli , 9, 80131, Naples, NA, Italy. sdaniela2000@yahoo.com.
authors.forename: Daniela
authors.initials: D
authors.lastname: Scala
authors.affiliation: CIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Via Domenico Montesano, 49 80131, Naples, Italy. enrica.menditto@unina.it.
authors.forename: Enrica
authors.initials: E
authors.lastname: Menditto
authors.affiliation: Dipartimento Chirurgico Generale e Polispecialistico, Chirurgia 3, AORN Cardarelli, Naples, Italy.
authors.forename: Mariano Fortunato
authors.initials: MF
authors.lastname: Armellino
authors.affiliation: UOSC di Gastroenterologia, AORN Cardarelli, Naples, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Manguso
authors.affiliation: CIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Via Domenico Montesano, 49 80131, Naples, Italy.
authors.forename: Valeria Marina
authors.initials: VM
authors.lastname: Monetti
authors.affiliation: CIRFF, Center of Pharmacoeconomics, University of Naples Federico II, Via Domenico Montesano, 49 80131, Naples, Italy.
authors.forename: Valentina
authors.initials: V
authors.lastname: Orlando
authors.affiliation: Dipartimento Chirurgico Generale e Polispecialistico, Chirurgia 2, AORN Cardarelli,, Naples, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Antonino
authors.affiliation: Connecticut Institute for Primary Care Innovation, Hartford, CT, USA.|University of Connecticut School of Medicine, Farmington, CT, USA.|PatientWisdom, New Haven, CT, USA.
authors.forename: Gregory
authors.initials: G
authors.lastname: Makoul
authors.affiliation: Dipartimento Chirurgico Generale e Polispecialistico, Chirurgia 2, AORN Cardarelli,, Naples, Italy.
authors.forename: Maurizio
authors.initials: M
authors.lastname: De Palma
mesh_terms: D054521:Cultural Competency; D005260:Female; D006801:Humans; D007558:Italy; D007802:Language; D008297:Male; D008875:Middle Aged; D010045:Outpatients; D015203:Reproducibility of Results; D013531:Surgicenters; D011795:Surveys and Questionnaires; D014175:Translating
keywords: Adaptation; Communication; Patient-physician relationship; Translation