Date of Award
Spring 6-10-2022
Degree Type
Dissertation
Degree Name
Doctor of Nursing Practice (DNP)
Department
Nursing
First Advisor
Shannon Simonovich, PhD, RN
Abstract
Background: Venous Thromboembolism (VTE) is a potentially fatal condition and determination of risk level and identification of risk factors for VTE should be performed during the post-operative period. The Caprini Risk Assessment Score (CRS), is a validated risk assessment instrument tool used widely to predict postoperative VTE in the Western world, but it has limited utility among resource-poor and developing countries due to the limited English language proficiency of potential instrument users.
Aims: We aimed to translate the CRS tool to Urdu and validate its use in the Urdu speaking population through a correlation of self-administered and healthcare professional-administered scores.
Methods: The CRS was translated to Urdu by a certified translation service. Focus group interviews were conducted to identify comprehension challenges with the translation. For validation, self-administered CRS scores were compared to advanced practice nurse (APN)-administered responses. Validation participants completed the revised version of the CRS on their own. The advanced practice nurse (APN), blinded to their answers, filled out the same form with the same participants via interview. Additional reliability testing of the instrument was performed using a multi-rater rating system. The study was approved by the DePaul IRB under a waiver of informed consent. Reliability testing of the instrument was performed using a multi-rater rating system and their responses were analyzed as well.
Results: A 6-member focus group fluent in both English and Urdu (age 30-65, average age 51.5), average education level 12.66) provided feedback and final revisions for the translated tool. The 30 Urdu-speaking volunteers (average age, 50% male, and all had at least a 12th-grade education) completed the final tool and were interviewed by the APN to obtain comparative scores. Using SPSS v.23, Pearson’s correlation coefficient (0.869) between patient- and APN-administered scores was excellent. The correlation resulted in a statistically significant finding of 0.01 level (p<0.01). The content validity index Content validity was 3 performed using five experts and analysis was performed using the Cronbach alpha coefficient for an agreement which revealed a rating of 0.869.
Conclusion: This study successfully translated and validated the first Urdu version of the patient-completed risk assessment model for VTE, which is another step forward in addressing the huge economic and health burden related to VTE.
Recommended Citation
Lalani, Khairunisa, "Translation and Validation of the Caprini Risk Assessment Score for Urdu Speakers" (2022). College of Science and Health Theses and Dissertations. 541.
https://via.library.depaul.edu/csh_etd/541
SLP Collection
yes