Open AccessHeart Attacks, Bloody Noses, and Other “Emotional Problems”
Author(s) -
Michael A. Flynn,
Donald E. Eggerth,
Christer Jacobson,
Sarah Lyon
Publication year - 2020
Publication title -
family and community health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.464
H-Index - 46
eISSN - 1550-5057
pISSN - 0160-6379
DOI - 10.1097/fch.0000000000000279
Subject(s) - equivalence (formal languages) , meaning (existential) , cognition , psychology , reading (process) , cognitive psychology , linguistics , psychotherapist , psychiatry , philosophy
This article examines how respondents understood items in the Spanish versions of the Short-Form 36 (SF-36v2). Cognitive interviews of the SF-36 were conducted in 2 phases with 46 Spanish speakers living in the United States. Roughly one-third (17/46) of respondents had difficulty understanding the Role Emotional items upon their initial reading, and almost half (21/46) provided examples that were inconsistent with the intended meaning of the items. The findings of this study underscore the importance of conducting cognitive testing to ensure conceptual equivalence of any instrument regardless of how well validated it appears to be.