Translation and adaptation of the MIS-A (Medication Intake Survey-Asthma) questionnaire in Macedonian language

Miceva, Dijana and Dima, L. Alexandra and Smilkov, Katarina and Gjorgieva Ackova, Darinka and Lazarova, Biljana and Angelovska, Bistra and Naumovska, Zorica and Drakalska, Elena (2024) Translation and adaptation of the MIS-A (Medication Intake Survey-Asthma) questionnaire in Macedonian language. In: 9th PCNE Working Symposium 2024, 20 - 22 June 2024, Basel, Switzerland.

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Abstract

Background: Several validated questionnaires for measuring medication adherence in asthma patients exist, each having their unique strengths, limitations, and applications. Ascertaining the extent of adherence to medical treatment is a crucial step in achieving better disease control. Accurate translation of validated medication adherence measurement questionnaire into different languages is essential to ensure accurate and meaningful data across diverse patient populations.
Purpose: The objective of this study was to perform a translation and cultural adaptation of the Medication Intake Survey – Asthma – (MIS-A) into Macedonian language.
Methodology: The original version of the MIS-A and permission for its use were obtained from the original development team. The translation and adaptation were carried out following the Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO). The tool, initially developed for computer-assisted telephone interviews, was tested for telephone/in-person interviewing, in paper format, to adapt to local settings. The steps taken into consideration were: preparation (obtaining permission), forward translation (from English to Macedonian - two versions), reconciliation (one version of the translated questionnaire), backward translation (back-translated into English by a native English speaker), review of the backward translation (reviewing the back translation(s) against the source language - the original questionnaire), cognitive debriefing (cognitive interviewing conducted with 13 asthma patients), review of cognitive debriefing results (analyzing the results from cognitive interviews and incorporating them into the recent Macedonian version of the questionnaire), finalization, proofreading (checking for minor errors), and final report (a comprehensive report detailing all translation and cultural adaptation decisions made during the process, all containing and submitting it to the researchers).
Results: Only two items underwent cultural and linguistic adaptations to enhance their meaningfulness and ensure they sounded more idiomatic in the Macedonian language. It was regarding the term inhalations/puffs. The result of back translation was very similar to the original English version. The patients expressed their satisfaction with the Macedonian version of the MIS-A, finding it to be both comprehensive and suitable in terms of its overall content, questions, and response options.
Conclusion: We produced a Macedonian translation of the MIS-A from the original English version. The study findings suggest that the MIS-A is suitable and effective for evaluating medication adherence in the Macedonian healthcare context. In the next stage, this version will undergo validation and testing for its psychometric properties, ensuring its suitability for adherence research in North Macedonia.

Item Type:	Conference or Workshop Item (Poster)
Impact Factor Value:	3.7
Subjects:	Medical and Health Sciences > Other medical sciences
Divisions:	Faculty of Medical Science
Depositing User:	Dijana Miceva
Date Deposited:	11 Dec 2024 09:07
Last Modified:	11 Dec 2024 09:07
URI:	https://eprints.ugd.edu.mk/id/eprint/35192

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