Subscribe to RSS
DOI: 10.1055/s-0042-1758652
Cross-cultural validation of the Cebuano version of a screening questionnaire for Parkinson's disease
Validação transcultural da versão Cebuano de um questionário de triagem para a doença de Parkinson
Abstract
Background In the Philippines, the exact prevalence of Parkinson's disease (PD) has not yet been determined. Although cases can be extrapolated from medical registries, this method may undermine actual case rates. A reliable screening tool for PD is essential for a timely diagnosis and community-based epidemiological studies. The most widely used screening questionnaire for PD diagnosis was developed by Tanner et al., which consists of nine questions about the motor symptoms of PD. Although this questionnaire has been translated to several languages, the translated version must be validated for use in our local setting.
Objective To determine the validity of the Cebuano version of a PD screening questionnaire.
Method The questionnaire was translated from English to Cebuano by a hired language specialist. Each item was supplied with a yes, no, or don't know answer. A total of 73 patients with PD and 244 control subjects completed the study.
Results The overall Cronbach alpha for internal consistency of the questionnaire was 0.9410. The item on tremor had the highest sensitivity (97.26%), while the item on problems with buttoning had the highest specificity (100.00%). A cut-off score ≥ 3 obtained the best Youden index (99.18%), with a sensitivity of 100.00% and a specificity of 99.18%. The questionnaire had an almost perfect predictive ability to diagnose PD (AUC of 0.9994).
Conclusion The translated version of the Tanner questionnaire is a validated instrument to identify PD in a literate Cebuano population.
Resumo
Antedecentes Nas Filipinas, a prevalência exata da doença de Parkinson (DP) ainda não foi determinada. Embora os casos possam ser extrapolados dos registros médicos, esse método pode prejudicar as taxas reais de casos. Uma ferramenta de triagem confiável para DP é essencial para um diagnóstico oportuno e estudos epidemiológicos baseados na comunidade. O questionário de triagem mais utilizado para o diagnóstico da DP foi desenvolvido por Tanner et al., que consiste em nove questões sobre os sintomas motores da DP. Embora este questionário tenha sido traduzido para vários idiomas, a versão traduzida deve ser validada para uso em nosso meio.
Objetivo Determinar a validade da versão Cebuano de um questionário de triagem de DP.
Métodos O questionário foi traduzido do inglês para o cebuano por um especialista em idiomas contratado. Cada item foi fornecido com uma resposta “sim”, “não” ou “não sei”. Um total de 73 pacientes com DP e 244 controles completaram o estudo.
Resultados Em geral o alfa de Cronbach para consistência interna do questionário foi de 0,9410. O item “tremor” teve a maior sensibilidade (97,26%), enquanto o item “problemas com abotoamento” teve a maior especificidade (100,00%). Um escore de corte > 3 obteve o melhor índice de Youden (99,18%), com sensibilidade de 100,00% e especificidade de 99,18%. O questionário teve uma capacidade preditiva quase perfeita para diagnosticar DP (AUC de 0,9994).
Conclusão A versão traduzida do questionário de Tanner é um instrumento validado para identificar a DP em uma população cebuana alfabetizada.
Authors' Contributions
DD: conception, organization, execution of the research project, and writing of the first draft; FT: execution, review and critique of the statistical analysis, and writing of the first draft; EQV: organization of the research project, design and execution of the statistical analysis, review, and critique; JA: conception, organization, and execution of the research project as well as review and critique; GS: conception, organization, and execution of the research project, design and execution of the statistical analysis, and review and critique.
Publication History
Received: 26 January 2022
Accepted: 22 March 2022
Article published online:
29 December 2022
© 2022. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
-
References
- 1 Postuma RB, Berg D, Stern M. et al. MDS clinical diagnostic criteria for Parkinson's disease. Mov Disord 2015; 30 (12) 1591-1601 https://onlinelibrary.wiley.com/doi/10.1002/mds.26424 [Internet]
- 2 Roxas A, Gose M, Dominguez J, Liban S. RL Rosales MS. The Prevalence of Stroke, Parkinsonism, Dementia, Migraine and Epilepsy in the Philippines, Part II: Application of the PNA questionnaire in the 2003 National Nutrition Health Survey. Philipp J Neurol. 2007; 11 (01) 5-11
- 3 Zhao N, Yang Y, Zhang L. et al. Quality of life in Parkinson's disease: A systematic review and meta-analysis of comparative studies. CNS Neurosci Ther 2021; 27 (03) 270-279 https://onlinelibrary.wiley.com/doi/10.1111/cns.13549 [Internet]
- 4 Dahodwala N, Siderowf A, Baumgarten M, Abrams A, Karlawish J. Screening questionnaires for parkinsonism: a systematic review. Parkinsonism Relat Disord 2012; 18 (03) 216-224 https://linkinghub.elsevier.com/retrieve/pii/S1353802011003002 [Internet]
- 5 Tanner CM, Gilley DW, Goetz CG. A brief screening questionnaire for parkinsonism. Annals of Neurology Vol. 28. No. 2. 34 Boston, MA, 1990
- 6 Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry 1992; 55 (03) 181-184 https://jnnp.bmj.com/lookup/doi/10.1136/jnnp.55.3.181 [Internet]
- 7 Tomlinson CL, Stowe R, Patel S, Rick C, Gray R, Clarke CE. Systematic review of levodopa dose equivalency reporting in Parkinson's disease. Mov Disord 2010; 25 (15) 2649-2653 https://onlinelibrary.wiley.com/doi/10.1002/mds.23429 [Internet]
- 8 Goetz CG, Tilley BC, Shaftman SR. et al; Movement Disorder Society UPDRS Revision Task Force. Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord 2008; 23 (15) 2129-2170 https://onlinelibrary.wiley.com/doi/10.1002/mds.22340 [Internet]
- 9 Roxas A, Gose M, Dominguez J, Liban S. RL Rosales MS. The Prevalence of Stroke, Parkinsonism, Dementia, Migraine and Epilepsy in the Philippines, Part I: The Validation of the PNA questionnaire. Philipp J Neurol. 2007; 11 (01) 1-4
- 10 Wei Z, Xiaoyuan N, Shengwei G, Zhizong H, Jiyuan L, Yang L. Evaluation of a screening questionnaire for Parkinson's disease in a Chinese population. J Clin Neurosci 2014; 21 (02) 278-281 https://linkinghub.elsevier.com/retrieve/pii/S0967586813002774 [Internet]
- 11 Shalash A, Okubadejo NU, Doumbe J. et al. Translation, Validation, Diagnostic Accuracy, and Reliability of Screening Questionnaire for Parkinsonism in Three African Countries. J Parkinsons Dis 2020; 10 (03) 1113-1122 https://www.medra.org/servlet/aliasResolver?alias=iospress&doi=10.3233/JPD-202040 [Internet]
- 12 Soares C, Carneiro DR, Dias R. et al. Behind the Mask: Recognizing Facial Features of Parkinson's Disease During the COVID-19 Pandemic. Mov Disord 2021; 36 (06) 1285-1286 https://onlinelibrary.wiley.com/doi/10.1002/mds.28619 [Internet]
- 13 Domingo A, Lee LV, Brüggemann N. et al. Woman with x-linked recessive dystonia-parkinsonism: clue to the epidemiology of parkinsonism in Filipino women?. JAMA Neurol 2014; 71 (09) 1177-1180 http://archneur.jamanetwork.com/article.aspx?doi=10.1001/jamaneurol.2014.56 [Internet]
- 14 Miller IN, Cronin-Golomb A. Gender differences in Parkinson's disease: clinical characteristics and cognition. Mov Disord 2010; 25 (16) 2695-2703 https://onlinelibrary.wiley.com/doi/10.1002/mds.23388 [Internet]