IN FOCUS: Explore the future of profession - 2022
Permanent URI for this collectionhttp://repository.kln.ac.lk/handle/123456789/25599
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Item Translation, cross-cultural adaptation, and validation of the autism family experience questionnaire into the sinhala language(University of Kelaniya, Sri Lanka, 2022) Thilakarathna, M.K.D.N; Danthanarayana, N.D.Objectives: The general objective of the study is to translate and cross-culturally adapt the Autism Family Experience Questionnaire into the Sinhala language. The specific objectives of the study consists of cross – culturally adapting and translating the Autism Family Experience Questionnaire into the Sinhala language, to pre – test the translational tool with parents of children with autism spectrum disorder, to evaluate the content validity of the Sinhala version of the Autism Family Experience Questionnaire, and to examine the association between total scores of the Autism Family Experience Questionnaire and age of the children, gender of the children, parental education, and duration of accessing intervention. Methods: The study design was translation, cross-cultural adaptation, and validation of the Autism Family Experience Questionnaire into the Sinhala language using the Delphi technique. The study setting was government and private clinical settings in Sri Lanka. The instrument was validated with a sample of 60 parents of children with autism, with the children aged between 3 to 10 years in Sri Lanka. This study indicated that the translated and adapted Autism Family Experience Questionnaire has acceptable content validity and moderate reliability. According to the pre-test, all six parents’ opinion was that the questions were clear and that the questions were well understood. According to the final objective, an association between scores of the AFEQ with children diagnosed with ASD and their background variables (age, gender, duration of accessing intervention and parental education) was also considered. Results: There was no statistically significant difference between the age of children with ASD, gender of the children with ASD, or parental education. The Autism Family Experience Questionnaire form was adapted to Sri Lankan context. Internal consistency Cronbach’s alpha was 0.559, which indicated a moderate reliability. However, the translated and adapted Sinhala version of the AFEQ indicates an excellent content validity. The mean age of the children with ASD who participated was 6.22 years (SD=2.08) and 21.6% of the children were at the age of 5 years. The AFEQ mean score was 123.30 (SD=12.12). The AFEQ scores ranged from 83 to 163. There were no statistically significant differences between AFEQ scores and the background variables of participants. Conclusion: The main objective of this study was to translate, cross-culturally adapt, and validate the Autism Family Experience Questionnaire (AFEQ) into the Sinhala language. This study indicated that the translated and adapted AFEQ has acceptable content validity and moderate reliability. Therefore, it can be used as a tool to understand the family experience of parents of children with ASD in different domains.Item Adapting the colorado learning difficulties questionnaire into sinhala for the local context(University of Kelaniya, Sri Lanka, 2022) Abeyrathne, M.K.A.U.; Danthanarayana, N.D.Background: In Sri Lanka, there are only limited standardized tools to assess for learning difficulties. The purpose of this study was to translate, cross-culturally adapt, and validate the Colorado Learning Difficulties Questionnaire (CLDQ) into the Sinhala language. Objectives: The main objective was to translate and cross-culturally adapt the CLDQ into the Sinhala Language for children aged between 6 to 10 years. The study assessed the content validity, known group validity, and reliability and examined the association between scores of the tool and background variables. Methods: A Delphi study was conducted to cross-culturally adapt the CLDQ and a cross-sectional study was undertaken to assess the reliability and validity of the CLDQ. There were 30 parents of children with learning difficulties in a clinical setting in the Gampaha district and 30 parents of children with typical development aged between 6-10 years in a school setting in the Gampaha district using convenience sampling. Two Delphi rounds were conducted with 8 experts to adapt the questionnaire. The data was collected using an online survey. Results: The mean age of both groups was 8 years. The content validity was excellent in the translated and adapted CLDQ. It had excellent reliability in the group of children with learning difficulties. There was a significant difference in CLDQ scores between the normative and clinical groups, which emphasized known group validity. There was no significant difference in CLDQ scores and the gender of participants in the clinical group. There was a significant negative correlation between CLDQ scores and the duration of accessing therapy services by children with learning difficulties. Conclusion: This tool was effectively translated, adapted, and validated. It has excellent content validity and high reliability for children with learning difficulties. The tool was able to discriminate the children with learning difficulties via known group validity. It strongly correlated negatively with the tool's final score and access to therapy. The relevant information from the parents on their child’s earning difficulties could be gathered using this translated, adapted, and validated tool.Item Translation and cross-cultural adaptation of the quantitative checklist for autism in toddlers parental questionnaire into Sri Lankan tamil language(University of Kelaniya, Sri Lanka, 2022) Thevathasan, M.; Danthanarayana, N.D.; Yahampath., N.Background: The Quantitative Checklist for Autism in Toddlers (Q-CHAT) is a parent-report screening tool to detect autism spectrum disorder (ASD) symptoms in toddlers aged between 18-24 months. Early detection of ASD increases the chance of receiving timely intervention. The parent report questionnaire is a good way to screen for ASD. The Q-CHAT is a novel screening tool that has demonstrated to have various benefits over conventional screening techniques, because there is a lack of screening tools for the early screening of ASD traits in the Sri Lankan Tamil clinical context. Objectives: The objectives of this study were to translate and cross-culturally adapt the Quantitative Checklist for Autism in Toddlers Parental questionnaire into the Sri Lankan Tamil language. Methods: At the initial step of this study, the Delphi study design was used to translate and cross-culturally adapt into the Sri Lankan Tamil language and a cross-sectional study conducted for psychometric evaluation. Following this, an appropriate sample was selected, which included 30 typically developing Tamil speaking toddlers aged between 18-24 months and 30 ASD Tamil speaking toddlers aged between 18-24 months. Cronbach’s alpha coefficient was used to evaluate the internal consistency of the Tamil version of the Q-CHAT questionnaire. Furthermore, the Mann-Whitney U test was used to investigate whether the Tamil version of the Q-CHAT can adequately discriminate between typically developing toddlers and toddlers with ASD. Spearman’s’ rho correlation coefficient test was used to analyse the correlation between the background variables of toddlers with ASD and the Q-CHAT scores. Results: The typically developing group consisted of 30 toddlers with the mean age of 20.17 (SD=1.44) months and the ASD group included 30 toddlers with the mean age of 20.93 (1.05) months. The mean Q-CHAT score of the typically developing toddlers was 21.23 (SD=7.59) and the mean Q-CHAT score of toddlers with ASD was 53.30 (SD=6.88). The Cronbach’s alpha coefficient for the ASD group and the normative group was 0.64 and 0.07 respectively, which indicated poor reliability. Although the translated and adapted Q-CHAT had poor reliability, it can discriminate between the typically developing toddlers and toddlers with ASD since there was a statistically significant difference in Q-CHAT scores between the two groups. Conclusion: The Tamil version of the Q-CHAT has discriminative ability, and it can be used as a screening tool for detecting children who are at risk of autism. Further validation studies with large samples are required.