Using Content Validity Index Methodology for Cross-Cultural Translation of a Patient-Reported Outcome Measure for Head and Neck Cancer

Janet H. Van Cleave^1*Alizendie Guerra²Eva Liang³Carolina Gutiérrez⁴Ron J. Karni⁴Marcely Tsikis¹Geanise Pearl C. Nguyen⁵Allison Squires²

• ¹Cizik School of Nursing, University of Texas Health Science Center at Houston, Houston, United States
• ²Rory Meyers College of Nursing, New York University, New York City, New York, United States
• ³School of Nursing, Stony Brook University, Stony Brook, New York, United States
• ⁴McGovern Medical School, University of Texas Health Science Center at Houston, Houston, Texas, United States
• ⁵University of Texas Health Science Center at Houston, Houston, Texas, United States

Index (CVI) methodology, a comprehensive and systematic approach, in translating the New York University (NYU) Electronic Patient Visit Assessment (ePVA) Ó for head and neck cancer from English to Spanish (i.e., Spanish ePVA), resulting in a patient-reported symptom measure with acceptable cultural relevance and translation equivalence for immigrants with LEP. This article provides a description of the CVI methodology used to create the Spanish ePVA, the assessment of the quality of the cultural relevance and translation equivalence of the Spanish ePVA, and a discussion of the benefits and limitations of the CVI methodology in creating crosscultural translations of patient-reported symptom measures.