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. 2020 Sep 25;8(4):366. doi: 10.3390/healthcare8040366

Table 1.

Summary of expert committee comments made during the translation and cultural adaptation processes.

Question Number Comment Issue Decision
All Expression: “Your cancer” Appropriateness for people living with and beyond cancer Replace “your cancer” by “a cancer” or just “cancer”
All Terminology specific to the clinical context Semantic equivalence Verify the accuracy and adapt where needed
All Passages using different phrasing to communicate the same meaning Conceptual equivalence Reconcile by retaining phrasings closer to those used in the original version
Q1 Terminology specific to insurance Item equivalence Verify the accuracy and adapt as needed
Q2 Terminology specific to insurance for life-threatening disease Item equivalence Verify the accuracy and adapt as needed
Q4 Uneven phrasing in subquestions 4a to 4j Semantic equivalence and uniformity Uniformize the phrasing
Q9 Negative phrasing: “lesser value housing”/“maison de valeur moindre” Appropriateness for persons living with and beyond cancer Replace by a positive phrasing: “more affordable housing”/“maison plus abordable”
Q12 and Q13 Designation of the participant in a column of the table: “patient” Appropriateness for persons living with and beyond cancer Replace “patient” by “you”
Q15 Choice of income categories Comparability with national survey instruments Harmonize with Statistics Canada categories
N.A. Maladapted coping strategies remain unaddressed Clinical relevance Add a question:
Have you or any of your caregivers taken any of the following actions for financial reasons?
  • (a)

    Skip an appointment with your physician

  • (b)

    Refuse a treatment

  • (c)

    Postpone filling a prescription

  • (d)

    Skip a dose of a prescribed drug

  • (e)

    Cut pills in half

  • (f)

    None of the above