Cross-cultural Visayan translation and validation of Beck’s Depression Inventory Scale Among Ambulatory Maintenance Hemodialysis at a tertiary training hospital in Southern Mindanao, Philippines (BDI-VISAYAN)
- Author:
Exequiel P. Dimaano
1
;
Arnelia Bersales-Masendo
1
;
Marius Oco
1
;
Noel Pingoy
1
Author Information
- Publication Type:Journal Article
- MeSH: Humans; Depressive Disorder, Major; Renal Dialysis
- From: Philippine Journal of Internal Medicine 2021;59(2):149-160
- CountryPhilippines
- Language:English
-
Abstract:
Research Question:Is Beck’s Depression Inventory Scale – Visayan (BDI-Visayan) an accurate and reliable depression screening tool among ambulatory hemodialysis patients validated against Semi-structured Clinical Interview for Depression for DSM IV?
Background:Depressed dialysis patients are twice likely to die or require hospitalization. Unfortunately, there is a lack of a depression screening tool validated for Filipino patients.
Objectives:Development and validation of Beck’s Depression Inventory Scale -Visayan version as a depression screening tool for ambulatory maintenance hemodialysis Filipino patients.
General Study Design:This is a cross-cultural instrument translation and cross-sectional validation study.
Participants:Using non-probability convenient sampling, patients >18years old with eGFR <60mL/min/1.73m2 based on CKD-Epi equation and on hemodialysis for ≥3 months were enrolled. Patients with hearing, speech or cognitive deficits, acute kidney injury, dementia, delirium or psychiatric disorders were excluded.
Interventions:BDI Visayan was developed using combined translation technique with depression defined as a score of ≥14.
Outcome measures:Structured Clinical Interview for Depression (SCID) for DSM IV was used as the gold standard.
Analysis:Sensitivity, specificity, predictive values, and likelihood ratios of BDI-Visayan were compared to SCID. Cronbach’s alpha, Receiver Operator Characteristics and Area Under the Curve were used to determine reliability, optimal cut-off score, and overall accuracy, respectively.
Results:BDI-Visayan has high reliability with Cronbach’s alpha of 0.904 and an accuracy of 0.80 AUC. The optimal cut-off for BDI-Visayan for major depressive disorder for ambulatory hemodialysis patients is 20 with 75% sensitivity, 55% specificity, 22% positive predictive value, 93% negative predictive value, 3.92 positive likelihood ratio, and 0.31 negative likelihood ratio.
Conclusions:BDI Visayan is a reliable and accurate depression screening tool for ambulatory maintenance hemodialysis Filipino patients with higher specificity at an optimum cut-off score of 20. - Full text:13 Cross-cultural.pdf
