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Table 3 Ped-PRO-CTCAE items presenting comprehension difficulties in rounds 1–3 with subsequent revisions

From: Swahili translation and cultural adaptation of the pediatric patient-reported outcomes version of the common terminology criteria for adverse events (PRO-CTCAE)

Symptom wording in English

Symptom wording in Swahili (Round 1)

Participants with difficulty in Round 1 (%)

Revision made

Symptom wording in Swahili (Round 2)

Participants with difficulty in Round 2 (%)

Revision made

Symptom wording in Swahili (Round 3)

Participants with difficulty in Round 3 (%)

General Pain

Maumivu

2/5 (40)

Moved to different question order in the survey

Maumivu

0/5 (0)

N/A

N/A

N/A

Problems with not being able to poop

Tatizo la kutopata haja kubwa

2/5 (40)

Added alternative word meaning “defecate” to probe and compare if “poop” or “defecate” was more comprehensive

Tatizo la kutopata choo/haja kubwa

1/5 (20)

N/A

N/A

N/A

Pain in your mouth or throat

Maumivu katika kinywa chako au koo

2/5 (40)

Change word “in” to “inside” your mouth or throat

Maumivu katika mdomo au koo

0/5 (20)

N/A

N/A

N/A

Numbness or tingly feeling in your hands or feet

Kuhisi ganzi

2/5 (40)

Add example “the feeling you get when you sleep on your arm or leg”

Kuhisi ganzi (Inafanana na ile hali unayopata baada ya kulalia mkono au kukalia mguu moja vibaya)

2/5 (40)

Add example “hand or foot falling asleep” to the question

Kuhisi ganzi (kama mkono au mguu kulala)

1/4 (25)

Worried or nervous

Woga au hofu

3/5 (60)

Add example of “feeling you get before having to take a test”

Woga au hofu

2/5 (40)

Removed example and changed word for worried to “wasi wasi”

Wasiwasi

0/4 (0)

Problems Sleeping

Tatizo la kupata usingiz

3/5 (60)

Add “or” in the question stem: Trouble falling asleep or waking up

Tatizo la kupata usingiz

2/5 (40)

Word change from “kupata” to “kutopata”

Tatizo la kutopata usingizi

0/4 (0)

  1. *N/A = item not recommended for further revision, not tested in round 3; one patient in round three was excluded from the study