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This case study evaluates the appropriateness of current Swahili EQ-5D translations across dialect versions by reviewing conceptual consistency, cultural adaptation adequacy, documentation transparency, and translator qualifications, supported by expert interviews. Findings identify major inconsistencies, missing translation process reporting, and inadequate handling of sociocultural nuances, informing recommendations for improved validity and reliability.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/pp15-the-appropriateness-of-translation-of-patient-reported-outcome-measures-in-swahili-speaking-regions-of-sub-saharan-africa-a-case-study/445766/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/pp15-the-appropriateness-of-translation-of-patient-reported-outcome-measures-in-swahili-speaking-regions-of-sub-saharan-africa-a-case-study/445766.png","ImageObject",300,407,{"name":92,"@type":93},"River Wang","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the purpose of evaluating Swahili PROM translations in the case study?","Question",{"text":112,"@type":113},"To assess whether current Swahili PROM translations are appropriate and capture a person’s health as intended, with a focus on translation accuracy and cultural/language equivalence.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were the Swahili translations of EQ-5D obtained and assessed?",{"text":117,"@type":113},"Swahili EQ-5D dialect translations were obtained from EuroQol and reviewed by native Swahili-speaking health and linguistics experts for inconsistencies in key concepts, adequacy of cultural adaptations, documentation, and translator perspective/qualifications.",{"name":119,"@type":110,"acceptedAnswer":120},"What key problems were found in the Swahili EQ-5D translations?",{"text":121,"@type":113},"Significant inconsistencies across versions were identified for concepts such as usual activities, anxiety/depression, and mobility; translation methods were undocumented and translator qualifications/perspective were not reported, with cultural nuances inadequately addressed.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},445766,1790774716,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":81},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","PP14 Disparities In QualityAdjusted Life Expectancy Associated With Educational Attainment: Population Norms For Australia  \nSheridan Rodda ([sheridan.rodda1@monash.edu](sheridan.rodda1@monash.edu)), Melanie Lloyd, Jedidiah Morton, Jennifer Welsh, Rosemary Korda and Zanfina Ademi  \nIntroduction: Summary measures of health, such as quality-adjusted life expectancy (QALE), are used to monitor health inequalities by reflecting both quantity and quality of life. The Australian distribution of QALE by socioeconomic status, measured using educational attainment, is unknown. We aimed to estimate QALE stratified by sex and year of age across levels of educational attainment for the Australian population.  \nMethods: Educational attainment was measured as: low (secondary schooling incomplete), intermediate(completed secondary schooling and/or non-tertiary qualification), or high (completed bachelor’s degree or above) . The Person-Level Integrated Data Asset linked Australian Census (2016) demographic information to Deaths Registrations (2016 to 2019) . Age-sex-education specific mortality rate ratios were then applied to the 2019 population. Life tables were constructed to generate life expectancy (LE). The Household, Income and Labour Dynamics in Australia Survey (2022) was used to estimate mean Short Form 6 Dimensions (SF-6D) health utility by age, sex, and education using linear regression. Person-years lived were multiplied by utility to calculate QALE.  \nResults: Both LE and QALE increased with increasing level of education. Males aged 25 years with a high level of education had a LE of 61.0 years and a QALE of 39.9 (95% confidence interval [CI]: 38.7, 41.2) years, compared with 53.7 years and 28.8 (95% CI: 27.4, 30.3) years, respectively, for those with low education, a difference of 11.1 quality-adjusted life years (39%) . Females with high educational attainment had a LE of 63.1 years and a QALE of 36.9 (95% CI: 35.8, 38.1) years, compared with 59.2 years and 29.3 (95% CI: 27.9, 30.8) years, respectively, for low education, a QALE difference of 7.6 years (26%) .  \nConclusions: There were large disparities in QALE, impacting both the quantity and quality of life, associated with educational achievement in Australia. Tailored policies addressing education-related inequalities in health are needed. The QALE distribution across equity relevant groups provided in this study can be utilized in future equity informative studies that evaluate the equity impact of healthcare funding decisions.  \nPP15 The Appropriateness Of Translation Of Patient-Reported Outcome Measures In SwahiliSpeaking Regions Of SubSaharan Africa – A Case Study  \nMagdalena Moshi ([magdalena_moshi@hotmail.com](magdalena_moshi@hotmail.com)), Theresia Ambroce Ottaru and Rosemarie Mwaipopo  \nIntroduction: Patient-reported outcome measures (PROMs) are used to quantify health-related quality of life and generate utility data for economic evaluations. Accurate translation and adaptation of PROMs into non-European languages, such as Swahili, is essential for ensuring the intended health information is captured. A case study evaluated the appropriateness of current Swahili PROMs translations and determined whether these captured a person’s health.  \nMethods: Swahili translations of the common PROMs tool EQ-5D were obtained from EuroQol for all dialects. Native Swahili-speaking experts in health and linguistics reviewed the translations for inconsistencies in key concepts such as “usual activities,” “anxiety/ depression,” and “mobility.” The review assessed the adequacy of cultural adaptations, whether translation processes were documented, and the perspective and qualifications of the translators. Qualitative insights were gathered through expert interviews to understand challenges and propose recommendations for achieving cultural and linguistic equivalence in PROMs. The analysis also explored whether the translations addressed sociocultural nuances and aligned with the liv","cbCaif6ItjMY7riS","https://ap.wps.com/l/cbCaif6ItjMY7riS","pdf",34687,"English","# Introduction\n## Methods\n## Results\n## Conclusions","[{\"question\":\"What was the purpose of evaluating Swahili PROM translations in the case study?\",\"answer\":\"To assess whether current Swahili PROM translations are appropriate and capture a person’s health as intended, with a focus on translation accuracy and cultural/language equivalence.\"},{\"question\":\"How were the Swahili translations of EQ-5D obtained and assessed?\",\"answer\":\"Swahili EQ-5D dialect translations were obtained from EuroQol and reviewed by native Swahili-speaking health and linguistics experts for inconsistencies in key concepts, adequacy of cultural adaptations, documentation, and translator perspective/qualifications.\"},{\"question\":\"What key problems were found in the Swahili EQ-5D translations?\",\"answer\":\"Significant inconsistencies across versions were identified for concepts such as usual activities, anxiety/depression, and mobility; translation methods were undocumented and translator qualifications/perspective were not reported, with cultural nuances inadequately addressed.\"}]","PP15 - The Appropriateness Of Translation Of Patient-Reported Outcome Measures In Swahili-Speaking Regions Of Sub-Saharan Africa - A Case Study | PDF",1790712662]