Cross-Cultural Awareness in Quality of Life Assessment

  • Scott M. Debb

Abstract

Since many tools for clinical assessment are available to practitioners of all medical and psychiatric fields, when a healthcare professional assesses the mental health of an individual, the use of culturally appropriate assessment measures used becomes increasingly important. Since many quality of life (QOL) assessment measures utilize Likert scaled questions, awareness and understanding of potential bias can greatly aid in clinical interpretation of scores, case conceptualization and treatment planning. Mental health professionals need to be cognizant of cultural issues and sensitive to the idea that the categorization of symptoms that our culture has clustered into disorders is dependent on specific cultural values (Draguns, 1987). Ultimately, cultural bias can greatly affect the validity and interpretability of assessment data. Modifications to assessment measures must also be considered in light of cross-cultural concerns, primarily as related to content validity. 

References

Anastasi, A. (1988). Psychological testing (4th ed.). New York: Macmillan.

Anastasi, A., & Urbina, S. (1997). Psychological testing (7th ed.). Upper Saddle River, NJ: Prentice Hall.

Bedi, R. P., Maraun, M. D., & Chrisjohn, R. D. (2001). A multisample item response theory analysis of the Beck Depression Inventory-1A. Canadian Journal of Behavioural Science, 33(3), 176-185.

Carter, R. T., & Forsyth, J. M. (2007). Examining race and culture in psychology journals: The case of forensic psychology. Professional Psychology: Research and Practice, 3(2), 133-142.

Carter, R. T., & Qureshi, A. (1995). A typology of philosophical assumptions in multicultural counseling and training. In J. G. Ponterotto, J. M. Casas, L. A. Suzuki, & C. M. Alexander (Eds.), Handbook of multicultural counseling (pp. 239–262). Thousand Oaks, CA: Sage.

Cella, D. F. (1994). Quality of life: Concepts and definitions. Journal of Pain Symptom Management, 9(3), 186-192.

Cella, D., Hernandez, L., Bonomi, A. E., Corona, M., Vaquero, M., Shiomoto, G., & Baez, L. (1998). Spanish language translation and initial validation of the Functional Assessment of Cancer Therapy quality of life instrument. Medical Care, 36(9), 1407-1418.

Cella, D. F., Lloyd, S. R., & Wright, B. (1996). Cross- cultural instrument equating: Current research and future directions. Quality of Life and Pharmacoeconomics in Clinical Trials, 73, 707-715. Cella, D. F., Tulsky, D. S., Gray, G., Sarafin, B., Linn, E.,

Bonomi, A., et al. (1993). The Functional Assessment of Cancer Therapy Scale: Development and validation of the general measure. Journal of Clinical Oncology, 11(3), 570-579.

Clay, R. A. (2006). Assessing assessment: Psychological assessment enjoys new respect, applications and approaches. Monitor On Psychology, 37(1), 44-46.

Dana, R. H. (1993). Multicultural assessment perspectives for professional psychology. Needham Heights, MA: Simon & Schuster.

Debb, S. M., Blitz, D. L., & Choi, S. W. (2007, August).

Ethnicity and differential item functioning in quality of life assessment. Poster session presented at the 115th Annual Convention of the American Psychological Association, San Francisco, CA.

Draguns, J. G. (1987). Psychological disorders across cultures. In P. Pedersen (Ed.), Handbook of cross- cultural counseling and therapy (pp.55-62). New York: Praeger.

Finkelstein, B., Pickert, S., Mahoney, T., & Barry, D. (1998). Discovering culture in education: An approach to cultural education program evaluation. Washington, DC: Office of Educational Research and Improvement. (ERIC Document Reproduction Service No. ED436538).

Frazier, D., & DeBlassie, R. (1984). Diagnosing behavior disordered early adolescents as a function of cultural differences. Adolescence, 19, 387-390.

Galagan, J. (1985). Psychoeducational testing: Turn out the lights, the party’s over. Exceptional Children, 52, 288-289.

Geisinger, K. F. (1994). Cross-cultural normative assessment: Translation and adaptation issues influencing the normative interpretation of assessment instruments. Psychological Assessment, 6(4), 304-312.

Guillemin, F., Bombardier, C. & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology, 46, 1417-1432.

Guyatt, G. H., Feeny, D. H., & Patrick, D. L. (1993). Measuring health-related quality of life. Annals of Internal Medicine, 118(8), 672-679.

Hambleton, R. K., Swaminathan, H., & Rogers, J. H. (1991). Fundamentals of item response theory. Thousand Oaks, CA: Sage.

Hambleton, R. K., & Patsula, L. (1998). Adapting tests for use in multiple languages and cultures. Social Indicators Research, 45, 153-172.

Hinkle, J. S. (1994). Practitioners and cross-cultural assessment: A practical guide to information and training. Measurement & Evaluation in Counseling and Development, 27(2), 103-116.

Holland, P. W., & Wainer, H. (1993). Differential item functioning. Mahwah, NJ: Lawrence Erlbaum Associates.

Kaufman, J. (1989). Characteristics of children’s behavior disorders (4th ed.). Columbus, OH: Merrill.

Kim, Y., Pilkonis, P. A., Frank, E., These, M. E., & Reynolds, C. F. (2002). Differential item functioning of the Beck Depression Inventory in late life patients: Use of Item Response Theory. Psychology and Aging, 17(3), 379-391.

Kwate, N. A. (2001). Intelligence or misorientation? Eurocentrism in the WISC-III. Journal of Black Psychology, 27(2), 221-238.

Lezak, M. D., Howieson, D. B., & Loring, D. W. (2004). Neuropsychological assessment (4th ed.). New York: Oxford University Press.

Lievens, F., Harris, M. M., Van Keer, E., & Bisqueret, C. (2003). Predicting cross-cultural training performance: The validity of personality, cognitive ability, and dimensions measured by an assessment center and a behavior description interview. Journal of Applied Psychology, 88(3), 476-489.

Malgady, R. G. (1996). The question of cultural bias in assessment and diagnosis of ethnic minority clients: Let’s reject the null hypothesis. Professional Psychology: Research and Practice, 27(1), 73-77.

Messick, S. (1984). Assessment in context: Appraising students’ performance in relation to instructional quality. Educational Research, 13, 3-8.

Miller-Jones, D. (1989). Culture and testing. American Psychologist, 44(2), 360-366.

Mullin, V., Cella, D., Chang, C.-H., Eremenco, S., Mertz, M., Lent, L., et al. (2000). Development of three African language translations of the FACT-G. Quality of Life Research, 9, 139-149.

Pandey, M., Thomas, B. C., Ramdas, K., Eremenco, S., & Nair, M. K. (2004). Reliability & validity of the Malayalam Functional Assessment of Cancer Therapy for head & neck cancer. Indian Journal of Medical Research, 120, 51-55.

Rao, D., Debb, S., Blitz, D., Choi, S., Cella, D. (in press). Ethnic/racial differences in the health-related quality of life of cancer patients. Journal of Pain and Symptom Management.

Reilly, T. F. (1991). Cultural bias: The albatross of assessing behavior-disordered children and youth. Preventing School Failure, 36(1), 50-53.

Reynolds, C. R. (1982). The problem of bias in psychological assessment. In C. R. Reynolds & T. B. Gutkin (Eds.), The handbook of school psychology (pp. 178-209). New York: Wiley.

Sattler, J. M. (2001). Assessment of children: Cognitive applications (4th ed.). San Diego, CA: Jerome M. Sattler Publisher.

Slife, B. D., Williams, R. N., & Barlow, S. H. (2001). Critical issues in psychotherapy. Thousand Oaks, CA: Sage.

Suzuki, L. A., & Valencia, R. R. (1997). Race-ethnicity and measured intelligence: Educational implications. American Psychologist, 52(10), 1103-1114.

Tchen, N., Bedard, P., Yi, Q.-L., Klein, M., Cella, D., Eremenco, S., & Tannock, I. F. (2003). Quality of life and understanding of disease status among cancer patients of different ethnic origin. British Journal of Cancer, 89, 641-647.

Urani, M. A. (2005). An examination of the cultural variables affecting WISC-IV scores in an orthodox Jewish population of school-aged children. Unpublished master’s thesis, Midwestern University, Downers Grove, Illinois.

Valencia, R. R., & Suzuki, L. A. (2001). Intelligence testing and minority students. Thousand Oaks, CA: Sage.

Whaley, A. L., & Davis, K. E. (2007). Cultural competence and evidence-based practice in mental health services: A complementary perspective. American Psychologist, 62(6), 563-574.

Yoo, H., Suh, C., Kim, S., Eremenco, S., Kim, H., & Kim, S. (2006). Korean translation and validation of the Functional Assessment of Cancer Therapy-lung (FACT-L) version 4. Quality Life Research, 15, 161-166.

Ysseldyke, J., & Thurlow, M. (1984). Assessment practices in special education: Adequacy and appropriateness. Educational Psychologist, 9, 123-126.

Published
2007-05-10
Section
Articles