Jindal N, Jena A, Kumar K, Padhi BK, Sharma R, Jearth V, Dutta U, Sharma V. Hindi translation and validation of the English version of the gastrointestinal symptom rating scale questionnaire: An observational study. World J Gastrointest Pharmacol Ther 2024; 15(5): 97261 [DOI: 10.4292/wjgpt.v15.i5.97261]
Corresponding Author of This Article
Vishal Sharma, MD, Academic Editor, Associate Professor, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India. sharma.vishal@pgimer.edu.in
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Neha Jindal, Anuraag Jena, Vaneet Jearth, Usha Dutta, Vishal Sharma, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
Krishan Kumar, Department of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
Bijaya K Padhi, Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
Rajni Sharma, Advanced Pediatric Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh 160012, India
Author contributions: Sharma V conceptualised the study; Jindal N and Jena A collected and interpreted data; Kumar K, Padhi BK and Sharma R translated the questionnaire; Jena A, Jindal N and Sharma V helped in the cultural adaptation; Padhi BK, Kumar K and Sharma V ensured appropriate methodology; Jearth V, Dutta U and Sharma V provided infrastructural support and critical comments on the methodology; Jindal N wrote the initial draft which was critically revised by all authors; all authors have read and approved the final manuscript.
Institutional review board statement: The study was approved by the institutional ethics committee vide letter number INT/IEC/2023/SPL-977 dated 16-05-2023.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest.
Data sharing statement: The data can be obtained from the corresponding author on reasonable request.
STROBE statement: The authors have read the STROBE Statement—checklist of items, and the manuscript was prepared and revised according to the STROBE Statement—checklist of items.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Vishal Sharma, MD, Academic Editor, Associate Professor, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Sector 12, Chandigarh 160012, India. sharma.vishal@pgimer.edu.in
Received: May 27, 2024 Revised: August 9, 2024 Accepted: August 15, 2024 Published online: September 5, 2024 Processing time: 99 Days and 3.4 Hours
Abstract
BACKGROUND
The gastrointestinal symptom rating scale (GSRS) is a questionnaire in English language which is designed to assess the clinical symptoms in patients with irritable bowel syndrome (IBS) and peptic ulcer disease. This validated scale has questions on around 15 items and has been validated in patients with dyspepsia and IBS.
AIM
To translate and validate the English version of the GSRS questionnaire to the Hindi version.
METHODS
The purpose of the present work was to create a Hindi version of this questionnaire for use in the Indian population. The process involved various steps as per the World Health Organization methodology including initial forward translation, backward translation, and assessment by an expert committee. Initial pilot testing was followed by testing in healthy and diseased individuals.
RESULTS
The Hindi translation was pilot tested in 20 individuals and further validated in healthy controls (n = 30, 15 females) and diseased individuals (n = 72, 27 females). The diseased group included patients with functional dyspepsia and IBS. Cronbach's alpha for internal consistency on the final translated GSRS questionnaire was 0.715 which is considered adequate. Twelve questions significantly differentiated the diseased population from the healthy population (P value < 0.05) in the translated Hindi version of the GSRS.
CONCLUSION
The translated Hindi GSRS can be used to evaluate gastrointestinal function in clinical trials and community surveys in Hindi speaking populations.
Core Tip: The gastrointestinal symptom rating scale is a validated 15 question scale used to assess overall gastrointestinal health and has been used in irritable bowel syndrome (IBS), dyspepsia and in multiple clinical trials. We translated this questionnaire into Hindi and validated it in patients with dyspepsia and IBS. The translation will allow this scale to be used in future studies in Hindi speaking populations.
