Translation and cross-cultural adaptation of the traumatic injuries distress scale to persian

Psychological factors have been consistent predictors of recovery followingmusculoskeletal injuries. The Traumatic Injuries Distress Scale (TIDS) is a risk-basedprognostic screening tool that has been developed for predicting recovery from acutemusculoskeletal trauma. The purpose of this study was to translate and cross-culturallyadapt the TIDS to Persian. The forward-backward translation technique was used to translate the TIDSfrom English to Persian. The final version was obtained by consensus with the translationcommittee. Cognitive interviews were used to evaluate lingual accuracy and cultural orcontextual appropriateness. 13 participants completed cognitive interviews based on thetalk-aloud and probing approach to explore individual items. Participants (age range 22-58) had no problems in questions two, six, eight, and11. Participants identified potential issues in 4/6 areas of a cognitive interview codingsystem: comprehension/clarity, inadequate response definition, perspective modification,reference point, and calibration across items. These issues informed changes made toarrive at the final version of the P-TIDS. The TIDS, which is a tool to assess psychological distress followingmusculoskeletal trauma was translated and culturally adapted to Persian. Throughcognitive interviewing, some issues were identified that were related to cross-culturalinterpretation and application of the items that were resolved through rewording andrecalibration of the tool. The TIDS-Pcan be a significant addition to the toolbox of Persianhealthcare providers for assessing the risk of developing chronic pain post-musculoskeletaltrauma. Psychometric studies are now underway to further evaluate the properties of thetranslated tool.