Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya

Abstract Background There is an urgent need to measure the psychological toll of climate-related ecological degradation and destruction in low- and middle-income countries. However, availability of locally adapted tools is limited. Our objective was to conduct a transcultural translation and cultura...

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Main Authors: Syed Shabab Wahid, Linda Norah Khakali, Felix Agoi, Benjamin Oestericher, Emily Mendenhall, Edna N. Bosire
Format: Article
Language:English
Published: Cambridge University Press 2025-01-01
Series:Cambridge Prisms: Global Mental Health
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Online Access:https://www.cambridge.org/core/product/identifier/S2054425125000081/type/journal_article
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author Syed Shabab Wahid
Linda Norah Khakali
Felix Agoi
Benjamin Oestericher
Emily Mendenhall
Edna N. Bosire
author_facet Syed Shabab Wahid
Linda Norah Khakali
Felix Agoi
Benjamin Oestericher
Emily Mendenhall
Edna N. Bosire
author_sort Syed Shabab Wahid
collection DOAJ
description Abstract Background There is an urgent need to measure the psychological toll of climate-related ecological degradation and destruction in low- and middle-income countries. However, availability of locally adapted tools is limited. Our objective was to conduct a transcultural translation and cultural adaptation (TTA) of the Solastalgia subscale of the Environmental Distress Scale (EDS-Solastalgia) in Kilifi, Kenya, which is undergoing transformational changes due to climate change. Methods We conducted 5 expert interviews, 2 Focus Group Discussions (n = 22) and 10 cognitive interviews to solicit feedback on the EDS along the following cultural equivalency domains: Comprehensibility (Semantic equivalence); Relevance (Content equivalence); Response set (Technical equivalence) and Completeness (Semantic, criterion and conceptual equivalence). Results After an initial translation and back translation of the EDS-Solastalgia, respondents identified several terms that needed to be altered to make the scale understandable, less technical and culturally acceptable. For some items, respondents recommended examples to be included to aid comprehensibility. Feedback from respondents were iteratively integrated into the Swahili EDS-Solastalgia scale, and final endorsement of all changes were confirmed during cognitive interviews. Discussion The culturally adapted Swahili EDS-Solastalgia scale needs to be tested for its psychometric properties prior to utilization in survey studies to quantitatively establish the burden of climate-related distress and test for associations with common mental health conditions.
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spelling doaj-art-925571c8b26e4bac9fba462c758881e52025-02-07T08:16:48ZengCambridge University PressCambridge Prisms: Global Mental Health2054-42512025-01-011210.1017/gmh.2025.8Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, KenyaSyed Shabab Wahid0https://orcid.org/0000-0003-0355-0537Linda Norah Khakali1Felix Agoi2Benjamin Oestericher3Emily Mendenhall4Edna N. Bosire5Department of Global Health, School of Health, Georgetown University Medical Center, Georgetown University, Washington, DC, USABrain and Mind Institute, The Aga Khan University, Nairobi, KenyaDepartment of Population Health, The Aga Khan University, Nairobi, KenyaSchool of Foreign Service, Georgetown University, Washington, DC, USASchool of Foreign Service, Georgetown University, Washington, DC, USABrain and Mind Institute, The Aga Khan University, Nairobi, KenyaAbstract Background There is an urgent need to measure the psychological toll of climate-related ecological degradation and destruction in low- and middle-income countries. However, availability of locally adapted tools is limited. Our objective was to conduct a transcultural translation and cultural adaptation (TTA) of the Solastalgia subscale of the Environmental Distress Scale (EDS-Solastalgia) in Kilifi, Kenya, which is undergoing transformational changes due to climate change. Methods We conducted 5 expert interviews, 2 Focus Group Discussions (n = 22) and 10 cognitive interviews to solicit feedback on the EDS along the following cultural equivalency domains: Comprehensibility (Semantic equivalence); Relevance (Content equivalence); Response set (Technical equivalence) and Completeness (Semantic, criterion and conceptual equivalence). Results After an initial translation and back translation of the EDS-Solastalgia, respondents identified several terms that needed to be altered to make the scale understandable, less technical and culturally acceptable. For some items, respondents recommended examples to be included to aid comprehensibility. Feedback from respondents were iteratively integrated into the Swahili EDS-Solastalgia scale, and final endorsement of all changes were confirmed during cognitive interviews. Discussion The culturally adapted Swahili EDS-Solastalgia scale needs to be tested for its psychometric properties prior to utilization in survey studies to quantitatively establish the burden of climate-related distress and test for associations with common mental health conditions. https://www.cambridge.org/core/product/identifier/S2054425125000081/type/journal_articleassessment toolsculturedeveloping countriesdistresssolastalgiaclimate change
spellingShingle Syed Shabab Wahid
Linda Norah Khakali
Felix Agoi
Benjamin Oestericher
Emily Mendenhall
Edna N. Bosire
Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya
Cambridge Prisms: Global Mental Health
assessment tools
culture
developing countries
distress
solastalgia
climate change
title Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya
title_full Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya
title_fullStr Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya
title_full_unstemmed Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya
title_short Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya
title_sort cultural and contextual adaptation of the solastalgia subscale of the environmental distress scale in drought affected kilifi kenya
topic assessment tools
culture
developing countries
distress
solastalgia
climate change
url https://www.cambridge.org/core/product/identifier/S2054425125000081/type/journal_article
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