Cross-cultural adaptation content validation and translation of Knowledge of Preterm Infant Behavior questionnaire

Authors permission will be taken for content validation of questionnaire.Phase 1 : Parents of preterm infants and subject matter experts will get the KPIB questionnaire along

with the options of Understandibility, Clarity , Simplicity , Relevance and space for Comments below

each question . According to which they will validate the content of KPIB questionnaire , Words which

are difficult to understand will be modified by the experts . The questionnaire and a covering letter

stating the goal of validating the questionnaire in the regional context , the rationale behind their

selection, and the significance of their involvement in validating the questionnaire , will be sent to the

validators, who include pediatricians, physiotherapists, occupational therapists, and Parents of

preterm infants who can read and write English.

After validating the questionnaire ,Written inform consent from 6 Parents of preterm infants will be

taken and they will be instructed to rate the questions according to understanding of the questionnaire

and asking them to rate according to likert scale (0-5) . Words which are difficult to understand will be

cross culturally adapted by the committee members.

Phase 2 -

Translation and parallel back translation: To improve its usefulness and acceptability by the local

population, standard method will be followed for translation into the local tongue. Following the

completion of the content validity assessment, two independent individuals who are fluent in both

Kannada and English will translate this questionnaire into the local language, Kannada. A third party

with bilingual knowledge will be included in the discussion of both versions in order to address any

differences or word ambiguities that are found. Following the ultimate agreement, a single version will

be ready. This final copy will be forwarded to an additional blind recipient. This final copy will be

translated back into English (the original language) by someone else who was fully blinded to the

study. Following parallel back translation, a conference of an expert committee will be convened,

comprising language specialists, translators, physiotherapists, and pediatricians, to finalize the form

and ensure that it is equivalent in both Kannada and