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Table 1 Translation Table Instrument: M.D. Anderson Symptom Inventory – Heart Failure, (MDASI – HF Spanish) Language Pair: English to Spanish

From: Validation of the Spanish version of the MD Anderson symptom inventory – heart failure (MDASI-HF-Spanish) module

Source Text

Existing Translation

Harmonized Translation

Back-translation

Discussion

1.

Your problem with abdominal bloating at its WORST?

¿ Lo PEOR que se ha sentido cuando tiene problemas de gases abdominales?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

2.

Your problem with ankle swelling

at its WORST?

¿ Lo PEOR que se ha sentido cuando se le inflaman (hinchan) los tobillos?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

3.

Your difficulty sleeping without adding more pillows under your head at its WORST?

La mayor dificultad cuando ha tenido que dormir sin colocar almohadas adicionales debajo de su cabeza?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

4.

Your problem with lack of energy at its WORST?

¿ Lo PEOR que se ha sentido cuando le falta energía?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

5.

Your problem with racing heartbeat (palpitation) at its WORST?

¿ Lo PEOR que se ha sentido cuando tiene palpitaciones?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

6.

Your problem with nighttime cough at its WORST?

¿ Lo PEOR que se ha sentido cuando tiene tos durante la noche?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

7.

Your problem with waking up at night with difficulty breathing at its WORST?

20.¿ Lo PEOR que se ha sentido cuando se despierta durante la noche con dificultad al respirar?

NA – No change from existing translation

NA – No change from existing translation

Approved by translators

8.

Your problem with sudden weight gain at its WORST?

¿ Lo PEOR que se ha sentido cuando aumenta de peso repentinamente?

NA – No change from existing translation

NA – No change from existing translation

The initial translation began with “su peor…”. However, one patient made a comment that “su peor…” implied a negative connotation “your worst…” symptom. After discussion and general consensus with research team, it was changed to “Lo peor”.