European Reference Network (ERN) ReCONNET methodology for the cross-cultural adaptation of instruments for research and care in the context of rare connective tissue diseases (CROSSADAPT)
The traditional process of intercultural adaptation, while suitable for one or a few target languages, is not optimal for developing instruments for rare connective tissue diseases (CTDs) in multiple languages simultaneously. The European Reference Network ReCONNET presents the protocol for a novel methodology for cross-cultural adaptation of instruments for research and care in the context of rare CTDs (ReCONNET-CROSSADAPT). It is initiated by the identification of 'key-terms' that are crucial for maintaining the original meaning of the source document. Each language group, led by a senior member and two collaborators, independently assesses the existence and equivalence of these key terms in target languages. Reconciliation meetings are held to establish agreed-upon terms for consistent usage across translations when difficulties arise with key-terms. Subsequently, each language group translates the source document, followed by a reconciliation meeting involving one CTD patient in each group. The purpose of this meeting is to address potential discrepancies among translations, ensuring a comprehensive assessment from a linguistic, cultural and patient perspective. Collective feedback and consensus-based decision-making guide the resolution process. This methodology eliminates the need for backward translation, optimizing time and cost utilization. This new ReCONNET-CROSSADAPT methodology ensures linguistic accuracy, cultural relevance, and contextual appropriateness for the cross-cultural adaptation of instruments for research and care in the context of rare CTDs.
Authors
- Lisa Matthews (ORCID: https://orcid.org/0000-0001-5707-3065)
- Paolo Semeraro (ORCID: https://orcid.org/0000-0002-7053-3086)
- Cédric Sztejkowski
- Marta Mosca (ORCID: https://orcid.org/0000-0001-5937-4574)
- Carlos Vasconcelos (ORCID: https://orcid.org/0000-0002-8073-5028)
- Cristina Pamfil (ORCID: https://orcid.org/0000-0003-0175-2645)
- Thomas Thibault (ORCID: https://orcid.org/0000-0002-4459-8978)
- Christina Düsing (ORCID: https://orcid.org/0009-0005-2601-8203)
- Francesca Crisafulli (ORCID: https://orcid.org/0000-0003-0319-1538)
- Simona Rednic (ORCID: https://orcid.org/0000-0001-8149-7722)
- Alejandro Lamas
- Laura Damian (ORCID: https://orcid.org/0000-0002-5735-3929)
- Thomas Rose (ORCID: https://orcid.org/0000-0003-3628-1775)
- Lou Kawka
- Raquel Faria (ORCID: https://orcid.org/0000-0002-2956-1966)
- Giuseppe Turchetti (ORCID: https://orcid.org/0000-0002-1877-5459)
- Laurent Arnaud (ORCID: https://orcid.org/0000-0002-8077-8394)
- Camelia Bucșa (ORCID: https://orcid.org/0000-0002-9068-7293)
- Rosaria Talarico
- Giulia Fontana (ORCID: https://orcid.org/0009-0002-7298-8962)
- H. Devilliers
- Oliver Sander
- Philippe Mertz
- Teodora Neagu
- Mihaela Resteu
- Sofia Silva-Ribeiro
Institutions
- University of Pisa (IT)
- Scuola Superiore Sant'Anna (IT)
- Iuliu Hațieganu University of Medicine and Pharmacy (RO)
- Düsseldorf University Hospital (DE)
- Assistance Publique – Hôpitaux de Paris (FR)
- Centre de Référence des Maladies Autoinflammatoires et des Amyloses (FR)
- Health Awareness (United States) (US)
- Hospital de Santo António (PT)
- Maison des Sciences sociales et des Humanités de Dijon (FR)
- Hôpitaux Universitaires de Strasbourg (FR)
- Center for Rheumatology (US)
- Azienda Ospedaliera Universitaria Pisana (IT)
- Heinrich Heine University Düsseldorf (DE)
- Charité - Universitätsmedizin Berlin (DE)
- University of Brescia (IT)
Publication Details
- Journal
- Orphanet Journal of Rare Diseases
- Published
- 2025-05-15
- DOI
- https://doi.org/10.1186/s13023-025-03674-8
- Citations
- 2
- Primary Topic
- Otitis Media and Relapsing Polychondritis
- Type
- article
- Field-Weighted Citation Impact
- 3.34
Funders
- European Commission