Translation, cultural adaptation, pilot testing, and psychometric validation of Nepali version of EORTC Sexual Health Questionnaire (SHQ) in Nepali Cancer patients

Namrata Pradhan
Nepal Cancer Hospital and Research Center, Harisiddhi, Lalitpur
Anju Shrestha
Nepal Cancer Hospital and Research Center, Harisiddhi, Lalitpur
Jeevan Thapa
Patan Academy of Health Sciences, Lagankhel, Kathmandu
Gaurav Bhattarai
Black Country Healthcare NHS Foundation Trust
Keywords:
Sexual health EORTC SHQ Sexual Health Questionnaire translation cultural adaptation psychometric validation cancer Nepali version

Abstract

Introduction: Sexual health significantly impacts the quality of life in cancer patients, yet no validated Nepali version of the EORTC Sexual Health Questionnaire (SHQ) exists. This study aimed to translate, culturally adapt, and validate the EORTC SHQ for use in Nepal.


Materials and Methods: Following EORTC guidelines, the SHQ underwent forward and backward translation, expert review, and pilot testing. Ethical approval was obtained from the Institutional Review Committee of Nepal Cancer Hospital (IRC-NCHRC 008/2078), and informed consent was secured. A pilot sample of 50 Nepali cancer patients assessed feasibility and comprehensibility. Reliability and validity were analyzed statistically.


Results: The translated SHQ was well understood, with no major issues reported. It demonstrated strong internal consistency, test-retest reliability, and construct validity, correlating significantly with quality of life and psychological distress measures.


Conclusion: The validated Nepali SHQ is a reliable tool for assessing sexual health in Nepali cancer patients. Its availability will enhance understanding of cancer’s impact on sexual functioning and support targeted interventions.


How to Cite

Pradhan, N., Shrestha, A., Thapa, J., & Bhattarai, G. (2025). Translation, cultural adaptation, pilot testing, and psychometric validation of Nepali version of EORTC Sexual Health Questionnaire (SHQ) in Nepali Cancer patients. Journal of Psychiatrists’ Association of Nepal, 14(1), 40-47. https://doi.org/10.3126/jpan.v14i1.80924


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