{"title":"基于社区的儿童癫痫筛查工具：旁遮普语印度人口中INDT-EPI工具的跨文化适应和验证。","authors":"Rajni Sharma, Sulena Sulena, Gagandeep Singh, Khushboo Bhagat, Tanvi Kiran, Abhay Partap Maurya, Sandeep Negi, Marami Das, Shikha Jain, Hobinder Arora, Sujiv Akkilagunta, Mehzabin Haider Hazarika, Jitendra Kumar Sahu","doi":"10.4103/aian.aian_1060_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background and objectives: </strong>Early diagnosis of epilepsy is crucial for improving outcomes. However, access to specialized healthcare remains a challenge in many regions. This study aimed to adapt and validate the International Clinical Epidemiology Network Diagnostic Tool for Epilepsy (INDT-EPI) for screening childhood epilepsy in the Punjabi-speaking Indian population.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among parents of children aged 1-18 years. The INDT-EPI tool was translated into Punjabi, back-translated, and pilot-tested. Psychometric properties, including internal consistency, were assessed using Cronbach's alpha. Test-retest reliability was assessed using the intraclass correlation coefficient (ICC) and Pearson correlation. Split-half reliability was evaluated using Spearman-Brown prophecy correlation coefficients. Sensitivity and specificity were calculated by comparing the findings of the INDT-EPI tool with clinical diagnoses.</p><p><strong>Results: </strong>The Punjabi version of the INDT-EPI tool demonstrated excellent cross-language concordance and robust psychometric properties. The tool's internal consistency, as measured by Cronbach's alpha, ranged from 0.904 to 1.000, indicating strong consistency across items. Test-retest reliability, assessed using ICC, ranged from 0.88 to 1.00, signifying excellent reliability. The Punjabi version of the INDT-EPI tool exhibited a high sensitivity of 86.6% (95% confidence interval [CI]: 79.2%-93.9%) and specificity of 87.1% (95% CI: 75.3%-98.9%). These findings suggest that the tool is a reliable and effective screening instrument for identifying children with epilepsy in Punjabi-speaking communities.</p><p><strong>Conclusions: </strong>The Punjabi version of the INDT-EPI tool is a reliable and consistent instrument for diagnosing epilepsy in children. Its excellent psychometric properties make it suitable for non-specialist healthcare providers. By enabling early diagnosis, it can improve patient outcomes and address the need for effective epilepsy diagnosis where specialized resources are scarce.</p>","PeriodicalId":8036,"journal":{"name":"Annals of Indian Academy of Neurology","volume":"28 3","pages":"414-421"},"PeriodicalIF":1.9000,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"A Community-Based Screening Tool for Childhood Epilepsy: Cross-Cultural Adaptation and Validation of the INDT-EPI Tool in Punjabi-Speaking Indian Population.\",\"authors\":\"Rajni Sharma, Sulena Sulena, Gagandeep Singh, Khushboo Bhagat, Tanvi Kiran, Abhay Partap Maurya, Sandeep Negi, Marami Das, Shikha Jain, Hobinder Arora, Sujiv Akkilagunta, Mehzabin Haider Hazarika, Jitendra Kumar Sahu\",\"doi\":\"10.4103/aian.aian_1060_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background and objectives: </strong>Early diagnosis of epilepsy is crucial for improving outcomes. However, access to specialized healthcare remains a challenge in many regions. This study aimed to adapt and validate the International Clinical Epidemiology Network Diagnostic Tool for Epilepsy (INDT-EPI) for screening childhood epilepsy in the Punjabi-speaking Indian population.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among parents of children aged 1-18 years. The INDT-EPI tool was translated into Punjabi, back-translated, and pilot-tested. Psychometric properties, including internal consistency, were assessed using Cronbach's alpha. Test-retest reliability was assessed using the intraclass correlation coefficient (ICC) and Pearson correlation. Split-half reliability was evaluated using Spearman-Brown prophecy correlation coefficients. Sensitivity and specificity were calculated by comparing the findings of the INDT-EPI tool with clinical diagnoses.</p><p><strong>Results: </strong>The Punjabi version of the INDT-EPI tool demonstrated excellent cross-language concordance and robust psychometric properties. The tool's internal consistency, as measured by Cronbach's alpha, ranged from 0.904 to 1.000, indicating strong consistency across items. Test-retest reliability, assessed using ICC, ranged from 0.88 to 1.00, signifying excellent reliability. The Punjabi version of the INDT-EPI tool exhibited a high sensitivity of 86.6% (95% confidence interval [CI]: 79.2%-93.9%) and specificity of 87.1% (95% CI: 75.3%-98.9%). These findings suggest that the tool is a reliable and effective screening instrument for identifying children with epilepsy in Punjabi-speaking communities.</p><p><strong>Conclusions: </strong>The Punjabi version of the INDT-EPI tool is a reliable and consistent instrument for diagnosing epilepsy in children. Its excellent psychometric properties make it suitable for non-specialist healthcare providers. By enabling early diagnosis, it can improve patient outcomes and address the need for effective epilepsy diagnosis where specialized resources are scarce.</p>\",\"PeriodicalId\":8036,\"journal\":{\"name\":\"Annals of Indian Academy of Neurology\",\"volume\":\"28 3\",\"pages\":\"414-421\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-05-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Annals of Indian Academy of Neurology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4103/aian.aian_1060_24\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/6/3 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Annals of Indian Academy of Neurology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/aian.aian_1060_24","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/3 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
A Community-Based Screening Tool for Childhood Epilepsy: Cross-Cultural Adaptation and Validation of the INDT-EPI Tool in Punjabi-Speaking Indian Population.
Background and objectives: Early diagnosis of epilepsy is crucial for improving outcomes. However, access to specialized healthcare remains a challenge in many regions. This study aimed to adapt and validate the International Clinical Epidemiology Network Diagnostic Tool for Epilepsy (INDT-EPI) for screening childhood epilepsy in the Punjabi-speaking Indian population.
Methods: A cross-sectional study was conducted among parents of children aged 1-18 years. The INDT-EPI tool was translated into Punjabi, back-translated, and pilot-tested. Psychometric properties, including internal consistency, were assessed using Cronbach's alpha. Test-retest reliability was assessed using the intraclass correlation coefficient (ICC) and Pearson correlation. Split-half reliability was evaluated using Spearman-Brown prophecy correlation coefficients. Sensitivity and specificity were calculated by comparing the findings of the INDT-EPI tool with clinical diagnoses.
Results: The Punjabi version of the INDT-EPI tool demonstrated excellent cross-language concordance and robust psychometric properties. The tool's internal consistency, as measured by Cronbach's alpha, ranged from 0.904 to 1.000, indicating strong consistency across items. Test-retest reliability, assessed using ICC, ranged from 0.88 to 1.00, signifying excellent reliability. The Punjabi version of the INDT-EPI tool exhibited a high sensitivity of 86.6% (95% confidence interval [CI]: 79.2%-93.9%) and specificity of 87.1% (95% CI: 75.3%-98.9%). These findings suggest that the tool is a reliable and effective screening instrument for identifying children with epilepsy in Punjabi-speaking communities.
Conclusions: The Punjabi version of the INDT-EPI tool is a reliable and consistent instrument for diagnosing epilepsy in children. Its excellent psychometric properties make it suitable for non-specialist healthcare providers. By enabling early diagnosis, it can improve patient outcomes and address the need for effective epilepsy diagnosis where specialized resources are scarce.
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The journal has a clinical foundation and has been utilized most by clinical neurologists for improving the practice of neurology. While the focus is on neurology in India, the journal publishes manuscripts of high value from all parts of the world. Journal publishes reviews of various types, original articles, short communications, interesting images and case reports. The journal respects the scientific submission of its authors and believes in following an expeditious double-blind peer review process and endeavors to complete the review process within scheduled time frame. A significant effort from the author and the journal perhaps enables to strike an equilibrium to meet the professional expectations of the peers in the world of scientific publication. AIAN believes in safeguarding the privacy rights of human subjects. In order to comply with it, the journal instructs all authors when uploading the manuscript to also add the ethical clearance (human/animals)/ informed consent of subject in the manuscript. This applies to the study/case report that involves animal/human subjects/human specimens e.g. extracted tooth part/soft tissue for biopsy/in vitro analysis.
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