Cross-cultural adaptation of the breast cancer and lymphedema symptom experience index in Bengali

Vincent Singh Paramanandam; Elizabeth Dylke; Mei R. Fu; Anuradha Daptardar; Manali Kamat; Sarika Mahajan; Sharon Kilbreath

doi:10.1177/10436596251345338

Cross-cultural adaptation of the breast cancer and lymphedema symptom experience index in Bengali

Vincent Singh Paramanandam, Elizabeth Dylke, Mei R. Fu, Anuradha Daptardar, Manali Kamat, Sarika Mahajan, Sharon Kilbreath

School of Health Sciences and Nursing

Research output: Contribution to journal › Article › peer-review

2 Citations (Scopus)

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Abstract

Introduction: Breast cancer-related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors' quality of life. The Breast Cancer-related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language.

Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema.

Results: Content validity was confirmed by ≥98% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9% and 51% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50% of predefined hypotheses met. Test-retest reliability (intraclass correlation coefficient [ICC 2,1]) was .46 (95% confidence interval [CI] = [-0.2, 0.8], p = .076).

Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women.

Original language	English
Pages (from-to)	506-517
Number of pages	12
Journal	Journal of Transcultural Nursing
Volume	36
Issue number	5
Early online date	28 Jun 2025
DOIs	https://doi.org/10.1177/10436596251345338
Publication status	Published - Sept 2025

Bibliographical note

Copyright the Author(s) 2025. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

Breast Cancer–related Lymphedema and Symptom Experience Index (BCLE-SEI)
breast cancer
lymphedema
symptoms
patient-reported outcome measures (PROM)

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10.1177/10436596251345338Licence: CC BY

Publisher version (open access)Final published version, 178 KBLicence: CC BY

Cite this

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title = "Cross-cultural adaptation of the breast cancer and lymphedema symptom experience index in Bengali",

abstract = "Introduction: Breast cancer-related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors' quality of life. The Breast Cancer-related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language.Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema.Results: Content validity was confirmed by ≥98\% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9\% and 51\% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50\% of predefined hypotheses met. Test-retest reliability (intraclass correlation coefficient [ICC 2,1]) was .46 (95\% confidence interval [CI] = [-0.2, 0.8], p = .076). Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women.",

keywords = "Breast Cancer–related Lymphedema and Symptom Experience Index (BCLE-SEI), breast cancer, lymphedema, symptoms, patient-reported outcome measures (PROM)",

author = "Paramanandam, \{Vincent Singh\} and Elizabeth Dylke and Fu, \{Mei R.\} and Anuradha Daptardar and Manali Kamat and Sarika Mahajan and Sharon Kilbreath",

note = "Copyright the Author(s) 2025. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.",

year = "2025",

month = sep,

doi = "10.1177/10436596251345338",

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volume = "36",

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AU - Dylke, Elizabeth

AU - Fu, Mei R.

AU - Daptardar, Anuradha

AU - Kamat, Manali

AU - Mahajan, Sarika

AU - Kilbreath, Sharon

N1 - Copyright the Author(s) 2025. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

PY - 2025/9

Y1 - 2025/9

N2 - Introduction: Breast cancer-related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors' quality of life. The Breast Cancer-related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language.Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema.Results: Content validity was confirmed by ≥98% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9% and 51% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50% of predefined hypotheses met. Test-retest reliability (intraclass correlation coefficient [ICC 2,1]) was .46 (95% confidence interval [CI] = [-0.2, 0.8], p = .076). Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women.

AB - Introduction: Breast cancer-related lymphedema is associated with a myriad of distressing symptoms and significantly impacts survivors' quality of life. The Breast Cancer-related Lymphedema Symptom Experience Index (BCLE-SEI) is a validated patient-reported outcome measure (PROM), but is unavailable in Indian languages. This study aimed to cross-culturally adapt the BCLE-SEI into the Bengali language.Method: Following established guidelines, the BCLE-SEI was translated, back-translated, and validated in 168 Bengali-speaking women with or at risk of lymphedema.Results: Content validity was confirmed by ≥98% of participants. Exploratory factor analysis identified two factors in symptom occurrence and distress subscales, explaining 43.9% and 51% of the variance, respectively. Internal consistency (α) was >0.85, and construct validity was supported with over 50% of predefined hypotheses met. Test-retest reliability (intraclass correlation coefficient [ICC 2,1]) was .46 (95% confidence interval [CI] = [-0.2, 0.8], p = .076). Discussion: The BCLE-SEI-Bengali is a reliable and valid PROM for assessing lymphedema-related symptoms for Bengali-speaking women.

KW - Breast Cancer–related Lymphedema and Symptom Experience Index (BCLE-SEI)

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KW - lymphedema

KW - symptoms

KW - patient-reported outcome measures (PROM)

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JO - Journal of Transcultural Nursing

JF - Journal of Transcultural Nursing

IS - 5

ER -

Cross-cultural adaptation of the breast cancer and lymphedema symptom experience index in Bengali

Abstract

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