Linguistic validation of translation of the self-assessment goal achievement (saga) questionnaire from English

Native-speaking residents of the target countries who reported urinary problems/lower urinary tract problems were asked to review a translation of the SAGA questionnaire, which was harmonized among 12 languages: Danish, Dutch, English (UK), Finnish, French, German, Greek, Icelandic, Italian, Norwegian, Spanish, and Swedish. During a cognitive debriefing interview, participants were asked to identify any words that were difficult to understand and explain in their own words the meaning of each sentence in the questionnaire. The qualitative analysis was conducted by local linguistic validation teams (original translators, back translator, project manager, interviewer, and survey research expert).Translations of the SAGA questionnaire from English to 12 European languages were well understood by the participants with an overall comprehension rate across language of 98.9%. In addition, the translations retained the original meaning of the SAGA items and instructions. Comprehension difficulties were identified, and after review by the translation team, minor changes were made to 7 of the 12 translations to improve clarity and comprehension.Conceptual, semantic, and cultural equivalence of each translation of the SAGA questionnaire was achieved thus confirming linguistic validation.Overactive bladder (OAB) is a chronic condition with a prevalence of approximately 11% in men and 13% in women in Europe [1]. Despite a significant armamentarium of effective agents available for the treatment of overactive bladder, many patients with OAB symptoms do not discuss their symptoms with their healthcare provider and remain untreated. In addition, once symptoms are identified and patients are treated, they often discontinue treatment when their expectations are not achieved [2]. Successful management of OAB and lower urinary tract symptoms (LUTS) may be contingent on patients having realistic treatment goals and on clinicians understanding which treatment goals are most important, fo