{
  "abstract": "Objectives To describe the process and experience of translating, adapting, and implementing the WHO Global Scales for Early Development (GSED) tool in Ethiopia.Methods WHO guidelines were followed to translate and adapt the GSED tool to Amharic. Two Ethiopian child health experts were trained as GSED Master Trainers. The tool was forward translated by two independent translators with previous experience in child development assessment, consensus was obtained, and the back translation was reviewed/approved by the WHO. The GSED app was programmed in Amharic and piloted for 40 children aged 6–36 months, followed by its implementation by trained study nurses in a child development study in Bahir Dar. The finalized tool was then administered by trained nurses to 364 children in the same age group. Quality control checks were performed by Master Trainers to assess inter-rater agreement.Results Minor adaptations were made to terminologies, and certain items were rephrased in both short and long forms. Modifications were made to physical objects to ensure cultural appropriateness. Local examples were incorporated where necessary. The average administration time was 50–60 minutes. Quality control assessments showed high agreement between Master Trainers and nurses (average agreement: 91%). This study demonstrated the high acceptability and feasibility of the GSED tools.Conclusions The preliminary experience with the GSED tool in Ethiopia is positive, with high-competency trained staff and ease of administration. Local contextualization enhanced its cultural relevance. The study demonstrated feasibility, acceptability, and the potential for large-scale use in similar settings.",
  "authors": [
    {
      "affiliations": [
        "Department of Pediatrics and Child Health, Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia"
      ],
      "name": "Atsede Teklehaimanot Legesse"
    },
    {
      "affiliations": [
        "Addis Continental Institute of Public Health, Addis Ababa, Ethiopia"
      ],
      "name": "Kalkidan Yibeltal Admasu"
    },
    {
      "affiliations": [
        "Aciph, Addis Ababa, Ethiopia"
      ],
      "name": "Firehiwot Workneh B"
    },
    {
      "affiliations": [
        "Aciph, Ethiopia"
      ],
      "name": "Yemane Birhane F"
    },
    {
      "affiliations": [
        "Aciph, Ethiopia"
      ],
      "name": "Nebiyou Fasil"
    },
    {
      "affiliations": [
        "Brown University & Brigham and Women’s Hospital, Boston, USA"
      ],
      "name": "Anne CC Lee"
    },
    {
      "affiliations": [
        "Brown University & Brigham and Women’s Hospital, Boston, Ethiopia"
      ],
      "name": "Theresa I Chin"
    },
    {
      "affiliations": [
        "Harvard Medical School & Boston Children’s Hospital, Boston, USA"
      ],
      "name": "Krysten North"
    },
    {
      "affiliations": [
        "Harvard Medical School & Boston Children’s Hospital, Boston, USA"
      ],
      "name": "Sarah KG Jensen"
    },
    {
      "affiliations": [
        "Aciph, Addis Ababa, Ethiopia"
      ],
      "name": "Alemayehu Worku"
    }
  ],
  "title": "49 Adaptation and implementation of the global scales for early development (GSED) tool in Ethiopia",
  "uid": "3aa0b361-a99d-5fe1-847c-959465366916"
}