Cross-cultural adaptation of the PatientDoctor Relationship Questionnaire (PDRQ-9) in Brazil

Abstract

OBJECTIVE To describe the process of cross-cultural adaptation of the Patient-Doctor Relationship Questionnaire (PDRQ-9), as well as compare the agreement between two different types of application.METHODS This is a cross-sectional study with 133 adult users of a Primary Health Service in Porto Alegre, State of Rio Grande do Sul, Brazil. The PDRQ-9 was answered by the participants as a self-administered questionnaire and in an interview. The instrument was also validated by interview, using data from 628 participants of the Mais Médicos Program Evaluation Research, which is a cross-sectional study with a systematic sample of Primary Care Services in all regions of Brazil. We evaluated the semantic, conceptual, and item equivalence, as well as factor analysis and reliability.RESULTS All items presented factor loading > 0.5 in the different methods of application and populations in the factor analysis. We found Cronbach’s alpha of 0.94 in the self-administered method. We found Cronbach’s alpha of 0.95 and 0.94 in the two different samples in the interview application. The use of PDRQ-9 with an interview or self-administered was considered equivalent.CONCLUSIONS The cross-cultural adaptation of the PDRQ-9 in Brazil replicated the factorial structure found in the original study, with high internal consistency. The instrument can be used as a new dimension in the evaluation of the quality of health care in clinical research, in the evaluation of services and public health, in health management, and in professional training. Further studies can evaluate other properties of the instrument, as well as its behavior in different populations and contexts.

Transcultural adaptation of the Thirst Distress Scale (TDS) into Brazilian Portuguese and an analysis of the psychometric properties of the scale for patients on hemodialysis

“…Significantly far apart upper and lower limits indicate "error" and the possibility of responses oscillating between scales. [26][27][28][29] Reproducibility in the TDS-BR neared perfection, as also described by other authors. 16,18,19 Other instruments have been used to assess thirst in different dimensions.…”

“…The study included 126 patients, a sample size characteristically seen in validation studies. [23][24][25][26] Data collection took place in the morning, afternoon, and evening shifts during HD sessions. The questionnaire included identification information and probed into etiology of CKD, time on HD, KT/V (a marker of quality of dialysis), comorbidities, body mass index (BMI), interdialytic weight gain (an indicator of fluid status), biochemical tests (transferrin, hemoglobin, ferritin, albumin, creatinine, pre-dialysis blood urea nitrogen, post-dialysis blood urea nitrogen).…”

Content validation of the Nutritional Attention Assessment Instrument in Primary Health Care

“…However, regarding F&N actions, it is restricted to inquiring about the provision of nutritional orientation [66]. Other instruments adapted to Brazil for PHC, such as the European Task Force on Patient Evaluation of General Practice Care (EUROPEP) and the Patient-Doctor Relationship Questionnaire (PDRQ-9), are used to assess users' satisfaction with health care and the doctor-patient relationship, respectively [67,68].…”

Monitoramento e avaliação dos atributos da Atenção Primária à Saúde em nível nacional: novos desafios

“…Also noteworthy is the use of instruments to assess the quality of care and patient experience (in population-based surveys), with international and national recognition and validation, such as the Primary Care Assessment Tool (PCATool) 31 , the Patient-Doctor Relationship Questionnaire (PDRQ-9) 32 , a questionnaire that assesses the doctor-patient relationship from the perspective of the patient in the context of PHC, and the Net Promoter Score (NPS) 33 , which has already been used in several areas, including private health, such as the most uncomplicated way to assess customer experience and fidelity. These instruments and their global indicators will be incorporated in 2022 in the Ministry of Health's group of routine monitoring indicators.…”