Adaptação Transcultural do Oral Anticoagulation Knowledge Test para o Português do Brasil

Praxedes, Marcus Fernando da Silva; Abreu, Mauro Henrique Nogueira Guimarães de; Ribeiro, Daniel Dias; Marcolino, Milena Soriano; Paiva, Saul Martins; Martins, Maria Auxiliadora Parreiras

doi:10.1590/1413-81232017225.17782015

Cited by 9 publications

(8 citation statements)

References 17 publications

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“…We corrected the misunderstanding on what the instrument calls the "Main Message" and "Risk" during the adaptation process. These findings reinforce those found in other studies, highlighting the importance of the work of the committee of experts and pre-test in cross-cultural adaptations 11,12,14,15 .…”

Section: Discussionsupporting

confidence: 92%

“…The adaptation of the CDC-CCI instrument is a crucial stage, since it provides an opportunity to test its feasibility in Brazil. This study obtained the results of the conceptual and semantic equivalence using robust methods that were used in other processes for adapting instruments from English to Brazilian Portuguese [11][12][13] . One adapted instrument must be equivalent to the source instrument in such a way that its meaning is the same for the majority of the desired population 10 in their different cultural and linguistic contexts.…”

Section: Discussionmentioning

confidence: 99%

“…Four translators participated in the development of this research (two Brazilians and two Americans); a committee of experts consisting of Professors from the Schools of Dentistry and Pharmacy of the Universidade Federal de Minas Gerais (UFMG); a linguist; the main author of the original instrument, Cynthia Baur (CB), Professor at the University of Maryland, USA; and 30 primary healthcare professionals in public health, all volunteers, from a small city of the state of Minas Gerais, southeast Brazil. The sample size of 30 was similar to other studies in the cross-cultural adaptation of healthcare instruments [11][12][13] and consisted of a convenience sample of health professionals with higher education degrees who work at ten Primary Health Care Units in Minas Gerais. We approached these professionals at the Primary Health Care Unit where they work, and they provided written consent to participate in this project.…”

Section: Methodsmentioning

confidence: 99%

“…The committee of experts received the back-translation and original version of the CDC-CCI. For referential meaning, the committee evaluated these two versions without knowing which was the original and which had been back-translated 11,14 . A visual analog scale was used for referential meaning evaluation.…”

Section: Methodsmentioning

confidence: 99%

“…They evaluated each pair of statements, having to reach a consensus. They classified them as: unaltered (UA), slightly altered (SA), very altered (VA), and completely altered (CA) 10,11,14,15 . In this step, the committee was aware of the two versions (the original and the back-translated).…”

Section: Methodsmentioning

confidence: 99%

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Cross-cultural adaptation of the Clear Communication Index to Brazilian Portuguese

et al. 2020

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OBJECTIVE: To perform a cross-cultural adaptation of the Clear Communication Index instrument from the Centers for Disease Control and Prevention (CDC-CCI) from English to Brazilian Portuguese. METHODS: This study comprised initial discussion about the conceptual equivalence of the instrument by a committee formed by experts on health education. We performed translations, synthesis of translations, back-translations, revision by the committee, and linguistic revision. Semantic equivalence was obtained by analyzing the referential and general meaning of each item by the committee, resulting in a pre-final version of the instrument. Subsequently, thirty professionals with health sciences degrees performed a pre-test. These professionals used the pre-final version of the instrument to assess a health education material. A questionnaire was applied to evaluate the acceptability of the instrument, the understanding of each of the 20 items, as well as the individual and professional variables. We analyzed the scores attributed to the health education material, the variables related to healthcare professionals, the proportions of the acceptability of the instrument, and the comprehension of each item. RESULTS: After we obtained the conceptual equivalence of the instrument, the committee of experts, the instrument’s main author, and the linguist produced the pre-final version using two translations, a synthesis of the translations, and two back-translations. A general equivalence was maintained in 15 of the 20 items (75%), four of the items were slightly altered (20%), and one item was very altered (5%). Nineteen items presented referential equivalence or near equivalence (95%). We then carried out with the pre-test, in which the professionals used the pre-final version. Two items in the domains of “risks” and “main message” were unclear and needed to be revised. CONCLUSION: The process of cross-cultural adaptation of the Clear Communication Index provided an adapted version to the Brazilian Portuguese language.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Cross-cultural adaptation of the Clear Communication Index to Brazilian Portuguese

et al. 2020

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Assessment of patient knowledge on warfarin: An item response theory approach

et al. 2020

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Implementation of a text messaging intervention to patients on warfarin therapy in Brazilian primary care units: a quasi-experimental study

et al. 2022

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Background Warfarin remains the most affordable oral anticoagulant in many countries. However, it may have serious side effects, and the success of the therapy depends on the patient’s understanding of the medication and their adherence to treatment. The use of short messages services (SMS) is a strategy that can be used to educate patients, but there are no studies evaluating this intervention in patients taking warfarin. Therefore, we aimed to develop, implement, and assess the feasibility of an intervention using SMS to primary care patients taking warfarin in a medium-sized Brazilian city. Methods A bank of 79 SMS was drafted and validated by an expert panel. During 6 months, three times a week, patients received messages about anticoagulation with warfarin. At baseline and after 3 months, we assessed their knowledge and adherence with validated instruments. At the end of the follow-up, participants answered a satisfaction questionnaire. Subsequently, a scale-up phase was conducted, with another round of the intervention including 82 participants (29 from the first phase and 53 newly recruited). Seven months after the end of the scale-up, we asked the patients for their insights about the long-term effects of this program. All patients signed informed consent. The study was approved by the Research and Ethics committee of the Universidade Federal de Minas Gerais. Results In the pilot, 33 (89.2%) patients completed the follow-up. Among the participants who answered the satisfaction questionnaire (n = 29), 86.2% considered that the intervention motivated a healthy lifestyle and improved their understanding of warfarin therapy. All patients were willing to continue receiving the messages. Adherence measured by the Measure of Adherence to Treatment (MAT) test was high in the pre-intervention assessment and remained high (96.7% vs. 93.3%; p = 1.0000). The proportion of patients who achieved > 75% correct answers on the Oral Anticoagulation Knowledge (OAK) test increased from 6.5% to 25.6, p = 0.0703. In the scale-up, 23 patients answered the long-term assessment questionnaire. The main long-term knowledge reported was dietary information. Nine patients received the messages but did not remember their content. Conclusion The intervention was well-accepted and had a positive impact on patient’s knowledge about oral anticoagulation therapy. The scale-up assessment reinforced the need to constantly monitor digital interventions.

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Adaptação Transcultural do Oral Anticoagulation Knowledge Test para o Português do Brasil

Cited by 9 publications

References 17 publications

Cross-cultural adaptation of the Clear Communication Index to Brazilian Portuguese

Cross-cultural adaptation of the Clear Communication Index to Brazilian Portuguese

Assessment of patient knowledge on warfarin: An item response theory approach

Implementation of a text messaging intervention to patients on warfarin therapy in Brazilian primary care units: a quasi-experimental study

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