Versão em português, adaptação transcultural e validação de questionário para avaliação da qualidade de vida para pacientes portadores de marcapasso: AQUAREL

Abstract

OBJECTIVETo translate, to make the cultural adaptation and to evaluate reproducibility and validity of the Portuguese version of the AQUAREL (Assessment of QUAlity of life and RELated events) questionnaire, which is a specifi c tool to assess quality of life in pacemaker patients. METHODSWe evaluated 202 pacemaker patients: 63 patients during the cross-cultural adaptation stage and 139 during the reproducibility and validity evaluation stages. The questionnaire translation was reviewed repeatedly until ≥85% of patients correctly understood the questions. Reproducibility of the fi nal version was tested in 69 patients in whom the interview was performed twice by the same researcher. Validity was checked by the correlation between scores obtained in AQUAREL domains and those obtained in SF36 domains, in the functional class and the distance walked in the six-minute test. RESULTSThe internal consistency of AQUAREL was adequate, with Cronbach's alpha coeffi cient varying between 0.59 and 0.85. Reproducibility was good, with high correlation coeffi cients (0.68-0.89) and random distribution of data in Bland and Altman plots, without systematic bias. A signifi cant association was observed among AQUAREL domains and those obtained in SF36 domains and the functional class (p<0.01), although significant correlations with the distance walked in the six-minute test were not found. CONCLUSIONThe Portuguese version of the AQUAREL questionnaire is easy and rapid to apply, and could be used as a specifi c questionnaire to assess quality of life in pacemaker patients.

Measuring Instruments In Cardiology Adapted Into Portuguese Language Of Brazil: A Systematic Review

“…The validation process was described in only six articles (13,20,(23)(24)(25)(26) . Construct validity was assessed in the DASS (13) , Bulpitt and Fletcher Quality of Life Instrument for Hypertensives (20) , MINICHAL (23) , MICRO-Q (24) , AQUAREL (25) , and CRBS (26) instruments, and exploratory factor analysis was performed in four of these (13,(23)(24)26) .…”

“…Construct validity was assessed in the DASS (13) , Bulpitt and Fletcher Quality of Life Instrument for Hypertensives (20) , MINICHAL (23) , MICRO-Q (24) , AQUAREL (25) , and CRBS (26) instruments, and exploratory factor analysis was performed in four of these (13,(23)(24)26) . Criterion validity, following the description and the name contained in the selected articles, was assessed in four instruments: Bulpitt and Fletcher Quality of Life Instrument for Hypertensives (20) , MINICHAL (23) , AQUAREL (25) and CRBS (26) . Of the 14 instruments identified, all were recent in terms of the year of publication (beginning in the year 2006), and most were originally developed in the decades of the 1990s and 2000s.…”

“…In this review, only the AQUAREL validation (25) showed that criterion validity was properly performed. In the context of self-report measures of health status, such as the evaluation of quality of life, criterion validity is rarely used, since there is still an available gold standard measure (11) .…”

Health-Related Quality of Life of Patients With Permanent Cardiac Pacing

“…The Brazilian version 14 of the generic instrument Medical Outcomes Study 36 -Item Short-Form Health Survey (SF-36), 13 and an instrument specific to assessing HRQoL among patients with PPI, the Brazilian version 16 of the Assessment of Quality of Life and Related Events (AQUAREL), 15 were used. The patients' HRQoL were individually assessed by one of the researchers who read each item of each of the instruments, along with the alternative answers, and checked the alternatives patients indicated.…”

Validação de conteúdo de um programa de visita domiciliar para a díade mãe-criança

“…A validação é um processo no qual se busca demonstrar a capacidade de um programa, de um teste ou de um instrumento contemplar ou medir o que realmente se propõe 104 …”