Cross-cultural adaptation and reproducibility of the Brazilian-Portuguese version of the modified FRESNO Test to evaluate the competence in evidence based practice by physical therapists

Abstract

BACKGROUND:The Modified Fresno Test was developed to assess knowledge and skills of both physical therapy (PT) professionals and students to use evidence-based practice (EBP).OBJECTIVES:To translate the Modified Fresno Test into Brazilian-Portuguese and to evaluate the test's reproducibility.METHOD: The first step consisted of adapting the instrument into the Brazilian-Portuguese language. Then, a total of 57 participants, including PT students, PT professors and PT practitioners, completed the translated instrument. The responses from the participants were used to evaluate reproducibility of the translated instrument. Internal consistency was calculated using the Cronbach's alpha. Reliability was calculated using the intraclass correlation coefficient (ICC) for continuous variables, and the Kappa coefficient (K) for categorical variables. The agreement was assessed using the standard error of the measurement (SEM).RESULTS:The cross-cultural adaptation process was appropriate, providing an adequate Brazilian-Portuguese version of the instrument. The internal consistency was good (α=0.769). The reliability for inter- and intra-rater assessment were ICC=0.89 (95% CI 0.82 to 0.93); for evaluator 1 was ICC=0.85 (95% CI 0.57 to 0.93); and for evaluator 2 was ICC=0.98 (95% CI 0.97 to 0.99). The SEM was 13.04 points for inter-rater assessment, 12.57 points for rater 1 and 4.59 points for rater 2. CONCLUSION: The Brazilian-Portuguese language version of the Modified Fresno Test showed satisfactory results in terms of reproducibility. The Modified Fresno Test will allow physical therapy professionals and students to be evaluated on the use of understanding EBP.

Evidence-based practice educational intervention studies: a systematic review of what is taught and how it is measured

“…occupational therapy [ 37 ], physical therapy [ 38 ], and pharmacy [ 39 ]) and in other languages (e.g. Brazilian-Portuguese version [ 40 ]). It consists of two clinical scenarios with 12 open-ended questions.…”

Adaptation and Validation of the Fresno Test of Competence in Evidence-Based Medicine in Doctor of Pharmacy Students

“…23 The Fresno also has been translated into Spanish, 24 and an adapted version has been translated into Brazilian-Portuguese. 25 There have been several adaptations of the original Fresno to other health disciplines. [26][27][28][29] We did not identify any adaptations of the Fresno to pharmacy.…”

Factorial structure and short version of the Modified Fresno Test to assess the use of evidence-based practice in physiotherapists.

“…In this study was used the Brazilian-Portuguese version of instrument. 8 The participant must choose one of the scenarios so that, from it, he or she can answer the 13 openended questions, being that the answers of questions 9 and 10 require mathematical calculations.…”

“…Also, they evidence that the statistical concepts required in these items are already covered in other items of the instrument, as for example, the item 7. The low reliability of these items justifies its high omission of responses, reported by Silva et al (2015)8 and may be related to the difficulty understanding the questions. The difficulty dealing with statistics is one of the main obstacles, among other pointed to the adoption of EBP in several studies on the theme.…”