Adaptação cultural, validade e confiabilidade da versão brasileira do Inventário de Habilidades de Vida Independente: versão do paciente (ILSS-BR/P), na esquizofrenia

Abstract

Background: There is a strong association between good psychosocial functioning and the ability to carry out everyday tasks in patients with schizophrenia. Valid instruments become increasingly necessary to evaluate the performance of these patients in independent living activities. Objective: To adapt and assess the psychometric properties of the Brazilian version of the Independent Living Skills Survey (ILSS-BR/P) in patients with schizophrenia. Methods: Reliability was assessed with test-retest, interrater and internal consistency. Furthermore, construct, discriminant and concurrent validity were assessed. Results: Fifty patients were included in the interrater study, with an agreement of 64.4% between responses and an Intraclass Correlation (ICC) ranged from 0.80-0.99. Forty-six patients participated in the test-retest, with an ICC ranged from 0.84-0.94 and an agreement of 44.3%. The internal consistency was good (0.23-0.98). Hundred and sixty patients participated in the validation. Regarding to the discriminant validity, female patients presented a higher performance in the overall score and five subscales compared with men. The concurrent validity confirmed the specificity of the dimensions of the scale, comparing the ILSS with the PANSS, Calgary, CGI, GAF, WHOQOL and the Rosenberg Self-Esteem. Discussion: The ILSS-BR/P is a valid and reliable research instrument to assess social functioning in patients with schizophrenia.

A 6-month randomized controlled trial to test the efficacy of a lifestyle intervention for weight gain management in schizophrenia

“…Global functioning was evaluated by Global Assessment of Functioning (GAF) [24], and independent living skills by Independent Living Skills Survey - patient version (ILSS-BR/P) [25]. Patients were asked to reply to the following self-rated scales: The World Health Organization's WHOQOL-BREF quality of life assessment- WHOQoL-BREF [26], Rosenberg self-esteem scale [27], Dietary Instrument for Nutrition Education (DINE) to classify dietary fat (satured and unsatured fat) and fiber intakes [28], Fagerström tolerance questionnaire to evaluate tobacco dependence [29], and International Physical Activity Questionnaire-short version (IPAQ) [30] to evaluate physical activity.…”

Validação da Recovery Assessment Scale (RAS) no Brasil para avaliar a capacidade de superação das pessoas com esquizofrenia

“…Inventário de Habilidades de Vida Independente (ILSS-SR) 26 : avalia 10 domínios: aparência e vestuário, higiene pessoal, cuidado com os objetos pessoais, preparo e armazenamento dos alimentos, saúde, administração do dinheiro, transporte, lazer, emprego e manutenção do trabalho.…”

Treatment outcome indicators of schizophrenia according to Brazilian family caregivers and outpatients

“…From a psychometric perspective, several studies [10,14] have used instruments that measure a possible "degree" of psychosocial rehabilitation, measuring subjective constructs, such as independent living skills, that would indicate the perception of change due to the treatment provided and satisfaction with the service: measures correlated with psychosocial rehabilitation, under the psychometric theory approach that is configured as something measurable. [16] The present study evaluated psychiatric care through possible indicators, which are not formalized as part of the Brazilian mental health policy, however, have been applied by researchers with broad experience in the area of mental health. The aim of this evaluation proposal is to assist in the planning and development of more specific interventions, as well as to evaluate their impact on the target population, thus contributing to the advancement of empirical and theoretical knowledge.…”