Adaptação transcultural e validação da escala de Saúde Global do PROMIS para a língua portuguesa

Zumpano, Camila Eugênia; Mendonça, Tânia Maria; Silva, Carlos Henrique Martins da; Correia, Hildeberto; Arnold, Ben; Pinto, Rogério de Melo Costa

doi:10.1590/0102-311x00107616

“…The Patient‐Reported Outcomes Measurement Information System (PROMIS) set measures, funded by the National Institutes of Health (NIH), provides accurate and valid item banks related to various health domains, calibrated by the item response theory 9 . This flexible and reliable instrument can be used to capture the domains of physical and mental health and social well‐being in a variety of conditions, facilitating patient status monitoring and the decision‐making process 9‐11 …”

Section: Introductionmentioning

confidence: 99%

Pain in individuals with idiopathic inflammatory myopathies, other systemic autoimmune rheumatic diseases, and without rheumatic diseases: A report from the COVAD study

Shinjo

¹

,

Kim

²

,

Hoff

³

et al. 2023

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Objectives To compare pain intensity among individuals with idiopathic inflammatory myopathies (IIMs), other systemic autoimmune rheumatic diseases (AIRDs), and without rheumatic disease (wAIDs). Methods Data were collected from the COVID‐19 Vaccination in Autoimmune Diseases (COVAD) study, an international cross‐sectional online survey, from December 2020 to August 2021. Pain experienced in the preceding week was assessed using numeral rating scale (NRS). We performed a negative binomial regression analysis to assess pain in IIMs subtypes and whether demographics, disease activity, general health status, and physical function had an impact on pain scores. Results Of 6988 participants included, 15.1% had IIMs, 27.9% had other AIRDs, and 57.0% were wAIDs. The median pain NRS in patients with IIMs, other AIRDs, and wAIDs were 2.0 (interquartile range [IQR] = 1.0–5.0), 3.0 (IQR = 1.0–6.0), and 1.0 (IQR = 0–2.0), respectively (P < 0.001). Regression analysis adjusted for gender, age, and ethnicity revealed that overlap myositis and antisynthetase syndrome had the highest pain (NRS = 4.0, 95% CI = 3.5–4.5, and NRS = 3.6, 95% CI = 3.1–4.1, respectively). An additional association between pain and poor functional status was observed in all groups. Female gender was associated with higher pain scores in almost all scenarios. Increasing age was associated with higher pain NRS scores in some scenarios of disease activity, and Asian and Hispanic ethnicities had reduced pain scores in some functional status scenarios. Conclusion Patients with IIMs reported higher pain levels than wAIDs, but less than patients with other AIRDs. Pain is a disabling manifestation of IIMs and is associated with a poor functional status.

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“…After the questionnaires were completed by the respondents themselves, the authors performed a retrospective clarification interview with twelve participants to check whether there were items difficult to understand, irrelevant or offensive, and to verify the understanding of each item using the verbal probing technique (cognitive interview in which the interviewer asks research questions specifically designed to extract more detailed information in addition to those usually provided by the interviewees) 38 . The understanding of the items by less than 80% of the interviewees or the suggestion of modifications by more than 20% of the respondents was established as a criterion for reviewing and modifying the translated version 39 .…”

Section: Methodsmentioning

confidence: 99%

Cross-cultural adaptation of the EFFECT questionnaire into Brazilian Portuguese

Costa

¹

,

Castro

²

,

Dourado

³

et al. 2021

Rev. bras. educ. med.

0

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Introduction: Clinical teaching is based on a real work environment, in professional practice settings, such as health services and units, under the supervision of the preceptor. Providing medical teachers with an assessment of their teaching skills is a powerful tool for improving clinical learning for students in training. In this context, the EFFECT (Evaluation and Feedback for Effective Clinical Teaching) questionnaire was developed by Dutch researchers in 2012 for teacher evaluation, being validated based on the literature about medical teaching in the workplace and incorporates the skills of the Canadian competency-based medical curriculum. Objective: To translate and cross-culturally adapt into Brazilian Portuguese and to validate the EFFECT questionnaire for teacher evaluation by Medical students. Method: Cross-cultural adaptation with the following steps: initial translation of the English version, synthesis of translated versions, back-translation, creation of a consensual version in Brazilian Portuguese, with adaptation, review, and analysis of content validity by an expert committee, pre-test with retrospective clarification interview, and reliability analysis by factorial analysis and internal consistency test (Cronbach’s alpha coefficient). Result: In the translation and back-translation stages, the disagreements were related to the use of synonyms and none of the items were modified in terms of their understanding, but in terms of adaptation into the Brazilian context. The evaluation of the expert committee showed the versions maintained the semantic and idiomatic equivalences of the content. Eighty-nine students participated in the pre-test. The internal consistency of the EFFECT questionnaire in Brazilian Portuguese was excellent for all domains, with Cronbach’s alpha coefficient ranging from 0.82 to 0.94. Conclusion: The translated and adapted version of the EFFECT questionnaire into Brazilian Portuguese is equivalent to the original instrument and has evidence of high validity and reliability, being able to constitute a national tool to evaluate the efficiency of clinical medicine teaching.

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“…As respostas para cada questão objetiva são graduadas em uma escala do tipo Likert de 6 pontos (em português: 1 = "crítico, impossível continuar assim"; 2 = "insatisfatório, muitas melhorias necessárias"; 3 = "médio, precisa melhorar alguns pontos"; 4 = "satisfatório, pode melhorar em detalhes"; 5 = "bom, continue assim"; 6 = "excelente, exemplo para os outros"; e NAE = "not-yet able to evaluate" ou "ainda não é capaz de avaliar" 38 . Como critério de revisão e modificação da versão traduzida, estabeleceu-se a compreensão dos itens por menos de 80% dos entrevistados ou sugestão de modificações por mais de 20% dos respondentes 39 .…”

Section: Questionário Effectunclassified

Adaptação transcultural do questionário EFFECT para português brasileiro

Costa

¹

,

Castro

²

,

Dourado

³

et al. 2021

Rev. bras. educ. med.

2

0

View full text Add to dashboard Cite

Introduction: Clinical teaching is based on a real work environment, in professional practice settings, such as health services and units, under the supervision of the preceptor. Providing medical teachers with an assessment of their teaching skills is a powerful tool for improving clinical learning for students in training. In this context, the EFFECT (Evaluation and Feedback for Effective Clinical Teaching) questionnaire was developed by Dutch researchers in 2012 for teacher evaluation, being validated based on the literature about medical teaching in the workplace and incorporates the skills of the Canadian competency-based medical curriculum. Objective: To translate and cross-culturally adapt into Brazilian Portuguese and to validate the EFFECT questionnaire for teacher evaluation by Medical students. Method: Cross-cultural adaptation with the following steps: initial translation of the English version, synthesis of translated versions, back-translation, creation of a consensual version in Brazilian Portuguese, with adaptation, review, and analysis of content validity by an expert committee, pre-test with retrospective clarification interview, and reliability analysis by factorial analysis and internal consistency test (Cronbach’s alpha coefficient). Result: In the translation and back-translation stages, the disagreements were related to the use of synonyms and none of the items were modified in terms of their understanding, but in terms of adaptation into the Brazilian context. The evaluation of the expert committee showed the versions maintained the semantic and idiomatic equivalences of the content. Eighty-nine students participated in the pre-test. The internal consistency of the EFFECT questionnaire in Brazilian Portuguese was excellent for all domains, with Cronbach’s alpha coefficient ranging from 0.82 to 0.94. Conclusion: The translated and adapted version of the EFFECT questionnaire into Brazilian Portuguese is equivalent to the original instrument and has evidence of high validity and reliability, being able to constitute a national tool to evaluate the efficiency of clinical medicine teaching.

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Adaptação transcultural e validação da escala de Saúde Global do PROMIS para a língua portuguesa

Cited by 10 publications

References 39 publications

Pain in individuals with idiopathic inflammatory myopathies, other systemic autoimmune rheumatic diseases, and without rheumatic diseases: A report from the COVAD study

Pain in individuals with idiopathic inflammatory myopathies, other systemic autoimmune rheumatic diseases, and without rheumatic diseases: A report from the COVAD study

Cross-cultural adaptation of the EFFECT questionnaire into Brazilian Portuguese

Adaptação transcultural do questionário EFFECT para português brasileiro

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