Cross-cultural adaptation of the recovery self-assessment instrument (RSA–R) person in recovery version to Brazilian Portuguese (Pt/Br)

Abstract

Purpose The Recovery Self-Assessment (RSA–R) in Revised Version is an instrument designed to assess the degree to which mental health programs and services implement recovery-oriented practices. The purpose of this paper is to conduct a cross-cultural adaptation of the RSA–R instrument for use in local mental health services in the city of Campinas, State of São Paulo, Brazil. Design/methodology/approach This method for cross-cultural adaptation of the instrument included a series of iterative steps including preparation, translation, back translation, harmonization, expert evaluation, focus groups, in-depth interviews, expert opinion and pilot study. Findings A multi-rater assessment of the equivalence of content between the original RSA–R and the translated version revealed that each of the 32 items achieved at least 88% agreement in terms of equivalency. A multi-step harmonization process revealed additional suggestions for improvements in readability, comprehension and applicability to Brazilian context. An expert in youth and adult education provided additional stylistic recommendations. Combined, this iterative approach to cross-cultural translation resulted in an adapted version of the instrument that was well understood, culturally appropriate and adequate for further verification of psychometric properties. Originality/value The recovery process in Brazil and in the USA has culturally determined differences in terms of the way mental disorders are understood, diagnosed and treated. Moreover, there are different notions of what constitutes desirable results of recovery, health care and welfare. At the present time, there are few, if any, available cross-cultural instruments to assess the recovery-orientation of services between Brazil and the USA.

Investigating the factor structure of a translated recovery-orientation instrument in inpatient treatment for substance use disorder

“…RSA for users has previously been translated from US English to Chinese [ 11 ], Swedish [ 12 ], Malaysian [ 13 ] and Hong Kong Chinese [ 14 ], in which all have been tested for validity among people attending community mental health services. More recently, RSA for users has been translated to Brazilian Portuguese and culturally adapted to community mental health services in Brazil but has not yet been psychometrically tested [ 15 ].…”

Factors associated with personal recovery in an outpatient sample of people with Schizophrenia in Brazil

“…The short version of the RAS validated in Brazil has 24 items [25,38,39] with response options available on a Likert scale, ranging from 1 to 5 (strongly disagree=1; disagree=2; not sure=3; agree=4 and strongly agree =5). The RAS is originally divided into ve dimensions, which were replicated in an international study using factor analysis.…”

“…Most of the few published studies are related to the incorporation of the concept of recovery and the lived experience of its processes and dimensions by people with severe mental illnesses [23,24], as well as the cross-cultural validation of instruments to be used in services and professional practices. [22,25,26].…”

Conceitos De Recovery E Trabalho Para Pessoas Em Sofrimento Mental

“…Como essa participação pode ser alcançada é um problema para o futuro ..." (BASAGLIA, 1980, p. 27). O processo de Reforma Psiquiátrica no Brasil, nos últimos 30 anos, produziu avanços na qualidade e no acesso ao cuidado de pessoas com sofrimento mental que são impressionantes (CAMPOS; COSTA; PEREIRA; RICCI et al, 2017;COSTA, 2016;PASSOS;PALOMBINI ADE;DOS SANTOS et al, 2013;CRISTINA;MARIA et al, 2021;LA-ROTTA;ONOCKO-CAMPOS et al, 2020). Uma rede de atenção psicossocial robusta e efetiva foi construída e consolidada.…”