Cultural adaptation, content validity and inter-rater reliability of the "STAR Skin Tear Classification System"

Abstract

AIMS: to perform the cultural adaptation of the STAR Skin Tear Classification System into the Portuguese language and to test the content validity and inter-rater reliability of the adapted version. METHODS: methodological study with a quantitative approach. The cultural adaptation was developed in three phases: translation, evaluation by a committee of judges and back-translation. The instrument was tested regarding content validity and inter-rater reliability. RESULTS: the adapted version obtained a regular level of concordance when it was applied by nurses using photographs of friction injuries. Regarding its application in clinical practice, the adapted version obtained a moderate and statistically significant level of concordance. CONCLUSION: the study tested the content validity and inter-rater reliability of the version adapted into the Portuguese language. Its inclusion in clinical practice will enable the correct identification of this type of injury, as well as the implementation of protocols for the prevention and treatment of friction injuries.

Adaptação Transcultural De Instrumentos De Pesquisa Conduzida Pela Enfermagem Do Brasil: Uma Revisão Integrativa

“…Most of the articles analyzed (18) were published between the years of 2011 and 2014 [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] (Table 2) and the most frequently-found specialties were Clinical Medicine 10,13,17,25,27 and Pediatrics 9,14,17,20 . The most-used methodological framework for CCA, in 20 articles analyzed, was that with Beaton as either the main author or as a contributing author, published in different years.…”

“…The most-used methodological framework for CCA, in 20 articles analyzed, was that with Beaton as either the main author or as a contributing author, published in different years. [9][10][11][12][14][15][16][17][19][20][21][22][23][24][25][26][27][28][29][30] Regarding the stages of the CCA process, in 14 of the articles analyzed [11][12][14][15][16][18][19][20][21]24,[26][27][29][30] the following sequence was adopted: translation, synthesis of the translations, back-translation, analysis by a committee of specialists, and pretesting of the adapted version. 1 In the other studies [9][10]13,17,[22][23]25,28 this sequence of the process was altered.…”

“…16,21,26 In four of the articles, however, there was no information on the nationality of the translators 11,17,20,28 responsible for the stages of translation and/or back-translation of the instrument. In six 21,23,25,27,[29][30] articles analyzed, there was either a partial or total absence of information on the obligatory characteristics or criteria for selecting the translators responsible for the stages of initial translation and back-translation, or the recommendations regarding these criteria were not followed.…”

“…Regarding the description of the procedures adopted in the stages of CCA it was observed that in 20 articles [9][10][11][12][13][14][15][16][17][19][20][21][23][24][25][26][27][28][29][30] the authors were concerned with giving a detailed description of the largest part of the process, evidencing the attention given to the methodological rigor adopted. 3 The description of the process of selecting the experts who made up the specialist committees was observed in 18 articles.…”

“…3 The description of the process of selecting the experts who made up the specialist committees was observed in 18 articles. 9,[11][12][13][14][15][16][17]19,22,[24][25][26][27][28]30 In 17 studies [9][10][12][13][14][17][18][19][21][22][23][24][25][26][27][28]30 the evaluation of the psychometric properties of the instruments was undertaken, along with the validation of the qualitative and quantitative content (the expert committee), with a description of the statistical analysis used. Among the statistical tests used in the psychometric evaluation, the Alfa Cronbach test deserves to be highlighted, used in the analysis of the instrument's internal consistency (reliability), given that this was undertaken in 09 [9][10]12,14,18,[24][25]28 of the 17 articles ( Table 2).…”