Operacionalização de adaptação transcultural de instrumentos de aferição usados em epidemiologia

Abstract

The objective of the article was to offer an operational framework to assess cross cultural adaptation processes of instruments developed in other linguistic, social and cultural contexts. It covers the need for using robust measurement tools; the importance of 'universal' instruments that permit cross cultural fi ne-tuning; and stresses the need for adapting existent instruments rather than developing new ones. Existing controversies and proposals for different procedures in current literature are reviewed and a model for adapting instruments is presented. This synthesis covers the operational steps involved in evaluating concepts, semantic and operational items, and presents psychometric analysis guidelines that underlay an evaluation of measurement equivalence. Finally, the need for adequately controlling the quality of information presented in epidemiological studies, including a meticulous cross-cultural adaptation of research agendas, is reinforced.

Adaptacao brasileira de questionario para avaliar adesao terapeutica em hipertensao arterial

“…An operational system based on the model developed by Herdman et al, 3 described in Reichenheim & Moraes, 10 for the transcultural adaptation of instruments. The steps require the verifi cation of six types of equivalence, including: conceptual, item, semantic, operational, measurement and functional.…”

“…This process includes a bibliographical revision of the processes involved in constructing the source instrument, as well as assessing the relevance of the items to capture each of these domains. 10 The bibliographical references used by the authors of the original questionnaire, in the Cuban culture, were compared with those which underpin the concept of adherence used in the study applied in the Brazilian culture. This process also aimed to observe the relevance of the items in the MBG questionnaire to be applied in the context of hypertension and diabetes patients' adherence to treatment.…”

“…It is recommended that the translation is carried out by someone bilingual whose mother tongue and culture are that into which the instrument is being translated. 10 Two, independent translations of the MBG questionnaire from Spanish into Portuguese were carried out by Brazilians with a good mastery of Spanish, resulting in two versions translated into Portuguese (T1 and T2).…”

Estudo de validade do questionário "Lista de Atividades Físicas" em crianças

“…This gap may be fi lled by developing new instruments or considering the transcultural adaptation process of instruments developed in other countries, whose psycho-metric properties have been evaluated. 16 Transcultural adaptation consists of specifi c methodological steps which guide the process of drawing up a version of an instrument previously validated in another culture for the target culture. It involves considering conceptual, semantic, operational and measuring equivalences.…”

“…It involves considering conceptual, semantic, operational and measuring equivalences. 10,16 Cruciani et al 8 (2011) followed the stages for assessing the conceptual and semantic equivalence of the items of the Physical Activity Checklist Interview (PACI) 21 questionnaire, developed for American children to assess their physical activity (the Brazilian version of which is called -"Lista de Atividades Físicas" LAF Physical Activity Checklist). As part of the measuring equivalence Adami et al 1 (2011) verifi ed the reliability of the LAF in children aged seven to ten, with results…”