Tradução e adaptação cultural do questionário “Thumb Disability Exam – TDX” para o português brasileiro

Abstract

Resumo Objetivo Realizar a tradução, adaptação cultural e validação do questionário Thumb Disability Exam (TDX) para o português brasileiro. Método O questionário foi traduzido, com tradução reversa. As traduções foram avaliadas e sintetizadas por um comitê, chegando ao THUMB DISABILITY EXAM - BRASIL (TDX-BR). Foram selecionados 31 pacientes com diagnóstico de rizartrose que responderam ao questionário. Foram avaliados parâmetros de qualidade, como consistência interna, reprodutibilidade e efeito teto e piso. Resultados Os questionários foram traduzidos e adaptados conforme protocolos definidos. A consistência interna, através do coeficiente α de Cronbach para o TDX-BR foi de 0,962. A confiabilidade do questionário, através do coeficiente de correlação intraclasse (CCI) também se mostrou bastante elevada, com κ = 0,953 (0,947–0,959). A concordância, medida através do erro padrão de medição manteve-se com valores padronizados < 5%. Não houve efeito teto e piso. Conclusão Através de metodologia específica, consideramos o TDX-BR como traduzido e válido para a língua portuguesa do Brasil.

Translation and cross-cultural adaptation of “Trapeziometacarpal Arthrosis Symptoms and Disability—TASD” into Brazilian Portuguese

“…As there was no description of a specific gold standard questionnaire for rhizarthrosis, the original TASD questionnaire maintained a linear correlation with The Disabilities of Arm Shoulder and Hand Score (DASH), Patient Health Questionnaire-9 (PHQ9) and Pain Self Efficacy Questionnaire (PSEQ) [10,14]. In our research, the construct validity was measured by the correlation between the results of the TDX-BR questionnaire, previously translated [13]. A linear relation was found between the two questionnaires.…”

“…In 2016, the Thumb Disability Exam (TDX) was described, which consists of 20 questions. During the translation and validation process, it was considered reproducible for Brazilian Portuguese (TDX-BR), although difficulties in understanding some questions have been described, according to the translators [13]. In the description of the TASD, Becker et alconsidered to be a simple and self-administered scoring system and was considered concise and useful in the evaluating of symptoms and disability related to rhizarthrosis [20].…”

“…The objective of this process is to make it possible to compare results through a homogeneous outcome, even in papers made in different cultural contexts [12]. Due to its characteristics, TDX has been translated and validated into Portuguese but we didn't find previous translations for TASD, in any other languages [11,13]. Compared to TDX, the TASD questionnaire is easily and quickly for patients, therefore, the objective of this paper was to translate, do the cultural adaptation and validate the questionnaire "Trapeziometacarpal Arthrosis Symptoms and Disability Questionnarie (TASD)" into the Brazilian Portuguese.…”

Deutsche Übersetzung und Validierung des patienten-orientierten Fragebogens „Thumb Disability Examination“ (TDX) zur spezifischen Diagnostik und Verlaufskontrolle bei Rhizarthrose

“…Almeida und Mitarb. übersetzten den TDX ins Portugiesische (TDX-BR) und validierten ihre Übersetzung an 31 Patienten zur spezifi schen Verwendung in Brasilien [ 16 ] .…”

“…In der Reliabilitätsanalyse konnte gezeigt werden, dass der TDX-G eine hohe interne Konsistenz (Cronbach α=0,932) aufweist, die mit der internen Konsistenz aus der Originalarbeit von Noback und Mitarb. (Cronbach α=0,93) und auch mit der internen Konsistenz des TDX-BR (Cronbach α=0,962) weitestgehend übereinstimmt 8 16 . Ein Cronbach α>0,90 gilt im klinischen Bereich als wünschenswert, jedoch können Werte>0,95 auf das Vorhandensein redundanter Items hinweisen 17 .…”