scholarly journals National Early Warning Score 2: transcultural adaptation to Brazilian Portuguese

2020 ◽  
Vol 41 ◽  
Author(s):  
Ana Paula Amestoy de Oliveira ◽  
Janete de Souza Urbanetto ◽  
Rita Catalina Aquino Caregnato

ABSTRACT Objective: Cross-cultural adaptation of the National Early Warning Score 2 to Brazilian Portuguese. Methods: A methodological study of a cross-cultural adaptation of a scale, based on the Beaton et al. framework, authorized by the Royal College of Physicians. Judges from nine Brazilian states, nurses and physicians evaluated the semantic, idiomatic, cultural, and conceptual equivalence between the original instrument and the translated versions. The nurses, working in inpatient or emergency units, conducted the pilot test, applying the final version to three case studies. Psychometric tests were used for data analysis: Content Validity Index (CVI), Kappa Coefficient, and Cronbach's Alpha. Results: The adaptation showed a mean CVI of 0.98 and perfect/almost perfect inter-rater agreement, with scores above 0.80. The consistency of the scale was 0.712. Conclusion: The process of cross-cultural adaptation of the scale to Brazilian Portuguese was successful, providing Brazilian professionals with an instrument aligned with patient safety.

2020 ◽  
Vol 54 ◽  
pp. 26
Author(s):  
Angélica Maria Cupertino Lopes Marinho ◽  
Cynthia Baur ◽  
Fernanda Morais Ferreira ◽  
Ana Cristina Borges-Oliveira ◽  
Mauro Henrique Nogueira Guimarães de Abreu

OBJECTIVE: To perform a cross-cultural adaptation of the Clear Communication Index instrument from the Centers for Disease Control and Prevention (CDC-CCI) from English to Brazilian Portuguese. METHODS: This study comprised initial discussion about the conceptual equivalence of the instrument by a committee formed by experts on health education. We performed translations, synthesis of translations, back-translations, revision by the committee, and linguistic revision. Semantic equivalence was obtained by analyzing the referential and general meaning of each item by the committee, resulting in a pre-final version of the instrument. Subsequently, thirty professionals with health sciences degrees performed a pre-test. These professionals used the pre-final version of the instrument to assess a health education material. A questionnaire was applied to evaluate the acceptability of the instrument, the understanding of each of the 20 items, as well as the individual and professional variables. We analyzed the scores attributed to the health education material, the variables related to healthcare professionals, the proportions of the acceptability of the instrument, and the comprehension of each item. RESULTS: After we obtained the conceptual equivalence of the instrument, the committee of experts, the instrument’s main author, and the linguist produced the pre-final version using two translations, a synthesis of the translations, and two back-translations. A general equivalence was maintained in 15 of the 20 items (75%), four of the items were slightly altered (20%), and one item was very altered (5%). Nineteen items presented referential equivalence or near equivalence (95%). We then carried out with the pre-test, in which the professionals used the pre-final version. Two items in the domains of “risks” and “main message” were unclear and needed to be revised. CONCLUSION: The process of cross-cultural adaptation of the Clear Communication Index provided an adapted version to the Brazilian Portuguese language.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Gabriela Ferreira Nunes ◽  
Leticia Molino Guidoni ◽  
Eliana Zandonade ◽  
Leticya dos Santos Almeida Negri ◽  
Ethel Leonor Noia Maciel

Abstract Introduction: Tuberculosis is historically associated with poverty, generating costs that can influence treatment. Considering the impact of the costs of illness, the importance of adapting the instrument is highlighted. Objective: To adapt transculturally to Brazilian Portuguese the instrument Tool to Estimate Patient's Costs. Methods: Study of the type transcultural adaptation of instrument. The translation followed the criteria described by Herdman, 1998, in order to preserve functional equivalence as much as possible. The questionnaire with cross-cultural adaptation was applied to 77 patients, with at least one full month of treatment for the disease. Results: Instrument was shown with Cronbach Alpha above 0.71 constituting a good tool for measuring the costs of the disease, being necessary modifications. Conclusions: This study suggests the creation of an instrument adapted for the treatment of TB in Brazil, for the evaluation of costs with the illness by tuberculosis.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Laura Cantisano de Deus Silva ◽  
Priscila Monaro Bianchini ◽  
Erika Veruska Paiva Ortolan ◽  
Juliana Fattori Hamamoto ◽  
Rosemary Fermiano ◽  
...  

Abstract Background For newborns and infants wearing diapers the difficulties in characterizing the appearance of the stool are significant, since the changes in consistency, quantity, and color of the stool are higher than in other age groups. The Amsterdam Infant Stool Scale (AISS) was created and validated in 2009, providing a specific tool for the evaluation of the stool of children up to 120 days old. However, to be used in clinical practice and scientific investigations in Brazil, it is mandatory to perform the translation and cross-cultural adaptation process for Brazilian Portuguese language. Thus, we aim to perform the translation and cross-cultural adaptation of AISS into Brazilian Portuguese and to evaluate the psychometric properties of the translated version. Methods The process of translation and cross-cultural adaptation was performed according to the internationally accepted methodology, including: translation, summary of translations, backtranslation, preparation of the pre-final version, application of the pre-test and determination of the final version. The evaluation of the psychometric properties was performed through the application of Brazilian Portuguese AISS, by five examiners (including child health field specialists and a literate adult lay on the subject), analyzing 238 stool photographs of children under 120 days old. The intra and inter-examiner agreement values were determined using kappa statistic. The validity of the criterion was investigated through correlation analysis (Kendall’s coefficient) between the classifications determined by the non-specialist examiner and the expert examiners. Results In all 30 tests performed between different examiners, there was an agreement considered as at least moderate (kappa values above 0.40). The intra-examiner reliability was considered as substantial (kappa> 0.6). There was a statistically significant correlation (p <  0.05) between the classifications determined by the examiners considered as specialists and the examiner considered as non-specialist. Conclusion The Brazilian Portuguese AISS version proved to be valid and reliable to be used by healthcare professionals and the general public in the evaluation of stool from children up to 120 days old.


Author(s):  
Carolina Machado de Melo Felix ◽  
Gabriela Lima de Melo Ghisi ◽  
Mariana Balbi Seixas ◽  
Ana Paula Delgado Bomtempo Batalha ◽  
Danielle Guedes Andrade Ezequiel ◽  
...  

Author(s):  
Alessandra Schneider ◽  
Michelle Rodrigues ◽  
Olesya Falenchuk ◽  
Tiago N. Munhoz ◽  
Aluisio J. D. Barros ◽  
...  

Responsive caregiving is the dimension of parenting most consistently related to later child functioning in both developing and developed countries. There is a growing need for efficient, psychometrically sound and culturally appropriate measurement of this construct. This study describes the cross-cultural validation in Brazil of the Responsive Interactions for Learning (RIFL-P) measure, requiring only eight minutes for assessment and coding. The cross-cultural adaptation used a recognized seven-step procedure. The adapted version was applied to a stratified sample of 153 Brazilian mother–child (18 months) dyads. Videos of mother–child interaction were coded using the RIFL-P and a longer gold standard parenting assessment. Mothers completed a survey on child stimulation (18 months) and child outcomes were measured at 24 months. Internal consistency (α = 0.94), inter-rater reliability (r = 0.83), and intra-rater reliability (r = 0.94) were all satisfactory to high. RIFL-P scores were significantly correlated with another measurement of parenting (r’s ranged from 0.32 to 0.47, p < 0.001), stimulation markers (r = 0.34, p < 0.01), and children’s cognition (r = 0.29, p < 0.001), language (r = 0.28, p < 0.001), and positive behavior (r = 0.17, p < 0.05). The Brazilian Portuguese version is a valid and reliable instrument for a brief assessment of responsive caregiving.


Author(s):  
Carlos Alexandre Necchi Martins ◽  
Mayara Moreira de Deus ◽  
Isabela Conti Abile ◽  
Denny Marcos Garcia ◽  
Wilma Terezinha Anselmo-Lima ◽  
...  

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Thiago S. Torres ◽  
Paula M. Luz ◽  
Luana M. S. Marins ◽  
Daniel R. B. Bezerra ◽  
Celline C. Almeida-Brasil ◽  
...  

Abstract Background Valid and reliable instruments are needed to measure the multiple dimensions of perceived risk. The Perceived Risk of HIV Scale is an 8-item measure that assesses how people think and feel about their risk of infection. We set out to perform a cross-cultural adaptation of the scale to Brazilian Portuguese among key populations (gay, bisexual and other men who have sex with men and transgender/non-binary) and other populations (cisgender heterosexual men and cisgender women). Methods Methodological study with cross-sectional design conducted online during October/2019 (key populations [sample 1] and other populations) and February–March/2020 (key populations not on pre-exposure prophylaxis [sample 2]). Cross-cultural adaptation of the Perceived Risk of HIV Scale followed Beaton et al. 2000 guidelines and included confirmatory factor analysis, differential item functioning (DIF) using the Multiple-Indicator Multiple-Cause model, and concurrent validity to verify if younger individuals, those ever testing for HIV, and engaging in high-risk behaviors had higher scores on the scale. Results 4342 participants from key populations (sample 1 = 235; sample 2 = 4107) and 155 participants from other populations completed the measure. We confirmed the single-factor structure of the original measure (fit indices for sample 1 plus other populations: CFI = 0.98, TLI = 0.98, RMSEA = 0.07; sample 2 plus other populations: CFI = 0.97, TLI = 0.95, RMSEA = 0.09). For the comparisons between key populations and other populations, three items (item 2: “I worry about getting infected with HIV”, item 4: “I am sure I will not get infected with HIV”, and item 8: “Getting HIV is something I have”) exhibited statistically significant DIF. Items 2 and 8 were endorsed at higher levels by key populations and item 4 by other populations. However, the effect of DIF on overall scores was negligible (0.10 and 0.02 standard deviations for the models with other populations plus sample 1 and 2, respectively). Those ever testing for HIV scored higher than those who never tested (p < .001); among key populations, those engaging in high-risk behaviors scored higher than those reporting low-risk. Conclusion The Perceived Risk of HIV Scale can be used among key populations and other populations from Brazil.


CoDAS ◽  
2014 ◽  
Vol 26 (6) ◽  
pp. 535-539 ◽  
Author(s):  
Bruna Rainho Rocha ◽  
Felipe Moreti ◽  
Elisabeth Amin ◽  
Glaucya Madazio ◽  
Mara Behlau

PURPOSE: To present the cross-cultural equivalence of the Brazilian version of the Evaluation of the Ability to Sing Easily (EASE) protocol, through its cultural and linguistic adaptation. METHODS: After the EASE was translated to Brazilian Portuguese, the back-translation into English was done. The items of the translated version were compared with the original instrument and the discrepancies were modified by consensus of a committee composed of five speech language pathologists. The Evaluation of the Ability to Sing Easily for Brazil (EASE-BR) has 22 questions with four alternatives: "no," "mildly," "moderately," and "extremely." The score is obtained by the simple sum of all answers. The three positive items (6, 12, and 21) require reverse score. For cultural equivalence, the EASE-BR was applied with 41 Brazilian singers, with an extra item in the answer key - "not applicable." The aim of this extra key was to identify issues that might not have been understood or were not appropriate for the target population and the Brazilian culture. RESULTS: Of the 32 singers, 5 who were initially evaluated had difficulties to answer 3 of the 22 questions. Therefore, the adaptation of those sentences was necessary. Afterward, the modified EASE-BR was applied to nine singers, and no more cultural and/or conceptual barriers were found. CONCLUSION: Cultural equivalence was observed between EASE and its translated version to the Brazilian Portuguese, the EASE-BR. Validation of the EASE for Brazilian Portuguese is in progress.


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