scholarly journals Preliminary evidence of the validity process of the Autism Diagnostic Observation Schedule (ADOS): translation, cross-cultural adaptation and semantic equivalence of the Brazilian Portuguese version

2019 ◽  
Vol 41 (3) ◽  
pp. 218-226
Author(s):  
Maria Clara Pacífico ◽  
Cristiane Silvestre de Paula ◽  
Victor Santos Namur ◽  
Rosane Lowenthal ◽  
Cleonice Alves Bosa ◽  
...  

Abstract Objectives: To translate and back-translate the Autism Diagnostic Observation Schedule (ADOS) into Brazilian Portuguese, to assess its cross-cultural semantic equivalence, and to verify indicators of quality of the final version by analyzing the inter-rater reliability of the ADOS scores. Methods: This study had three stages: 1) translation and back-translation; 2) semantic equivalence analysis; and 3) pre-test to verify the agreement between mental health specialists and an ADOS senior examiner regarding the scoring procedure. Authorization to translate and carry out the cultural adaptation of the instrument was first obtained from the Western Psychological Services, publishers of the instrument. Results: The main preliminary results pointed to good equivalence between the original English version and the final version and the Brazilian version following the cultural adaptation process. Some semantic differences were found between the original version and the back-translation into English, but they did not interfere with the first translation into Portuguese or into the final version. One of the limitations of the study was the small sample size; for that reason, the inter-rater reliability of the ADOS scores between the specialists and the senior examiner using the kappa coefficient was adequate for 7 out of 10 areas. Conclusions: We conclude that the creation of an official Brazilian version of ADOS will help to strengthen clinical and scientific research into ASD, and deter the use of other unauthorized versions of ADOS in the country.

Interação ◽  
2021 ◽  
Vol 21 (1) ◽  
pp. 169-180
Author(s):  
Any Cleo Souza ◽  
Valeriana de Castro Guimarães ◽  
Denise Sisterolli Diniz ◽  
Thomas H. Bak ◽  
Sharon Abrahams

Abstract: The translation and cross-cultural adaptation of the screening test Edinburgh Cognitive and Behavioral ALS Screen (ECAS) for the Portuguese language of Brazil was carried out in this article. The adaptations were developed based on authors' guidelines and specific literature: translation; synthesis; back-translation and cross-cultural adaptation (technical review and semantic equivalence). The tests were adapted with the aid of a pilot group of 46 healthy individuals, mean age 52.6 ± 13.88 years and 13.8 ± 5.10 years of studies, 26 females and 20 males, randomly recruited among the caregivers of the patients of the Hospital das Clínicas of the Federal University of Goiás, Brazil. After translation of all fifteen ECAS subtests, nine were adapted and six not gone through cross-cultural adaptation. In the Language-Naming subtest the fox figure (13.04% of errors) was replaced by the image of the alligator; 5 words (41.66%) of the Language-Spelling subtest were replaced. In the Executive-Alternation subtest, 11-K or 11-L was accepted as a response, provided the subsequent sequence was correct. A Verbal Fluency Index (IFV) table was established, with data from the pilot group, which will be the reference for the Brazilian version. The three subtests for memory evaluation (Immediate Recall, Delayed Recall and Delayed Recognition) are based on a story that has been adapted to Brazilian culture. The protocol has been translated and adapted to Brazilian Portuguese and has undergone processes of content, verbal comprehension and semantic equivalence, being called Edimburgo - Rastreio Cognitivo-Comportamental em ELA (ECAS-BR). It is necessary to continue this study for external validity, equivalence of measurement and reproducibility.


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.


Author(s):  
Jarbas Melo Filho ◽  
Silvia Valderramas ◽  
Audrin Said Vojciechowski ◽  
lynette Mackenzie ◽  
Anna Raquel Silveira Gomes

Abstract Objective: to translate and cross-culturally adapt the Home Falls and Accidents Screening Tool - HOME FAST into Brazilian Portuguese and to evaluate its construct validity and intra-and inter-rater reliability. Method: a cross-sectional study was carried out that included older people aged 60 years or older. Translation and cross-cultural adaptation were carried out in the following stages: 1. Translation, 2. Synthesis, 3. Back translation, 4. Expert panel (review and pre-final version), 5. Pre-testing, 6. Analysis by the expert panel and the final version of the instrument. The Berg Balance Scale - BBS was used to test construct validity (Spearman correlation coefficient). Additionally, intra-and inter-rater reliability analysis was conducted using the Intraclass Correlation Coefficient (ICC) and the Bland-Altman plot. Results were considered significant at p<0.05. Results: the HOME FAST-Brazil was applied to 53 older people with a mean age of 71(5) years; 79% (42) of whom were female and 21% (11) of whom were male. The translation and cross-cultural adaptation process resulted in similar versions among translations. The correlation of the total score of HOME FAST-Brazil with the BBS was ρ=-0.241, p=0.041. The reliability rate was ICC=0.99 and 0.92 (intra-and inter-rater, respectively). Conclusion: The HOME FAST-Brazil, translated and cross-culturally adapted to Brazilian Portuguese, was shown to have construct validity and excellent intra-and inter-rater reliability.


2017 ◽  
Vol 39 (2) ◽  
pp. 110-115 ◽  
Author(s):  
Clara de Oliveira Lapa ◽  
Gibsi Possapp Rocha ◽  
Tiago Reis Marques ◽  
Oliver Howes ◽  
Shubulade Smith ◽  
...  

Abstract Introduction Sexual dysfunction is common in patients with psychotic illness. This article describes the translation and cross-cultural adaptation of the Sexual Function Questionnaire (SFQ) into Brazilian Portuguese. Methods The translation and cross-cultural adaptation followed the guidelines for adapting self-report instruments proposed by the Task Force of the International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Briefly, ISPOR steps include: preparation, forward translation, reconciliation, back-translation, back-translation review, harmonization, cognitive debriefing, review of cognitive debriefing and finalization, before proofreading and final version. The original authors authorized the translation and participated in the study. Results There was good agreement between translations and between the back-translation and the original English version of the SFQ. The final version was prepared with certificated evaluators in the original language and in Portuguese. Few changes were necessary to the new version in Portuguese. Conclusion The translated and adapted Brazilian Portuguese version of the SFQ is reliable and semantically equivalent to the original version. Studies on psychotropic-related sexual dysfunction may now test the validity of the instrument and can investigate sexual dysfunction in Portuguese-speaking patients.


2021 ◽  
Vol 79 (5) ◽  
pp. 390-398
Author(s):  
Marcia Mitie Nagumo ◽  
Renata Eloah de Lucena Ferretti-Rebustini ◽  
Marcos Alencar Abaide Balbinotti ◽  
Daniele Vieira da Silva ◽  
Cintya Yukie Hayashi ◽  
...  

ABSTRACT Background: After a traumatic brain injury, post-concussion symptoms are commonly reported by patients. Although common, these symptoms are difficult to diagnose and recognize. To date, no instruments evaluating post-concussion symptoms have been culturally translated or adapted to the Brazilian context. Objective: To culturally adapt the Rivermead Post-Concussion Symptoms Questionnaire for use in Brazilian Portuguese. Methods: Cross-cultural adaptation was done in five steps: translation, synthesis of translations, back-translation, evaluation by two expert committees and two pretests among adults in a target population. Results: The semantic, idiomatic, cultural and experimental aspects of the adaptation were considered adequate. The content validity coefficient of the items regarding language clarity, pratical pertinence, relevance and dimensionality were considered adequate for evaluating the desired latent variable. Both pretests demonstrated that the instrument had satisfactory acceptability. Conclusion: The Brazilian version, named Questionário Rivermead de Sintomas pós Concussionais (RPQ-Br), has been adapted, and is ready for use in the Brazilian context.


2018 ◽  
Vol 40 (1) ◽  
pp. 47-52
Author(s):  
Gabriel Talask ◽  
Sabrina Bastos de Freitas ◽  
Maria Estela Wildner Rasmussen ◽  
Mônica Santos Silva ◽  
Rafael Thomaz da Costa ◽  
...  

Abstract Introduction Intrusive thoughts may cause a significant level of distress, since some individuals evaluate the content of those thoughts as aversive. Suppression of intrusive thoughts is one of the strategies adopted by these individuals, which increases the level of distress. Suppression of thoughts may be present as one of the factors that maintain different psychological disorders. Objective To describe the translation and adaptation into Brazilian Portuguese of the White Bear Suppression Inventory (WBSI), which measures thought suppression. Methods Three translations and back-translations were conducted by independent evaluators. Semantic equivalence was assessed and the three versions were evaluated to produce a synthesized version. Comments from participants on the preliminary version of the questionnaire were examined. Results We developed a preliminary Brazilian Portuguese version of the WBSI. It was found that most participants understood the descriptions of cognitions given in the translated questionnaire. Conclusion The use of three different versions of translations and back-translations, discussion of the synthetic version and interaction with the target population have conferred viability to the process of semantic equivalence of the Brazilian Portuguese final version of the WBSI.


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 40 (1) ◽  
pp. 8-15
Author(s):  
Daniela Sperotto ◽  
Arthur Gus Manfro ◽  
Luiza Kvitko Axelrud ◽  
Pedro Henrique Manfro ◽  
Giovanni Abrahão Salum ◽  
...  

Abstract Objective To describe the cross-cultural adaptation of the Anger Rumination Scale (ARS) for use in Brazil. Methods The cross-cultural adaptation followed a four-step process, based on specialized literature: 1) investigation of conceptual and item equivalence; 2) translation and back-translation; 3) pretest; and 4) investigation of operational equivalence. Results A final Brazilian version of the instrument (ARS-Brazil) was defined and is presented. Pretest results revealed that the instrument was generally well understood by adults as well as indicated a few modifications that were included in the final version presented here. Conclusion The Brazilian Portuguese version of the ARS seems to be very similar to the original ARS in terms of conceptual and item equivalence, semantics, and operational equivalence, suggesting that future cross-cultural studies may benefit from this early version. As a result, a new instrument is now available for the assessment of rumination symptoms of anger and irritability for adults in community, clinical, and research settings.


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):  
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.


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