Translation and cross-cultural adaptation of the Duke activity status index to Brazilian Portuguese

INTRODUCTION: The limited number of valid and reliable questionnaires for the evaluation of exercise tolerance has stimulated the development of simple international assessment tools for this purpose, one of the most widely used of which is the Duke Activity Status Index (DASI). However, this index has not yet been translated and adapted to the Portuguese language. OBJECTIVE: To develop a Brazilian version of the DASI and cross-culturally adapt it for the evaluation of cardiorespiratory fitness among patients with cardiovascular disease in Brazil. MATERIALS AND METHODS: The translation process involved four stages: initial translation, back-translation, multidisciplinary committee review and pre-test with 16 subjects (8 cardiac patients and 8 healthy individuals). Patients were screened from outpatient Cardiac Surgery, São Paulo Hospital. The Mann-Whitney and chi-square tests were employed to determine differences between controls and individuals with heart disease. RESULTS: The sample was characterized by individuals aged ≥ 50 years who were mainly from the southeastern region of Brazil (62.5%) and were non-smokers (56.2%). Less than half of the cohort was considered physically active (43.75%). The level of non-understanding was less than 10% of the sample. Doubts were prevalent among individuals with heart disease (75%) regarding the level of fatigue caused when performing a task. CONCLUSION: The present findings demonstrate that the DASI was successfully translated and adapted to Brazilian Portuguese.

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Development and validation of the Bush-Francis Catatonia Rating Scale – Brazilian version

Arquivos de Neuro-Psiquiatria ◽

10.1590/0004-282x20160168 ◽

2017 ◽

Vol 75 (1) ◽

pp. 44-49

Author(s):

Ana Letícia Santos Nunes ◽

Alberto Filgueiras ◽

Rodrigo Nicolato ◽

Jussara Mendonça Alvarenga ◽

Luciana Angélica Silva Silveira ◽

...

Keyword(s):

Pilot Study ◽

Rating Scale ◽

Screening Instrument ◽

Brazilian Portuguese ◽

Translation Process ◽

Semantic Equivalence ◽

Validation Methods ◽

Brazilian Version ◽

Back Translation ◽

Development And Validation

ABSTRACT Objective: This article aims to describe the adaptation and translation process of the Bush-Francis Catatonia Rating Scale (BFCRS) and its reduced version, the Bush-Francis Catatonia Screening Instrument (BFCSI) for Brazilian Portuguese, as well as its validation. Methods: Semantic equivalence processes included four steps: translation, back translation, evaluation of semantic equivalence and a pilot-study. Validation consisted of simultaneous applications of the instrument in Portuguese by two examiners in 30 catatonic and 30 non-catatonic patients. Results: Total scores averaged 20.07 for the complete scale and 7.80 for its reduced version among catatonic patients, compared with 0.47 and 0.20 among non-catatonic patients, respectively. Overall values of inter-rater reliability of the instruments were 0.97 for the BFCSI and 0.96 for the BFCRS. Conclusion: The scale's version in Portuguese proved to be valid and was able to distinguish between catatonic and non-catatonic patients. It was also reliable, with inter-evaluator reliability indexes as high as those of the original instrument.

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Cross-cultural adaptation of the Brazilian version of the protocol Evaluation of the Ability to Sing Easily

CoDAS ◽

10.1590/2317-1782/20142014175 ◽

2014 ◽

Vol 26 (6) ◽

pp. 535-539 ◽

Cited By ~ 8

Author(s):

Bruna Rainho Rocha ◽

Felipe Moreti ◽

Elisabeth Amin ◽

Glaucya Madazio ◽

Mara Behlau

Keyword(s):

Cultural Adaptation ◽

Target Population ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Speech Language Pathologists ◽

Cross Cultural Adaptation ◽

Brazilian Version ◽

Back Translation ◽

Protocol Evaluation ◽

Brazilian Culture

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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Translation and adaptation of the Child Posttraumatic Cognitions Inventory (cPTCI) to Brazilian Portuguese

Trends in Psychiatry and Psychotherapy ◽

10.1590/2237-6089-2014-1002 ◽

2014 ◽

Vol 36 (2) ◽

pp. 107-112 ◽

Cited By ~ 2

Author(s):

Beatriz de Oliveira Meneguelo Lobo ◽

Alice Einloft Brunnet ◽

Thiago Loreto Garcia da Silva ◽

Lafaiete Moreira dos Santos ◽

Gustavo Gauer ◽

...

Keyword(s):

Concurrent Validity ◽

Stress Disorder ◽

Traumatic Event ◽

Target Population ◽

Brazilian Portuguese ◽

Subjective Responses ◽

Posttraumatic Cognitions ◽

Brazilian Version ◽

Back Translation ◽

The Impact

Introduction: Experiencing a traumatic event is a risk factor for the development of mental illness, especially posttraumatic stress disorder. A child's appraisals of a traumatic event may play a prominent role in the development or maintenance of the disorder. Therefore, subjective responses should be evaluated to understand the impact of a traumatic event on a child's life. This study translated and adapted the Child Posttraumatic Cognitions Inventory (cPTCI) for use in linguistic and cultural contexts in Brazil. Methods: The process included translation, back-translation, language expert evaluation and expert committee's evaluation. Results: Content validity index scores were good for all dimensions after evaluation by two judges and one reformulation. The back-translation of the final version also showed that the cPTCI items in Brazilian Portuguese maintained the same meanings of the original in English. This version was tested in a sample of the target population, and all the items were above the cut-off point (minimum = 3.6; maximum = 4.0). Conclusions: This study was successful in producing a Brazilian version of the cPTCI. Further studies are underway to examine the reliability and the factorial and concurrent validity of cPTCI subscales.

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Preliminary stages of a cross-cultural Brazilian Portuguese adaptation of a measurement tool for assessing public understanding of human papillomavirus

Cadernos de Saúde Pública ◽

10.1590/0102-311x00087615 ◽

2016 ◽

Vol 32 (7) ◽

Cited By ~ 2

Author(s):

André Luciano Manoel ◽

Jefferson Traebert ◽

Luísa Correa Rebello ◽

Clávison Martinelli Zapelini ◽

Daisson José Trevisol ◽

...

Keyword(s):

Correlation Coefficients ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Public Understanding ◽

Measurement Tool ◽

Expert Committee ◽

Brazilian Version ◽

Back Translation ◽

Positive Correlations ◽

The Individual

Abstract: The objective of this study was to conduct the initial stages of the cross-cultural adaptation to Brazilian Portuguese of a scale to measure the level of knowledge about HPV. The stages included: translation from English into the Portuguese spoken in Brazil; synthesis of the translated version; back-translation; analysis by an expert committee; and reliability analysis based on internal consistency and reproducibility. Cronbach's α coefficient for the instrument was 0.985. Subset analysis produced only minor variations. The correlation coefficients between the individual items and the overall result showed strong positive correlations, except for three items. Reproducibility analysis showed kappa values with substantial or moderate agreement for the majority of the items. A preliminary Brazilian version was obtained with satisfactory results, but other stages are necessary in the process of validation of the Brazilian version.

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Translation, cross-cultural adaptation and validation of the Brazilian version of the Nonarthritic Hip Score

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2013.1314487 ◽

2013 ◽

Vol 131 (4) ◽

pp. 244-251 ◽

Cited By ~ 7

Author(s):

Leticia Nunes Carreras Del Castillo ◽

Gustavo Leporace ◽

Themis Moura Cardinot ◽

Roger Abramino Levy ◽

Liszt Palmeira de Oliveira

Keyword(s):

Internal Consistency ◽

English Language ◽

Intraclass Correlation ◽

Brazilian Portuguese ◽

Physically Active ◽

Brazilian Version ◽

Hip Function ◽

The Difference ◽

Brazilian Culture ◽

Active Patients

CONTEXT AND OBJECTIVE The Nonarthritic Hip Score (NAHS) is a clinical evaluation questionnaire that was developed in the English language to evaluate hip function in young and physically active patients. The aims of this study were to translate this questionnaire into the Brazilian Portuguese language, to adapt it to Brazilian culture and to validate it. DESIGN AND SETTING Cohort study conducted between 2008 and 2010, at Universidade do Estado do Rio de Janeiro (UERJ). METHODS Questions about physical activities and household chores were modified to better fit Brazilian culture. Reproducibility, internal consistency and validity (correlations with the Algofunctional Lequesne Index and the Western Ontario and McMaster Universities Arthritis Index [WOMAC]) were tested. The NAHS-Brazil, Lequesne and WOMAC questionnaires were applied to 64 young and physically active patients (mean age, 40.9 years; 31 women). RESULTS The intraclass correlation coefficient (which measures reproducibility) was 0.837 (P < 0.001). Bland-Altman plots revealed a mean error in the difference between the two measurements of 0.42. The internal consistency was confirmed through a Cronbach alpha of 0.944. The validity between NAHS-Brazil and Lequesne and between NAHS-Brazil and WOMAC showed high correlations, r = 0.7340 and r = 0.9073, respectively. NAHS-Brazil showed good validity with no floor or ceiling effects. CONCLUSION The NAHS was translated into the Brazilian Portuguese language and was cross-culturally adapted to Brazilian culture. It was shown to be a useful tool in clinical practice for assessing the quality of life of young and physically active patients with hip pain.

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Brazilian version of the Overall Assessment of the Speaker's Experience of Stuttering - Adults protocol (OASES-A)

Jornal da Sociedade Brasileira de Fonoaudiologia ◽

10.1590/s2179-64912012000200010 ◽

2012 ◽

Vol 24 (2) ◽

pp. 145-151 ◽

Cited By ~ 10

Author(s):

Eliane Lopes Bragatto ◽

Ellen Osborn ◽

J. Scott Yaruss ◽

Robert Quesal ◽

Ana Maria Schiefer ◽

...

Keyword(s):

Quality Of Life ◽

Treatment Options ◽

Brazilian Portuguese ◽

Emotional States ◽

Self Assessment ◽

Brazilian Version ◽

Assessment And Treatment ◽

Back Translation ◽

The Impact

PURPOSE: To verify the applicability of the protocol Overall Assessment of the Speaker's Experience of Stuttering - Adults (OASES-A), translated into Brazilian Portuguese, in a sample of adults who stutter. METHODS: The Brazilian Portuguese version of the OASES-A protocol was individually applied to 18 people who stutter. The classification of stuttering severity was based on the Stuttering Severity Instrument for Children and Adults (SSI-3) protocol. Translation and back-translation processes were carried out by specialists, considering semantic, conceptual, cultural, and idiomatic equivalences. RESULTS: There was no correlation between the severity degrees of stuttering assessed by the SSI-3 protocol and the self-assessment performed using the OASES-A. Subjects reported impairments in perceived fluency; speech ability; level of knowledge about stuttering and treatment options; use of confrontational techniques; quality of life. They also mentioned having difficulty coping with emotional states such as anxiety and embarrassment, and with communication in daily situations. CONCLUSION: The OASES-A protocol is useful in the assessment and treatment of stutterers, as it provides specialized speech-language pathologists with sutterers' self-perception regarding their communication difficulties and the impact of stuttering on their quality of life.

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Brazilian Portuguese translation and cross-cultural adaptation of Edinburgh Cognitive and Behavioural Amyotrophic Lateral Sclerosis Screen (ECAS)

Interação ◽

10.53660/inter-118-s211 ◽

2021 ◽

Vol 21 (1) ◽

pp. 169-180

Author(s):

Any Cleo Souza ◽

Valeriana de Castro Guimarães ◽

Denise Sisterolli Diniz ◽

Thomas H. Bak ◽

Sharon Abrahams

Keyword(s):

Cultural Adaptation ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Semantic Equivalence ◽

Cross Cultural Adaptation ◽

Immediate Recall ◽

Brazilian Version ◽

Back Translation ◽

Delayed Recognition ◽

Brazilian Culture

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.

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Cross-cultural adaptation of Preschool Language Assessment Instrument: Second Edition

CoDAS ◽

10.1590/2317-1782/20142014116 ◽

2014 ◽

Vol 26 (6) ◽

pp. 428-433 ◽

Cited By ~ 1

Author(s):

Tâmara Andrade Lindau ◽

Natalia Freitas Rossi ◽

Célia Maria Giacheti

Keyword(s):

Age Groups ◽

Language Assessment ◽

Pilot Project ◽

Brazilian Portuguese ◽

Assessment Instrument ◽

Original Version ◽

Portuguese Version ◽

Preschool Language ◽

Brazilian Version ◽

Back Translation

PURPOSE: In Brazil, formal tools for the evaluation of spoken language are scarce. Therefore, this study aimed to translate and adapt to Brazilian Portuguese the Preschool Language Assessment Instrument: Second Edition (PLAI-2). METHODS: The process of translation and adaptation of this instrument was conducted in two stages - Stage 1: (1a) translation of the original version to Brazilian Portuguese, (1b) comparison of the translated versions and synthesis into a single Portuguese version, (1c) back-translation, (1d) revision of the translated version; and Step 2: (2a) application of the Portuguese version in a pilot project with 30 subjects, and (2b) statistical comparison of three age groups. RESULTS: In the Brazilian version, all items of the original version were kept. However, it was necessary to modify the application order of one item, and the change of one picture was suggested in another. The results obtained after application indicated that the Brazilian version of the PLAI-2 allows us to distinguish the performance of participants belonging to different age groups, and that the raw score tends to increase with age. CONCLUSION: Semantic and syntactic adjustments were required and made to ensure that PLAI-2 would be used with the same methodological rigor of the original instrument. The adaptation process observed the theoretical, semantic, and cultural equivalences.

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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

Trends in Psychiatry and Psychotherapy ◽

10.1590/2237-6089-2018-0063 ◽

2019 ◽

Vol 41 (3) ◽

pp. 218-226

Author(s):

Maria Clara Pacífico ◽

Cristiane Silvestre de Paula ◽

Victor Santos Namur ◽

Rosane Lowenthal ◽

Cleonice Alves Bosa ◽

...

Keyword(s):

Cultural Adaptation ◽

Autism Diagnostic Observation Schedule ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Rater Reliability ◽

Semantic Equivalence ◽

Final Version ◽

Brazilian Version ◽

Back Translation ◽

Autism Diagnostic Observation

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.

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Tradução e retrotradução do instrumento de avaliação do trabalho em equipe TeamSTEPPS® para uso no ensino por simulação no Brasil

Scientia Medica ◽

10.15448/1980-6108.2016.4.24622 ◽

2016 ◽

Vol 26 (4) ◽

pp. 24622 ◽

Cited By ~ 2

Author(s):

Carolina Soares Brandão ◽

Dario Cecilio Fernandes ◽

Carlos Fernandes Collares ◽

Glória Rosário Fernandes ◽

Heimar Fátima Marin

Keyword(s):

Semantic Analysis ◽

Assessment Tool ◽

Brazilian Portuguese ◽

Second Step ◽

Educational Context ◽

Simulation Environment ◽

Translation Process ◽

Semantic Equivalence ◽

Back Translation ◽

Simple Format

Aims: To describe the results of translation and back-translation of the TeamSTEPPS® questionnaire to Brazilian Portuguese. This North American questionnaire has been used globally as an useful tool in simulation environment with evaluation intent, aiming at improving patient safety inside health settings, based on effective communication and teamwork.Methods: The adopted methodology consisted in translation and back-translation, with subsequent semantic analysis by experienced professors in health practice evaluations.Results: The translated tool showed a simple format and easy interpretation and understanding when analyzed by authors, professors and translators, and does not generate any kind of discrepancy in their items. In the subsequent analysis by the professors, it was shown that the items were relevant and clear to the Brazilian reality.Conclusions: All the steps of the translation and back-translation process were carried out successfully, finalizing the TeamSTEPPS® teamwork assessment tool in Brazilian Portuguese. The translation process of any tool is complex, and does not end in the linguistic equivalence. Therefore, a second step of this work will be the application of this scale in simulated scenarios focused in teamwork training, to retrace data on psychometric analyses in the educational context and semantic equivalence analyses.

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