STOP-Bang questionnaire: translation to Portuguese and cross-cultural adaptation for use in Brazil

ABSTRACT Objective: To translate and perform a cross-cultural adaptation of the Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender (STOP-Bang) questionnaire so that it can be used as a screening tool for the diagnosis of obstructive sleep apnea in Brazil. Methods: Based on the principles of good practice for the translation and cross-cultural adaptation of such instruments, the protocol included the following steps: acquisition of authorization from the lead author of the original questionnaire; translation of the instrument to Brazilian Portuguese, carried out by two translators; reconciliation; back-translation to English, carried out by two English teachers who are fluent in Portuguese; review of the back-translation; harmonization; review and approval of the questionnaire by the original author; cognitive debriefing involving 14 patients who completed the questionnaire; analysis of the results; and review and preparation of the final version of the instrument approved by the review committee. Results: The final version of the STOP-Bang questionnaire for use in Brazil showed a clarity score > 9 (on a scale of 1-10) for all of the questions. The Cronbach's alpha coefficient was 0.62, demonstrating the internal consistency of the instrument. The means and standard deviations of the age, body mass index, and neck circumference of the patients studied were 46.8 ± 11.2 years, 43.7 ± 8.5 kg/m2, and 41.3 ± 3.6 cm, respectively. Conclusions: The STOP-Bang questionnaire proved to be understandable, clear, and applicable. The original instrument and the translated version, cross-culturally adapted for use in Brazil, were consistently equivalent. Therefore, it can become a widely used screening tool for patients with suspected obstructive sleep apnea.

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Translation, cross-cultural adaptation and psychometric properties of the Sleep-Related Breathing Disordered−Pediatric Sleep Questionnaire for obese Thai children with obstructive sleep apnea

Sleep Medicine ◽

10.1016/j.sleep.2018.08.033 ◽

2019 ◽

Vol 53 ◽

pp. 45-50 ◽

Cited By ~ 2

Author(s):

Khomkrip Longlalerng ◽

Nuntigar Sonsuwan ◽

Sureeporn Uthaikhup ◽

Warunee Kumsaiyai ◽

Patraporn Sitilertpisan ◽

...

Keyword(s):

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Psychometric Properties ◽

Cultural Adaptation ◽

Cross Cultural ◽

Cross Cultural Adaptation ◽

Sleep Questionnaire ◽

Obstructive Sleep ◽

Pediatric Sleep Questionnaire ◽

Pediatric Sleep

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The Brazilian version of the Home Falls and Accidents Screening Tool (HOME FAST): translation, cross-cultural adaptation, validation and reliability

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562020023.190180 ◽

2020 ◽

Vol 23 (1) ◽

Author(s):

Jarbas Melo Filho ◽

Silvia Valderramas ◽

Audrin Said Vojciechowski ◽

lynette Mackenzie ◽

Anna Raquel Silveira Gomes

Keyword(s):

Construct Validity ◽

Older People ◽

Cultural Adaptation ◽

Screening Tool ◽

Expert Panel ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Rater Reliability ◽

Cross Cultural Adaptation ◽

Final Version

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.

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Translation and cross-cultural adaptation of the Sexual Function Questionnaire (SFQ) into Brazilian Portuguese

Trends in Psychiatry and Psychotherapy ◽

10.1590/2237-6089-2016-0089 ◽

2017 ◽

Vol 39 (2) ◽

pp. 110-115 ◽

Cited By ~ 2

Author(s):

Clara de Oliveira Lapa ◽

Gibsi Possapp Rocha ◽

Tiago Reis Marques ◽

Oliver Howes ◽

Shubulade Smith ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Cultural Adaptation ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Cognitive Debriefing ◽

Cross Cultural Adaptation ◽

Final Version ◽

Back Translation ◽

Sexual Function Questionnaire

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.

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The Quebec Sleep Questionnaire on quality of life in patients with obstructive sleep apnea: translation into Portuguese and cross-cultural adaptation for use in Brazil

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562016000000160 ◽

2017 ◽

Vol 43 (5) ◽

pp. 331-336

Author(s):

José Tavares de Melo Júnior ◽

Rosemeri Maurici ◽

Michelle Gonçalves de Souza Tavares ◽

Marcia Margareth Menezes Pizzichini ◽

Emilio Pizzichini

Keyword(s):

Quality Of Life ◽

Cultural Adaptation ◽

Cross Cultural ◽

Cognitive Debriefing ◽

Cross Cultural Adaptation ◽

Language Version ◽

Culturally Adapted ◽

Obstructive Sleep ◽

Back Translation

ABSTRACT Objective: To translate the Quebec Sleep Questionnaire (QSQ), a specific instrument for the assessment of quality of life in patients with sleep obstructive apnea, into Portuguese and to create a version that is cross-culturally adapted for use in Brazil. Methods: The Portuguese-language version was developed according to a rigorous methodology, which included the following steps: preparation; translation from English into Portuguese in three versions; reconciliation to a single version; back-translation of that version into English; comparison and harmonization of the back-translation with the original version; review of the Portuguese-language version; cognitive debriefing; text review; and arrival at the final version. Results: The Portuguese-language version of the QSQ for use in Brazil had a clarity score, as measured by cognitive debriefing, ranging from 0.81 to 0.99, demonstrating the consistency of translation and cross-cultural adaptation processes. Conclusions: The process of translating the QSQ into Portuguese and creating a version that is cross-culturally adapted for use in Brazil produced a valid instrument to assess the quality of life in patients with obstructive sleep apnea.

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Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old

BMC Pediatrics ◽

10.1186/s12887-021-02527-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Laura Cantisano de Deus Silva ◽

Priscila Monaro Bianchini ◽

Erika Veruska Paiva Ortolan ◽

Juliana Fattori Hamamoto ◽

Rosemary Fermiano ◽

...

Keyword(s):

Psychometric Properties ◽

Cultural Adaptation ◽

Age Groups ◽

Kappa Statistic ◽

Brazilian Portuguese ◽

Cross Cultural ◽

Cross Cultural Adaptation ◽

Final Version ◽

Scientific Investigations ◽

Examiner Agreement

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.

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P.5 Association of body fluid distribution with obstructive sleep apnea in pregnant women with body mass index ⩾ 40 kg/m2: A prospective observational pilot study

International Journal of Obstetric Anesthesia ◽

10.1016/j.ijoa.2021.103003 ◽

2021 ◽

Vol 46 ◽

pp. 103003

Author(s):

J. Wicker ◽

C.V. Maxwell ◽

K. Downey ◽

M. Singh ◽

M. Balki

Keyword(s):

Body Mass Index ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Pilot Study ◽

Pregnant Women ◽

Body Mass ◽

Body Fluid ◽

Fluid Distribution ◽

Obstructive Sleep

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The Association Between Obstructive Sleep Apnea and Cotton-Wool Spots in Nonproliferative Diabetic Retinopathy

Journal of VitreoRetinal Diseases ◽

10.1177/2474126421989576 ◽

2021 ◽

pp. 247412642198957

Author(s):

Halward M.J. Blegen ◽

Grant A. Justin ◽

Bradley A. Bishop ◽

Anthony R. Cox ◽

James K. Aden ◽

...

Keyword(s):

Body Mass Index ◽

Obstructive Sleep Apnea ◽

Diabetic Retinopathy ◽

Sleep Apnea ◽

Body Mass ◽

Smoking Status ◽

Cotton Wool ◽

Nonproliferative Diabetic Retinopathy ◽

Cotton Wool Spots ◽

Obstructive Sleep

Purpose: This work reports the association of obstructive sleep apnea (OSA) and cotton-wool spots (CWS) seen in patients with nonproliferative diabetic retinopathy (DR). Methods: A random sample of patients diagnosed with DR between January 1, 2015 and December 31, 2018, were selected from medical-billing codes. Dilated funduscopic examination findings and medical history were analyzed by reviewing medical records. Results: CWS were present in 12 of 118 patients without OSA, compared with 11 of 32 patients with OSA (10.2% vs 34.4%, respectively; P = .002). OSA was more common in men (68.8%, P = .03) and associated with a higher body mass index (30.0 ± 5.0 without OSA vs 33.6 ± 5.5 with OSA, P < .001). When comparing those with and without OSA, there was no association with age; glycated hemoglobin A1c; stage of DR; insulin dependence; presence of diabetic macular edema; smoking status; or a history of hypertension, hyperlipidemia, cardiovascular disease, or other breathing disorder. Conclusions: The presence of OSA is associated with CWS in patients with DR, as well as male sex and a higher body mass index. Further research is needed to determine the ophthalmologist’s role in the timely referral of patients with CWS for OSA evaluation.

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Rapid Risk Stratification for Obstructive Sleep Apnea, Based on Snoring Severity and Body Mass Index

Otolaryngology ◽

10.1016/j.otohns.2008.08.026 ◽

2008 ◽

Vol 139 (5) ◽

pp. 615-618 ◽

Cited By ~ 12

Author(s):

Luc G.T. Morris ◽

Andrew Kleinberger ◽

Kelvin C. Lee ◽

Lisa A. Liberatore ◽

Omar Burschtin

Keyword(s):

Body Mass Index ◽

Obstructive Sleep Apnea ◽

Sleep Apnea ◽

Risk Stratification ◽

Body Mass ◽

Obstructive Sleep

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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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