Translation, Cultural Adaptation, and Reproducibility of the Physical Activity Readiness Questionnaire for Everyone (PAR-Q+): The Brazilian Portuguese Version

Background: The Physical Activity Readiness Questionnaire for Everyone (PAR-Q+) is the international standard for pre-participation risk stratification and screening. In order to provide a practical and valid screening tool to facilitate safe engagement in physical activity and fitness assessments for the Brazilian population, this study aimed to translate, culturally adapt, and verify the reproducibility of the evidence-based PAR-Q+ to the Brazilian Portuguese language.Method: Initially, the document was translated by two independent translators, before Brazilian experts in health and physical activity evaluated the translations and produced a common initial version. Next, two English native speakers, fluent in Brazilian Portuguese and accustomed to the local culture, back-translated the questionnaire. These back translations were assessed by the organization in charge of the PAR-Q+, then a final Brazilian version was approved. A total of 493 Brazilians between 5 and 93 yr (39.9 ± 25.4 yr), 59% female, with varying levels of health and physical activity, completed the questionnaire twice, in person or online, 1–2 weeks apart. Cronbach's alpha was used to calculate the internal consistency of all items of the questionnaire, and the Kappa statistic was used to assess the individual reproducibility of each item of the document. Additionally, the intraclass correlation coefficient and its 95% confidence interval (CI) were used to verify the general reproducibility (reliability) of the translated version.Results: The Brazilian version had an excellent internal consistency (0.993), with an almost perfect agreement in 93.8% of the questions, and a substantial agreement in the other 6.2%. The translated version also had a good to excellent total reproducibility (0.901, 95% CI: 0.887–0.914).Conclusion: The results show this translation is a valid and reliable screening tool, which may facilitate a larger number of Brazilians to start or increase physical activity participation in a safe manner.

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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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Psychometric analysis of the Brazilian-version Kidscreen-27 questionnaire

Health and Quality of Life Outcomes ◽

10.1186/s12955-021-01824-7 ◽

2021 ◽

Vol 19 (1) ◽

Author(s):

Pablo Magno da Silveira ◽

Alexsandra da Silva Bandeira ◽

Marcus Vinicius Veber Lopes ◽

Adriano Ferreti Borgatto ◽

Kelly Samara da Silva

Keyword(s):

Public Schools ◽

Construct Validity ◽

Internal Consistency ◽

Intraclass Correlation ◽

Well Being ◽

Discriminatory Power ◽

Brazilian Version ◽

Related Quality ◽

Health Related ◽

Delta G

Abstract Background The objective of this study was to verify the reliability, discriminatory power and construct validity of the Kidscreen-27 questionnaire in Brazilian adolescents. Methods Adolescents that participated of the pilot study (210 adolescents; 52.9% boys; 13.7 years old) and of the baseline (816 participants; 52.7% girls; 13.1 years old) of the Movimente Project in 2016/2017 composed the sample of the present study. This project was carried out in six public schools in the city of Florianópolis, Santa Catarina, Brazil. Test–retest reproducibility was assessed by the intraclass correlation coefficient and Gwet coefficient; internal consistency through McDonald's Omega; Hankins' Delta G coefficient verified the scale's discriminatory power and; confirmatory factor analysis to assess construct validity. Results Reproducibility values ranged from 0.71 to 0.78 for the dimensions (ICC), and ranged from 0.60 to 0.83 for the items (Gwet). McDonald's Ômega (0.82–0.91) for internal consistency measures. Discriminatory power ranging from 0.94 for the dimension Social Support and Friends to 0.98 for Psychological Well-Being. The factorial loads were > 0.40, except for item 19 (0.36). The fit quality indicators of the model were adequate (X2[df] = 1022.89 [311], p < 0.001; RMSEA = 0.053 (0.049–0.087); CFI = 0.988; TLI = 0.987), confirming the five-factor structure originally proposed. Conclusions The Brazilian-version Kidscreen-27 achieved good levels of reproducibility, internal consistency, discriminatory power and construct validity. Its use is adequate to measure the health-related quality of life of adolescents in the Brazilian context.

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Reliability of the Brazilian version of HCR-20 Assessing Risk for Violence

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462009005000001 ◽

2009 ◽

Vol 31 (3) ◽

pp. 253-256 ◽

Cited By ~ 8

Author(s):

Lisieux Elaine de Borba Telles ◽

Vivian Peres Day ◽

Jorge Oscar Folino ◽

José Geraldo Vernet Taborda

Keyword(s):

Risk Management ◽

Correlation Coefficient ◽

Intraclass Correlation Coefficient ◽

Intraclass Correlation ◽

Psychiatric Institute ◽

Clinical Evaluations ◽

Brazilian Version ◽

Consensus Values ◽

Forensic Psychiatric ◽

The Individual

OBJECTIVE: Assessing risk for violence is a complex task often based on not objective or structured clinical evaluations. HCR-20 Assessing Risk for Violence has been used in several countries to increase the accuracy of this exam. The purpose of this study was to inform on central aspects of this instrument, as well as the results of the reliability assessment of the HCR-20 Assessing Risk for Violence in a Brazilian inpatient criminal population. METHOD: Two examiners independently assessed a random sample of 30 patients that were under criminal commitment at the Mauricio Cardoso Forensic Psychiatric Institute RESULTS: Mean consensus values means were as follows: Historical = 13.1; Clinical = 4.8 and Risk management = 5.8. The value of the Intraclass Correlation Coefficient for the score of subscale Historical was 0.97, for subscale Clinical it was 0.94, and for subscale Risk management, 0.96. As to the individual items of the HCR-20 Assessing Risk for Violence, the result of the Intraclass Correlation Coefficient was good to excellent (mean = 0.97; interval, from 0.60 to 0.99). CONCLUSION: The interrater reliability of the Brazilian version of the HCR-20 Assessing Risk for Violence scale was similar to the results of studies in other countries.

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Transcultural adaptation of the Thirst Distress Scale (TDS) into Brazilian Portuguese and an analysis of the psychometric properties of the scale for patients on hemodialysis

Brazilian Journal of Nephrology ◽

10.1590/2175-8239-jbn-2019-0151 ◽

2020 ◽

Vol 42 (2) ◽

pp. 153-162

Author(s):

Clara Sandra de Araujo Sugizaki ◽

Clarice Carneiro Braga ◽

Ana Tereza Vaz de Souza Freitas ◽

Maria do Rosário Gondim Peixoto

Keyword(s):

Visual Analogue Scale ◽

Psychometric Properties ◽

Internal Consistency ◽

Analogue Scale ◽

Intraclass Correlation ◽

Brazilian Portuguese ◽

Final Version ◽

Portuguese Version ◽

Transcultural Adaptation ◽

Distress Scale

Abstract Objective: To produce a transcultural adaptation of the Thirst Distress Scale (TDS) into Brazilian Portuguese and analyze the scale’s psychometric properties for patients on hemodialysis (HD). Methods: The original scale was translated, back translated, and discussed with psychometric assessment experts. The final version was tested with 126 patients on HD and retested with 70 individuals from the original patient population. Cronbach’s alpha was used to measure the scale’s internal consistency. Reliability of thirst intensity evaluated via the visual analogue scale (VAS) was tested with Kappa statistic and the Bland-Altman plot. Reproducibility was assessed based on the intraclass correlation coefficient (ICC). Results: The wording of three items and the verb tenses of six had to be adjusted in the final version of the Brazilian Portuguese TDS. Comprehension of the scale by patients on HD was good, the scale’s internal consistency was satisfactory (0.84; p<0.001), agreement with a visual analogue scale (VAS) was moderate (kappa=0.44; p<0.001), and reproducibility neared perfection (ICC=0.87; p<0.001). Conclusion: Our results showed that the Brazilian Portuguese version of the scale might be used reliably. The Brazilian Portuguese version of the TDS is a practical, affordable, accessible and well-accepted tool that has a lot to offer for the management of patients with HD.

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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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The Phone-FITT: A Brief Physical Activity Interview for Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.16.3.292 ◽

2008 ◽

Vol 16 (3) ◽

pp. 292-315 ◽

Cited By ~ 40

Author(s):

Dawn P. Gill ◽

Gareth R. Jones ◽

GuangYong Zou ◽

Mark Speechley

Keyword(s):

Physical Activity ◽

Older Adults ◽

Intraclass Correlation ◽

Reliability And Validity ◽

Step Test ◽

Exercise Programs ◽

Perfect Agreement ◽

Convenience Sample ◽

Retest Reliability ◽

Test Retest Reliability

The purpose of this study was to develop a brief physical activity interview for older adults (Phone-FITT) and evaluate its test–retest reliability and validity. Summary scores were derived for household, recreational, and total PA. Reliability was evaluated in a convenience sample from a fall-prevention study (N= 43, 79.4 ± 2.9 years, 51% male), and validity, in a random sample of individuals in older adult exercise programs (N= 48, 77.4 ± 4.7 years, 25% male). Mean time to complete the Phone-FITT was 10 min for participants sampled from exercise programs. Evaluation of test–retest reliability indicated substantial to almost perfect agreement for all scores, with intraclass correlation coefficients (95% confidence intervals) ranging from .74 (.58–.85) to .88 (.8–.94). For validity, Spearman’s rho correlations of Phone-FITT scores with accelerometer counts ranged from .29 (.01–.53) to .57 (.34–.73). Correlations of Phone-FITT recreational scores with age and seconds to complete a self-paced step test ranged from –.29 (–.53 to –.01) to –.45 (–.68 to –.14). This study contributes preliminary evidence of the reliability and validity of the Phone-FITT.

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Inter-rater reliability and factor analysis of the Brazilian version of the Schedule for the Assessment of Insight: Expanded Version (SAI-E)

Brazilian Journal of Psychiatry ◽

10.1590/s1516-44462006005000041 ◽

2007 ◽

Vol 29 (4) ◽

pp. 359-362 ◽

Cited By ~ 6

Author(s):

Clarissa de Rosalmeida Dantas ◽

Cláudio Eduardo Muller Banzato

Keyword(s):

Factor Analysis ◽

Intraclass Correlation ◽

Factorial Structure ◽

Varimax Rotation ◽

Rater Reliability ◽

Brazilian Version ◽

Independent Evaluator ◽

Components Analysis ◽

The One ◽

The Individual

OBJECTIVES: The Schedule for the Assessment of Insight - Expanded Version consists of 11 items that encompass: awareness of having a mental illness, ability to rename psychotic phenomena as abnormal, and compliance with treatment. The objective of the study was to evaluate the inter-rater reliability and to study the factorial structure of the Brazilian version of the instrument. METHOD: The Brazilian version of the Schedule for the Assessment of Insight - Expanded Version was used for the assessment of insight of 109 psychotic inpatients, 60 of whom had the interview tape-recorded in order to be scored by an independent evaluator. Intraclass correlation coefficient (ICC) was adopted as the inter-rater reliability coefficient. In the factor analysis, principal components analysis and Varimax rotation were adopted. RESULTS: Inter-rater reliability coefficients from good to excellent were found for the individual items of the Schedule for the Assessment of Insight - Expanded Version with ICC values ranging from 0.54 to 0.82. Regarding the total score, inter-rater reliability was excellent, with ICC = 0.90. A factorial structure similar to the one obtained by the original version of the Schedule for the Assessment of Insight - Expanded Version was found, with 3 factors accounting for 71.72% of variance. CONCLUSION: In the Brazilian context, the Schedule for the Assessment of Insight - Expanded Version presented good inter-rater reliability and factorial structure compatible to the insight dimensions that are intended to be evaluated.

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Acceptability, internal consistency and test–retest reliability of scales to assess parental and nursery staff’s self-efficacy, motivation and knowledge in relation to pre-school children’s nutrition, oral health and physical activity

Public Health Nutrition ◽

10.1017/s1368980018004111 ◽

2019 ◽

Vol 22 (06) ◽

pp. 967-975 ◽

Cited By ~ 3

Author(s):

Kaiseree Dias ◽

James White ◽

Chris Metcalfe ◽

Ruth Kipping ◽

Angeliki Papadaki ◽

...

Keyword(s):

Physical Activity ◽

Oral Health ◽

Internal Consistency ◽

Self Efficacy ◽

Intraclass Correlation ◽

Online Questionnaire ◽

Retest Reliability ◽

Parent Questionnaire ◽

Children's Nutrition ◽

Test Retest Reliability

AbstractObjectiveTo determine the acceptability, internal consistency and test–retest reliability of self-efficacy, motivation and knowledge scales relating to pre-school children’s nutrition, oral health and physical activity.DesignAn online questionnaire was completed twice with an interval of 7–11d.SettingOnline questionnaires were sent to participants via email from nursery managers. The parent questionnaire was also available on the parenting website www.netmums.com.ParticipantsEighty-two parents and sixty-nine nursery staff from Bristol, UK who had and worked with 2–4-year-olds, respectively.ResultsResponse rates were 86·3 and 86·0 % and missing data 15·9 and 14·5 % for the second administration of the parent and nursery staff questionnaires, respectively. Weighted κ coefficients for individual items mostly fell under the ‘moderate’ agreement category for the parental (75·0 %) and nursery staff (55·8 %) items. All self-efficacy and motivation scales had acceptable levels of internal consistency (Cronbach’s α coefficients>0·7). The intraclass correlation coefficients for the self-efficacy, motivation and knowledge scales ranged between 0·48 and 0·82. Paired t tests found an increase between test and retest knowledge scores for the Nutrition Motivation (t=−2·91, df=81, P=0·00) and Knowledge (t=−3·22, df=81, P=0·00) scales in the parent questionnaire.ConclusionsOur findings demonstrate that the items and scales show good acceptability, internal consistency and test–retest reliability.

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Fiabilidad de un cuestionario de modos, tiempo y distancia de desplazamiento en estudiantes universitarios (Reliability of a questionnaire on commuting modes, time, and distance in university students)

Retos ◽

10.47197/retos.v37i37.71639 ◽

2019 ◽

pp. 210-214

Author(s):

Ximena Alejandra Palma Leal ◽

Danica Escobar Gómez ◽

Palma Chillón ◽

Fernando Rodríguez-Rodríguez

Keyword(s):

Physical Activity ◽

University Students ◽

High Reliability ◽

Intraclass Correlation ◽

Adult Life ◽

Active Commuting ◽

Good Reliability ◽

Perfect Agreement ◽

The University ◽

Study Participants

Introducción: El desplazamiento activo es una oportunidad para incorporar actividad física en las rutinas diarias de los universitarios, alcanzar las recomendaciones de actividad física y ayudar en la prevención de enfermedades en la vida adulta. Objetivo: comprobar la fiabilidad de un cuestionario sobre el desplazamiento activo en universitarios. Métodos: un total de 110 (33 mujeres y 77 hombres) universitarios con edades entre los 19 y 26 años, participaron en este estudio. Los participantes completaron un cuestionario sobre el modo de desplazamiento a la universidad y sus variantes en dos instancias (test y retest). Para evaluar la fiabilidad de este cuestionario se calculó el coeficiente Kappa (𝞳) y Coeficiente de Correlación de Intraclase (ICC), lo que fue analizado mediante el software estadístico SPSS. Resultados: Los valores de 𝞳 sobre el modo de desplazamiento en ida y vuelta a la universidad se encuentran en un acuerdo casi perfecto con valores de 0.882; 0.822 respectivamente. Los valores de ICC en distancia ida y vuelta a la universidad fueron 0,945; 0,962 respectivamente y para tiempo ida y vuelta a la universidad fueron 0,976; 0,976 respectivamente, siendo valores de acuerdo casi perfecto según el intervalo. Conclusión: El cuestionario muestra ser un instrumento confiable para la población universitaria, teniendo buena fiabilidad en todos sus ítems, obteniendo valores de 𝞳 e ICC altos. El no presentar valores de p significativos, refuerza la alta fiabilidad del cuestionario.Abstract. Introduction: Active commuting is an opportunity to incorporate physical activity in the daily routines of university students, so to achieve physical activity recommendations and help preventing diseases in adult life. Objective: to verify the reliability of a questionnaire about active commuting in university students. Methods: a total of 110 university students (33 women and 77 men) aged between 19 and 26 years old participated in this study. Participants completed a questionnaire on how they commute to the university and commuting variants in two separated measurement sessions (test and retest). In order to evaluate the reliability of this questionnaire, Kappa (κ) coefficient and Intraclass Correlation Coefficient (ICC) were calculated using SPSS statistical software. Results: κ scores for commuting to and from university were found in almost perfect agreement, with values of 0.882 and 0.822 respectively. ICC scores on distance to and from university were 0.945 and 0.962 respectively; and for time to and from university they were 0.976 and 0.976 respectively, the values being in almost perfect agreement based on the interval. Conclusion: The questionnaire shows to be a reliable instrument for the university population, showing good reliability in all its items, with high κ and ICC values. The lack of significant p values reinforces the high reliability of the questionnaire.

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Multi-level validation of the German physical activity barriers self-efficacy scale in a sample of female sixth-graders

10.21203/rs.2.18261/v1 ◽

2019 ◽

Author(s):

Joachim Bachner ◽

David Joseph Sturm ◽

Stephan Haug ◽

Yolanda Demetriou

Keyword(s):

Physical Activity ◽

Internal Consistency ◽

Self Efficacy ◽

Sixth Graders ◽

Individual Level ◽

Class Level ◽

Multi Level ◽

Level 1 ◽

The Individual ◽

Level 2

Abstract Background The physical activity behaviour of the majority of children and adolescents is insufficient. Self-efficacy is regarded as one of the most important determinants able to enhance physical activity. The purpose of this study is to validate the German version of the physical activity barriers self-efficacy scale by means of a multi-level approach. Factorial validity, internal consistency and criterion validity were examined for the individual and the class level.Methods The final sample comprised 454 female sixth-graders of 33 classes. The original 8-item physical activity barriers self-efficacy scale was translated by a committee approach and pilot tested within the pretest procedure. To examine the factorial validity of the translated scale, a multi-level confirmatory factor analysis was conducted with the lavaan package in R. Internal consistency was estimated with the alpha function of the psych package. Criterion validity was examined by correlating self-efficacy with moderate-to-vigorous physical activity (MVPA) assessed with accelerometers.Results In contrast to previous validation studies, two-dimensional models fit the data better than uni-dimensional models. The best overall fit exhibited a 2x2-model, with two factors both on the individual and the class level (χ2 = 65.13, CFI = .985, TLI = .977, RMSEA = .046, SRMR = .033). The latent factors correlated highly on both levels (r = .87; r = .72). Every item loaded significantly on its respective factor on both levels. Internal consistency for the full scale and the first subscale was good on the individual level and excellent on the class level. For the second subscale, Cronbach’s alpha was low on level 1 and excellent on level 2. Weak relations between self-efficacy values and MVPA were found for level 1, strong associations were found for level 2.Conclusions The validation speaks in favour of a two-dimensional scale measuring not only actual self-efficacy but also support from family and friends. Furthermore, the results argue for the relevance of the multi-level approach which is able to differentiate between self-efficacy on the individual level and collective efficacy on the class level.

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