Cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score to Brazilian Portuguese

Abstract

OBJECTIVE: to describe the process of cross-cultural adaptation and clinical validation of the Neonatal Skin Condition Score. METHODS: this methodological cross-cultural adaptation study included five steps: initial translation, synthesis of the initial translation, back translation, review by an Committee of Specialists and testing of the pre-final version, and an observational cross-sectional study with analysis of the psychometric properties using the Adjusted Kappa, Intraclass Correlation Coefficient, and Bland-Altman Method statistical tests. A total of 38 professionals were randomly recruited to review the clarity of the adapted instrument, and 47 newborns hospitalized in the Neonatology Unit of the Clinical Hospital of Porto Alegre were selected by convenience for the clinical validation of the instrument. RESULTS: the adapted scale showed approximately 85% clarity. The statistical tests showed moderate to strong intra and interobserver item to item reliability and from strong to very strong in the total score, with a variation of less than 2 points among the scores assigned by the nurses to the patients. CONCLUSIONS: the scale was adapted and validated to Brazilian Portuguese. The psychometric properties of the Brazilian version of the Neonatal Skin Condition Score instrument were similar to the validation results of the original scale.

Adaptação Transcultural De Instrumentos De Pesquisa Conduzida Pela Enfermagem Do Brasil: Uma Revisão Integrativa

“…Most of the articles analyzed (18) were published between the years of 2011 and 2014 [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26] (Table 2) and the most frequently-found specialties were Clinical Medicine 10,13,17,25,27 and Pediatrics 9,14,17,20 . The most-used methodological framework for CCA, in 20 articles analyzed, was that with Beaton as either the main author or as a contributing author, published in different years.…”

“…The most-used methodological framework for CCA, in 20 articles analyzed, was that with Beaton as either the main author or as a contributing author, published in different years. [9][10][11][12][14][15][16][17][19][20][21][22][23][24][25][26][27][28][29][30] Regarding the stages of the CCA process, in 14 of the articles analyzed [11][12][14][15][16][18][19][20][21]24,[26][27][29][30] the following sequence was adopted: translation, synthesis of the translations, back-translation, analysis by a committee of specialists, and pretesting of the adapted version. 1 In the other studies [9][10]13,17,[22][23]25,28 this sequence of the process was altered.…”

“…16,21,26 In four of the articles, however, there was no information on the nationality of the translators 11,17,20,28 responsible for the stages of translation and/or back-translation of the instrument. In six 21,23,25,27,[29][30] articles analyzed, there was either a partial or total absence of information on the obligatory characteristics or criteria for selecting the translators responsible for the stages of initial translation and back-translation, or the recommendations regarding these criteria were not followed.…”

“…Regarding the description of the procedures adopted in the stages of CCA it was observed that in 20 articles [9][10][11][12][13][14][15][16][17][19][20][21][23][24][25][26][27][28][29][30] the authors were concerned with giving a detailed description of the largest part of the process, evidencing the attention given to the methodological rigor adopted. 3 The description of the process of selecting the experts who made up the specialist committees was observed in 18 articles.…”

“…3 The description of the process of selecting the experts who made up the specialist committees was observed in 18 articles. 9,[11][12][13][14][15][16][17]19,22,[24][25][26][27][28]30 In 17 studies [9][10][12][13][14][17][18][19][21][22][23][24][25][26][27][28]30 the evaluation of the psychometric properties of the instruments was undertaken, along with the validation of the qualitative and quantitative content (the expert committee), with a description of the statistical analysis used. Among the statistical tests used in the psychometric evaluation, the Alfa Cronbach test deserves to be highlighted, used in the analysis of the instrument's internal consistency (reliability), given that this was undertaken in 09 [9][10]12,14,18,[24][25]28 of the 17 articles ( Table 2).…”