Cross-Cultural Adaptation and Face Validity of the Functional Mobility Assessment into Brazilian Portuguese

Paulisso, Debora Caires; Cruz, Daniel Marinho Cezar da; Allegretti, Ana; Schein, Richard M.; Costa, Jacqueline Denubila; Campos, Lays Cleria Batista; Schmeler, Mark R.

doi:10.1155/2020/8150718

Cited by 7 publications

(10 citation statements)

References 28 publications

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“…This included measuring the face validity of the adapted PIC-ME for UO children, by examining the degree to which the participants understood the tool's statements and depictions after the cultural adaptations were made. Similar confirmation was performed in research by Paulisso et al [67]. Results indicated that most participants agreed that the statements described what they saw in the pictures.…”

Section: Discussionsupporting

confidence: 87%

The Pictorial Interview of Children’s Metacognition and Executive Functions (PIC-ME): Cultural Adaptation for Ultra-Orthodox Jewish Populations

Golos

Budman

Shterenshus

et al. 2023

Occupational Therapy International

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Introduction. Executive functions (EFs) are strongly linked to attention deficit hyperactivity disorder (ADHD). The pictorial interview of children’s metacognition and executive functions (PIC-ME) assesses children’s self-perceptions regarding their EF. This study is aimed at describing the cultural adaptation of the PIC-ME to the ultra-Orthodox (UO) Jewish population in Israel. Method. In the first of three stages, 30 occupational therapists, who were experienced in working with children with ADHD from the UO population, completed a questionnaire about the suitability of PIC-ME for the UO community. In the second stage, six therapists participated in a focus group to discuss the recommendations and the adaptations made following the first stage. In the third stage, 20 UO children aged 5–10 participated in the tool validation process. Results. First stage: most of the items of the original tool were found to be appropriate in representing the EFs of UO children and did not need to be adapted. No significant differences were found between the boys’ and girls’ versions regarding the tool’s adaptability. However, most of the therapists suggested that the pictures in both versions needed adaptations. Second stage: additional recommendations led to the development of a final adapted version. Third stage: over 70 percent agreement was found among UO children regarding the clarity of the adapted pictures. No significant differences were found between boys and girls or between age groups. Conclusions. This study presented wide agreement on the necessity for cultural adaptation of the PIC-ME to the UO population and described the adaptation process. Based on its face validity, the UO version may be a useful tool to assess the self-perception of EF among UO children. Further studies are needed to assess its psychometric properties and its usefulness as an outcome measure. The study findings may contribute to the cultural adaptation of other tools for culturally distinct populations.

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Section: Discussionsupporting

confidence: 87%

The Pictorial Interview of Children’s Metacognition and Executive Functions (PIC-ME): Cultural Adaptation for Ultra-Orthodox Jewish Populations

Golos

Budman

Shterenshus

et al. 2023

Occupational Therapy International

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“…Because of the randomization and the fact that there are 10 questions with 7 possible answers in the FMA, we believe that the recall of the answer would not influence the results. Furthermore, our study used a relatively larger sample size compared to the previous studies that translated the FMA into other languages [31][32][33]. The results were statistically significant with moderate agreement between the scores obtained in English and Arabic FMA tools.…”

Section: Discussionmentioning

confidence: 75%

“…It has been very helpful in quantifying the impact of mobility devices in the functional performance of the individuals during performing different activities of daily living (ADLs) and instrumental activities of daily living (IADL) [31]. The FMA was also translated into Brazilian Portuguese language and demonstrated helpful valid and reliable data [32,33]. Additionally, the FMA was adapted for use with schoolaged pediatric population of wheelchair users in Africa and provided a reliable information that helped better understand children needs and their caregivers while using their wheelchairs [34].…”

Section: Discussionmentioning

confidence: 99%

Validation of an Arabic translation of the Functional Mobility Assessment (FMA) tool for assistive mobility device users

Sarsak

2022

Bull Fac Phys Ther

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Background Functional mobility assessment (FMA) tool is a self-report questionnaire developed to measure users’ satisfaction with assistive mobility devices while performing activities of daily living. Purpose To validate an Arabic translation of the FMA tool for Arabic-speaking assistive mobility devices users. Methods A committee of 2 bilingual qualified occupational therapists translated the English version into Arabic which was verified by back translation. The final versions were administered to bilingual assistive mobility devices users. The participants were randomly assigned to answer either the English or Arabic version of the FMA first, followed by answering the FMA in the other language. The scores obtained were tested for agreement using the kappa statistic. Results Participants’ (n=52), 28 were males and 24 were females, average participant age was 39.4 years old and had used an assistive mobility device for 6.4 years. We found a significant moderate agreement between the scores obtained from the two versions (p<0.000). The kappa measurement of agreement was 0.59 (95% confidence interval, 0.48–0.70). Conclusion The FMA is now available in Arabic, and it is an appropriate measure for use in research and clinical practice to quantify satisfaction with a functional mobility among assistive mobility device users. Further studies should test its psychometric properties.

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“…From the CHWs/OTLs ratings, we calculated separately for the CHWs and OTLs the agreement index as the mean scores of ratings of the extent to which CHWs/OTLs agreed that the tool covers everything that happens on household visits (agreed) and how many were happy to be assessed using the tool (happy). The agreement index should be ≥85% ( 43 ) otherwise, the tool should be revised if the index is <85%.…”

Section: Methodsmentioning

confidence: 99%

Assessing the Utility of a Quality-of-Care Assessment Tool Used in Assessing Comprehensive Care Services Provided by Community Health Workers in South Africa

Babalola

Goudge

Levin

et al. 2022

Front. Public Health

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BackgroundFew studies exist on the tools for assessing quality-of-care of community health worker (CHW) who provide comprehensive care, and for available tools, evidence on the utility is scanty. We aimed to assess the utility components of a previously-reported quality-of-care assessment tool developed for summative assessment in South Africa.MethodsIn two provinces, we used ratings by 21 CHWs and three team leaders in two primary health care facilities per province regarding whether the tool covered everything that happens during their household visits and whether they were happy to be assessed using the tool (acceptability and face validity), to derive agreement index (≥85%, otherwise the tool had to be revised). A panel of six experts quantitatively validated 11 items of the tool (content validity). Content validity index (CVI), of individual items (I-CVI) or entire scale (S-CVI), should be >80% (excellent). For the inter-rater reliability (IRR), we determined agreement between paired observers' assigned quality-of-care messages and communication scores during 18 CHW household visits (nine households per site). Bland and Altman plots and multilevel model analysis, for clustered data, were used to assess IRR.ResultsIn all four CHW and team leader sites, agreement index was ≥85%, except for whether they were happy to be assessed using the tool, where it was <85% in one facility. The I-CVI of the 11 items in the tool ranged between 0.83 and 1.00. For the S-CVI, all six experts agreed on relevancy (universal agreement) in eight of 11 items (0.72) whereas the average of I-CVIs, was 0.95. The Bland-Altman plot limit of agreements between paired observes were −0.18 to 0.44 and −0.30 to 0.44 (messages score); and −0.22 to 0.45 and −0.28 to 0.40 (communication score). Multilevel modeling revealed an estimated reliability of 0.77 (messages score) and 0.14 (communication score).ConclusionThe quality-of-care assessment tool has a high face and content validity. IRR was substantial for quality-of-care messages but not for communication score. This suggests that the tool may only be useful in the formative assessment of CHWs. Such assessment can provide the basis for reflection and discussion on CHW performance and lead to change.

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Cross-Cultural Adaptation and Face Validity of the Functional Mobility Assessment into Brazilian Portuguese

Cited by 7 publications

References 28 publications

The Pictorial Interview of Children’s Metacognition and Executive Functions (PIC-ME): Cultural Adaptation for Ultra-Orthodox Jewish Populations

The Pictorial Interview of Children’s Metacognition and Executive Functions (PIC-ME): Cultural Adaptation for Ultra-Orthodox Jewish Populations

Validation of an Arabic translation of the Functional Mobility Assessment (FMA) tool for assistive mobility device users

Assessing the Utility of a Quality-of-Care Assessment Tool Used in Assessing Comprehensive Care Services Provided by Community Health Workers in South Africa

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