Cross-cultural adaptation of the Pain Medication Questionnaire for use in Brazil

Abstract

Background The Pain Medication Questionnaire (PMQ) assesses the risk of opioid abuse in people with non-oncological chronic pain. Methods This is a methodological study conducted at a hemotherapy centre in Recife, Pernambuco state, Brazil. A Cross-cultural adaptation was carried out by a committee of nine specialists, and we applied the PMQ to a pre-final sample of 40 individuals with sickle cell anemia, in addition to a sociodemographic and clinical questionnaire. Results The mean agreement indexes for PMQ equivalences were the following: semantic (0.996), idiomatic (0.970), experiential (0.991), conceptual (0.953), language clarity (0.991), practical relevance (0.906), and theoretical relevance (0.945). Assessment of the PMQ showed that 50% of participants obtained a score equivalent to medium risk of opioid abuse. Cronbach’s alpha coefficient for the adapted PMQ instrument was 0.705, ranging from 0.641 to 0.736 among its items. Conclusion The cross-cultural adaptation of the Pain Medication Questionnaire was satisfactory and easy to apply in the Brazilian population. It is clinically relevant, contributing professional practice and enlightening patients with sickle cell anemia on their behavioral dynamics with respect to opioid consumption. It will also contribute to teaching and research, because it is a useful tool for investigating the risk of abusive behavior in people with chronic pain.

Translation, transcultural adaptation and validation to Brazilian Portuguese of tools for adverse drug reaction assessment in children

“…In any case, information availability should be considered and may influence the analysis, as discussed above. Besides that, given Brazil’s cultural diversity, it is recommended that the tools are used in other Brazilian centres to confirm validation [ 27 ].…”

“…It seems appropriate to assume that the availability of LCAT and LAAT tools in Brazilian Portuguese will lead to better care by improved characterization of the risks of ADRs to antimicrobials and better prevention and management practices and promoting organizational changes [ 14 , 27 ].…”

Translation, Transcultural Adaptation and Validation to Brazilian Portuguese of Tools for Adverse Drug Reaction Assessment in Children

“…In any case, information availability should be considered and may in uence the analysis, as discussed above. Besides that, given Brazil's cultural diversity, it is recommended that the tools are used in other Brazilian centers to con rm validation [26].…”

“…It seems appropriate to assume that the availability of LCAT and LAAT tools in Brazilian Portuguese will lead to better care by improved characterization of the risks of ADRs to antimicrobials and better prevention and management practices and promoting organizational changes [14,26].…”