Tradução, Adaptação, Validação e Avaliação para Uso no Brasil de um Instrumento Britânico de Auxílio à Escolha da Especialidade Médica

Caires, Iago da Silva; Goldberger, Bernardo Ulisses; Colares, Maria de Fátima Aveiro; Grant, J.; Gale, R.; Troncon, Luiz Ernesto de Almeida

doi:10.1590/1981-52712015v41n3rb20160055

“…Similar results were observed in studies that assessed different events related to health. 12,[32][33][34] The estimate unsatisfactory, observed in the word "Neuropathy", can be a consequence of the application of the test that motivated the participants to identify the meaning of this word during the test-retest interval. Another similar situation may have occurred in the word "Shoe"; the persons with diabetes may have understood the word "Right" as benefits and safety for the feet, causing an erroneous understanding with regard to care with the DF.…”

Section: Discussionmentioning

confidence: 99%

Development of a health literacy instrument related to diabetic foot

Sousa

¹

,

Quintão

²

,

Brito

³

et al. 2019

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Desenvolvimento de um instrumento de avaliação da literacia em saúde relacionada ao pé diabético Desarrollo de un instrumento de evaluación de la literacía en salud relacionada al pie diabéticoAbstrAct Objective: To develop and verify the validity, reliability and interpretability of an assessment instrument of the Health Literacy regarding Diabetic Foot (HLDF). Method: Methodological study among people with diabetes enrolled in Family Health Strategy (FHS) program, composed of eight phases: selection of participants; development of LSPD; verification of content validity by the committee of experts; pre-test (n=20); reliability estimation (n=62): Cronbach's alpha (CA), Kappa (K) and Intraclass Correlation Coefficient (ICC), satisfactory results (≥0.60); estimation of concurrent validity (n=62); interpretability of scores: range from 0-18, if ≤14 HLDF inadequate; hypothesis test (multiple logistic regression): OR/IC95% in a sample estimated for infinite population, using SPSS. Results: The HLDF has adequate and fast application, being relevant as to its content and to the construct that proposes to evaluate. About the reliability CA=0.73, two items presented Kappa<0.60, ICC=0.79. About the concurrent validity, there was correlation between the HLDF and schooling (rs=0.647; p=0.000). Interpretability: 50.2% (n=112) presented inadequate HLDF.The younger ones presented lower levels of inadequate HLDF (0.96/0.93-0.99); as to those with lower scholarship (1.15/1.06-1.25) and lower family income (1.01/1.00-1.01) presented higher levels of inadequate HLDF. Conclusion and implications for practice: The HLDF was considered as valid, reliable and interpretable. The HLDF can identify people with more effective educational strategies needs. Objetivo: Desenvolver e verificar a validade, confiabilidade e interpretabilidade de um instrumento de avaliação da Literacia em Saúde no que diz respeito ao Pé Diabético (LSPD). Método: Estudo metodológico entre pessoas com diabetes cadastradas na Estratégia de Saúde da Família, composto por oito fases: seleção dos participantes; desenvolvimento do LSPD; verificação da validade de conteúdo pelo comitê de especialistas; pré-teste (n=20); estimativa da confiabilidade (n=62): Alfa de Cronbach (AC), Kappa (K) e Coeficiente de Correlação Intraclasse (CCI), resultados satisfatórios (≥0,60); estimativa da validade concorrente (n=62); interpretabilidade dos escores: variam de 0-18, se ≤14 LSPD inadequada; teste de hipótese (regressão logística múltipla): OR/ IC95% em uma amostra estimada para população infinita, usando o SPSS. Resultados: O LSPD possui aplicação adequada e rápida, sendo relevante quanto ao seu conteúdo e ao construto que propõe avaliar; quanto à confiabilidade: AC=0,73, dois itens apresentaram K<0,60; CCI=0,79. Quanto à validade concorrente, houve correlação do LSPD com a escolaridade (rs=0,647;p=0,000). Interpretabilidade: 50,2% (n=112) apresentaram LSPD inadequada. Os mais jovens apresentaram menores níveis de LSPD inadequada (0,96/0,93-0,99); já aqueles com menor escolaridade ...

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“…The acceptable level of agreement of the content among the members of the expert committee must be at least 0.80 and, preferably, higher than 0.90 29,34 . The committee was responsible for a review of all the translation phases and evaluated whether the translated versions (T1, T2, T3, T12, VCPB), the back-translated ones (BT1 and BT2) and the English version showed semantic, idiomatic, experimental, and conceptual equivalence 35 .…”

Section: Methodsmentioning

confidence: 99%

Cross-cultural adaptation of the EFFECT questionnaire into Brazilian Portuguese

Costa

¹

,

Castro

²

,

Dourado

³

et al. 2021

Rev. bras. educ. med.

0

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Introduction: Clinical teaching is based on a real work environment, in professional practice settings, such as health services and units, under the supervision of the preceptor. Providing medical teachers with an assessment of their teaching skills is a powerful tool for improving clinical learning for students in training. In this context, the EFFECT (Evaluation and Feedback for Effective Clinical Teaching) questionnaire was developed by Dutch researchers in 2012 for teacher evaluation, being validated based on the literature about medical teaching in the workplace and incorporates the skills of the Canadian competency-based medical curriculum. Objective: To translate and cross-culturally adapt into Brazilian Portuguese and to validate the EFFECT questionnaire for teacher evaluation by Medical students. Method: Cross-cultural adaptation with the following steps: initial translation of the English version, synthesis of translated versions, back-translation, creation of a consensual version in Brazilian Portuguese, with adaptation, review, and analysis of content validity by an expert committee, pre-test with retrospective clarification interview, and reliability analysis by factorial analysis and internal consistency test (Cronbach’s alpha coefficient). Result: In the translation and back-translation stages, the disagreements were related to the use of synonyms and none of the items were modified in terms of their understanding, but in terms of adaptation into the Brazilian context. The evaluation of the expert committee showed the versions maintained the semantic and idiomatic equivalences of the content. Eighty-nine students participated in the pre-test. The internal consistency of the EFFECT questionnaire in Brazilian Portuguese was excellent for all domains, with Cronbach’s alpha coefficient ranging from 0.82 to 0.94. Conclusion: The translated and adapted version of the EFFECT questionnaire into Brazilian Portuguese is equivalent to the original instrument and has evidence of high validity and reliability, being able to constitute a national tool to evaluate the efficiency of clinical medicine teaching.

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Adaptação transcultural do questionário EFFECT para português brasileiro

Costa

¹

,

Castro

²

,

Dourado

³

et al. 2021

Rev. bras. educ. med.

2

0

View full text Add to dashboard Cite

Introduction: Clinical teaching is based on a real work environment, in professional practice settings, such as health services and units, under the supervision of the preceptor. Providing medical teachers with an assessment of their teaching skills is a powerful tool for improving clinical learning for students in training. In this context, the EFFECT (Evaluation and Feedback for Effective Clinical Teaching) questionnaire was developed by Dutch researchers in 2012 for teacher evaluation, being validated based on the literature about medical teaching in the workplace and incorporates the skills of the Canadian competency-based medical curriculum. Objective: To translate and cross-culturally adapt into Brazilian Portuguese and to validate the EFFECT questionnaire for teacher evaluation by Medical students. Method: Cross-cultural adaptation with the following steps: initial translation of the English version, synthesis of translated versions, back-translation, creation of a consensual version in Brazilian Portuguese, with adaptation, review, and analysis of content validity by an expert committee, pre-test with retrospective clarification interview, and reliability analysis by factorial analysis and internal consistency test (Cronbach’s alpha coefficient). Result: In the translation and back-translation stages, the disagreements were related to the use of synonyms and none of the items were modified in terms of their understanding, but in terms of adaptation into the Brazilian context. The evaluation of the expert committee showed the versions maintained the semantic and idiomatic equivalences of the content. Eighty-nine students participated in the pre-test. The internal consistency of the EFFECT questionnaire in Brazilian Portuguese was excellent for all domains, with Cronbach’s alpha coefficient ranging from 0.82 to 0.94. Conclusion: The translated and adapted version of the EFFECT questionnaire into Brazilian Portuguese is equivalent to the original instrument and has evidence of high validity and reliability, being able to constitute a national tool to evaluate the efficiency of clinical medicine teaching.

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Tradução, Adaptação, Validação e Avaliação para Uso no Brasil de um Instrumento Britânico de Auxílio à Escolha da Especialidade Médica

Cited by 4 publications

References 26 publications

Development of a health literacy instrument related to diabetic foot

Development of a health literacy instrument related to diabetic foot

Cross-cultural adaptation of the EFFECT questionnaire into Brazilian Portuguese

Adaptação transcultural do questionário EFFECT para português brasileiro

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