Translation and cultural adaptation of a specific instrument for measuring asthma control and asthma status: the Asthma Control and Communication Instrument

Abstract

Objective:To translate the Asthma Control and Communication Instrument (ACCI) to Portuguese and adapt it for use in Brazil. Methods:The ACCI was translated to Portuguese and adapted for use in Brazil in accordance with internationally accepted guidelines. The protocol included the following steps: permission and rights of use granted by the original author; translation of the ACCI from English to Portuguese; reconciliation; back-translation; review and harmonization of the back-translation; approval from the original author; review of the Portuguese version of the ACCI by an expert panel; cognitive debriefing (the clarity, understandability, and acceptability of the translated version being tested in a sample of the target population); and reconciliation and preparation of the final version. Results:During the cognitive debriefing process, 41 asthma patients meeting the inclusion criteria completed the ACCI and evaluated the clarity of the questions/statements. The clarity index for all ACCI items was > 0.9, meaning that all items were considered to be clear. Conclusions:The ACCI was successfully translated to Portuguese and culturally adapted for use in Brazil, the translated version maintaining the psychometric properties of the original version. The ACCI can be used in clinical practice because it is easy to understand and easily applied.

Pediatric Asthma Control and Communication Instrument: translation into Portuguese and cross-cultural adaptation for use in Brazil

“…” [“Used prednisone/prednisolone (corticosteroid or cortisone tablets, liquid corticosteroid, corticosteroid syrup, or corticosteroid injection) for his/her asthma?”]. Like the Portuguese version of the instrument for adults, the Asthma Control and Communication Instrument (ACCI), 17 the following explanation was added to item 5: “ Essa pergunta não se refere a sua bombinha de uso diário ” [“This question does not refer to your daily use inhaler”]. The review committee proposed this adaptation be made with the purpose of making it clear that the item was not referring to the inhaled corticosteroids of daily use, but to the use of oral and injected corticosteroids used in periods of symptom exacerbation.…”

“…Like other instruments that focus on quality of life, such as the Asthma Quality of Life Questionnaire 19 and the Pediatric Asthma Quality of Life Questionnaire, 20 the PACCI was developed in parallel with the adult version of the questionnaire, in this case the ACCI, 21 which evaluates clinical control of asthma in adults. The ACCI has already been translated and adapted for use in Brazil 17 . Therefore, many relevant aspects reported during the cross-cultural adaptation of the ACCI 17 that could also apply to the PACCI were taken into consideration, since both have similar structures and items.…”

“…The ACCI has already been translated and adapted for use in Brazil 17 . Therefore, many relevant aspects reported during the cross-cultural adaptation of the ACCI 17 that could also apply to the PACCI were taken into consideration, since both have similar structures and items.…”

“…, 7 , 8 , 22 However, this was the only study that included representatives of the different social strata and with different levels of education in an attempt to reflect the great diversity of the Brazilian population. The authors of the Brazilian version of the ACCI, 17 which was originally developed to evaluate the clinical control of asthma in adults, also state, in an article about the process of translation of the instrument, they have included participants with different levels of education. However, they do not mention whether or not the Brazilian version of the ACCI took into consideration the socioeconomic diversity of the population for which the instrument was translated into and cross-culturally adapted 17 …”

Tradução e adaptação cultural do Hearing Aid Skills and Knowledge Test para o português brasileiro

“…A tradução e adaptação cultural de um teste não é um procedimento simples, pois é de extrema importância que o instrumento tenha aplicabilidade na população-alvo (22) . No Brasil, a adaptação cultural é indispensável, visto que o país é caracterizado por população heterogênea e formações de dialetos distintos entre si, sendo que alguns termos são utilizados apenas regionalmente (23) .…”