Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2013-0022
Trends in Psychiatry and Psychotherapy
Original Article

Adaptation of the Barriers to Access to Care Evaluation (BACE) scale to the Brazilian social and cultural context

Adaptacao da Escala de Avaliacao das Barreiras ao Acesso ao Cuidado (BACE) para o contexto social e cultural brasileiro

Leticia Silva; Paula Freitas Ramalho da Silva; Ary Gadelha; Sarah Clement; Graham Thornicroft; Jair de Jesus Mari; Elisa Brietzke

http://dx.doi.org/10.1590/2237-6089-2013-0022 Trends Psychiatry Psychother, vol.35, n4, p.287-291, 2013
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Abstract

INTRODUCTION: A significant gap between the number of individuals who need mental health care and the ones who actually have access to it has been consistently demonstrated in studies conducted in different countries. Recognizing the barriers to care and their contributions to delaying or preventing access to mental health services is a key step to improve the management of mental health care. The Barriers to Access to Care Evaluation (BACE) scale is a 30-item self-report instrument conceived to evaluate obstacles to proper mental health care. The main constraint in the investigation of these barriers in Brazil is the lack of a reliable instrument to be used in the Brazilian social and cultural context. OBJECTIVE: To describe the translation and adaptation process of the BACE scale to the Brazilian social and cultural context. METHOD: The translation and adaptation process comprised the following steps: 1) translation from English to Brazilian Portuguese by two authors who are Brazilian Portuguese native speakers, one of whom is a psychiatrist; 2) evaluation, comparison and matching of the two preliminary versions by an expert committee; 3) back-translation to English by a sworn translator who is an English native speaker; 4) correction of the back-translated version by the authors of the original scale; 5) modifications and final adjustment of the Brazilian Portuguese version. RESULTS AND CONCLUSION: The processes of translation and adaptation described in this study were performed by the authors and resulted in the Brazilian version of a scale to evaluate barriers to access to mental health care.

Keywords

Mental disorders, barriers of care, services, prevention

Resumo

INTRODUÇÃO: Uma lacuna significativa entre o número de indivíduos que necessitam de cuidado na área de saúde mental e aqueles que efetivamente têm acesso a ela tem sido consistentemente demonstrada em estudos realizados em diferentes países. Reconhecer as barreiras ao cuidado e suas contribuições no sentido de retardar e até impedir o acesso a serviços de saúde mental é um passo essencial para melhorar o manejo em saúde mental. A escala Barriers to Access to Care Evaluation (BACE) é um instrumento de autorrelato, composto de 30 itens, concebido para avaliar os obstáculos ao cuidado adequado em saúde mental. O principal empecilho na investigação dessas barreiras no Brasil é a inexistência de um instrumento confiável para ser utilizado no contexto social e cultural brasileiro. Objetivo: Descrever o processo de tradução e adaptação da escala BACE para o contexto social e cultural brasileiro. MÉTODO: O processo de tradução e adaptação incluiu os seguintes passos: 1) tradução do inglês para o português brasileiro por dois autores, falantes nativos de português brasileiro, sendo que um deles é psiquiatra; 2) avaliação, comparação e correspondência das duas versões preliminares por um comitê especialista; 3) retrotradução para inglês por um tradutor juramentado, falante nativo de inglês; 4) correção da versão retrotraduzida pelos autores da escala original; 5) alterações e ajustes finais da versão em português brasileiro. RESULTADOS E CONCLUSÃO: Os processos de tradução e adaptação aqui descritos foram realizados pelos autores e resultaram na versão brasileira de uma escala para avaliar as barreiras ao acesso ao cuidado em saúde mental.

Palavras-chave

Transtornos mentais, barreiras do cuidado, servicos, prevencao

References

Demyttenaere K, Bruffaerts R, Posada-Villa J, Gasquet I, Kovess V, Lepine JP. Prevalence, severity, and unmet need for treatment of mental disorders in the World Health Organization World Mental Health Surveys. JAMA. ;291:2581-590.

Thornicroft G. Most people with mental illness are not treated. Lancet. ;370:807-08.

Wang PS, Guilar-Gaxiola S, Alonso J, Angermeyer M, Borges G, Bromet E. Use of mental health services for anxiety, mood and substance disorders in 17 countries in the WHO world mental health surveys. Lancet. ;370:841-50.

Paula CS, Lauridsen-Ribeiro E, Wissow L, Bordin IAS. How to improve the mental health care of children and adolescents in Brazil: action needed in the public sector. Rev Bras Psiquiatr. ;34:334-41.

Van Beljouw I, Verhaak P, Prins M, Cuijpers P, Pennix B, Bensing J. Reasons and determinants for not receiving treatment for common mental disorders. Psychiatr Serv. ;61:250-57.

Corrigan P. How stigma interferes with mental health care. Am Psychol. ;59:614-25.

Sharac J, McCrone P, Clement S, Thornicroft G. The economic impact of mental health stigma and discrimination: a systematic review. Epidemiol Psychiatr Soc. ;19:223-32.

Rusch N, Corrigan PW, Wassel A, Michaels P, Larson JE, Olschewski M. Self-stigma, group identification, perceived legitimacy of discrimination and mental health service use. Br J Psychiatry. ;195:551-52.

McGlashan TH. Duration of untreated psychosis in first-episode schizophrenia: marker or determinant of course?. Biol Psychiatry. ;46:899-907.

Perkins DO, Gu H, Boteva K, Lieberman JA. Relationship between duration of untreated psychosis and outcome in first-episode schizophrenia: a critical review and meta-analysis. Am J Psychiatry. ;162:1785-804.

Taylor M, Bressan RA, Pan P, Brietzke E. Early intervention for bipolar disorder: current imperatives, future directions. Rev Bras Psiquiatr. ;33 Suppl 2:s197-s212.

Clement S, Brohan E, Jeffery D, Henderson C, Hatch SL, Thornicroft G. Development and psychometric properties the Barriers to Access to Care Evaluation scale (BACE) related to people with mental ill health. BMC Psychiatry. ;20:12-36.

Sheffield JK, Fiorenza E, Sofronoff K. Adolescents' willingness to seek psychological help: promoting and preventing factors. J Youth Adolesc. ;33:495-507.

Dubow E, Lovko K, Kausch D. Demographic differences in adolescents' health concerns and perceptions of helping agents. J Clin Child Adolesc Psychol. ;19:44-54.

Gulliver A, Griffiths KM, Christensen H. Perceived barriers and facilitators to mental health help-seeking in young people: a systematic review. BMC Psychiatry. ;10:113-13.

Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). ;25:3186-191.

Gjersing L, Caplehorn JR, Clausen T. Cross-cultural adaptation of research instruments: language, setting, time and statistical considerations. BMC Med Res Methodol. ;10:1-10.

Miguel EC, Mercadante MT, Grisi S, Rohde LA. The National Science and Technology Institute in Child and Adolescence Developmental Psychiatry: a new paradigm for Brazilian psychiatry focused on our children and their future. Rev Bras Psiquiatr. ;31:85-8.

Gregório G, Tomlinson M, Gerolin J, Kieling C, Cogo-Moreira H, Razzouk D. Setting priorities for mental health research in Brazil. Rev Bras Psiquiatr. ;34:434-39.

Mateus MD, Mari JJ, Delgado PG, Almeida-Filho N, Barret T, Gerolin J. The mental health system in Brazil: polices and future challenges. Int J Ment Health Syst. ;2:12-2.

Collins PY, Patel V, Joestl SS, March D, Insel TR, Daar AS. Grand challenges in global mental health. Nature. ;475:27-30.

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