Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2014-0035
Trends in Psychiatry and Psychotherapy
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Cross-cultural adaptation to Portuguese of a measure of satisfaction with participation of the Patient-Reported Outcomes Measurement Information System (PROMIS(r))

Adaptação transcultural para o português da medida de satisfação com a participação do Patient-Reported Outcomes Measurement Information System (PROMIS(r))

Maria Cristina Lima e Silva; Tânia Maria da Silva Mendonça; Carlos Henrique Martins da Silva; Rogério de Melo Costa Pinto

http://dx.doi.org/10.1590/2237-6089-2014-0035 Trends Psychiatry Psychother, vol.37, n2, p.94-99, 2015
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Abstract

Background: Mental disorders often impair functioning in several areas of life and lead to unhappiness and suffering that may affect health-related quality of life (HRQoL). Satisfaction with participation is an indicator of HRQoL, and its measurement by patients reflects the impact of disease on their social, emotional and professional life. The Patient-Reported Outcomes Measurement Information System (PROMIS(r)) offers an item bank based on item response theory. This system provides efficient, reliable and valid self-report instruments of satisfaction with participation, a measure that is both scarce and useful in the assessment of mental disorder outcomes.Objective:To cross-culturally adapt the PROMIS(r) satisfaction with participation item bank to Portuguese.Methods:Cross-cultural adaptation followed the Functional Assessment of Chronic Illness Therapy (FACIT) multilingual translation method and was achieved through steps of forward and backward translations, review by bilingual experts (one of them a native of Portugal) and pretesting in a group of 11 adult native Brazilians. Instrument adaptation followed a universal approach to translation, with harmonization across languages.Results: Equivalence of meaning was achieved. As two of the 26 translated items, which asked about leisure and social activities, were not understood by less educated participants, an explanation in parentheses was added to each item, and the problem was solved. All items were appropriate and did not cause embarrassment to the participants.Conclusions: The satisfaction with participation item bank is culturally and linguistically suitable to be used in Brazil. After the pretest is applied in Portugal and in other Portuguese-speaking countries, the same instrument will be ready to be used in multinational studies.

Keywords

Mental disorders, outcome assessment, social participation, translation, item response theory

Resumo

Introdução: Os transtornos mentais quase sempre prejudicam o desempenho em vários domínios da vida e resultam em infelicidade e sofrimento que podem afetar a qualidade de vida relacionada à saúde (QVRS). A satisfação com a participação é um indicador de QVRS, e sua medida, do ponto de vista do paciente, reflete o impacto da doença em sua vida social, emocional e profissional. O banco de itens Patient-Reported Outcomes Measurement Information System (PROMIS(r)) foi fundamentado na teoria da resposta ao item. O sistema proporciona autorrelatos eficientes, confiáveis e válidos de satisfação com a participação, uma medida escassa e útil na avaliação dos desfechos de transtornos mentais.Objetivo: Adaptar transculturalmente para o português o banco de itens de satisfação com a participação do PROMIS(r).Métodos: A adaptação transcultural seguiu a metodologia de tradução multilíngue do Functional Assessment of Chronic Illness Therapy (FACIT). Incluiu traduções, retrotraduções, revisões por especialistas bilíngues (um deles nativo de Portugal) e pré-teste com 11 brasileiros adultos nativos. A adaptação do instrumento seguiu uma abordagem universal de tradução, com harmonização entre as línguas.Resultados: A equivalência de significado foi atingida. Dois dos 26 itens traduzidos, referindo-se a laser e atividades sociais, não foram compreendidos pelos participantes com menor escolaridade. Nesses casos, uma explicação entre parênteses foi adicionada aos itens, solucionando o problema. Todos os itens foram apropriados e não causaram constrangimento aos participantes.Conclusões:O banco de itens satisfação com a participação é cultural e linguisticamente adequado para ser utilizado no Brasil. A realização do pré-teste em Portugal e em outros países lusófonos possibilitará a utilização de um mesmo instrumento em estudos multinacionais.

Palavras-chave

Desordens mentais, avaliação de resultados, participação social, tradução, teoria da resposta ao item

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