Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2016-0012
Trends in Psychiatry and Psychotherapy
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Semantic validation of the ISPCAN Child Abuse Screening Tools (ICAST) in Brazilian Portuguese

Validação semântica da ISPCAN Child Abuse Screening Tools (ICAST) em português brasileiro

Ana Ligia da Silva Silveira; Rodrigo Grassi-Oliveira

http://dx.doi.org/10.1590/2237-6089-2016-0012 Trends Psychiatry Psychother, vol.38, n2, p.105-110, 2016
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Abstract

Abstract Objective: The International Society for the Prevention of Child Abuse and Neglect (ISPCAN) Child Abuse Screening Tools (ICAST) is a battery of questionnaires created by the World Health Organization, the United Nations and ISPCAN for researching maltreatment in childhood. This study aims to translate, to adapt and to validate the semantic equivalence of all items on the three questionnaires: ICAST-C (ICAST version for Children), ICAST-R (Retrospective Interview) and ICAST-P (ICAST version for Parents). Methods: The process of translation and semantic validation comprised five methodological steps: 1) translation; 2) back-translation; 3) correction and semantic adaptation; 4) validation of content by professional experts in the area of abuse in childhood; and 5) a study of their acceptability to a sample of the target population, using a verbal rating scale. Results: In the evaluation of the expert committee, there was need to adapt several words for the Brazilian population while maintaining semantic and conceptual equivalence. In the ICAST-C acceptability study, children exhibited some difficulty understanding 7 of the items (out of 69 questions). For ICAST-P, parents reported a lack of clarity in 5 items (out of 57 questions). These issues were resolved and the Brazilian version of ICAST 3.0 was concluded. Conclusion: The ICAST battery is an internationally recognized tool and the process of translation into Portuguese and semantic adaptation was performed successfully. The final version proved to be easily understandable and semantic validation results were adequate. This battery has proved useful in investigation of childhood maltreatment.

Keywords

Child abuse, assessment, trauma, stress, instrument, childhood, maltreatment, neglect, interview

Resumo

Resumo Objetivo: A Child Abuse Screening Tools (ICAST), da International Society for the Prevention of Child Abuse and Neglect (ISPCAN), é uma bateria de questionários criada pela Organização Mundial da Saúde, Nações Unidas e ISPCAN para a investigação de maus-tratos na infância. Este estudo visa traduzir, adaptar e realizar a validação semântica de todos os itens dos três questionários: ICAST-C (ICAST versão para Crianças), ICAST-R (Entrevista Retrospectiva) e ICAST-P (ICAST versão para Pais) Métodos: O processo de tradução e validação semântica incluiu cinco etapas metodológicas: 1) tradução; 2) retrotradução; 3) correção e adaptação semântica; 4) validação de conteúdo por profissionais especialistas na área de maus-tratos na infância; e 5) um estudo de aceitabilidade por uma amostra da população-alvo, usando uma escala de graduação verbal Resultados: Na avaliação pelo comitê de especialistas, houve a necessidade de adaptação de muitas palavras para a população brasileira, mantendo a equivalência conceitual e semântica. No estudo de aceitabilidade do ICAST-C, as crianças mostraram alguma dificuldade na compreensão de 7 itens (de um total de 69 questões). No ICAST-P, os pais julgaram que 5 itens não estavam claros (de um total de 57 questões). Essas dificuldades foram corrigidas e a versão brasileira do ICAST 3.0 foi concluída Conclusões: A bateria ICAST é uma ferramenta internacionalmente reconhecida, e o processo de tradução para o português e sua adaptação semântica foram realizados com sucesso. A versão final mostrou ser de fácil entendimento, e os resultados da validação semântica foram adequados. Essa bateria demonstrou ser útil na investigação de maus-tratos na infância.

Palavras-chave

Abuso na infância, avaliação trauma, estresse, instrumento, infância, maus-tratos, negligência, entrevista

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