Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2016-0019
Trends in Psychiatry and Psychotherapy
Original Article

Development of the Brazilian version of the Child Hayling Test

Desenvolvimento da versão brasileira do Teste Hayling Infantil

Larissa de Souza Siqueira; Hosana Alves Gonçalves; Lilian Cristine Hübner; Rochele Paz Fonseca

http://dx.doi.org/10.1590/2237-6089-2016-0019 Trends Psychiatry Psychother, vol.38, n3, p.164-174, 2016
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Abstract

Abstract Introduction: The Hayling Test assesses the components of initiation, inhibition, cognitive flexibility and verbal speed by means of a sentence completion task. This study presents the process of developing the Brazilian version of the Child Hayling Test (CHT) and reports evidence of its content validity. Methods: 139 people took part in the study. The adaptation was performed by seven translators and 12 specialist judges. An initial sample of 92 healthy children was recruited to test a selection of sentences adapted from previous adult and pediatric versions of the instrument, and a sample of 28 healthy children was recruited for pilot testing of the final version. The instrument was developed in seven stages: 1) translation, 2) back-translation, 3) comparison of translated versions, 4) preparation of new stimuli, 5) data collection with healthy children to analyze comprehension of the stimuli and analyses by the authors against the psycholinguistic criteria adopted, 6) analyses conducted by judges who are specialists in neuropsychology or linguistics, and 7) the pilot study. Results: Twenty-four of the 72 sentences constructed were selected on the basis of 70-100% agreement between judges evaluating what they assessed and level of comprehensibility. The pilot study revealed better performance by older children, providing evidence of the instrument's sensitivity to developmental factors. Conclusions: Future studies employing this version of CHT with clinical pediatric populations who have frontal lesions and dysfunctions and in related areas are needed to test functional and differential diagnoses of preserved or impaired executive functions.

Keywords

Neuropsychological tests, instrument development, Child Hayling Test, executive functions, inhibition, initiation

Resumo

Resumo Introdução: O Teste Hayling avalia os componentes iniciação, controle inibitório, flexibilidade cognitiva e velocidade verbal por meio de uma tarefa de completar frases. Este estudo apresenta o processo de desenvolvimento do Teste Hayling Infantil (THI) em português brasileiro, bem como evidências de validade de seu conteúdo. Métodos: Participaram 139 sujeitos: A adaptação foi realizada por sete tradutores e 12 juízes especialistas. Uma amostra inicial de 92 crianças saudáveis foi recrutada para testar uma seleção de sentenças adaptadas de versões anteriores para adultos e crianças, e uma amostra de 28 crianças saudáveis foi recrutada para testar a versão final num estudo piloto. Sete etapas foram conduzidas: 1) tradução, 2) retrotradução, 3) comparação entre versões traduzidas, 4) desenvolvimento de novos estímulos, 5) coleta com crianças saudáveis para análise da compreensão dos estímulos e análise dos autores quanto aos critérios psicolinguísticos, 6) análise de juízes especialistas em neuropsicologia e linguística, e 7) estudo piloto. Resultados: Das 72 frases construídas, selecionaram-se 24 que tiveram concordância de 70 a 100% entre juízes quanto aos construtos que avaliam e quanto ao grau de compreensibilidade. O estudo piloto revelou melhor desempenho nas crianças mais velhas, dando indícios da sensibilidade do instrumento aos fatores desenvolvimentais. Conclusões: Estudos futuros que utilizem esta versão do THI em populações clínicas infantis que apresentem lesões e disfunções frontais e em áreas relacionadas tornam-se necessários para fins de diagnóstico funcional e diferencial de dificuldades executivas preservadas ou afetadas.

Palavras-chave

Testes neuropsicológicos, desenvolvimento de instrumentos, funções executivas, inibição, iniciação

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