Adaptação transcultural e reprodutibilidade de questionário para avaliação de conhecimento e atitude de profissionais de saúde frente a casos de abuso físico infantil

Cross-cultural adaptation and reproducibility of the 12 item Allodynia Symptom Checklist for Brazilian Portuguese Florencio LL, Chaves TC, Branisso LB, Gonçalves MC, Dach F, Carvalho GF, Speciali JG, Bigal ME, Bevilaqua-Grossi D Faculty of Medicine of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil

Objectives

Table 1. Measurements properties of the 12 item Allodynia Symptom Cheklist/Brasil

Results

To perform the cross-cultural adaptation of the 12 item

In the pretest stage, the questionnaire was applied to 30

Allodynia Symptom Checklist (ASC-12) for the Brazilian

migraine patients, with 43 years (SD= 4,95) mean age, who

population and to test the reproducibility of this version,

had some difficulty in understanding it due to the layout.

Question

Internal consistency Cronbach alpha

Reproducibility (n=15)

(n=30)

Weighted Kappa

Confidence interval (95%)

1

0.72

0.65

0.38 -0.92

since allodynia has been pointed out as a factor of

Thus, a second version was elaborated and applied to 30

2

0.74

0.81

0.53 – 1

migraine chronification and of this condition1

additional subjects, with 36 years (SD= 7,07) mean age.

3

0.80

1

__

Since no difficulties were reported and the mean filling out

4

0.74

0.58

0.31 – 0.85

time was 3’36”, this version became the official translation

5

0.78

0.65

0.62 – 0.68

6

0.73

0.63

0-1

7

0.74

*

8

0.72

0.43

0 – 0.93

9

0.75

0.42

0-1

Methods The cross-cultural adaptation was carried out in six stages based on a guideline described by Beaton et

al2

(Figure 1).

for Brazilian Portuguese and was named as 12 item Allodynia

Symptom

Checklist/Brasil

(ASC-12/Brasil)

The inclusion criteria were: 5-12 days of migraine attacks

(Figura 2).

per month, age ranged between 18 and 65 years, be literate

The internal consistency, determined by the Cronbach

10

0.73

0.72

0.43 - 1

and give the written informed consent. We also excluded

alpha, and the reproducibility are shown in Table 1.

11

0.73

0.60

0.30 – 0.89

those who present others types of headache and others

According to the classification of the ASC-12/Brasil, 76% of

12

0.73

0.58

0.29 – 0.86

diseases causing sensitive peripheral neuropathy.

the sixty subjects evaluated in the present study have

Total

0.76

0.58

0.29 – 0.86

The reproducibility was test in another 15 volunteers, with

allodynia, severe in 30% of them, moderate in 23%, and

the same characteristics cited before, in 2 different times

mild in 23%. Twenty-four percent of the subjects have no

with an interval of 24 – 48 hours between then.

allodynia.

Stage I – Translation 2 translators :

* it was not possible to calculate the reliability of Question 7 because all 15 individuals evaluated scored 0 (zero).

Conclusions We have made available to Brazilian clinicians and

1 aware of the concept 1 unaware of the concept

investigators an easy, quick and reliable questionnaire

Stage II: Synthesis

on allodynia, which makes it possible to compare the

Synthesis of the two versions Resolution of the discrepancies

brazilian and other country´s research. Stage III: Back Translation 2 native translators

References

Stage IV: Revison by the committee All version and reports revised Elaboration of the pretest version

1. Lipton RB, Bigal ME, Ashina S, Burstein R, Silberstein S, Reed ML, Serrano D,Stewart WF , AMPP Group. Cutaneous allodynia in the migraine population. Ann Neurol 2008;63:148–158;

Stage V: Pretest N=30 Evaluation of the Itens understanding

2. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the processo f cross-cultural adaptation of self-report measures. Spine 2000; 25(24):3186-3191;

Stage VI: Submission of the documents to the Committee Figure 1. Grafic representation of the methodology applied for the cross-cultural adaptation

Figure 2. 12 item Allodynia Symptom Checklist / Brasil (ASC-12/Brasil)