Translation and transcultural adaptation of Pain Quality Assessment Scale (PQAS) to brazilian version

Anamada Barros Carvalho; João Batista Santos Garcia; Thayanne Kelly Muniz Silva; João Victor Fonseca Ribeiro

doi:10.1016/j.bjane.2013.10.018

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Translation and transcultural adaptation of Pain Quality Assessment Scale (PQAS) to brazilian version

Tradução e adaptação transcultural da Pain Quality Assessment Scale (PQAS) para a versão brasileira

Anamada Barros Carvalho; João Batista Santos Garcia; Thayanne Kelly Muniz Silva; João Victor Fonseca Ribeiro

http://dx.doi.org/10.1016/j.bjane.2013.10.018 Braz J Anesthesiol, vol.66, n1, p.94-104, 2016

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Abstract

INTRODUCTION: Most cancer patients are treated with chemotherapy, and peripheral neuropathy is a serious and common clinical problem affecting patients undergoing cancer treatment. However, the symptoms are subjective and underdiagnosed by health professionals. Thus, it becomes necessary to develop self-report instruments to overcome this limitation and improve the patient's perception about his medical condition or treatment. OBJECTIVE: Translate and culturally adapt the Brazilian version of the Pain Quality Assessment Scale, constituting a useful tool for assessing the quality of neuropathic pain in cancer patients. METHOD: The procedure followed the steps of translation, back translation, analysis of Portuguese and English versions by a committee of judges, and pretest. Pretest was conducted with 30 cancer patients undergoing chemotherapy following internationally recommended standards, and the final versions were compared and evaluated by a committee of researchers from Brazil and MAPI Research Trust, the scale's creators. RESULTS: Versions one and two showed 100% semantic equivalence with the original version. Back-translation showed difference between the linguistic translation and the original version. After evaluation by the committee of judges, a flaw was found in the empirical equivalence and idiomatic equivalence. In pretest, two people did not understand the item 12 of the scale, without interfering in the final elaboration. CONCLUSION: The translated and culturally adapted instrument is now presented in this publication, and currently it is in the process of clinical validation in Brazil.

Keywords

Neuropathy, Chemotherapy, Self-report instruments, Translation, Cross-cultural adaptation

Resumo

INTRODUÇÃO: a maioria dos pacientes com câncer são tratados com quimioterápicos e a neuropatia periférica é um problema clínico sério e comum que afeta os pacientes em tratamento oncológico. Entretanto, tais sintomas são subjetivos sendo subdiagnosticado pelos profissionais de saúde. Assim, torna-se necessário o desenvolvimento de instrumentos de autorrelato para superar essa limitação e melhorar a percepção do paciente sobre o seu tratamento ou condição clínica. OBJETIVO: traduzir e adaptar transculturalmente a versão brasileira do Pain Quality Assessment Scale (PQAS), constituindo em um instrumento útil de avaliação da qualidade da dor neuropática em pacientes com câncer. MÉTODO: o procedimento seguiu as etapas de tradução, retrotradução, análise das versões português e inglês por um comitê de juízes e pré-teste. O pré-teste foi realizado em 30 pacientes com câncer em tratamento quimioterápico seguindo normas internacionalmente recomendadas, sendo as versões finais comparadas e avaliadas por comitê de pesquisadores brasileiros e da MAPI Research Trust, originadores da escala. RESULTADOS: as versões um e dois apresentaram 100% de equivalência semântica com a versão original. Na retrotradução houve diferenças na tradução linguística com a versão original. Após a avaliação do Comitê de Juízes, foi encontrada uma falha na equivalência empírica e na equivalência idiomática. No pré-teste, duas pessoas não entenderam o item 12 da escala, sem interferir na elaboração final da mesma. CONCLUSÃO: o instrumento agora traduzido e adaptado transculturalmente é apresentado nessa publicação e, atualmente, encontra-se em processo de validação clínica no Brasil.

Palavras-chave

Neuropatia, Quimioterapia, Instrumentos de auto-relato, Tradução, Adaptação transcultural

References

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Translation and transcultural adaptation of Pain Quality Assessment Scale (PQAS) to brazilian version

Tradução e adaptação transcultural da Pain Quality Assessment Scale (PQAS) para a versão brasileira

Anamada Barros Carvalho; João Batista Santos Garcia; Thayanne Kelly Muniz Silva; João Victor Fonseca Ribeiro

Abstract

Keywords

Resumo

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