Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20210009
Brazilian Journal of Pain
Original Article

Translation and cross-cultural adaptation of six short screening questions on biopsychosocial aspects of chronic pain

Tradução e adaptação transcultural de seis perguntas breves de triagem dos aspectos biopsicossociais da dor crônica

Gabriela Valentim Cardoso; Anna Paula Campos Sarchis; Paulo Augusto de Almeida Britto

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Abstract

BACKGROUND AND OBJECTIVES: It is now recognized that psychosocial factors influence the patient’s painful experience. For the assessment of patients with chronic pain to become broader and focused on the real needs of the patient, it’s necessary to be aware of the existence or not of these factors. The objective of this study was to perform the translation and cross-cultural adaptation of six brief screening questions for biopsychosocial aspects in patients with chronic pain for the Brazilian context.

METHODS: After the consent of the author of the instrument, the study followed the protocol of translation and cross-cultural adaptation according to international guidelines22, divided into 6 stages: initial translation, synthesis of translations, back-translation, expert committee, pre-test and analysis of content and appearance.

RESULTS: The pre-test was applied to 40 patients with chronic pain, aged over 18 years. The mean age was 57±10 years, most of them had incomplete elementary education and were away from work. No difficulty in comprehension when answering the questions was perceived by the examiner or reported by the patients. The readability test score was of 100 points and the average time to apply the questions was 4 to 5 minutes.

CONCLUSION: The results allow us to affirm that the six short questions can be used to assess psychosocial factors related to anxiety, stress, depression, fear of movement and catastrophization in patients with chronic pain because it’s easy to understand and quick to apply.

Keywords

Chronic pain, Depression, Surveys and questionnaires, Translating

Resumo

JUSTIFICATIVA E OBJETIVOS: Para que a avaliação de pacientes com dor crônica se torne mais ampla e focada nas reais necessidades do paciente, é necessário levar em consideração os fatores psicossociais que influenciam na experiência dolorosa. O objetivo deste estudo foi realizar a tradução e adaptação transcultural para o contexto brasileiro de seis perguntas breves de triagem dos aspectos biopsicossociais em pacientes com dor crônica.

MÉTODOS: Após o consentimento do autor do instrumento, o estudo seguiu o protocolo de tradução e adaptação transcultural de acordo com as diretrizes internacionais, dividido nas etapas: tradução inicial, síntese das traduções, retrotradução, comitê de especialistas, pré-teste e análise do conteúdo e aparência.

RESULTADOS: O pré-teste foi aplicado em 40 pacientes com dor crônica, com idade acima de 18 anos. A idade média foi de 57±10 anos, grande parte tinha ensino fundamental incompleto e estava afastada da atividade laboral. Não houve dificuldade de compreensão para responder as perguntas. O teste de legibilidade foi de 100 pontos e o tempo de aplicação das perguntas foi de 4 a 5 minutos.

CONCLUSÃO: Os resultados permitem afirmar que as seis perguntas curtas podem ser utilizadas para avaliação de fatores psicossociais relacionados à ansiedade, estresse, depressão, medo do movimento e catastrofização em pacientes com dor crônica por ser de fácil entendimento e rápida aplicação.

Palavras-chave

Depressão, Dor crônica, Inquéritos e questionários, Tradução

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Submitted date:
08/21/2020

Accepted date:
12/28/2020

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