Cross-cultural adaptation of the short form of the Healing Encounters and Attitudes Lists tool for the Brazilian context: pilot study
Adaptação transcultural da forma curta da ferramenta Healing Encounters and Attitudes Lists para o contexto brasileiro: estudo piloto
Ádrea Leal da Hora; Letícia Amaral Corrêa; Thainá Oliveira Dellatorre; Leandro Alberto Calazans Nogueira
Abstract
BACKGROUND AND OBJECTIVES: Several contextual factors (CFs) are related to therapeutic interventions and can have a positive or negative impact on the symptoms of patients with chronic musculoskeletal pain. Despite the increasing use of self-administered measurement tools, there is currently no tool available to assess the impact of CFs on health treatments in Brazil. The aim of this study was to translate and cross-culturally adapt the short form of the HEAL tool to the Brazilian context.
METHODS: The cross-cultural adaptation consisted of translation from English to Portuguese, back-translation, review by a committee of experts, and pre-testing with questionnaires on sociodemographic data, pain intensity, level of functionality, and the HEAL tool. A descriptive analysis of the participants’ pre-test data was performed, and the internal consistency of the instrument was assessed using Cronbach’s alpha test.
RESULTS: Four translators, five specialists and thirty patients with chronic musculoskeletal pain participated in the study. The final version was well understood by the pre-test participants, except for the subscale “Attitudes towards Complementary and Alternative Medicine”, in which 70% of the participants had doubts. As a solution, examples were included in the items evaluated. The subscales of the HEAL tool showed excellent internal consistency.
CONCLUSION: The Brazilian version of the HEAL tool is available for research and clinical practice and can help identify the interference of CFs in the treatment of chronic musculoskeletal pain. However, we recommend caution in using this tool until other measures have been widely evaluated.
Keywords
Resumo
JUSTIFICATIVA E OBJETIVOS: Diversos fatores contextuais (FCs) estão relacionados às intervenções terapêuticas e podem impactar positiva ou negativamente nos sintomas de pacientes com dor musculoesquelética crônica. Apesar do uso crescente de instrumentos de medidas autoaplicáveis, não há até o momento, uma ferramenta disponível para avaliar a interferência dos FCs nos tratamentos de saúde no Brasil. O objetivo deste estudo foi realizar a tradução e adaptação transcultural da forma curta da ferramenta Healing Encounters and Attitudes Lists (HEAL) para o contexto brasileiro.
MÉTODOS: A adaptação transcultural incluiu tradução do inglês para o português, retrotradução, revisão por um comitê de especialistas e pré-teste realizado com questionários sobre dados sociodemográficos, intensidade da dor, nível de funcionalidade e a ferramenta HEAL. Foi realizada uma análise descritiva dos dados dos participantes do pré-teste, e a consistência interna do instrumento foi avaliada pelo teste Alfa de Cronbach.
RESULTADOS: Participaram do estudo quatro tradutores, cinco especialistas e trinta pacientes com dor musculoesquelética crônica. A versão final foi bem compreendida pelos participantes do pré-teste, exceto a subescala “Atitudes sobre Medicina Complementar e Alternativa”, na qual 70% dos participantes apresentaram dúvidas. Como solução, foram incluídos exemplos nos itens avaliados. As subescalas da ferramenta HEAL apresentaram excelente consistência interna.
CONCLUSÃO: A versão brasileira da forma curta da ferramenta HEAL está disponível para pesquisas e prática clínica e pode ajudar a identificar a interferência dos FCs no tratamento de dores musculoesqueléticas crônicas. Contudo, recomenda-se cautela no uso desta ferramenta até que as suas propriedades psicométricas sejam amplamente avaliadas.
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References
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Submitted date:
09/19/2024
Accepted date:
02/17/2025
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