Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão
Ano de defesa: | 2023 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | , , |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Nove de Julho
|
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Ciências da Reabilitação
|
Departamento: |
Saúde
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://bibliotecatede.uninove.br/handle/tede/3294 |
Resumo: | INTRODUCTION: The surgical procedure of lung transplantation aims to improve the quality of life and survival of patients with advanced lung diseases. Therefore, the assessment of the health-related quality of life (HRQoL) of these patients is necessary to better understand the magnitude and persistence of post-procedure improvements. In Brazil, there is no specific instrument to assess the HRQoL of these patients, with generic tools being used. The “Lung Transplant Quality of Life” (LTQOL) is an instrument proposed in the literature as an easy-to-apply questionnaire, with specific domains for the multidimensional assessment of these patients. OBJECTIVES: Carry out the translation, cross-cultural adaptation into the Portuguese-Brazilian language and validation of the quality of life questionnaire entitled “Lung transplant quality of life” (LT-QOL). METHODS: Observational study in which the translation, cross-cultural adaptation and validation of the translated version into Brazilian Portuguese and testing of the measurement properties of the assessment instrument were carried out. The translation process was based on the guidelines of the “Guidelines for the Process of Cross-cultural Adaptation of Self-Report Measures”, as well as the guidelines recommended by the “Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN). The following measurement properties were tested: internal consistency; agreement; intra-rater reliability; and convergent validity – through the application of the Short Form Health Survey (SF-36) and Saint George’s Respiratory Questionnaire (SGRQ) questionnaires compared with information from the translated version of the “LT-QOL”. RESULTS: Internal consistency and reliability were considered adequate, with Crombach’s alpha (0.86) and intraclass correlation coefficient (0.93). In the agreement analysis, the questionnaire presented EPM (4.56), considered very good. The Bland Altman technique showed low mean differences (0.8) in LTQOL scores and confidence interval (95% CI: -16.9;15.3). Concurrent validity was analyzed using the Spearman correlation test, showing excellent validity with the SF36 questionnaire and good validity with the SGRQ in the test and re-teste. CONCLUSION: The translated and cross-culturally adapted version of the LTQOL instrument into Brazilian Portuguese was validated for use in patients undergoing lung transplantation. However, we suggest further studies to adapt the validated tool to a reduced version, but with the same scope, reliability and reproducibility. |
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Sampaio, Luciana Maria Malosáhttp://lattes.cnpq.br/2970138065407046Sampaio, Luciana Maria Malosáhttp://lattes.cnpq.br/2970138065407046Silva, Soraia Micaelahttp://lattes.cnpq.br/3795036706844374Pires, Grasiani Bregguehttp://lattes.cnpq.br/3786681093784998http://lattes.cnpq.br/3686060221611084Rodrigues, Felipe Farah Pinheiro2024-03-28T14:35:33Z2023-12-08Rodrigues, Felipe Farah Pinheiro. Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão. 2023. 60 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo.http://bibliotecatede.uninove.br/handle/tede/3294INTRODUCTION: The surgical procedure of lung transplantation aims to improve the quality of life and survival of patients with advanced lung diseases. Therefore, the assessment of the health-related quality of life (HRQoL) of these patients is necessary to better understand the magnitude and persistence of post-procedure improvements. In Brazil, there is no specific instrument to assess the HRQoL of these patients, with generic tools being used. The “Lung Transplant Quality of Life” (LTQOL) is an instrument proposed in the literature as an easy-to-apply questionnaire, with specific domains for the multidimensional assessment of these patients. OBJECTIVES: Carry out the translation, cross-cultural adaptation into the Portuguese-Brazilian language and validation of the quality of life questionnaire entitled “Lung transplant quality of life” (LT-QOL). METHODS: Observational study in which the translation, cross-cultural adaptation and validation of the translated version into Brazilian Portuguese and testing of the measurement properties of the assessment instrument were carried out. The translation process was based on the guidelines of the “Guidelines for the Process of Cross-cultural Adaptation of Self-Report Measures”, as well as the guidelines recommended by the “Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN). The following measurement properties were tested: internal consistency; agreement; intra-rater reliability; and convergent validity – through the application of the Short Form Health Survey (SF-36) and Saint George’s Respiratory Questionnaire (SGRQ) questionnaires compared with information from the translated version of the “LT-QOL”. RESULTS: Internal consistency and reliability were considered adequate, with Crombach’s alpha (0.86) and intraclass correlation coefficient (0.93). In the agreement analysis, the questionnaire presented EPM (4.56), considered very good. The Bland Altman technique showed low mean differences (0.8) in LTQOL scores and confidence interval (95% CI: -16.9;15.3). Concurrent validity was analyzed using the Spearman correlation test, showing excellent validity with the SF36 questionnaire and good validity with the SGRQ in the test and re-teste. CONCLUSION: The translated and cross-culturally adapted version of the LTQOL instrument into Brazilian Portuguese was validated for use in patients undergoing lung transplantation. However, we suggest further studies to adapt the validated tool to a reduced version, but with the same scope, reliability and reproducibility.INTRODUÇÃO: O procedimento cirúrgico de transplante pulmonar visa melhorar a qualidade de vida e sobrevida de pacientes com doenças pulmonares em estágio avançado. Desta forma, a avaliação da qualidade de vida relacionada à saúde (QVRS) destes pacientes se faz necessária para uma melhor compreensão da magnitude e persistência da melhora clínica pós-procedimento. No Brasil, não há um instrumento específico para avaliar a QVRS destes pacientes, sendo utilizados ferramentas genéricas. O “Lung Transplant Quality of Life” (LTQOL) é um instrumento proposto pela literatura como sendo um questionário de fácil aplicação, com domínios específicos para avaliação multidimensional destes pacientes. OBJETIVOS: Realizar a tradução, adaptação transcultural para a língua Portuguesa-brasileira e a validação do questionário de qualidade de vida intitulado “Lung transplant quality of life” (LT- QOL). MÉTODOS: Estudo observacional no qual foi realizado a tradução, adaptação transcultural e validação da versão traduzida para o português - brasileiro e teste das propriedades de medida do instrumento de avaliação. O processo de tradução foi baseado nas orientações do “Guidelines for the Process of Cross-cultural Adaptation of Self-Report Measures”, bem como as diretrizes recomendadas pelo “Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN). Foram testadas as seguintes propriedades de medida: consistência interna; concordância; confiabilidade intra- avaliador; e validade convergente – através de aplicação dos questionários Short Form Health Survey (SF-36) e Saint George’s Respiratory Questionary (SGRQ) confrontando com as informações da versão traduzida do “LT-QOL”. RESULTADOS: A consistência interna e a confiabilidade foram consideradas adequadas, com Alfa de Crombach (0,86) e coeficiente de correlação intraclasse (0,93). Na análise de concordância, o questionário apresentou EPM (4,56), considerado muito bom. A técnica de Bland Altman apresentou baixa média das diferenças (0,8) dos escores do LTQOL e intervalo de confiança (IC 95%:- 16,9;15,3). A validade concorrente foi analisada a partir do teste de correlação de Spearman, apresentando excelente validade com o questionário SF36 e boa validade com o SGRQ no teste e re-teste. CONCLUSÃO: A versão traduzida e adaptada transculturalmente para o Português-brasileiro do instrumento LTQOL foi validado para uso em pacientes submetidos a transplante pulmonar. No entanto, sugerimos novos estudos para adaptar a ferramenta validada para uma versão reduzida, porém com a mesma abrangência, confiabilidade e reprodutibilidadeSubmitted by Nadir Basilio (nadirsb@uninove.br) on 2024-03-28T14:35:33Z No. of bitstreams: 1 Felipe Farah Pinheiro Rodrigues.pdf: 2590811 bytes, checksum: 355c60f7395157a4a079fa098a770720 (MD5)Made available in DSpace on 2024-03-28T14:35:33Z (GMT). No. of bitstreams: 1 Felipe Farah Pinheiro Rodrigues.pdf: 2590811 bytes, checksum: 355c60f7395157a4a079fa098a770720 (MD5) Previous issue date: 2023-12-08application/pdfporUniversidade Nove de JulhoPrograma de Pós-Graduação em Ciências da ReabilitaçãoUNINOVEBrasilSaúdequalidade de vidaindicadores e qualidade de vidatransplante de pulmãoquestionário de saúde do pacientetraduçãoquality of lifeindicators and quality of lifelung transplantpatient health questionnairetranslationCIENCIAS DA SAUDETradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmãoTranslation, cross-cultural adaptation and validation into the portuguese - brazilian language of the Lung Transplant Quality of Life (LT-QOL) for use in adult patients after lung transplantinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis8765449414823306929600info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da Uninoveinstname:Universidade Nove de Julho (UNINOVE)instacron:UNINOVEORIGINALFelipe Farah Pinheiro Rodrigues.pdfFelipe Farah Pinheiro Rodrigues.pdfapplication/pdf2590811http://localhost:8080/tede/bitstream/tede/3294/2/Felipe+Farah+Pinheiro+Rodrigues.pdf355c60f7395157a4a079fa098a770720MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82165http://localhost:8080/tede/bitstream/tede/3294/1/license.txtbd3efa91386c1718a7f26a329fdcb468MD51tede/32942024-03-28 11:35:33.355oai:localhost: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Biblioteca Digital de Teses e Dissertaçõeshttp://bibliotecatede.uninove.br/PRIhttp://bibliotecatede.uninove.br/oai/requestbibliotecatede@uninove.br||bibliotecatede@uninove.bropendoar:2024-03-28T14:35:33Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE)false |
dc.title.por.fl_str_mv |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
dc.title.alternative.eng.fl_str_mv |
Translation, cross-cultural adaptation and validation into the portuguese - brazilian language of the Lung Transplant Quality of Life (LT-QOL) for use in adult patients after lung transplant |
title |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
spellingShingle |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão Rodrigues, Felipe Farah Pinheiro qualidade de vida indicadores e qualidade de vida transplante de pulmão questionário de saúde do paciente tradução quality of life indicators and quality of life lung transplant patient health questionnaire translation CIENCIAS DA SAUDE |
title_short |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
title_full |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
title_fullStr |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
title_full_unstemmed |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
title_sort |
Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão |
author |
Rodrigues, Felipe Farah Pinheiro |
author_facet |
Rodrigues, Felipe Farah Pinheiro |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Sampaio, Luciana Maria Malosá |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/2970138065407046 |
dc.contributor.referee1.fl_str_mv |
Sampaio, Luciana Maria Malosá |
dc.contributor.referee1Lattes.fl_str_mv |
http://lattes.cnpq.br/2970138065407046 |
dc.contributor.referee2.fl_str_mv |
Silva, Soraia Micaela |
dc.contributor.referee2Lattes.fl_str_mv |
http://lattes.cnpq.br/3795036706844374 |
dc.contributor.referee3.fl_str_mv |
Pires, Grasiani Breggue |
dc.contributor.referee3Lattes.fl_str_mv |
http://lattes.cnpq.br/3786681093784998 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/3686060221611084 |
dc.contributor.author.fl_str_mv |
Rodrigues, Felipe Farah Pinheiro |
contributor_str_mv |
Sampaio, Luciana Maria Malosá Sampaio, Luciana Maria Malosá Silva, Soraia Micaela Pires, Grasiani Breggue |
dc.subject.por.fl_str_mv |
qualidade de vida indicadores e qualidade de vida transplante de pulmão questionário de saúde do paciente tradução |
topic |
qualidade de vida indicadores e qualidade de vida transplante de pulmão questionário de saúde do paciente tradução quality of life indicators and quality of life lung transplant patient health questionnaire translation CIENCIAS DA SAUDE |
dc.subject.eng.fl_str_mv |
quality of life indicators and quality of life lung transplant patient health questionnaire translation |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE |
description |
INTRODUCTION: The surgical procedure of lung transplantation aims to improve the quality of life and survival of patients with advanced lung diseases. Therefore, the assessment of the health-related quality of life (HRQoL) of these patients is necessary to better understand the magnitude and persistence of post-procedure improvements. In Brazil, there is no specific instrument to assess the HRQoL of these patients, with generic tools being used. The “Lung Transplant Quality of Life” (LTQOL) is an instrument proposed in the literature as an easy-to-apply questionnaire, with specific domains for the multidimensional assessment of these patients. OBJECTIVES: Carry out the translation, cross-cultural adaptation into the Portuguese-Brazilian language and validation of the quality of life questionnaire entitled “Lung transplant quality of life” (LT-QOL). METHODS: Observational study in which the translation, cross-cultural adaptation and validation of the translated version into Brazilian Portuguese and testing of the measurement properties of the assessment instrument were carried out. The translation process was based on the guidelines of the “Guidelines for the Process of Cross-cultural Adaptation of Self-Report Measures”, as well as the guidelines recommended by the “Consensus-based Standards for the selection of health Measurement Instruments” (COSMIN). The following measurement properties were tested: internal consistency; agreement; intra-rater reliability; and convergent validity – through the application of the Short Form Health Survey (SF-36) and Saint George’s Respiratory Questionnaire (SGRQ) questionnaires compared with information from the translated version of the “LT-QOL”. RESULTS: Internal consistency and reliability were considered adequate, with Crombach’s alpha (0.86) and intraclass correlation coefficient (0.93). In the agreement analysis, the questionnaire presented EPM (4.56), considered very good. The Bland Altman technique showed low mean differences (0.8) in LTQOL scores and confidence interval (95% CI: -16.9;15.3). Concurrent validity was analyzed using the Spearman correlation test, showing excellent validity with the SF36 questionnaire and good validity with the SGRQ in the test and re-teste. CONCLUSION: The translated and cross-culturally adapted version of the LTQOL instrument into Brazilian Portuguese was validated for use in patients undergoing lung transplantation. However, we suggest further studies to adapt the validated tool to a reduced version, but with the same scope, reliability and reproducibility. |
publishDate |
2023 |
dc.date.issued.fl_str_mv |
2023-12-08 |
dc.date.accessioned.fl_str_mv |
2024-03-28T14:35:33Z |
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info:eu-repo/semantics/publishedVersion |
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Rodrigues, Felipe Farah Pinheiro. Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão. 2023. 60 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
dc.identifier.uri.fl_str_mv |
http://bibliotecatede.uninove.br/handle/tede/3294 |
identifier_str_mv |
Rodrigues, Felipe Farah Pinheiro. Tradução, adaptação transcultural e validação para a língua portuguesa – brasileira do Lung Transplant Quality of Life (LT-QOL) para uso em pacientes adultos após transplante de pulmão. 2023. 60 f. Dissertação( Programa de Pós-Graduação em Ciências da Reabilitação) - Universidade Nove de Julho, São Paulo. |
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UNINOVE |
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Universidade Nove de Julho |
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Biblioteca Digital de Teses e Dissertações da Uninove - Universidade Nove de Julho (UNINOVE) |
repository.mail.fl_str_mv |
bibliotecatede@uninove.br||bibliotecatede@uninove.br |
_version_ |
1797250772279230464 |