Tradução, adaptação transcultural e avaliação das propriedades de medida do KACE (knowledge, attitudes, access, and confidence) aplicado à odontologia baseada em evidência

• Ano de defesa: 2025
• Autor(a) principal: Barollo, Amanda Vieira
• Orientador(a): Sanglard, Luciana Faria
• Banca de defesa: Stefani, Cristine Miron , Miotto, Maria Helena Monteiro de Barros
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal do Espírito Santo; Mestrado Profissional em Clínica Odontológica
• Programa de Pós-Graduação: Programa de Pós-Graduação em Clínica Odontológica
• Departamento: Centro de Ciências da Saúde
• País: BR
• Palavras-chave em Português: Prática Clínica Baseada em Evidências; Odontologia Baseada em Evidências; Estudo de validação; Inquéritos e questionários; Evidence-Based Dentistry; Evidence-Based Clinical Practice; Validation study; Surveys and questionnaires
• Área do conhecimento CNPq: Odontologia
• Link de acesso: http://repositorio.ufes.br/handle/10/20473

The KACE instrument (Knowledge, Attitudes, Access, and Confidence) was developed to assess outcomes of Evidence-Based Practice (EBP) training in Dentistry. This study aimed to carry out the translation, cross-cultural adaptation, and measurement property analysis of the KACE for Brazilian Portuguese. The process followed eight steps: 1) independent translation by two bilingual translators; 2) synthesis of the translations into a consensus version; 3) back-translation by two independent translators; 4) expert committee review to produce the pre-final version; 5) pre-testing with the target population (2nd semester undergraduate students); 6) administration of the tests (pre-training, post-training, and retest); 7) submission of the adapted version to the original developers; and 8) evaluation of measurement properties. The study was conducted with a sample of 124 participants (75 undergraduate students, 35 graduate students, and 14 experts) from the Federal University of Espírito Santo (UFES), University of Brasília (UnB), and Federal University of Santa Catarina (UFSC). Analyses demonstrated that the Brazilian version of the KACE showed adequate content validity, with some necessary adjustments in specific items identified through confirmatory factor analysis: item Q6 from the “Critical Appraisal Knowledge” scale, items Q7 and Q8 from the “Attitudes toward EBP” scale, and items Q1 and Q2 from the “Access to Evidence” scale. Internal consistency was considered acceptable, especially in the “Confidence in Critical Appraisal Skills” scale (Cronbach’s α ranging from 0.7075 to 0.9261). Test-retest reliability was satisfactory, with intraclass correlation coefficients ranging from 0.52 to 0.81. The instrument demonstrated discriminant validity by differentiating experts from undergraduates across all scales. Responsiveness was confirmed, with a significant increase in scores after the educational intervention (p < 0.05). It is concluded that the Brazilian version of the KACE presents evidence of validity and reliability, representing a promising tool for assessing competencies in evidence-based practice within the Brazilian dental context.