Banca de DEFESA: THAYLA AMORIM SANTINO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : THAYLA AMORIM SANTINO
DATA : 22/02/2018
HORA: 09:00
LOCAL: Auditório do Departamento de Fisioterapia
TÍTULO:

TRANSLATION, CROSS-CULTURAL ADAPTATION AND PSYCHOMETRIC EVALUATION OF THE PEDIATRIC ASTHMA CONTROL AND COMMUNICATION INSTRUMENT - PACCI

PALAVRAS-CHAVES:

Psychometrics, Child, Asthma, Respiratory system, Quality of life.

PÁGINAS: 129
GRANDE ÁREA: Ciências da Saúde
ÁREA: Fisioterapia e Terapia Ocupacional
RESUMO:

Introduction: Under the need to evaluate the clinical control of asthma in children and adolescents, the importance of the availability of validated instruments for use in the Brazilian population was observed. However, few specific instruments have culturally adapted and validated versions for Portuguese. Objectives: To perform a translation, cross-cultural adaptation and evaluation of psychometric properties of the Pediatric Asthma Control and Communication Instrument (PACCI) for use in the Brazilian population. Methods: An exploratory methodological and psychometric study, which involves the process of translation, cross-cultural adaptation and evaluation of psychometric properties. Transcultural translation and adaptation followed the recommendations internationally described and used, involving translation procedures, back translation, multiprofessional committee of experts and pre-test in a representative sample of the new population. The psychometric properties were analyzed through the application of the adapted questionnaire in a sample of children and adolescents with clinical diagnosis of asthma and their parents/caregivers. Socioeconomic assessments were performed (Brazil Economic Classification Criteria); evaluation of clinical control, with the Childhood Asthma Control Test (c-ACT), Asthma Control Test (ACT); evaluation of the caregiver’s quality of life with the Pediatric Asthma Caregivers Quality of Life Questionnaire (PACQLQ), and test of pulmonary function (spirometry). It was investigated the content validity, construct, concurrent, reliability (considering the internal consistency) and the cutoff, through receiver operator characteristic curve analysis. The instruments and pulmonary function test was correlated through Spearman correlation test, and their association was verified through ANOVA and Bonfferoni post-test. Results: The multiprofessional committee of experts indicated that the items of the questionnaire were clear and compreesible, with agreement ranging from 0.78 to 1.00. Considering the pre-test procedure, parents/caregivers did not present comprehension difficulties (agreement above 0.90). The Brazilian version of PACCI showed an internal consistency of 0.80. The internal structure of the PACCI was evaluated through exploratory factorial analysis. From the acceptable adjustment indexes (KMO=0.81 and Bartlett sphericicity test, p<0,001), the exploratory factorial analysis was performed with the extraction of 4 pre-determined factors and orthogonal rotation (varimax). Considering the items grouped into factors, it was verified that each of these factors presented adequate reliability. The following factors were identified: clinical control, risks, perception of asthma status and severity. The factor asthma control showed, through its total score and problem index, correlation with c-ACT/ACT, PACQLQ. Scores for the control domain greater than 4 points (sum of the score) and above 1 point (problem index) were indicative of uncontrolled asthma. Conclusion: The PACCI questionnaire is properly translated and cross-cultural adapted for Brazilian pediatric population. Furthermore, the Brazilian version showed to be able to provide valid and reliable measures to assess the clinical control of asthma in children and adolescents.

MEMBROS DA BANCA:
Externo ao Programa - 1323908 - JOAO CARLOS ALCHIERI
Presidente - 2291421 - KARLA MORGANNA PEREIRA PINTO DE MENDONCA
Externo à Instituição - SÉRGIO LEITE RODRIGUES - UnB