Translation, cross-cultural adaptation, and validation of health and self-management in diabetes questionnaire (HASMID-10) into Brazilian Portuguese

ABSTRACT BACKGROUND: Considering the ability of the health and self-management in diabetes questionnaire (HASMID-10) to verify the impact of self-management on diabetes, we highlight its relevance to scientific research and clinical applicability. However, to date, no study has been conducted to scientifically support its use in other languages. OBJECTIVE: To translate, cross-culturally adapt, and validate the HASMID-10 into the Brazilian Portuguese. DESIGN AND SETTING: A translation, cross-cultural adaptation, and validation study conducted at Ceuma University. METHODS: Study was conducted in accordance with the Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures and Consensus-based Standards for the Selection of Health Measurement Instruments. We included participants of both sexes diagnosed with diabetes, aged between 18 and 64 years, and without cognitive deficits or any other limitations that would prevent them from answering the questionnaire. We assessed participants using the problem areas in diabetes (PAID) scale and HASMID-10. We assessed reliability using a test-retest model with a 7-day interval between assessments. We used intraclass correlation coefficient (ICC), 95% confidence interval (CI), standard error of measurement (SEM), minimum detectable difference (MDD), Spearman correlation coefficient, and floor and ceiling effects. RESULTS: Sample comprised 116 participants, most of whom were women, overweight, non-practitioners of physical activity, and nonsmokers. We observed significant correlations (P = 0.006; rho = −0.256) between the HASMID-10 and PAID, adequate reliability (ICC = 0.780) and internal consistency (Cronbach's alpha = 0.796). No ceiling or floor effects were observed. CONCLUSION: HASMID-10 has adequate measurement properties and may be used for Brazilians.

Translation, Cross-Cultural Adaptation, and Validation of the Hypertension Self-Care Profile (HBP-SCP) for the Brazilian Population

Abstract Background Self-care in the management of systemic arterial hypertension (SAH) is crucial, and validated instruments can help researchers and health professionals to plan strategies to improve self-care in people with SAH. Objective The main objective of this study was to translate, cross-culturally adapt, and validated the Hypertension Self-Care Profile (HBP-SCP) for Brazilian Portuguese. Methods The translation and cross-cultural adaptation was performed in five phases, and the pre-final version was tested in 30 individuals, native speakers of Portuguese with a diagnosis of hypertension. The final version was administered in 100 individuals. The inclusion criteria were: diagnosis of SAH, characterized by systolic arterial blood pressure ≥ 140 mmHg and/or diastolic arterial blood pressure ≥ 90mmHg, regular use of antihypertensive medications and over 18 years of age. The present study also used two other questionnaires, previously validated for the Brazilian population, to verify the validity of the construct, the Healthy Habits Perception Questionnaire (HHPQ) and the Quality of Life in Hypertension Mini-Questionnaire (MINICHAL-BRASIL). Results During the translation and cross-cultural adaptation phase, there were no disagreements. Adequate reliability — intraclass correlation coefficient (ICC) ≥ 0.89, standard error of measurement (SEM) % ≤ 4.34, minimum detectable change (MDC) % ≤ 12.04 — and internal consistency (Cronbach's alpha ≥ 0.75) were observed. The behavior domain of HBP-SCP obtained significant correlations (p < 0.05) with the self-efficacy domain and HHPQ; the motivation domain with the self-efficacy domain; and the self-efficacy domain with the somatic manifestation domain of MINICHAL-BRASIL. No ceiling and floor effects were observed. Conclusions The Brazilian Portuguese version of the HBP-SCP has adequate psychometric properties, according to the best scientific recommendations.

Braden scale has low reliability in different patients under care in intensive care unit

SUMMARY OBJECTIVE: The aim of this study was to assess the inter-reliability of the Braden scale and its subscales for different patients assisted in the intensive care unit. We hypothesized that the Braden scale has low reliability in different populations. METHODS: This reliability study involved the Braden scale in intensive care unit of a hospital. A total of 200 patients were admitted to the intensive care unit in four different groups: neurological patients, sepsis, elderly, and adults affected by trauma. The Braden scale is a tool composed of six subscales for patient assessment: sensory perception, humidity, activity, mobility, nutrition, and friction. The total score was also calculated. The Braden scale was applied by two different nurses with an interval of 20-30 min between applications. RESULTS: For all populations, kappa values considered unsuitable were observed for most categories of the Braden scale, ranging from 0.06-0.25. Only for the total Braden scale score was moderate reliability identified in all groups evaluated, with intraclass correlation coefficient values ranging from 0.48-0.75. CONCLUSIONS: Braden scale is not a reliable tool to be used in the intensive care unit, and we do not recommend the use of this scale to assess the risk of developing pressure injury.

Translation, cross-cultural adaptation, and validation of the heart disease fact questionnaire among the Brazilian population

SUMMARY OBJECTIVE: This study aimed to translate, cross-culturally adapt, and validate the Heart Disease Fact Questionnaire into Brazilian Portuguese. METHODS: The Brazilian version of the Heart Disease Fact Questionnaire was developed through the processes of translation, back-translation, review committee, and pre-test. Test-retest reliability was measured using the intraclass correlation coefficient and the kappa coefficient. Internal consistency was measured using Cronbach's alpha. For construct validity, the total Heart Disease Fact Questionnaire score was correlated with the Diabetes Knowledge Scale and the Diabetes Attitudes Questionnaire. Ceiling and floor effects were also evaluated in this study. RESULTS: For construct validity and floor and ceiling effect measurements, a total of 100 participants were selected. Reliability was measured using a sub-sample of 30 participants from the total sample. We identified adequate values of reliability (kappa between 0.22 and 1.00 and ICC=0.75) and internal consistency (Cronbach's alpha=0.79). We observed adequate correlations of the Heart Disease Fact Questionnaire score with Diabetes Knowledge Scale (r=0.348) and Diabetes Attitudes Questionnaire (r=0.136). No ceiling or floor effects found. CONCLUSION: Brazilian Portuguese version of the Heart Disease Fact Questionnaire has adequate psychometric properties according to the best scientific recommendations.

Relationship between obstructive sleep apnea syndrome and functional capacity in patients with diabetes mellitus type 2: an observational transversal study

SUMMARY OBJECTIVE: The aim of this study was to verify the association among obstructive sleep apnea, functional capacity, and metabolic control. METHODS: This was a cross-sectional study involving individuals of both sexes with clinical diagnosis of diabetes mellitus type 2 who were above 18 years of age. The assessment consisted of a volunteer identification form, a 2-minute step test, and the Stop-Bang questionnaire. In order to assess metabolic control, HbA1c and fasting glucose data were collected from medical records. RESULTS: A total of 100 individuals with diabetes mellitus type 2, of whom 61% were women, were included in this study. According to the Stop-Bang instrument, 26, 57, and 17% of patients had low, intermediate, and high risk of developing OSA, respectively. There was no association between the 2-minute step test and metabolic variables and diabetes mellitus type 2 chronicity with Stop-Bang. CONCLUSIONS: We concluded that there is no association among obstructive sleep apnea measured by means of Stop-Bang instrument, functional capacity measured by means of 2-minute step test, and metabolic variables in individuals with diabetes mellitus type 2.

Desenvolvimento neuropsicomotor de crianças com cardiopatias congênitas / Neuropsychomotor development of children with congenital heart diseases

INTRODUÇÃO: Especula-se que as cardiopatias congênitas (CC) podem afetar o desenvolvimento neuropsicomotor. No entanto, ainda se faz necessários estudos que visem avaliar esse desenvolvimento nas crianças com CC. OBJETIVO: Avaliar o desenvolvimento neuropsicomotor de crianças com cardiopatias congênitas. MÉTODOS: Estudo observacional de corte transversal, conduzido no Hospital do Coração de Alagoas (Maceió ­ AL, Brasil), no período de junho a outubro de 2016. Foram incluídas crianças internadas para a realização de cirurgias cardíacas eletivas no referido hospital, com idade entre 1 e 72 meses, e excluídas aquelas que apresentassem algum sinal de desconforto (dispneia, taquicardia, cianose, batimento de asa de nariz e uso da musculatura acessória), baixa capacidade para responder aos comandos verbais e/ou doenças/síndromes associadas que levassem ao atraso no desenvolvimento neuropsicomotor. O desenvolvimento neuropsicomotor (DNPM) foi avaliado por meio do teste de triagem do desenvolvimento Denver II, aplicado no momento pré-cirúrgico. RESULTADOS: Foram avaliadas 20 crianças, com idade entre 1-72 meses, das quais 05 foram excluídas. As 15 restantes tiveram média de idade de 16,12 (±15,56) meses, 7 meninos (46,66%) e 8 meninas (53,33%). Oitenta por cento das crianças apresentaram atraso no DNPM, sendo o domínio motor fino-adaptativo o mais comprometido, no qual as crianças realizaram apenas 48% das tarefas propostas. A maioria das crianças com o atraso, apresentavam persistência do canal arterial (41,66%), seguida de comunicação interatrial-CIA (16,66) e coexistência de Comunicação interatrial (CIA) e comunicação interventricular (16,66). CONCLUSÃO: Conclui-se que as crianças com CC apresentam o DNPM não compatível com a sua idade. Evidenciando a necessidade de diagnóstico e estimulação precoce das mesmas.

INTRODUCTION: It is speculated that congenital heart disease (CHD) can affect neuropsychomotor development. However, studies are still needed to evaluate this development in CC. OBJECTIVE: To evaluate the neuropsychomotor development of children with congenital heart defects. METHODS: A cross - sectional, observational study was conducted at the Heart Hospital of Alagoas (Maceió - AL, Brazil) from June to October 2016. Children hospitalized for elective cardiac surgeries were included in this hospital, aged 1 and 72 months, and those with any signs of discomfort (dyspnoea, tachycardia, cyanosis, nose wing beat and use of accessory muscles) were excluded, low ability to respond to verbal commands and / or associated diseases / syndromes leading to delay in neuropsychomotor development. Neuropsychomotor development (NPMD) was assessed using the Denver II developmental screening test, applied at pre-surgical time. RESULTS: Twenty children, aged between 1-72 months, of whom 05 were excluded were evaluated. The remaining 15 had a mean age of 16.12 (± 15.56) months, 7 boys (46.66%) and 8 girls (53.33%). Eighty percent had a delay in neuropsychomotor development, and the fine-adaptive motor domain was the most compromised, in which the children performed only 48% of the tasks proposed. Most of the children with the delay had patent ductus arteriosus (41.66%), followed by atrial septal defect (16,66) and coexistence of ASD and ventricular septal defect (16,66). CONCLUSION: It is concluded that children with CHD present NPMD not compatible with their age. Evidencing the need for diagnosis and early stimulation of the same.

Variabilidade da frequência cardíaca em pacientes com dor lombar: uma revisão sistemática / Heart rate variability in patients with low back pain: systematic review

Introdução: A lombalgia se caracteriza como uma dor de origem multifatorial que pode resultar em alterações no sistema nervoso autônomo. Estas alterações são identificadas pelo aumento da modulação simpática cardíaca levando a diminuição da variabilidade da frequência cardíaca (VFC). Objetivo: Realizar uma revisão literatura acerca do uso da VFC em pacientes com lombalgia. Métodos: A busca sistemática desse estudo foi conduzida através das bases de dados LILACS, PubMED, CINAHL e SciELO. Resultados: Foram incluídos na revisão apenas dez estudos que mostravam a relação entre a lombalgia e as respostas dos índices da VFC. Destes, sete estudos relatam melhora/relação dos índices da VFC com a lombalgia e outros estudos não mostram alteração das respostas. Conclusão: Existem poucas evidências apresentando a relação entre a lombalgia e as respostas dos índices da VFC na literatura. Além disso, os resultados se mostram inconclusivos, fato este que dificulta afirmar se há relação ou melhora dos índices da VFC após intervenção em pacientes com lombalgia.

Introduction: Low back pain has multifactorial etiology and may result in changes on autonomic nervous system, such as increasing cardiac sympathetic modulation and decreasing heart rate variability (HRV). Objective: To carry out a review about the use of HRV in patients with low back pain. Methods: The systematic search of this study was conducted through the LILACS, PubMED, CINAHL and SciELO databases. Results: Ten studies that showed the relationship between low back pain and HRV index responses were included in the review. The results show that seven studies report an improvement/relation of HRV index with low back pain and other two studies did not show altered responses. Conclusion: There are few evidence reporting the relationship between low back pain and HRV responses in the literature. Moreover, the results are inconclusive which makes it difficult to affirm that there is a relationship or improvement in the HRV index after intervention in patients with low back pain.