Validación, adaptación y traducción al castellano del MacCAT-T: herramienta para evaluar la capacidad en la toma de decisiones sanitarias / Validation, adaptation and translation of the MacCAT-T into Spanish: a tool to assess the ability to make health decisions

Introducción. La valoración de la capacidad es elemento esencial del proceso de consentimiento informado y un deber del médico. Una herramienta ampliamente desarrollada es el MacCAT-T que explora cuatro habilidades para consentir un tratamiento. No se dispone versión en español y el objetivo principal de este trabajo es validar, adaptar y traducir el MacCAT-T al castellano. Material y métodos. Se tradujo al español e inversamente al inglés. Se validó en su apariencia y contenido (a través de 15 expertos), en constructo (confiabilidad interevaluador y consistencia interna) y en criterio (la validez de un instrumento comparándola con algún criterio externo, en este caso el rendimiento cognoscitivo evaluado por el mini examen cognoscitivo de Lobo). Se incluyeron noventa pacientes ambulatorios médico-quirúrgicos, mayores de 18 años sin déficits de expresión y/o con graves alteraciones de conciencia que no permitieran la realización de la entrevista. Resultados. Los resultados han permitido valorar los diferentes tipos de validez. Su media de aplicación ha sido entre 9 y 13 minutos. Discusión. Los datos son coherentes con los obtenidos en otras aplicaciones del MacCAT-T en lengua inglesa y facilitan la disposición de una herramienta en castellano para valorar la capacidad en la toma de decisiones sanitarias(AU)

Introduction. Capacity assessment is an essential element of the informed consent process and is the duty of the physician. The MacCAT-T instrument explores four skills needed to consent a treatment. There is no Spanish version, and the main objective of this work is to validate, adapt and translate the MacCAT-T into Spanish. Material and methods. The MacCAT-T was translated into Spanish and then back-translated into English. It was validated as regards its appearance and content (by 15 experts), construct (inter-rater reliability and internal consistency) and criteria (the validity of an instrument by comparing it to some external criterion, in this case the Mini Examen Cognoscitivo de Lobo). Ninety medical and surgical outpatients over 18 years were included with no deficits of expression and/or severe disorders of consciousness that did not allow them to be interviewed. Results. They have been optimal considering different types of validity. The average application time was between 9 and 13minutes. Discussion. Data are consistent with those obtained in other applications of MacCAT-T in the English language and facilitate the provision of a Spanish tool for assessing capacity(AU)

[Validation, adaptation and translation of the MacCAT-T into Spanish: a tool to assess the ability to make health decisions]. / Validación, adaptación y traducción al castellano del MacCAT-T: herramienta para evaluar la capacidad en la toma de decisiones sanitarias.

INTRODUCTION: Capacity assessment is an essential element of the informed consent process and is the duty of the physician. The MacCAT-T instrument explores four skills needed to consent a treatment. There is no Spanish version, and the main objective of this work is to validate, adapt and translate the MacCAT-T into Spanish. MATERIAL AND METHODS: The MacCAT-T was translated into Spanish and then back-translated into English. It was validated as regards its appearance and content (by 15 experts), construct (inter-rater reliability and internal consistency) and criteria (the validity of an instrument by comparing it to some external criterion, in this case the Mini Examen Cognoscitivo de Lobo). Ninety medical and surgical outpatients over 18 years were included with no deficits of expression and/or severe disorders of consciousness that did not allow them to be interviewed. RESULTS: They have been optimal considering different types of validity. The average application time was between 9 and 13minutes. DISCUSSION: Data are consistent with those obtained in other applications of MacCAT-T in the English language and facilitate the provision of a Spanish tool for assessing capacity.