The best internal structure of the Diabetes Quality of Life Measure (DQOL) in Brazilian patients.

BACKGROUND: Diabetes Mellitus (DM) is considered a chronic disease with numerous secondary complications that negatively affect the quality of life of patients. However, the specific, known and validated instruments for Brazilian Portuguese are too extensive, which often makes their use infeasible. OBJECTIVE: To validate the internal structure of the Brazilian version of the Diabetes Quality of Life (DQOL) measure. METHODOLOGY: Patients with DM type 1 or 2, between the ages of 18 and 76, were evaluated between April 2022 and May 2022. The survey was conducted online using the Google Forms platform. The original DQOL contains 46 multiple-choice questions organized into four domains. For structural validity, confirmatory factor analysis (CFA) was performed using RStudio software (Boston, MA, USA) with the packages lavaan and semPlot. RESULTS: A total of 354 subjects were evaluated. The 3-domain, 24-item version of the DQOL was the most adequate, with acceptable values for all fit indices (chi-square/GL < 3, TLI and CFI > 0.90, and RMSEA and SRMR < 0.08). CONCLUSION: The structure with three domains and 24 items is the most appropriate based on factor analysis. The Brazilian version of the DQOL with a structure of 3 domains and 24 items has adequate measurement properties that support its use in the clinical and scientific context in patients with DM.

Cross-cultural adaptation, reliability and validation of the Gillette Functional Assessment Questionnaire (FAQ) into Brazilian Portuguese in patients with cerebral palsy.

BACKGROUND: The purpose of this study was to translate, cross-culturally adapt and validate the Gillette Functional Assessment Questionnaire (FAQ) into Brazilian Portuguese. METHODS: The translation and cross-cultural adaptation was carried out in accordance with international recommendations. The FAQ was applied to a sample of 102 patients diagnosed with cerebral palsy (CP). Construct validity was assessed using Spearman's correlation coefficient (rho), and the FAQ score was correlated with the Functional Mobility Scale (FMS) and Gross Motor Function Classification Scale (GMFCS). A subsample of 50 patients was used to assess reliability using intraclass correlation coefficient (ICC), standard error of measurement (SEM) and minimum detectable difference (MDD). Ceiling and floor effects were also evaluated. RESULTS: The Brazilian version of the FAQ showed excellent test-retest reliability by the assessment of the physiotherapist (ICC = 0.99) and respondent (ICC = 0.97), as well as excellent inter-examiner reliability (ICC = 0.94). The SEM was 0.23 (physiotherapist), 0.47 (respondent) and 0.64 (inter-examiner), while the MDD was 0.64 (physiotherapist), 1.29 (respondent) and 1.76 (inter-examiner). The classification of gross motor function showed a high correlation with the FAQ applied by the physiotherapist (rho = -0.89) and by the respondent (rho = -0.87). The FMS-5 m was highly correlated with the FAQ applied by the physiotherapist and the respondent (rho = 0.88 and rho = 0.87, respectively). The FMS-50 and FMS-500 presented very high correlation with the FAQ applied by the physiotherapist (rho = 0.91 for both) and high correlation with the FAQ applied by the respondent (rho = 0.89 and rho = 0.88, respectively). The Brazilian version of the FAQ did not present the ceiling and floor effects. CONCLUSION: The FAQ presented adequate psychometric properties in patients with CP, indicating that it is possible to use it as a measure of functional gait mobility in Brazil.

Translation, cross-cultural adaptation, and analysis of the measurement properties of the Brazilian Portuguese version of the spinal cord injury pain instrument.

STUDY DESIGN: A questionnaire validity study. OBJECTIVES: To perform the translation, cross-cultural adaptation, and analysis of the measurement properties of the Brazilian Portuguese version of the Spinal Cord Injury Pain Instrument (SCIPI) for the screening of neuropathic pain in spinal cord injury. SETTING: Neurorehabilitation hospital in north-eastern Brazil. METHODS: We performed the translation and cross-cultural adaptation of the SCIPI. The pre-final version was applied in 10 patients with spinal cord injury sequelae and pain report. The final version of the SCIPI was applied to 100 patients. The measurement properties evaluated were structural validity, test-retest reliability, internal consistency, construct validity, and diagnostic accuracy. RESULTS: None of the items in the pre-final version of the SCIPI had any comprehension problems. The one-dimensional structure of the final version of the SCIPI was adequate. There were significant correlations between the SCIPI and the Douleur Neuropathique 4 (rho = 0.546), as well as adequate test-retest reliability (intraclass correlation coefficient = 0.89, kappa ≥ 0.79), internal consistency (Cronbach's alpha ≥ 0.76), and diagnostic accuracy (area under the curve = 0.860). CONCLUSION: The Brazilian version of the SCIPI presents measurement properties that are suitable for measuring neuropathic pain related to spinal cord injury.

Promoção de saúde para uma equipe de saúde da família: enfoque na percepção corporal / Health promotion for a family health team: an approach focused on body perception

A Política Nacional de Promoção da Saúde incentiva a adoção e a divulgação de ações alternativas e inovadoras direcionadas à Estratégia Saúde da Família (ESF), sendo definidas como prioridades as iniciativas de prática corporal e atividade física. Os objetivos deste trabalho foram promover práticas fisioterapêuticas vinculadas à percepção corporal para uma equipe de saúde da família e refletir sobre promoção de saúde. A partir da demanda de uma equipe de saúde da família de Ribeirão Preto por informações sobre alongamento e relaxamento, um grupo formado por professores, pós-graduandos e graduandos de fisioterapia propôs uma intervenção desenvolvida em três encontros. Um folheto recordatório e ilustrativo também foi elaborado com o intuito de facilitar a assimilação e a reprodução do conteúdo abordado. O primeiro encontro consistiu de uma dinâmica de apresentação dos participantes e de práticas de alongamento e relaxamento. No segundo encontro, duplas voluntárias da equipe demonstraram os alongamentos aos demais participantes, enquanto os monitores anotaram as dúvidas e dificuldades apresentadas. Por fim, no terceiro encontro, foi realizada uma vivência de automassagem em um grupo. Os participantes relataram dificuldade para reproduzir e transmitir os exercícios. No entanto também relataram que a atividade despertou a atenção para questões relacionadas a seus corpos, possibilitando uma reflexão para melhora da qualidade de vida. Assim, o trabalho colaborou com a implementação de uma nova estratégia de promoção de saúde voltada à ESF ao demonstrar a importância de despertar a percepção corporal junto a seus membros, que no cotidiano negligenciam o cuidar de si mesmos.

The National Policy on Health Promotion stimulates the adoption and wider exposure of alternative and innovative actions oriented toward the Family Health Strategy (FHS), the defined priorities being the initiatives for body practice and physical activity. The objectives of this study were to promote physiotherapy interventions related to body perception for a Family Health Team (FHT) and to develop the thinking on health promotion. In response to the need expressed by an FHT in Ribeirão Preto for information on stretching and relaxation techniques, a group composed of physiotherapy professors, graduate students, and under-graduates was formed. They proposed an intervention, carried out in three meetings. A handout was prepared with illustrations and notes to make both the assimilation and the reproduction of the content easier. The first meeting consisted of group dynamics to introduce the participants and the practices of stretching and relaxation. In the second meeting, a pair of FHT volunteers demonstrated the stretching exercises for the other participants, while monitors took notes on uncertainties and difficulties that arose. Finally, in the third meeting, an experience in self-massage techniques was conducted. Participants reported difficulty in reproducing and explaining the exercises they were taught. However, they also reported that they began to pay attention to things related to their body after these interventions. This enabled them to reflect on improving of quality of life. Thus, this intervention contributed to the implementation of an innovative health promotion strategy for the FHS by demonstrating the importance of stimulating body perception to team members, who routinely are victims of self-neglect.