Cross-cultural adaptation of Communication Function Classification System for individuals with Cerebral Palsy
Adaptação transcultural do Communication Function Classification System para indivíduos com paralisia cerebral
Raphaela Barroso Guedes-Granzotti; Laiane Araujo Andrade; Kelly da Silva; Isabella Carolina Santos Bicalho; Marisa Tomoe Behihara Fukuda; Daniele Ramos Domenis
Abstract
Purpose: to the cross-cultural adaptation of Communication Function Classification System for the Brazilian population and verify the applicability of the translated version.
Methods: the study consisted of two phases, the first of which relates to the process of cultural adaptation, and the second on the instrument testing. The first was made through translation, semantic analysis of the items, back translation and approval of the final version of the instrument’s authors. The testing instrument was administered to 40 patients diagnosed with cerebral palsy.
Results: the final version received the seal of the author of the original instrument and was published by the same, along with the original version and all other translations, at <http://cfcs.us>. Of 40 patients 60% (24) were male and 40% (16) were female, ages ranged from 2 years and 4 months to 28 years and two months, with an average age of 7.7 (± 4.6). The instrument was fast and easy application as all communication levels were observed. And eight patients were at Level I, Level II in nine, two at Level III, Level IV in thirteen and eight in Level V.
Conclusion: the translated and adapted version for Brazilian Portuguese of CFCs allowed the classification of the performance of daily communication of individuals with cerebral palsy in one of five levels of communication. However, to be widely used in clinical and research environments, there is still need for further work (research) to verify the sensitivity and specificity, in addition to the validation of the psychometric properties of the Brazilian version of the instrument.
Keywords
Resumo
Objetivo: realizar a adaptação transcultural do Communication Function Classification System para a população brasileira e verificar a aplicabilidade da versão traduzida.
Métodos: o estudo foi constituído de duas etapas, a primeira relacionada com o processo de tradução e adaptação transcultural por meio da tradução, análise semântica dos itens, e retrotradução do instrumento. A segunda, à testagem do instrumento, foi realizada em 40 pacientes com diagnóstico de paralisia cerebral.
Resultados: a versão final recebeu a chancela da autora do instrumento original e foi publicada pela mesma, juntamente com a versão original e todas as demais traduções, no site <http://cfcs.us>. 60% (24) dos pacientes eram do sexo masculino e 40% (16) do feminino, as idades variaram entre dois anos e quatro meses à 28 anos e dois meses, e a idade média de 7,7 (±4,6). O instrumento foi de fácil e rápida aplicação, e todos os níveis de comunicação foram observados. Sendo que oito pacientes estavam no Nível I, nove no Nível II, dois no Nível III, treze no Nível IV e oito no Nível V.
Conclusões: a versão traduzida e adaptada para o Português Brasileiro do CFCS possibilitou a classificação do desempenho da comunicação diária de indivíduos com Paralisia Cerebral em um dos cinco Níveis de Comunicação. Entretanto, para que seja amplamente utilizado em ambientes clínicos e de pesquisa, ainda há necessidade de trabalhos futuros que verifiquem a sensibilidade e a especificidade do mesmo, além da validação das propriedades psicométricas da versão brasileira do instrumento.
Palavras-chave
Referências
1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M. A report: the definition and classification of cerebral palsy: April 2006. Dev Med Child Neurol. 2007;49(6):8-14.
2. WHO - World Health Organization. International Classification of Functioning, Disability and Health: ICF. Geneva: World Health Organization, 2001.
3. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39(4):214-23
4. Eliasson AC, Krumlinde-Sundholm L, Rosblad B, Beckung E, Arner M, Ohrvall AM, Rosenbaum P. The Manual Ability Classification System (MACS) for children with cerebral palsy: scale development and evidence of validity and reliability. Dev Med Child Neurol. 2006;48(7):549-54.
5. Hiratuka E, Matsukura TS, Pfeifer L. Adaptação transcultural para o Brasil do Sistema de Classificação da Função Motora Grossa (GMFCS). Rev. bras. fisioter. 2010;14(6):537-44.
6. Silva DBR, Pfeifer LI, Funayama CAR. Sistema de Classificação das Capacidades de Manipulação (SCCM) 4-18 anos. [Internet] [cited 2014 Aug 15]. Available from: http://www.macs.nu/files/MACS_Portuguese_2010.pdf.
7. Hidecker MJ, Paneth N, Rosenbaum PL, Kent RD, Lillie J, Eulenberg JB, Chester K Jr, Johnson B, Michalsen L, Evatt M, Taylor K. Developing and validating the Communication Function Classification System (CFCS) for Individuals with Cerebral Palsy. Dev Med Child Neurol. 2011;53(8):704-10.
8. Giusti E, Befi-Lopes DM. Tradução e adaptação transcultural de instrumentos estrangeiros para o Português Brasileiro (PB). Pró-Fono R. Atual Cient. 2008;20(3):207-10.
9. Andrade LT, Rossi NF, Giacheti CM. Adaptação transcultural do Preschool Language Assessment Instrument: Segunda Edição. CoDAS. 2014;26(6):428-33.
10. Bento-Gaz ACP, Befi-Lopes DM. Adaptação do teste Clinical Evaluation of Language Functions-4th Edition para o Português Brasileiro. CoDAS. 2014;26(2):131-7.
11. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of Cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000;25(24):3186-91.
12. Herdman M, Fox-Rushby J, Badia X. A model of equivalence in the cultural adaptation of HRQoL instruments: the universalist approach. Qual Life Res. 1998;7(4):323-35.
13. Behling B, Law KS. Translating Questionnaires and Other Research Instruments: Problems and Solutions. 2000.
14. Andrade CRF, Juste F. Proposta de análise de performance e de evolução em crianças com gagueira desenvolvimental. Rev. CEFAC. 2005;7(2):158-70.
15. Coleman A, Weir KA, Ware RS, Boyd RN. Relationship between Communication Skills and Gross Motor Function in Preschool-Aged Children With Cerebral Palsy. Archives of Physical Medicine and Rehabilitation. Arch Phys Med Rehabil. 2013;94(11):2210-7.
16. Sigurdardottir S, Vik T. Speech, expressive language and verbal cognition of preschool children with cerebral palsy in Iceland. Dev Med Child Neurol. 2011;53(1):74-80.
17. Himmelmann K1, Lindh K, Hidecker MJ. Communication ability in cerebral palsy: a study from the CP register of western Sweden. Eur J Paediatr Neurol. 2013;17(6):568-74.
18. Virella D, Pennington L, Andersen GL, Andrada MD, Greitane A, Himmelmann K et al. Classification systems of communication for use in epidemiological surveillance of children with cerebral palsy. Dev Med Child Neurol. 2016;58(3):285-91.
19. Ashwal S, Russman BS, Blasco PA, Miller G, Sandler A, Shevell M et al. Practice parameter: diagnostic assessment of the child with cerebral palsy: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Practice Committee of the Child Neurology SocietyNeurology. 2004;62(6):851-63.
20. Vander Zwart KE, Geytenbeek JJ, de Kleijn M, Oostrom KJ, Gorter JW, Hidecker MJ et al. Reliability of the Dutch-language version of the Communication Function Classification System and its association with language comprehension and method of communication. Dev Med Child Neurol. 2016;58(2):180-8.
Submetido em:
29/01/2016
Aceito em:
03/05/2016
Facebook
Twitter
LinkedIn
Mendeley
Email