Navegando por Palavras-chave "Cross-cultural comparison"
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- ItemAcesso aberto (Open Access)Adaptação transcultural brasileira e evidência psicométrica da lista de eventos ameaçadores - questionário (LTEQ) II Levantamento Nacional de Álcool e Drogas(Universidade Federal de São Paulo (UNIFESP), 2017-11-10) Abreu, Patricia Bernardete de [UNIFESP]; Madruga, Clarice Sandi [UNIFESP]; http://lattes.cnpq.br/0659290459957967; http://lattes.cnpq.br/5444380730755902; Universidade Federal de São Paulo (UNIFESP)Abreu, P. B. Adaptação transcultural brasileira e validação da Lista de Eventos Ameaçadores - Questionário (LTE-Q). 2017. Dissertação (mestrado) – Universidade Federal de São Paulo - Escola Paulista de Medicina Objetivo: Adaptação transcultural e validação da Lista de Eventos Ameaçadores (LTE-Q), e sua associação com o uso de drogas em uma população probabilística brasileira. Métodos: Trata-se de uma análise secundária da Segunda Pesquisa Nacional sobre Álcool e Drogas (II LENAD), que utilizou uma adaptação transcultural da LTE-Q em uma amostra probabilística de 4.607 participantes com idade igual ou superior a 14 anos. A análise de classe latente foi utilizada para validar o traço latente Adversidade (que considerou o número de eventos da lista de 12 itens na LTE-Q experimentado pelo entrevistado no ano anterior) e regressão logística foi realizada para encontrar sua associação com beber em binge e uso de cocaína. Resultados: A análise fatorial confirmatória retornou um qui-quadrado de 108.341, média ponderada da raiz quadrado residual (WRMR) de 1.240, índice de ajuste confirmatório (CFI) de 0.970, índice de Tucker-Lewis (TLI) de 0.962, e aproximação de erro quadrático médio (RMSEA) de 1.000. A validação da LTE-Q mostrou que o traço latente Adversidade aumentou as chances de beber em binge em 1,31% e dobrou as chances de consumo de cocaína no ano anterior (ajustado por variáveis sociodemográficas). Conclusão: O uso da LTE-Q no Brasil deve ser encorajado em diferentes campos de pesquisa, incluindo grandes inquéritos epidemiológicos, uma vez que também é adequado quando o tempo e o orçamento são limitados. A LTE-Q pode ser uma ferramenta útil no desenvolvimento de estratégias de prevenção direcionadas e mais eficientes.
- ItemAcesso aberto (Open Access)Avaliação da qualidade de vida pelo Questionário do Hospital Saint George na Doença Respiratória em portadores de doença pulmonar obstrutiva crônica: validação de uma nova versão para o Brasil(Sociedade Brasileira de Pneumologia e Tisiologia, 2006-04-01) Camelier, Aquiles Assunção [UNIFESP]; Rosa, Fernanda Warken [UNIFESP]; Salmi, Christine [UNIFESP]; Nascimento, Oliver Augusto [UNIFESP]; Cardoso, Fábio [UNIFESP]; Jardim, José Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: The objective of this study was to evaluate the applicability of a modified version of the Saint George's Respiratory Questionnaire. The version evaluated elicits agree and do not agree, rather than yes and no, responses. The intention is to facilitate the comprehension of double-negative questions and to promote better recollection of symptoms by patients by shortening their symptom histories from 12 months to 3 months. METHODS: A total of 30 clinically stable patients with chronic obstructive pulmonary disease were evaluated. The Saint George's Respiratory Questionnaire and the modified version of the same were administered 15 days apart. RESULTS: All of the patients presented health-related alterations in their quality of life. Comparing mean scores between the two questionnaires, the greatest difference was seen in the Symptoms domain. No significant differences were found in any of the remaining domains or in the total scores. In a subsequent analysis, significant correlations between the two questionnaires were found in all domains: Symptoms (r = 0.71; p < 0.001); Activity (r = 0.75; p < 0.001); Impact (r = 0.73; p < 0.001) and Total (r = 0.86; p < 0.001). CONCLUSION: The modified version of the Saint George's Respiratory Questionnaire is as effective as the original in gauging quality of life. However, various symptoms recollection time frames should be investigated in order to determine which would be the best time frame to employ in the analysis.
- ItemAcesso aberto (Open Access)The Brazilian Portuguese version of the Work Productivity and Activity Impairment: General Health (WPAI-GH) Questionnaire(Associação Paulista de Medicina - APM, 2006-11-01) Ciconelli, Rozana Mesquita [UNIFESP]; Soárez, Patrícia Coelho De [UNIFESP]; Kowalski, Clarissa Campos Guaragna [UNIFESP]; Ferraz, Marcos Bosi [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)CONTEXT AND OBJECTIVE: It is still difficult to measure work productivity losses caused by health problems. Despite the importance given to this issue over the last few years, most instruments for performing this task are available only in the English language. This study translated the Work Productivity and Activity Impairment _ General Health (WPAI-GH) Questionnaire into Brazilian Portuguese, adapted it cross-culturally and evaluated its reliability and validity. DESIGN AND SETTING: Cross-sectional survey to test scale reliability and validity, at São Paulo Hospital and the clinic of the Rheumatology division of Universidade Federal de São Paulo (UNIFESP) - Escola Paulista de Medicina (UNIFESP-EPM). METHODS: Data were obtained from a survey that incorporated the WPAI-GH, short form-36 (SF-36) and some demographic questions. The questionnaires were administered by interview to 100 subjects. RESULTS: Descriptive statistics was used to characterize the subjects. The intraclass correlation coefficient and Cronbach's alpha were used to assess the reliability and internal consistency of the instrument. Intraclass correlation coefficients from 0.79 to 0.90 indicated good reliability. Cronbach's alpha of 0.74 indicated good internal consistency. Pearson's correlation coefficient was used to assess validity. There were significant positive relationships between the WPAI-GH and SF-36. CONCLUSION: The Brazilian Portuguese version of the WPAI-GH is a reliable and valid measurement tool and may be useful for those who seek to measure the impact on productivity of health problems among populations of Brazilian employees.
- ItemAcesso aberto (Open Access)Comparison of Brazilian and American norms for the International Affective Picture System (IAPS)(Associação Brasileira de Psiquiatria - ABP, 2005-09-01) Ribeiro, Rafaela Larsen [UNIFESP]; Pompéia, Sabine [UNIFESP]; Bueno, Orlando Francisco Amodeo [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: The present article compares Brazilian and American norms for the International Affective Picture System (IAPS), a set of normative emotional photographic slides for experimental investigations. METHODS: Subjects were 1,062 Brazilian university students (364 men and 698 women) who rated 707 pictures from the IAPS in terms of pleasure, arousal, and dominance following the methodology of the original normative study in the US, enabling direct comparison of data from the two samples through Pearson product moment correlation and Student t test. RESULTS: All correlations were highly significant with the highest level for the pleasure dimension, followed by dominance and arousal. However, contrary to the American normative values, our data showed that Brazilian subjects generally assigned higher arousal ratings overall. CONCLUSION: Our findings confirm that this set of stimuli can be used in Brazil as an affective rating tool due to the high correlations found across the two populations, despite differences on the arousal dimension, which are discussed in detail.
- ItemAcesso aberto (Open Access)A contribuição dos estudos transculturais dos países latino-americanos e caribenhos para a revisão da CID-10: resultados preliminares(Associação Brasileira de Psiquiatria - ABP, 2011-05-01) Razzouk, Denise [UNIFESP]; Nogueira, Bruno [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)OBJECTIVE: This review aims to verify the scientific evidences for the inclusion of culture bound syndromes in the International Classification of Diseases towards its 11th edition based on studies from Latin American and Caribbean countries. METHOD: Studies were identified in Medline, LILACS and EMBASE databases for the period between 1992 and 2008, and then classified according to the type of study, to the mental disorder, country and number of publications per year. RESULTS: 163 studies were selected and classified: 33 in MedlLne, 90 in EMBASE e 40 in LILACS. The percentage of culture bound-syndrome corresponded to 9% in Medline, 12% in EMBASE e 2.5% in LILACS. Among fifteen studies on cultural bound syndromes, two were about nervios and ataque de nervios, two about susto, four about the relationship between religion beliefs, witchery, trance and mental disorders, one with a proposal for new diagnostic category, three about theoretic issues and three about the pathoplasty of mental disorders. CONCLUSION: The scarcity of studies on culture bound syndromes might be due to the indexation problems hindering the screening of studies; lack of interest on publishing such studies in indexed journals (publication bias) and due to difficulty to access them. There is no robust evidence identified among cross-cultural studies to recommend changes for International Classification of Diseases-11th edition.
- ItemAcesso aberto (Open Access)Questionário sobre índice de risco de doença de Alzheimer - 'Australian National University' (ANU-ADRI) : adaptação transcultural e estudo de validação(Universidade Federal de São Paulo (UNIFESP), 2017-10-26) Borges, Marcus Kiiti [UNIFESP]; Citero, Vanessa de Albuquerque [UNIFESP]; Jacinto, Alessandro Ferrari [UNIFESP]; http://lattes.cnpq.br/2156739023563378 ; http://lattes.cnpq.br/9798707175891242; http://lattes.cnpq.br/7397478658678438 ; Universidade Federal de São Paulo (UNIFESP)Objetivo: realizar a adaptação transcultural e validar a versão brasileira do ANU-ADRI (Índice de risco para Doença de Alzheimer da “Australian National University”). Métodos: Na primeira fase, foi realizado todo processo formal de adaptação transcultural do instrumento sendo elaborada uma versão pré-teste que foi aplicada numa amostra aleatória de 10 pacientes avaliados por 5 entrevistadores. Na segunda fase, foi selecionada uma amostra por conveniência de 112 indivíduos cognitivamente saudáveis. Os participantes eram todos maiores de 40anos. Eles foram submetidos ao questionário sócio-demográfico e clínico e foram rastreados com o uso do MEEM, sendo 12 indivíduos excluídos da pesquisa. A amostra final (n = 100) foi composta por dois grupos (A e B), cada um com 50 pacientes assistidos por clínicos gerais ou especialistas em demência. O ANU-ADRI foi aplicado na primeira semana (Teste) e até uma semana após o teste (Reteste). Resultados: A média de idade foi de 62,6 anos (DP ± 9,8). O coeficiente de correlação intraclasse (CCI) inter- e intra-examinadores foi de 0.954 (P < 0.001, IC95% = [0.932; 0.969]) e 0,912 (P < 0,001, IC95% = [0,872; 0,940]), respectivamente. Houve uma correlação entre as médias no Teste e Reteste do ANU-ADRI (r = 0,918, P < 0,001). Nós notamos que no grupo A, a percentagem de indivíduos com 12 anos ou mais de escolaridade foi menor que o grupo B (P < 0,05). O grupo A mostrou escores do ANU-ADRI maiores do que aqueles do grupo B (P < 0,05). O tamanho do efeito utilizando Cohen (d) foi de 0,469 (IC95% = [0,070; 0,865]). Houve uma relação linear moderada negativa entre os escores do ANU-ADRI e do MEEM (r = -0,353, P < 0,001). Conclusão: O ANU-ADRI é um instrumento válido e confiável para avaliar se os brasileiros que vivem na comunidade estão em maior risco de desenvolver a DA. Concluímos que baixos níveis de educação foram relacionados aos maiores escores do ANU-ADRI.
- ItemAcesso aberto (Open Access)Uso problemático de internet e adição ao facebook são o mesmo construto latente?(Universidade Federal de São Paulo (UNIFESP), 2016-04-02) Silva, Hugo Rafael de Souza e [UNIFESP]; Silveira, Dartiu Xavier da [UNIFESP]; http://lattes.cnpq.br/0876669702022083; http://lattes.cnpq.br/1580789194090971; Universidade Federal de São Paulo (UNIFESP)Introduction: Problematic Internet Use (UPI) and Facebook Addiction (AF) are issues that have become common in psychiatric, researchers and families discussions. Some countries already regard them as public health problems, due to prevalence, magnitude, transcendence and impact on the daily lives of affected people. Technological additions have no widely accepted diagnostic criteria that it difficult to identify and overall assessment of this group of disorders. Facebook addiction has been crafted as a UPI distinct clinical adversity even being noticeable that has common features. However, social networks are content/websites with specific purpose on the internet and could not be seen separately as part of the UPI spectrum/continuum. Objective: To determine whether the Facebook addiction and the Problematic Internet Use (UPI) are the same theoretical latent construct. Methodology: This is a cross-sectional study of health university students aged ? 18 years. 382 students enrolled was interviewed during the study period in health graduate courses at the University of Pernambuco (UPE). The study was divided into two stages. The first step was the semantic equivalence and verbal comprehension analysis of two psychometric instruments: Online Cognition Scale (OCS) and Bergen Facebook Addiction Scale (BFAS). For this first step were carried out the translation; back translation; technical review and evaluation of the semantic equivalence by qualified professionals; instrument evaluation as verbal comprehension by a sample of professionals (n = 10) and students (n = 37) of the instruments. After completion of this step, the second step was started with psychometrics qualities study of the instruments, through the reliabiblity analysis and construct validity of three instruments: Portuguese version of the OCS and BFAS and a socio demographic questionnaire. Reliability was verified by internal consistency analysis and instrument stability in the time through Cronbach's alpha and intraclass correlation coefficient (ICC) respectively. Construct validity analysis was verified by confirmatory factor analysis (CFA) that estimates the factorial and convergent validity indicators and model adjustment quality. For the analysis of adjustment quality were verified by the following indicators: ?2/df p<0,05; GFI > 0,90, CFI > 0,90, RMSEA ? 0,05. Factorial validity is achieved when the standardized factor load (?2) is greater than 0.25. Convergent validity is checked when the average extracted variance (AEV) ? 0.5, construct reliability (CR) ? 0.7 and when the manifest variables present factor loads (?) ? 0.5. Discriminant validity between the constructs Facebook addition and UPI was verified by correlation analysis. It is considered that two constructs differ when the correlation coefficient ? 0.7. Another strategy of discriminant validity analysis is recommended by Fornell Larcker (1981) to suggest that to be discriminant validity between two constructs the average extracted variance (AEV) of each construct should be greater than the square of the correlation between them. Results: Both instruments showed an excellent level of verbal comprehension by the target population. BFAS presented Cronbach's alpha of 0.92 and CCI of 0.8 and OCS showed Cronbach's alpha of 0.91 and ICC of 0.91. Final factor structure of BFAS appropriate adjustment: ?2/df = 1,13 (p=0,341), GFI=0,99, CFI=0,99, RMSEA=0,01 and MECVI= 0,103, reaching convergent validity indicators satisfactory (AEV = 0.49, CR = 0.84). The correlation between the Portuguese version of the BFAS and OCS was ? = 0.707. The Portuguese version of OCS revealed the following satisfactory quality indicators ?2/df = 1,759 (p=0,171), GFI=0,99, CFI=0,99, RMSEA=0,04 and ECVI= 0,05. Convergent validity indicators were adequate CR = 0.85 and AEV = 0.59. Validity analysis of the correlation between the constructs Facebook Addiction and UPI revealed a correlation coefficient ? = 0.707 (p <0.001). The average variance of each individual construct (UPI and Facebook Addiction) were AEVFA= 0.51 and AEVPIU = 0.58, both below the square of the correlation between both constructs ? = 0.73 (p <0.001 ). Conclusion: The methodological rigor employed in the steps of semantic equivalence ensure the Portuguese versions of the instruments achieved the transfer of referential and general meanings, besides to show good rates of verbal understanding. Both instruments are reliable with good internal consistency indicators and stability over time. Producted versions in this study exhibited sufficient evidence of construct validity. Finally, there was no sufficient evidence that the constructs UPI and AF are distinct and independent of one another.