Navegando por Palavras-chave "Scales"

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    Adaptação transcultural do EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) para a língua portuguesa
    (Sociedade Brasileira de Reumatologia, 2013-12-01) Serrano, Erica Vieira; Valim, Valeria [UNIFESP]; Miyamoto, Samira Tatiyama [UNIFESP]; Giovelli, Raquel Altoé; Paganotti, Maurício Aquino; Cadê, Nágela Valadão; Universidade Federal do Espírito Santo Programa de Pós-graduação em Saúde Coletiva; Santa Casa de Misericórdia de Vitória Escola Superior de Ciências Departamento de Clínica Médica; Hospital Universitário Cassiano Antônio de Moraes; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Espírito Santo Departamento de Clínica Médica; Hospital Universitário Cassiano Antônio de Moraes Ambulatório de Reumatologia; Universidade Federal do Espírito Santo; Universidade Federal do Espírito Santo Programa de Mestrado Profissional de Medicina; Universidade de Vila Velha Programa de Pós-Graduação em Ciências Farmacêuticas; Universidade de São Paulo (USP)
    INTRODUCTION: The EULAR Sjögren's Syndrome Disease Activity Index (ESSDAI) is an index of primary Sjögren's syndrome (PSS) systemic activity. OBJECTIVE: To perform the ESSDAI transcultural adaptation into Brazilian Portuguese. METHOD: This was a cross-sectional study with 62 patients with PSS according to the criteria of the 2002 American-European Consensus. Six stages were conducted: conceptual, item, semantic, operational, functional, and measurement equivalences (interobserver reproducibility and construct validity). For the validity assessment, the ESSDAI was compared with the Physician's Global Assessment (PhGA), the Sjögren's Syndrome Disease Activity Index (SSDAI), and the Sjögren's Systemic Clinical Activity Index (SCAI). Patients were classified by a specialist physician into two groups according to disease activity (active and inactive), and according to the intention-to-treat (increase in therapy and no increase in therapy). The ESSDAI was tested in these groups. The following statistical tests were used: intraclass correlation coefficient (ICC), Bland-Altman plot for reproducibility, and Spearman's correlation coefficient (r s) and Mann-Whitney's test for validity (P < 0.05 and 95% CI). RESULTS: The mean ESSDAI score was 4.95 ± 6.73. The reproducibility obtained a strong ICC of 0.89 and good agreement. When compared with other indices, it showed a strong r s with PhGA (0.83; P < 0.000), a moderate r s with SSDAI (0.658; P < 0.000) and a weak r s with the SCAI (0.411; P = 0.001). The group active and the groupincrease in therapy had higher ESSDAI values (P = 0.000). CONCLUSION: The Brazilian Portuguese version of ESSDAI was shown to be adaptable, reproducible, and valid for this language.
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    Adaptation and validation of the depression, anxiety and stress scale (DASS) to Brazilian Portuguese
    (Elsevier B.V., 2014-02-01) Vignola, Rose Claudia Batistelli [UNIFESP]; Tucci, Adriana Marcassa [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: Depression and anxiety have been associated with a range of symptoms that often overlap. Depression, Anxiety and Stress Scale-21 (DASS-21) is a single instrument to assess symptoms of depression, anxiety and stress. This study aimed to adapt and validate the DASS-21 for use in the Brazilian Portuguese language.Methods: the DASS-21 has been adapted following the translation-back translation methodology from English to Portuguese. 242 subjects completed the following assessments: the DASS-21, the Beck Depression Index (BM), Beck Anxiety Index (BAI) and the Inventory of Stress Symptoms of Lipp (ISSL).Results: the Kaiser-Meyer-Olkin (WO) result was .949, indicating that the adequacy of the model was high. Cronbach's alpha was .92 for the depression, .90 for the stress, and .86 for the anxiety, indicating a good internal consistency for each subscale. the correlations between DASS scale and BDI scale, BAI scale and ISSL inventory were strong. the factorial analysis and distribution of factors among the subscales indicated that the structure of three distinct factors is adequate.Limitations: Older subjects over 65 years of age were not largely represented in this sample. A study specific to this elderly population should be conducted. Another limitation of the study was education level. the impact of low education in its applicability should be considered.Conclusions: the findings support the validity of the Brazilian Portuguese version of the DASS-21 and add to the evidence of the DASS-21 quality and ability to assess emotional states separately, eliminating the use of different instruments to assess these states. (C) 2013 Elsevier B.V. All rights reserved.
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    Avaliação da equivalência semântica da versão em português (Brasil) da Online Cognition Scale
    (Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz, 2014-06-01) Silva, Hugo Rafael de Souza e; Areco, Kelsy Catherina Nema; Bandiera-Paiva, Paulo [UNIFESP]; Galvão, Pauliana Valéria Machado; Garcia, Analia Nusya de Medeiros; Silveira, Dartiu Xavier da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Pernambuco
    This study evaluated the semantic equivalence of the Online Cognition Scale in Brazilian Portuguese. The process included five steps: translation, back-translation, technical review, evaluation of semantic equivalence by trained professionals, and evaluation of the instrument for content understanding by a group of professionals (n = 10) and students (n = 37). The instrument was translated and adapted to Portuguese, showing a high level of verbal comprehension by the target population. The adapted version for use in Brazil resulted in an equivalent instrument from the semantic and content point of view, ready for evaluation of its psychometric qualities in the Brazilian cultural context.
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    Avaliação individualizada dos itens da escala de depressão geriátrica abreviada em um ambulatório geriátrico da Universidade Federal de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2016) Silva, Julliana Lianzza Fernandes [UNIFESP]; Gagliardi, Anna Maria Zaragoza [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Background: In Brazil, the prevalence of depression in elderly ranges from 4.7 to 36.8%, depending on the instrument used and the cutoff points to detect the symptoms. Because the prevalence of this pathology is high and the consequence of not treating are severe, with negative impact on all aspects of life, its correct identification are highly relevant in public health. Objective: Evaluate the performance of the items of GDS-15 in patients diagnosed with major depression, minor depression and no depression, according DSM IV, to reduce the number of items of original scale and thus propose a simplified tool for clinical practice. Methods: Cross-sectional study in elderly patients with preserved cognition and functionality. Date collected for analysis were age, gender, education, functionality, medications, disease, marital status, diagnosis of major and minor depression by DSM IV, score of geriatric depression scale 15 (GDS-15); answers for each GDS-15 item and for the question ?Feels alone even in the presence of others??. The sensitivity, specificity, predictive positive and negative value and the ROC curve were analyzed. Results and discussion: For 242 evaluated patients, the prevalence of depression was 38.8%, the minor depression, 25.25% and major depression, 12.8%. Regarding GDS-15, the question with the best performance was "Feels that life is empty? (S = 82.6% / E= 71.3% ). However, GDS-15 short versions (10, 5, 4 items) had unsatisfactory performance in the screening. We developed a scale with nine items based on GDS-15 and with additional question "Do you feel lonely in presence of other people??. This instrument showed a satisfactory performance and similar ROC area curve when compared with GDS-15 items (area of 0.86 with p> 0.02). Conclusion: "Do you feel that life is empty?" was as the best GDS-15 question for screening of depression. In our findings, validated scales (GDS 10, 5 and 4 items) did not show satisfactory performance. Our scale with 10 items had appropriated performance, although requires validation for its use in clinical practice.
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    Avaliação psicométrica da Escala de Influência dos Três Fatores (EITF)
    (Curso de Pós-Graduação em Psicologia da Universidade Federal do Rio Grande do Sul, 2013-01-01) Amaral, Ana Carolina Soares; Ferreira, Maria Elisa Caputo; Scagliusi, Fernanda Baeza [UNIFESP]; Costa, Luciana Scarlazzari; Cordás, Táki Athanássios; Conti, Maria Aparecida; Universidade Federal de Juiz de Fora; Universidade Federal de São Paulo (UNIFESP); Universidade Federal do Rio de Janeiro; Universidade de São Paulo (USP)
    The objective of the present study was the psychometric evaluation of the Tripartite Influence Scale (TIS) among Brazilian youths of both sexes. The sample consisted of 475 undergraduate students aged between 18 and 29 years old (M = 20.8, SD = 2.0). We evaluated the construct validity (exploratory factor analysis), convergent validity (correlation between the scores of the TIS and measures of body satisfaction), reliability (Cronbach's alpha) and reproducibility (test-retest). The instrument presented factorial structure composed of three factors replicating the original scale factors, significant negative correlation for measures of body satisfaction (> -.21, p <.001), and showed no difference between the scores on test-retest reproducibility. It was confirmed TIS's psychometric properties, and its use is indicated for young Brazilian people.
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    Controle de tronco na marcha e no levantar da cadeira em pacientes com distrofia muscular de Duchenne
    (Universidade Federal de São Paulo (UNIFESP), 2018-07-27) Rays, Mariana de Abreu [UNIFESP]; Sá, Cristina dos Santos Cardoso de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Duchenne Muscular Dystrophy (Dmd) Is The Most Common Form Of Muscular Disorder. It Is A Degenerative Disease Linked To The X Chromosome Caused By A Dystrophin Gene Mutation In The Xp 21 Segment And Has As Its Main Characteristic A Generalized And Progressive Muscle Weakness. Physical Degeneration Occurs After Repetitive Movement Patterns Related To Posture, Mobility And Daily Living Activities. One Of The First Functional Deficits Occurs During Gait Associated With The Lower Limbs (Ll). Other Changes Described Are The Deficit Of Strength And Functionality Of Upper Limbs (Ul) And Trunk. Objective: To Evaluate Trunk Control, Gait And Rising From The Chair In Patients With Dmd. Method: Observational Study With A Transversal Design. Thirty-One Ambulant Patients Were Submitted To Cognitive Impairment Assessment By Mini-Mental State Examination (Mmse) And They Were Evaluated Regarding Motor Aspects, Using The Vignos Scale; Segmental Assessment Of Trunk Control (Satco-Br); Timed Up, Go Test (Tug Test)
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    Health service quality scale: Brazilian Portuguese translation, reliability and validity
    (Biomed Central Ltd, 2013-01-17) Rocha, Luiz Roberto Martins [UNIFESP]; Veiga, Daniela Francescato [UNIFESP]; Rocha e Oliveira, Paulo; Song, Elaine Horibe; Ferreira, Lydia Masako [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ Vale Sapucai; IESE Business Sch; AllCells LLC
    Background: the Health Service Quality Scale is a multidimensional hierarchical scale that is based on interdisciplinary approach. This instrument was specifically created for measuring health service quality based on marketing and health care concepts. the aim of this study was to translate and culturally adapt the Health Service Quality Scale into Brazilian Portuguese and to assess the validity and reliability of the Brazilian Portuguese version of the instrument.Methods: We conducted a cross-sectional, observational study, with public health system patients in a Brazilian university hospital. Validity was assessed using Pearson's correlation coefficient to measure the strength of the association between the Brazilian Portuguese version of the instrument and the SERVQUAL scale. Internal consistency was evaluated using Cronbach's alpha coefficient; the intraclass (ICC) and Pearson's correlation coefficients were used for test-retest reliability.Results: One hundred and sixteen consecutive postoperative patients completed the questionnaire. Pearson's correlation coefficient for validity was 0.20. Cronbach's alpha for the first and second administrations of the final version of the instrument were 0.982 and 0.986, respectively. for test-retest reliability, Pearson's correlation coefficient was 0.89 and ICC was 0.90.Conclusions: the culturally adapted, Brazilian Portuguese version of the Health Service Quality Scale is a valid and reliable instrument to measure health service quality.
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    Reliability and dimensionality of the Short Alcohol Dependence Data (SADD) questionnaire in a clinical sample of hospitalized patients: using the SADD in a general hospital setting
    (Associação Brasileira de Psiquiatria - ABP, 2011-03-01) Rosa-Oliveira, Leonardo Quicoli [UNIFESP]; Presti, Paula de Figueiredo [UNIFESP]; Antunes, Irene Reali [UNIFESP]; Carbonari, Giovana Canale [UNIFESP]; Imada, Ana Carolina [UNIFESP]; Maeda, Marilia Yuri [UNIFESP]; Silveira, Dartiu Xavier da [UNIFESP]; Doering-Silveira, Juliana [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To assess the internal consistency and dimensionality of the Short Alcohol Dependence Data questionnaire in a general hospital sample. METHOD: A cross-sectional study was carried out involving 169 randomly selected inpatients of a general hospital in São Paulo, Brazil. A Portuguese version of the 15-item Short Alcohol Dependence Data questionnaire was applied together with a questionnaire to assess demographic and anthropometric data. RESULTS: The internal consistency of the Short Alcohol Dependence Data as measured using Cronbach's alpha was 0.79, indicating that the items of the questionnaire are related to the same construct. Principal Component Analysis of the scale resulted in a five-dimension solution accounting for 69.6% of the total variance. The mean score of the Short Alcohol Dependence Data in this sample was 7.96 (SD = 6.8). CONCLUSION: The adapted version of the SADD seems to retain the characteristics of the original version. The internal consistency of the instrument suggests that its questions converge to the same construct. The factorial solution reflects different dimensions that correspond to distinct aspects of the alcohol dependence syndrome.
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    The Patient and Observe Scar Assessment Scale (POSAS): tradução para língua portuguesa, adaptação cultural e validação.
    (Universidade Federal de São Paulo (UNIFESP), 2018-05-31) Lenzi, Luiz Guilherme de Saboya [UNIFESP]; Faloppa, Flavio [UNIFESP]; Santos, João Baptista Gomes dos [UNIFESP]; http://lattes.cnpq.br/2431910521925594; São Paulo; http://lattes.cnpq.br/3695111273396745; http://lattes.cnpq.br/8191223392689753; Universidade Federal de São Paulo (UNIFESP)
    The Patient And Observe Scar Assessment Scale (POSAS) is one of the most robust instruments to evaluate the quality of the scar, but there is no validated version for Brazilian Portuguese. Objective: Translate and validate a Brazilian version of POSAS (POSAS EPM/UNIFESP). Methods: POSASv2.0 has been culturally adapted to international standards. The psychometric evaluation included acceptability / viability, internal consistency, reproducibility, construction validity and sensitivity to change. Results: The cultural equivalence of POSAS EPM/UNIFESP with the English version was confirmed. The validation of the study included 35 individuals with surgical scars and 35 medical specialists. Both subscales showed strong internal consistency (Cronbach's α = 0.77-0.93). Reproducibility was excellent and significant intra- and inter-observer (r> 0.9) (p <0.05). The POSAS Observer and Patient scales showed reproducibility greater than five points in all items (Cronbach's α> 0.5). The validity of the construct was significant and showed good sensitivity between POSAS EPM/UNIFESP and Vancouver Scar Scale (VSS). Conclusion: POSAS EPM/UNIFESP can be used to evaluate patients with surgical scars in the Brazilian population. If proved to be useful for clinical and research purposes, it should be used to capture medical opinions and the patients themselves.
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    Tradução, validação e adaptação cultural da escala de atividade esportiva
    (Sociedade Brasileira de Ortopedia e Traumatologia, 2007-01-01) Gonçalves, Camila Carvalho Krause [UNIFESP]; Peccin, Maria Stella [UNIFESP]; Almeida, Gustavo Jerônimo De Melo [UNIFESP]; Cohen, Moises [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade de Pittsburgh Departamento de Fisioterapia
    OBJECTIVES: to translate and adapt the Sports Activities Scale as well as to check its measurement, reproduction and validity properties. METHOD: the translation, cultural adaptation and validation were made by reviewing the work by Guillemin et al. For statistical analysis, we used descriptive analysis, t-test, inter-class correlation coefficient and Spearman correlation coefficient, with significance level equal to 5% (alpha = 0.05). RESULTS: the translated questionnaire showed to be understandable and culturally equivalent for 95% of Brazilian patients after some modifications were made; an excellent reproducibility (alpha = 0.01, rho < 0.001) when correlating intra- and inter-interviewers; a significant correlation with the SF-36 questionnaire on the following items: functional capacity, pain, general aspects and social aspects, a weak association with SF-36 questionnaire on vitality, emotional aspects and mental health; a significant correlation with Lysholm (alpha = 0.01, rho > 0.001); and a moderate negative correlation with the visual analog scale for pain (alpha = 0.05, rho = 0.0013). CONCLUSION: The Brazilian version of the Sports Activities Scale questionnaire is an easily-manageable, reproducible and valid parameter for a specific evaluation of knee's symptoms and restraints during sports activities, in Brazilian patients.
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    Uso da escala modificada de Borg na crise asmática
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2008-01-01) Cavalcante, Tatiana de Medeiros Colletti; Diccini, Solange [UNIFESP]; Barbosa, Dulce Aparecida [UNIFESP]; Bittencourt, Ana Rita de Cássia [UNIFESP]; Univeridade de Fortaleza; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: Verify the correlation of the improvement of the degree of dyspnea by BME with improved pulmonary performance verified by Expiratory Flow Peak (EFP) and Peripheral Oxygen Saturation (PO2S). METHODS: Analytical, cross-sectional study with 124 patients during an asthma crisis, who received care at a Pneumology emergency service. Heart rate, respiratory frequency EFP, PO2S were evaluated before and after treatment of asthma crisis, and they were questioned about their perception of dyspnea by BME. RESULTS: In the pre-treatment stage, high scale values were related to low EFP values, inverting this relation after treatment. There was also a slight correlation between EFP, PO2S and the perception of dyspnea measured by the patient through BME. CONCLUSION: The scale does not replace other clinical parameters, and can be used as an additional tool, provided that the patient is correctly informed about the scale values.
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    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.
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    Validity Study of the South Oaks Gambling Screen (SOGS) among distinct groups of Brazilian gamblers
    (Associação Brasileira de Psiquiatria - ABP, 2002-10-02) Oliveira, Maria Paula Mt [UNIFESP]; Silva, Maria Teresa Araujo; Silveira, Dartiu Xavier da [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); University of São Paulo Institute of Psychology Department of Experimental Psychology
    OBJECTIVE: The main objective of this study was to assess the internal consistency and to perform a factor analysis of the Brazilian version of the SOGS - South Oaks Gambling Screen - scale, as well as its ability to discriminate between different profiles of gamblers. METHOD: Two hundred and seventeen subjects were enrolled in the study: 46 gamblers under treatment at the Gamblers Treatment Unit of PROAD - Program for Orientation and Attention of Dependent Persons- of the Federal University of São Paulo; 96 social gamblers and 75 subjects screened as pathological gamblers recruited at the local Jockey Club, video poker and bingo clubs. RESULTS: Differences in the score means of all three groups were statistically significant and were able to discriminate between social gamblers, pathological gamblers interviewed in a gambling site and the clinical sample. The internal consistency of the 20-item scale measured by Cronbach's alpha was 0.9304. Factor analysis resulted in a three-dimensional solution accounting for 58,6% of the total variance: a first factor composed mainly by questions related to the consequences of gambling; a second factor encompassing questions related to the gambling behavior of pathological gamblers; and a third and less expressive factor involving only two questions, probably a hybrid one of difficult interpretation. CONCLUSIONS: The Brazilian version of the SOGS was a useful screen to discriminate Brazilian pathological gamblers from social gamblers as well as to differentiate clinical pathological from non-clinical pathological gamblers, and to identify different levels of severity.