Navegando por Palavras-chave "validation"

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    Adaptação transcultural para o português da escala Adult Self-Report Scale para avaliação do transtorno de déficit de atenção/hiperatividade (TDAH) em adultos
    (Faculdade de Medicina da Universidade de São Paulo, 2006-01-01) Mattos, Paulo; Segenreich, Daniel; Saboya, Eloísa; Louzã, Mário; Dias, Gabriela; Romano, Marcos [UNIFESP]; Universidade Federal do Rio de Janeiro Instituto de Psiquiatria da UFRJ; Instituto de Psiquiatria da UFRJ; Universidade de Würzburg; Universidade de São Paulo (USP); UFRJ Instituto de Psiquiatria; Universidade Federal de São Paulo (UNIFESP)
    The criteria listed in the fourth edition of the Diagnostic and Statistical Manual (DSM-IV) from the American Psychiatric Association are the most used ones for the diagnosis of Attention-Deficit Hyperactivity Disorder (ADHD) being based on field studies with children and adolescents. The Adult Self-Report Scale (ASRS, version 1.1) was developed to adapt those symptoms to an adult life context. The present study consisted of a transcultural adaptation of the original instrument in English into a final version to be used in Brazil. Results indicated a satisfactory equivalence between versions, with some modifications being done after debriefing, supporting the importance of this step in studies like this.
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    Brazilian cross-cultural adaptation and validation of the List of Threatening Events Questionnaire (LTE-Q)
    (Assoc Brasileira Psiquiatria, 2017) de Abreu, Patricia B. [UNIFESP]; Cogo-Moreira, Hugo[UNIFESP]; Pose, Regina A.; Laranjeira, Ronaldo [UNIFESP]; Caetano, Raul [UNIFESP]; Gaya, Carolina M. [UNIFESP]; Madruga, Clarice S. [UNIFESP]
    Objective: To perform a construct validation of the List of Threatening Events Questionnaire (LTE-Q), as well as convergence validation by identifying its association with drug use in a sample of the Brazilian population. Methods: This is a secondary analysis of the Second Brazilian National Alcohol and Drugs Survey (II BNADS), which used a cross-cultural adaptation of the LTE-Q in a probabilistic sample of 4,607 participants aged 14 years and older. Latent class analysis was used to validate the latent trait adversity (which considered the number of events from the list of 12 item in the LTE experienced by the respondent in the previous year) and logistic regression was performed to find its association with binge drinking and cocaine use. Results: The confirmatory factor analysis returned a chi-square of 108.341, weighted root mean square residual (WRMR) of 1.240, confirmatory fit indices (CFI) of 0.970, Tucker-Lewis index (TLI) of 0.962, and root mean square error approximation (RMSEA) score of 1.000. LTE-Q convergence validation showed that the adversity latent trait increased the chances of binge drinking by 1.31 time and doubled the chances of previous year cocaine use (adjusted by sociodemographic variables). Conclusion: The use of the LTE-Q in Brazil should be encouraged in different research fields, including large epidemiological surveys, as it is also appropriate when time and budget are limited. The LTE-Q can be a useful tool in the development of targeted and more efficient prevention strategies.
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    Brazilian version of airways questionnaire 20: a reproducibility study and correlations in patients with COPD
    (W B Saunders Co Ltd, 2005-05-01) Camelier, Aquiles Assunção [UNIFESP]; Rosa, Fernanda Warken [UNIFESP]; Jones, Paul Wyatt; Jardim, José Roberto [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Univ London St Georges Hosp
    This study describes the correlations and reproducibility of AQ20, a simple health status questionnaire with 20 questions, which was designed to be useful especially in time sparing situations. A format language validation process was done, in order to validate the AQ20 before studying its reproducibility. Thirty stable COPD patients answered the final version twice within 15 days. To test the reproducibility of AQ20, the interclass correlation coefficient and Bland Altman display were used. Results were correlated with FEV1, SpO(2), BMI, Mahler BDI, and the Saint George Respiratory Questionnaire (SGRQ). Twenty-five patients (83.3%) were male, with a mean age of 68.6 years. the mean predicted FEV1 (%) was 56.8%. the interclass correlation ratio for the total score was alpha = 0.90 for the intraobserver variability and alpha = 0.93 for the interobserver variability. the correlation with total SGRQ score was 0.76, with P < 0.001. the mean application time for AQ20 was 4min and 6s, and the score calculation time, was 8s. It can be concluded that AQ20 is reproducible, with an excellent correlation with SGRQ total score, and also having the advantage of taking just a few minutes to be applied and to have its score calculated. (c) 2004 Elsevier B.V. All rights reserved.
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    Cocaine craving questionnaire: Assessing craving among cocaine users in Brazil
    (Elsevier B.V., 2006-06-15) Silveira, D. X. da; Fernandes, M.; Silveira, E. D.; Jorge, M. R.; Universidade Federal de São Paulo (UNIFESP)
    The Cocaine Craving Questionnaire was administered to 205 cocaine addicts. A 6/5 cut-off corresponded to the scale's best performance. Reliability was 0.803. Receiver Operating Characteristic analysis resulted in an area under the curve of 0.7199 +/- 0.0384, and dimensionality resulted in a three-factor solution. the scale is a reliable and valid instrument in identifying craving. (c) 2006 Elsevier Ireland Ltd. All rights reserved.
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    Cross-cultural validation of the Chalder Fatigue Questionnaire in Brazilian primary care
    (Elsevier B.V., 2007-03-01) Cho, Hyong Jin; Costa, Erico; Menezes, Paulo Rossi; Chalder, Trudie; Bhugra, Dinesh; Wessely, Simon; Universidade Federal de São Paulo (UNIFESP); Kings Coll London; Fundacao Oswaldo Cruz; Universidade de São Paulo (USP)
    Objective: the Chalder Fatigue Questionnaire (CFQ) is an instrument used to measure physical and mental fatigue. We translated and adapted the questionnaire and tested its reliability and validity in a Brazilian primary care setting. Method: A pilot study with 204 consecutive primary care attenders in São Paulo, Brazil, verified the internal consistency and factor structure of the questionnaire. After some modifications through a rigorous translation, back-translation, and cross-cultural adaptation procedure, a validation study was conducted with 304 attenders, who also completed the fatigue section of the Revised Clinical Interview Schedule (CIS-R). Results: the internal consistency of the Brazilian CFQ slightly improved from the pilot to the validation study: Cronbach's alpha from .86 to .88. the two-factor structure (physical and mental fatigue) also improved. According to the receiver operating curve analysis with the fatigue section of the CIS-R as the standard criterion, 3/4 was chosen as the cutoff for Brazilian primary care (sensitivity 69.1% and specificity 79.4%). Conclusion: the Brazilian CFQ had good reliability and validity. the cutoff was determined as 3/4 and the factor structure of the English CFQ was closely reproduced. (c) 2007 Elsevier Inc. All rights reserved.
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    EACOL (Scale of Evaluation of Reading Competence by the Teacher): evidence of concurrent and discriminant validity
    (Dove Medical Press Ltd, 2012-01-01) Cogo-Moreira, Hugo [UNIFESP]; Ploubidis, George B.; Avila, Clara Regina Brandao de [UNIFESP]; Mari, Jair de Jesus [UNIFESP]; Pinheiro, Angela Maria Vieira; Universidade Federal de São Paulo (UNIFESP); Univ London; Universidade Federal de Minas Gerais (UFMG)
    Aim: the study aimed to provide information about the concurrent and discriminant validation of the Scale of Evaluation of Reading Competence by the Teacher (EACOL), which is composed of 27 dichotomous items concerning reading aloud (17 items) and reading silently (10 items).Samples: Three samples were used in this validation study. the first was composed of 335 students with an average age of 9.75 years (SD = 1.2) from Belo Horizonte (Minas Gerais State), Brazil, where the full spectrum of reading ability was assessed. the second two samples were from São Paulo city (São Paulo State), Brazil, where only children with reading difficulties were recruited. the first São Paulo sample was labeled SP-screening and had n = 617, with a mean age of 9.8 years (SD = 1.0), and the other sample was labeled SP-trial and had n = 235, with a mean age of 9.15 years (SD = 0.05).Methods: Results were obtained from a latent class analysis LCA, in which two latent groups were obtained as solutions, and were correlated with direct reading measures. Also, students' scores on the Wechsler Intelligence Scale and on the Strengths and Difficulties Questionnaire tested the discriminant validation.Results: Latent groups of readers underlying the EACOL predicted all direct reading measures, while the same latent groups showed no association with behavior and intelligence assessments, giving concurrent and discriminant validity to EACOL, respectively.Conclusion: EACOL is a reliable screening tool which can be used by a wide range of professionals for assessing reading skills.
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    Evaluation of the anxiolytic-like effects of Cecropia glazioui Sneth in mice
    (Elsevier B.V., 2002-01-01) Rocha, F. F.; Lapa, A. J.; De Lima, TCM; Universidade Federal de Santa Catarina (UFSC); Universidade Federal de São Paulo (UNIFESP)
    Cecropia glazioui Sneth has been used in most Latin American countries as an antihypertensive, cardiotonic, and antiasthmatic folk medicine. in the cardiovascular studies to define its antihypertensive action it was noteworthy that animals treated with the aqueous extract (AE) of C. glazioui were much calmer than control animals. That observation prompted the present study, aimed at an investigation of the effects of AE and of two semipurified fractions on mouse behavior as evaluated in the elevated plus-maze test (EPM). Male adult Swiss mice were treated with AE (0.25-1 g/kg po) acutely (1 h) or repeatedly (24, 7, and 1.5 h before the test). After repeated administration of AE, the frequency of entries in the open arms of EPM was increased threefold. A similar profile of action was observed after treatment with the butanolic fraction (Fbut) but not with the aqueous fraction (Faq). These findings suggest that the AE of C. glazioui promotes an anxiolytic-like effect in mice. the active principles responsible for this action are present in the less polar fraction of the extract, the main constituents of which are flavonoids and terpenes, among other compounds. (C) 2002 Elsevier Science Inc. All rights reserved.
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    Further validation of actigraphy for sleep studies
    (Amer Acad Sleep Medicine, 2003-02-01) Souza, Luciane de [UNIFESP]; Benedito-Silva, Ana Amélia [UNIFESP]; Pires, Maria Laura Nogueira [UNIFESP]; Poyares, Dalva [UNIFESP]; Tufik, Sergio [UNIFESP]; Calil, Helena Maria [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Study Objectives: Actigraphy is generally compared to polysomnography (PSG), which has been considered the gold standard for sleep studies. The objective of the present study was to evaluate the concordance between PSG and two previously proposed algorithms (Cole et al, 1992; Sadeh et al, 1994) to analyze actigraphic recordings. The minute-by-minute agreement rate was evaluated through calculation of sensitivity, specificity, and accuracy. Regarding the sleep parameters, the concordance was performed through the Bland and Altman technique.Design: A night of adaptation to the sleep laboratory followed by simultaneous polysomnographic and actigraphic recordings throughout the night.Participants: 21 healthy volunteers.Setting: A sleep laboratory.Interventions: None.Results: Ninety-one percent of all PSG epochs were correctly identified by both algorithms, and this accuracy is reasonably satisfactory. The actigraphy was a sensitive method, with values of 99% and 97% for Cole's and Sadeh's algorithms, respectively. However, actigraphy had a low specificity: 34% and 44% for Cole's and Sadeh's algorithms, respectively. The Bland and Altman technique showed that actigraphy systematically overestimated Sleep Latency, Total Sleep Time and Sleep Efficiency while it underestimated Intermittent Awakenings.Conclusions: The results of this study show the utility of actigraphy as a useful method for assessment of sleep, despite its limitations regarding identification of waking epochs during sleep. The Bland and Altman concordance technique was revealed to be a powerful tool to evaluate how well actigraphy agreed with polysomnography. This technique, combined with calculations of sensitivity and specificity, appears to be the most adequate procedure for the assessment of concordance.
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    Hallucinogen Rating Scale (HRS) - Versão brasileira: tradução e adaptação transcultural
    (Faculdade de Medicina da Universidade de São Paulo, 2011-01-01) Mizumoto, Suely [UNIFESP]; Silveira, Dartiu Xavier da [UNIFESP]; Barbosa, Paulo César Ribeiro; Strassman, Rick J.; Universidade Federal de São Paulo (UNIFESP); Universidade Estadual de Santa Cruz Departamento de Filosofia e Ciências Humanas; da Universidade do Novo México Escola de Medicina
    BACKGROUND: There is a growing scientific interest in the effects of hallucinogens in general and the religious use of psychoactive brew ayahuasca in Brazil in particular. However, there is not yet a standard instrument used in Brazil to evaluate the effects of hallucinogens. The Hallucinogen Rating Scale (HRS) is a questionnaire widely used in the U.S. and Europe to evaluate the effects of several psychoactive substances, including hallucinogens. OBJECTIVE: To translate and adapt the HRS to Brazilian Portuguese. METHOD: We followed three steps: 1) the authors of the article translated the HRS into Portuguese, in order to establish an initial version; 2) two independent translators back-translated this version into English; 3) a revision committee produced a final version of the Brazilian Portuguese version. This final version was developed comparing the initial translations and back-translations, through a dialogic process with the author of the instrument. RESULTS: A final Portuguese version of the HRS, following the guidelines for semantic and conceptual equivalence between English and Portuguese to describe hallucinogen-induced subjective states. DISCUSSION: A Brazilian version of the HRS - an instrument widely used throughout the world to quantify effects of psychoactive drugs - provides a sensitive instrument for evaluation of the effects of hallucinogenic substances in Brazil.
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    Health status in rheumatoid arthritis: Cross cultural evaluation of a Portuguese version of the Arthritis Impact Measurement Scales 2 (BRASIL-AIMS2)
    (J Rheumatol Publ Co, 1998-08-01) Brandao, L.; Ferraz, M. B.; Zerbini, C. A.; Hosp Heliopolis; Universidade Federal de São Paulo (UNIFESP)
    Objective. To develop a Portuguese version of the Arthritis Impact Measurement Scales 2 (AIMS2) and to evaluate its measurement properties in Brazilian patients with rheumatoid arthritis (RA).Methods. The BRASIL-AIMS2 was developed through the stages of initial translation, back translation, definition of the first Portuguese version, and committee review. Convergent validity was determined by administering the questionnaire to 32 patients with RA and correlating it with several clinical and laboratory variables. Twenty-five of the 32 patients were interviewed 3 times to evaluate test-retest and interobserver reliability.Results. Six translated questions were replaced due to the lack of cultural equivalence. The mean time of administering the questionnaire was about 30 minutes. The test-retest and interobserver reliability were satisfactory, except for Health Perception, and correlation coefficients ranged from 0.87 to 0.98. The Physical, Symptom, and Role components were statistically correlated with Health Assessment Questionnaire, functional class, morning stiffness, and physician assessed disease activity.Conclusion. The Physical, Symptom, and Role subscales of the BRASIL-AIMS2 may be useful in the evaluation of quality of life in Brazilian patients with RA.
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    International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire: Validation of the asthma component among Brazilian children
    (Prous Science, Sa, 1998-11-01) Sole, D.; Vanna, A. T.; Yamada, E.; Rizzo, MCV; Naspitz, C. K.; Universidade Federal de São Paulo (UNIFESP)
    Written questionnaires have been widely used in epidemiological studies of asthma. However when translated to another language, they must be validated. The International Study of Asthma and Allergies in Childhood (ISAAC) written questionnaire had been previously validated by a comprehensive study, but this had not been done in Brazil. Our objective was to validate the asthma component of the ISAAC self-applicable written questionnaire following its translation to Portuguese. A group of 10 pediatricians and 10 pediatric allergists graded the questions from 0 to 2 and established a maximum score for each question. The questionnaire was answered by parents or guardians of asthmatic children, aged 6 to 7 years old (n = 26) and of nonasthmatic control children of the same age (n = 26); and by asthmatic (n = 33) and nonasthmatic (n = 33) adolescents, aged 13 to 14 years. Half of these individuals responded to the same questionnaire after 2 to 4 weeks. This second response allowed the evaluation of the reproducibility of the ISAAC questionnaire. The maximum global score possible was 14 and cut-off levels of 5 and 6 were found for the groups of 6 to 7 and 13 to 14 year olds, respectively There was significant agreement between the adolescents' responses to the questionnaire and those from their parents or guardians (74.3%); however, significant discordance was observed far individual questions including wheezing with exercise. In both age periods the questionnaire was significantly reproducible (Kappa feat) (6 to 7 year olds Kw = 1; 13 to 14 year olds Kw = 0.89). In conclusion, the asthma component of the ISAAC written questionnaire was proven to be reproducible, adequate and able to differentiate between asthmatics and controls. Adolescents answered the questionnaire appropriately however the results suggest that adolescents' parents or guardians underestimate asthma symptoms which interfere little with the adolescent's daily activities.
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    International Study of Asthma and Allergies in Childhood: Validation of the rhinitis symptom questionnaire and prevalence of rhinitis in schoolchildren in São Paulo, Brazil
    (Munksgaard Int Publ Ltd, 2001-04-01) Vanna, A. T.; Yamada, E.; Arruda, L. K.; Naspitz, C. K.; Sole, D.; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)
    Written questionnaires (WQ) have been widely used in epidemiologic studies. in order to yield comparable results, they must be validated after translation to another language. the International Study of Asthma and Allergies in Childhood (ISAAC) WQ has been previously validated by a comprehensive study, but its validation in Brazil has not been performed. Our objectives were to validate the rhinitis component of the ISAAC's self-applicable WQ following its translation to Portuguese, and to determine the prevalence of rhinitis and related symptoms among Brazilian children living in the city of São Paulo. A group of 10 pediatricians and 10 pediatric allergists graded the questions from 0 to 2 and established a maximum score for each question. the WQ was answered by parents or guardians of children 6-7 years of age with rhinitis (R) (n=27) and of control children of the same age without rhinitis (C) (n=27). the WQ was also completed by adolescents 13-14 years of age with rhinitis (R) (n=32) and without rhinitis (C) (n=32). Half of these individuals answered the same WQ after 2-4 weeks, to ensure reproducibility. Cut-off scores of 4 and 3 were identified for the 6-7- and 13-14-year-old groups, respectively, as scores predictive of rhinitis. the prevalence of rhinitis was 28.8% in the group of 3005 children 6-7 years of age and 31.7% in the group of 3008 children 13-14 years of age, respectively. Using the global cut-off score, these prevalences were even higher, in the order of 34.7% and 40.7%, respectively. in conclusion, the rhinitis component of the ISAAC WQ was proven to be reproducible, adequate and able to discriminate children and adolescents with and without rhinitis, and revealed that the prevalence of rhinitis among Brazilian children living in the city of São Paulo was a high as the prevalence of rhinitis in other areas of the world.
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    The Pemberton Happiness Index: Validation of the Universal Portuguese version in a large Brazilian sample
    (Lippincott Williams & Wilkins, 2016) Ribeiro Paiva, Bianca Sakamoto; de Camargos, Mayara Goulart; Piva Demarzo, Marcelo Marcos [UNIFESP]; Hervas, Gonzalo; Vazquez, Carmelo; Paiva, Carlos Eduardo
    The Pemberton Happiness Index (PHI) is a recently developed integrative measure of well-being that includes components of hedonic, eudaimonic, social, and experienced well-being. The PHI has been validated in several languages, but not in Portuguese. Our aim was to cross-culturally adapt the Universal Portuguese version of the PHI and to assess its psychometric properties in a sample of the Brazilian population using online surveys.An expert committee evaluated 2 versions of the PHI previously translated into Portuguese by the original authors using a standardized form for assessment of semantic/idiomatic, cultural, and conceptual equivalence. A pretesting was conducted employing cognitive debriefing methods. In sequence, the expert committee evaluated all the documents and reached a final Universal Portuguese PHI version. For the evaluation of the psychometric properties, the data were collected using online surveys in a cross-sectional study. The study population included healthcare professionals and users of the social network site Facebook from several Brazilian geographic areas. In addition to the PHI, participants completed the Satisfaction with Life Scale (SWLS), Diener and Emmons' Positive and Negative Experience Scale (PNES), Psychological Well-being Scale (PWS), and the Subjective Happiness Scale (SHS). Internal consistency, convergent validity, known-group validity, and test-retest reliability were evaluated. Satisfaction with the previous day was correlated with the 10 items assessing experienced well-being using the Cramer V test. Additionally, a cut-off value of PHI to identify a happy individual was defined using receiver-operating characteristic (ROC) curve methodology.Data from 1035 Brazilian participants were analyzed (health professionals = 180
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    The Portuguese validation of the International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) for Brazilian women with pelvic organ prolapse
    (Springer, 2008-10-01) Nunes Tamanini, Jose Tadeu; Almeida, Fernando G. [UNIFESP]; Girotti, Marcia Eli [UNIFESP]; Riccetto, Cassio L. Z.; Palma, Paulo C. R.; Rios, Luis Augusto S.; Universidade de São Paulo (USP); Universidade Federal de São Paulo (UNIFESP)
    The aim of this study is to validate the International Consultation on Incontinence Questionnaire-Vaginal Symptoms (ICIQ-VS) in Portuguese. Two hundred four women (108 symptomatic, 94 asymptomatic, and two with no data) with mean age of 55.4 years received a Portuguese version of the ICIQ-VS. Clinical data and pelvic organ prolapse quantification index (POP-Q) were obtained. Retest was performed 3 weeks later. Responsiveness was assessed after 20 weeks of postsurgical follow-up. Overall, most patients presented POP-Q > 2. ICIQ-VS demonstrated good psychometric properties (validity, reliability and responsiveness). the test-retest reliability was moderate to excellent for all questions. the construct validation distinguished differences in ICIQ-VS scores between symptomatic (ICIQ-VS5a > 0) and asymptomatic (ICIQ-VS5a = 0) women. ICIQ-VS was highly responsive to surgical treatment and discriminated between levels of change in the vaginal symptoms score, sexual matters score, quality-of-life score, and POP-Q. the Portuguese version of ICIQ-VS was successfully validated.
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    Psychometric properties of the Brazilian version of the Personal Experience Screening Questionnaire
    (Assoc Medica Brasileira, 2016) Fidalgo, Thiago Marques [UNIFESP]; Silveira, Evelyn Doering da [UNIFESP]; Winters, Ken C.; Silveira, Dartiu Xavier da [UNIFESP]
    Introduction: The Personal Experience Screening Questionnaire (PESQ) is an instrument devised for assessing the magnitude of drug misuse among adolescents. However, its psychometric properties have not been evaluated in adolescent samples outside the United States. Objective: To assess the internal reliability and validity of the Brazilian version of the PESQ. Method: A cross-sectional study was carried out with 84 adolescents from a clinical sample and a community-based sample. All of them answered the PESQ. Results: Among adolescents from the community, the PESQ problem severity index, which can vary from 18 to 72, was 26.48 +/- 9.28, whereas the clinical sample scored 42.89 +/- 10.02 (p<0.001). Cronbach's alpha was 0.91. Factor analysis resulted in a four-factor solution. Furthermore, both samples also had different mean scores for the other distinct content areas measured by the instrument. Conclusion: Evidence to support the reliability and validity of the Brazilian version of the Personal Experience Questionnaire was found.
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    Qualidade de vida de crianças e adolescentes de São Paulo: confiabilidade e validade da versão brasileira do questionário genérico Pediatric Quality of Life InventoryTM versão 4.0
    (Sociedade Brasileira de Pediatria, 2008-08-01) Klatchoian, Denise Ascenção [UNIFESP]; Len, Claudio Arnaldo [UNIFESP]; Terreri, Maria Teresa Ramos Ascensão [UNIFESP]; Silva, Marina [UNIFESP]; Itamoto, Caroline [UNIFESP]; Ciconelli, Rozana Mesquita [UNIFESP]; Varni, James W.; Hilário, Maria Odete Esteves [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); College of Medicine Department of Pediatrics; Texas A & M University College of Architecture Department of Landscape Architecture and Urban Planning
    OBJECTIVES: To evaluate the reliability and validity of the Brazilian version of the Pediatric Quality of Life InventoryTM (PedsQL TM 4.0) Generic Core Scales and measure the quality of life of healthy children and adolescents and patients with rheumatic diseases. METHODS: We followed the translation methodology proposed by the developer of the original English version of the PedsQL TM 4.0. The instrument was administered by interviews in two groups: 240 apparently healthy children and adolescents from São Paulo (SP, Brazil) and 105 patients with chronic rheumatic diseases, matched by age, as well as to their respective parents or caregivers. The parent proxy-report was administered to the children's parents or caregivers separately on the same day. RESULTS: Cronbach's alpha values were between 0.6 and 0.9 for all dimensions, demonstrating adequate internal consistency. Patients with rheumatic diseases reported significantly lower PedsQL TM scores on all dimensions when compared to the healthy control group (p < 0.0001). Construct validity of the Brazilian Portuguese version of the PedsQL TM 4.0 was also confirmed. Parent proxy-report of patients with rheumatic diseases highly correlated with child self-report for physical functioning (r = 0.77, p < 0.001) and school functioning (r = 0.73, p < 0.001). Lower correlations were observed for emotional and social functioning (r = 0.40 and 0.59, respectively, p < 0.001). CONCLUSIONS: The tool demonstrated reliability, validity and the administration was fast and easy. Quality of life of patients with rheumatic diseases was significantly lower than the healthy control group, supporting the necessity of a comprehensive approach to rheumatic disease management, focused on the psychosocial dimensions.
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    Quality assessment of a new surgical simulator for neuroendoscopic training
    (Amer Assoc Neurological Surgeons, 2011-04-01) Guimaraes Filho, Francisco Vaz [UNIFESP]; Coelho, Giselle; Cavalheiro, Sergio [UNIFESP]; Lyra, Marcos; Zymberg, Samuel Tau [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Curitiba Neurol Inst; Universidade Federal de Pernambuco (UFPE)
    Object. Ideal surgical training models should be entirely reliable, atoxic, easy to handle, and, if possible, low cost. All available models have their advantages and disadvantages. the choice of one or another will depend on the type of surgery to be performed. the authors created an anatomical model called the S.I.M.O.N.T. (Sinus Model Oto-Rhino Neuro Trainer) Neurosurgical Endotrainer, which can provide reliable neuroendoscopic training. the aim in the present study was to assess both the quality of the model and the development of surgical skills by trainees.Methods. the S.I.M.O.N.T. is built of a synthetic thermoretractable, thermosensible rubber called Neoderma, which, combined with different polymers, produces more than 30 different formulas. Quality assessment of the model was based on qualitative and quantitative data obtained from training sessions with 9 experienced and 13 inexperienced neurosurgeons. the techniques used for evaluation were face validation, retest and interrater reliability, and construct validation.Results. the experts considered the S.I.M.O.N.T. capable of reproducing surgical situations as if they were real and presenting great similarity with the human brain. Surgical results of serial training showed that the model could be considered precise. Finally, development and improvement in surgical skills by the trainees were observed and considered relevant to further training. It was also observed that the probability of any single error was dramatically decreased after each training session, with a mean reduction of 41.65% (range 38.7%-45.6%).Conclusions. Neuroendoscopic training has some specific requirements. A unique set of instruments is required, as is a model that can resemble real-life situations. the S.I.M.O.N.T. is a new alternative model specially designed for this purpose. Validation techniques followed by precision assessments attested to the model's feasibility. (DOI: 10.3171/2011.2.FOCUS10321)
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    Relações entre os sintomas clínicos, o apoio social e a interferência na vida diária de pacientes oncológicos
    (Universidade Federal de São Paulo (UNIFESP), 2013-12-20) Kolankiewicz, Adriane Cristina Bernat [UNIFESP]; Domenico, Edvane Birelo Lopes de Domenico [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Patients with cancer need a systematic evaluation, integral and interdisciplinary care. Aims: to identify the intensity of symptoms and the interference of daily life in cancer patients in treatment in the last 24 hours, to identify the socio-demographic, economic and clinical profile; to measure perceived social support(SS); to correlate symptoms and daily interferences with SS dimensions; and to analyze and verify the confidentiality and validity of psychometric properties of Symptoms Inventory of M.D Anderson – core (MDASI). Method: cross-sectional, quantitative, research with 268 patients with cancer in ambulatory treatment, in the city of Ijuí, Rio Grande do Sul, Brazil, from July to December 2012. Data were obtained with using the instruments: socio-demographic, economic and clinical characteristics; MDASI; and Medical Outcomes Study (MOS) Social Support Scale. SPSS software used for analysis. For variables, we applied the Kolmogorov-Smirnov test, average, maximum, minimum, and standard deviation. MDASI and MOS confidentiality was measured through Cronbach Alpha; MDASI dimensionality was measured through exploratory analysis of data and through the main component method. For associations, it was used Pearson’s Chi-Square test. For multivariable analysis, Poisson’s regression method from a hierarchical model of determination, and Mann-Witney and Kruskal-Wallis tests for comparison of SS averages with socio-demographic and clinical variables. Results: participants with an average of age 61,5 years old ±14,9; female (64,2%), married or in na stable relationship (61,2%); incomplete basic education (53,7%); per capita family income up to a (1) minimum salary (59,3%); and 51,8% in staging (III/IV). MDASI showed itself valid and trusty to use on Brazilian population. Among symptoms, fatigue was reported by 50% of people interviewed in degree 4 of intensity,concerns and sensations of dry moth in degree 2.The median of the factors that interfere in the lives of patients showed that for 50 % of respondents there was an interference level 4 in relation to daily activities and grade 3 of interference at work. It was evident that the male patients received significantly higher SS composite (p = 0.000 ) , emotional ( p = 0.007 ) and information ( p = 0.006 ) ; patients mulatto had the highest average for SS affective ( 0,010 ) , emotional (p = 0.002) and information ( p = 0.045) . Symptoms possessed very low and reverse correlation with affective SS (r = -0.146 , p = 0.019) , low and reverse emotional with SS (r = -0.261 , p = 0.000 ) the information ( r = -0.251 , p = 0.000 ) and SS interaction ( r = -0.352 , p = 0.000 ) . Interference in life have low correlation with social support and reverse affective ( r = -0.212 , p = 0.001 ) , low and reverse SS with emotional ( r = -0.255 , p = 0.000 ) , AS information ( r = -0.270 , p = 0.000 ) and social interaction ( r = -0.337 , p = 0.000 ). Conclusion: patients investigated had a clinical and socioeconomic compatible with the epidemiological indicators of a developing country. The relations between symptoms, interference with daily activities and awareness of SS are related. It was found that the greater the challenge clinical, demographic and economic higher the perception of symptoms and SS restriction.
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    Tradução e validação do questionário UFS-QoL para lingua portuguesa em mulheres com leiomioma uterino
    (Universidade Federal de São Paulo (UNIFESP), 2016-08-30) Silva, Rita Oliveira da [UNIFESP]; Castro, Rodrigo de Aquino [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The purpose of this study was to translate into Portuguese, adapt culturally and validate the Uterine Fibroid Symptom - Quality of Life Questionnaire (UFS-QoL) for Brazilian women with uterine leiomyoma. Sixty-nine patients with uterine leiomyoma, confirmed by examination abdominal pelvic ultrasound and / or transvaginal, were selected in the outpatient clinics of the Department of Gynecology. Initially, the UFS-QoL questionnaire was translated into Portuguese (from Brazil) in accordance with international standards, with subsequent cultural adaptation, structural, conceptual and semantics, so that patients understand the issues. All women responded twice the UFS-QoL, the same day, with two different interviewers, with an interval of 15 minutes between interviews. After 15 days, the instrument was applied again by the first interviewer. To validate the questionnaire were tested reliability (internal consistency and test-retest), validity of the construct and discriminant. The reliability of the instrument was assessed by Cronbach's ? Coefficient with the overall result of 0.97, showing high reliability. The intraclass correlation coefficients(ICC) interobserver were 0.928 (control group) and 0.972(case group), and ICC intraobserver were 0.847(control) and 0.974(case) respectively. The survey results showed a high correlation (p=0.942 p?0.001). This study conclued that the UFS-QoL was adapted to the Brazilian Portuguese language and Brazilian culture, showing great reliability and validity.
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    Translation and validation into the Brazilian Portuguese of the restless legs syndrome rating scale of the International Restless Legs Syndrome Study Group
    (Academia Brasileira de Neurologia - ABNEURO, 2008-12-01) Masuko, Alice H. [UNIFESP]; Carvalho, Luciane Bizari Coin de [UNIFESP]; Machado, Marco Antonio Cardoso [UNIFESP]; Morais, José F. [UNIFESP]; Prado, Lucila Bizari Fernandes do [UNIFESP]; Prado, Gilmar Fernandes do [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    BACKGROUND: Restless legs syndrome (RLS) is a chronic sensory-motor disorder characterized by unpleasant limb sensations and an irresistible urge to move. The International Restless Legs Syndrome Study Group developed the Restless Legs Syndrome Rating Scale (IRLS) to assess the severity of RLS symptoms. The objective of this study was to translate and validate the IRLS into Brazilian Portuguese. METHOD: The IRLS was translated into Brazilian Portuguese, analyzed, back translated to English, and compared to the original version. It was applied to 10 patients for cultural verification. The language was adjusted and the final version was administered to 30 patients (13 male, mean age 58.88±14.82). RESULTS: There was correlation among the IRLS evaluation of three experts. Many linguistic adaptations were required to achieve cultural adequacy and the Cronbach's alpha coefficient showed reliability of 80%. CONCLUSION: IRLS was translated, adapted, and validated to Brazilian Portuguese language, showing good reliability and validity.