Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the Duke Anticoagulation Satisfaction Scale

Aim.  The aim of this study was to evaluate the internal reliability and validity of the Brazilian–Portuguese version of Duke Anticoagulation Satisfaction Scale (DASS) among cardiovascular patients. Background.  Oral anticoagulation is widely used to prevent and treat thromboembolic events in severa...

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Veröffentlicht in:Journal of clinical nursing 2012-09, Vol.21 (17-18), p.2509-2517
Hauptverfasser: Pelegrino, Flávia M, Dantas, Rosana AS, Corbi, Inaiara SA, da Silva Carvalho, Ariana R, Schmidt, André, Filho, Antônio Pazin
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container_end_page 2517
container_issue 17-18
container_start_page 2509
container_title Journal of clinical nursing
container_volume 21
creator Pelegrino, Flávia M
Dantas, Rosana AS
Corbi, Inaiara SA
da Silva Carvalho, Ariana R
Schmidt, André
Filho, Antônio Pazin
description Aim.  The aim of this study was to evaluate the internal reliability and validity of the Brazilian–Portuguese version of Duke Anticoagulation Satisfaction Scale (DASS) among cardiovascular patients. Background.  Oral anticoagulation is widely used to prevent and treat thromboembolic events in several conditions, especially in cardiovascular diseases; however, this therapy can induce dissatisfaction and reduce the quality of life. Design.  Methodological and cross‐sectional research design. Methods.  The cultural adaptation of the DASS included the translation and back‐translation, discussions with healthcare professionals and patients to ensure conceptual equivalence, semantic evaluation and instrument pretest. The Brazilian–Portuguese version of the DASS was tested among subjects followed in a university hospital anticoagulation outpatient clinic. The psychometric properties were assessed by construct validity (convergent, known groups and dimensionality) and internal consistency/reliability (Cronbach’s alpha). Results.  A total of 180 subjects under oral anticoagulation formed the baseline validation population. DASS total score and SF‐36 domain correlations were moderate for General health (r = −0·47, p 
doi_str_mv 10.1111/j.1365-2702.2011.03869.x
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Background.  Oral anticoagulation is widely used to prevent and treat thromboembolic events in several conditions, especially in cardiovascular diseases; however, this therapy can induce dissatisfaction and reduce the quality of life. Design.  Methodological and cross‐sectional research design. Methods.  The cultural adaptation of the DASS included the translation and back‐translation, discussions with healthcare professionals and patients to ensure conceptual equivalence, semantic evaluation and instrument pretest. The Brazilian–Portuguese version of the DASS was tested among subjects followed in a university hospital anticoagulation outpatient clinic. The psychometric properties were assessed by construct validity (convergent, known groups and dimensionality) and internal consistency/reliability (Cronbach’s alpha). Results.  A total of 180 subjects under oral anticoagulation formed the baseline validation population. DASS total score and SF‐36 domain correlations were moderate for General health (r = −0·47, p &lt; 0·01), Vitality (r = −0·44, p &lt; 0·01) and Mental health (r = −0·42, p &lt; 0·01) (convergent). Age and length on oral anticoagulation therapy (in years) were weakly correlated with total DASS score and most of the subscales, except Limitation (r = −0·375, p &lt; 0·01) (Known groups). The Cronbach’s alpha coefficient was 0·79 for the total scale, and it ranged from 0·76 (hassles and burdens)–0·46 (psychological impact) among the domains, confirming the internal consistency reliability. Conclusions.  The Brazilian–Portuguese version of the DASS has shown levels of reliability and validity comparable with the original English version. Relevance to clinical practice.  Healthcare practitioners and researchers need internationally validated measurement tools to compare outcomes of interventions in clinical management and research tools in oral anticoagulation therapy.</description><identifier>ISSN: 0962-1067</identifier><identifier>EISSN: 1365-2702</identifier><identifier>DOI: 10.1111/j.1365-2702.2011.03869.x</identifier><identifier>PMID: 22077911</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Adaptation, Psychological ; Administration, Oral ; Adult ; Aged ; Anticoagulants ; Anticoagulants - administration &amp; dosage ; Anticoagulants - therapeutic use ; Brazil ; Cardiovascular disease ; Correlation analysis ; Cross-Sectional Studies ; Female ; Humans ; instrument development ; Language ; Male ; Measurement techniques ; Medical personnel ; Middle Aged ; Nursing ; Patient Satisfaction ; Portugal ; psychometric ; Psychometrics ; Quality of life ; research methods</subject><ispartof>Journal of clinical nursing, 2012-09, Vol.21 (17-18), p.2509-2517</ispartof><rights>2011 Blackwell Publishing Ltd</rights><rights>2011 Blackwell Publishing Ltd.</rights><rights>Copyright Blackwell Publishing Ltd. 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Background.  Oral anticoagulation is widely used to prevent and treat thromboembolic events in several conditions, especially in cardiovascular diseases; however, this therapy can induce dissatisfaction and reduce the quality of life. Design.  Methodological and cross‐sectional research design. Methods.  The cultural adaptation of the DASS included the translation and back‐translation, discussions with healthcare professionals and patients to ensure conceptual equivalence, semantic evaluation and instrument pretest. The Brazilian–Portuguese version of the DASS was tested among subjects followed in a university hospital anticoagulation outpatient clinic. The psychometric properties were assessed by construct validity (convergent, known groups and dimensionality) and internal consistency/reliability (Cronbach’s alpha). Results.  A total of 180 subjects under oral anticoagulation formed the baseline validation population. DASS total score and SF‐36 domain correlations were moderate for General health (r = −0·47, p &lt; 0·01), Vitality (r = −0·44, p &lt; 0·01) and Mental health (r = −0·42, p &lt; 0·01) (convergent). Age and length on oral anticoagulation therapy (in years) were weakly correlated with total DASS score and most of the subscales, except Limitation (r = −0·375, p &lt; 0·01) (Known groups). The Cronbach’s alpha coefficient was 0·79 for the total scale, and it ranged from 0·76 (hassles and burdens)–0·46 (psychological impact) among the domains, confirming the internal consistency reliability. Conclusions.  The Brazilian–Portuguese version of the DASS has shown levels of reliability and validity comparable with the original English version. 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Dantas, Rosana AS ; Corbi, Inaiara SA ; da Silva Carvalho, Ariana R ; Schmidt, André ; Filho, Antônio Pazin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4699-53f69848c4ee88eddcf5273c1c3907171dec632084819bcfb6415f6e6259711c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adaptation, Psychological</topic><topic>Administration, Oral</topic><topic>Adult</topic><topic>Aged</topic><topic>Anticoagulants</topic><topic>Anticoagulants - administration &amp; dosage</topic><topic>Anticoagulants - therapeutic use</topic><topic>Brazil</topic><topic>Cardiovascular disease</topic><topic>Correlation analysis</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>instrument development</topic><topic>Language</topic><topic>Male</topic><topic>Measurement techniques</topic><topic>Medical personnel</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Patient Satisfaction</topic><topic>Portugal</topic><topic>psychometric</topic><topic>Psychometrics</topic><topic>Quality of life</topic><topic>research methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pelegrino, Flávia M</creatorcontrib><creatorcontrib>Dantas, Rosana AS</creatorcontrib><creatorcontrib>Corbi, Inaiara SA</creatorcontrib><creatorcontrib>da Silva Carvalho, Ariana R</creatorcontrib><creatorcontrib>Schmidt, André</creatorcontrib><creatorcontrib>Filho, Antônio Pazin</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of clinical nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pelegrino, Flávia M</au><au>Dantas, Rosana AS</au><au>Corbi, Inaiara SA</au><au>da Silva Carvalho, Ariana R</au><au>Schmidt, André</au><au>Filho, Antônio Pazin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the Duke Anticoagulation Satisfaction Scale</atitle><jtitle>Journal of clinical nursing</jtitle><addtitle>J Clin Nurs</addtitle><date>2012-09</date><risdate>2012</risdate><volume>21</volume><issue>17-18</issue><spage>2509</spage><epage>2517</epage><pages>2509-2517</pages><issn>0962-1067</issn><eissn>1365-2702</eissn><abstract>Aim.  The aim of this study was to evaluate the internal reliability and validity of the Brazilian–Portuguese version of Duke Anticoagulation Satisfaction Scale (DASS) among cardiovascular patients. Background.  Oral anticoagulation is widely used to prevent and treat thromboembolic events in several conditions, especially in cardiovascular diseases; however, this therapy can induce dissatisfaction and reduce the quality of life. Design.  Methodological and cross‐sectional research design. Methods.  The cultural adaptation of the DASS included the translation and back‐translation, discussions with healthcare professionals and patients to ensure conceptual equivalence, semantic evaluation and instrument pretest. The Brazilian–Portuguese version of the DASS was tested among subjects followed in a university hospital anticoagulation outpatient clinic. The psychometric properties were assessed by construct validity (convergent, known groups and dimensionality) and internal consistency/reliability (Cronbach’s alpha). Results.  A total of 180 subjects under oral anticoagulation formed the baseline validation population. DASS total score and SF‐36 domain correlations were moderate for General health (r = −0·47, p &lt; 0·01), Vitality (r = −0·44, p &lt; 0·01) and Mental health (r = −0·42, p &lt; 0·01) (convergent). Age and length on oral anticoagulation therapy (in years) were weakly correlated with total DASS score and most of the subscales, except Limitation (r = −0·375, p &lt; 0·01) (Known groups). The Cronbach’s alpha coefficient was 0·79 for the total scale, and it ranged from 0·76 (hassles and burdens)–0·46 (psychological impact) among the domains, confirming the internal consistency reliability. Conclusions.  The Brazilian–Portuguese version of the DASS has shown levels of reliability and validity comparable with the original English version. Relevance to clinical practice.  Healthcare practitioners and researchers need internationally validated measurement tools to compare outcomes of interventions in clinical management and research tools in oral anticoagulation therapy.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>22077911</pmid><doi>10.1111/j.1365-2702.2011.03869.x</doi><tpages>9</tpages></addata></record>
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subjects Adaptation, Psychological
Administration, Oral
Adult
Aged
Anticoagulants
Anticoagulants - administration & dosage
Anticoagulants - therapeutic use
Brazil
Cardiovascular disease
Correlation analysis
Cross-Sectional Studies
Female
Humans
instrument development
Language
Male
Measurement techniques
Medical personnel
Middle Aged
Nursing
Patient Satisfaction
Portugal
psychometric
Psychometrics
Quality of life
research methods
title Cross-cultural adaptation and psychometric properties of the Brazilian-Portuguese version of the Duke Anticoagulation Satisfaction Scale
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