Abstract

To translate and adapt the Patient Perceptions of Hemodialysis Scale (PPHS) to the Brazilian context. A methodological study, in which the stages of initial translation, synthesis of translations, back translation, evaluation by an expert committee and pre-test of the PPHS were performed. Two initial translations by independent translators, experienced in the health area and fluent in English. Subsequently, the synthesis of the translations was carried out, and this synthesis was back translated to the original language (American English).The translated and back-translated versions were evaluated by an expert committee made up of six PhD experts from the health area. The judges' evaluations resulted in content validity indexes for each item of the scale, and 7 of the 36 items had to be revised. Subsequently, a pretest was carried out with 20 participants, who considered the instrument intelligible. The PPHS is adequately translated and adapted to Brazilian Portuguese.

Highlights

  • Chronic Kidney Disease (CKD) is defined as the result of irreversible and progressive kidney damage, caused by problems that render the kidneys unfit to perform their functions

  • A consensual version was formulated by translators and researchers to solve the possible divergences or ambiguous interpretations, based on the two translations

  • The consensual version was evaluated by the experts committee, which analyzed the Perceptions of Hemodialysis Scale (PPHS) versions in order to produce a pre-final version, modified and adapted to serve as a replica of the instrument in Brazil

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Summary

Introduction

Chronic Kidney Disease (CKD) is defined as the result of irreversible and progressive kidney damage, caused by problems that render the kidneys unfit to perform their functions. CKD is considered a global public health problem(1). Among CKD treatment modalities, the most common is hemodialysis, a therapeutic process that removes metabolic waste, with the goal of correcting changes in the body environment, through blood circulation using a purpose-built equipment (1). The Brazilian chronic dialysis survey by Sesso, Lopes, Thomé, Lugon and Martins(2) states that the estimated total number of patients with CKD undergoing dialysis in Brazil is 122,825. 112,999 (92%) are undergoing hemodialysis, while 9,826 (8%) are undergoing peritoneal dialysis. At the national level, hemodialysis is the most widely used renal replacement therapy

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