Abstract

The Finnish Diabetes Risk Score (FINDRISC) is a questionnaire that was developed by Finnish researchers to track the risk of diabetes. To translate, cross-culturally adapt and validate the FINDRISC for use in Brazilian Portuguese. Questionnaire validity study conducted at a private university. The Brazilian version of the FINDRISC was developed through the processes of translation, back-translation, committee review and pre-testing. Test-retest reliability was measured using the intraclass correlation coefficient (ICC), kappa coefficient, standard error of measurement (SEM) and minimum detectable change (MDC). Internal consistency was measured using Cronbach's alpha. For construct validity, the total score of the FINDRISC was correlated with the Diabetes Knowledge Scale (DKN-A) and Diabetes Mellitus Risk Questionnaire (QRDM). Ceiling and floor effects were also evaluated in the present study. For construct validity and floor and ceiling effect measurements, a total sample of 107 participants was used. For reliability, a subsample of 51 participants out of the total sample was used. We identified adequate values for reliability (kappa ≥ 0.79 and ICC = 0.98) and internal consistency (Cronbach's alpha = 0.84). Regarding the error inherent in the FINDRISC, we found SEM = 8.02% and MDC = 22.44%. There were significant correlations between the FINDRISC and the QRDM (r = 0.686) and DKN-A (r = -0.216). No ceiling or floor effects were found. The Brazilian version of the FINDRISC has adequate psychometric properties that are in accordance with the best international recommendations.

Highlights

  • Recently, the International Diabetes Federation reported that the number of individuals with type 2 diabetes mellitus (T2DM) had increased worldwide, especially in Brazil, which placed this country in fifth place among the countries with the most people with diabetes mellitus.[1]

  • Strategies are being sought in an attempt to and cost-effectively screen individuals with high potential to develop T2DM, in order to implement preventive measures against the onset of the disease

  • The Finnish Diabetes Risk Score (FINDRISC) is a questionnaire that was developed in Finnish and English in 2003 by Finnish researchers

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Summary

INTRODUCTION

The International Diabetes Federation reported that the number of individuals with type 2 diabetes mellitus (T2DM) had increased worldwide, especially in Brazil, which placed this country in fifth place among the countries with the most people with diabetes mellitus.[1] Given this reality, strategies are being sought in an attempt to and cost-effectively screen individuals with high potential to develop T2DM, in order to implement preventive measures against the onset of the disease. The Finnish Diabetes Risk Score (FINDRISC) is a questionnaire that was developed in Finnish and English in 2003 by Finnish researchers It had the aims of tracking the risk of diabetes and stimulating the adoption of measures to prevent the onset of T2DM, especially for individuals who are at increased risk of the disease, but without the need for low-cost laboratory tests.[8] Some articles using the FINDRISC have already been published in Brazilian Portuguese,[9,10] even without proper translation, cross-cultural adaptation or validation of the questionnaire for this language. Translation, cross-cultural adaptation and validation of the Finnish Diabetes Risk Score (FINDRISC) for use in Brazilian Portuguese: questionnaire validity study | ORIGINAL ARTICLE

OBJECTIVE
METHODS
RESULTS
DISCUSSION
B2: Have you ever taken any medication for high blood pressure?
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