Abstract
ABSTRACTObjective:to perform the translation, adaptation and validation of the Diabetes Attitudes Scale - third version instrument into Brazilian Portuguese. Methods:methodological study carried out in six stages: initial translation, synthesis of the initial translation, back-translation, evaluation of the translated version by the Committee of Judges (27 Linguists and 29 health professionals), pre-test and validation. The pre-test and validation (test-retest) steps included 22 and 120 health professionals, respectively. The Content Validity Index, the analyses of internal consistency and reproducibility were performed using the R statistical program. Results:in the content validation, the instrument presented good acceptance among the Judges with a mean Content Validity Index of 0.94. The scale presented acceptable internal consistency (Cronbach’s alpha = 0.60), while the correlation of the total score at the test and retest moments was considered high (Polychoric Correlation Coefficient = 0.86). The Intra-class Correlation Coefficient, for the total score, presented a value of 0.65. Conclusion:the Brazilian version of the instrument (Escala de Atitudes dos Profissionais em relação ao Diabetes Mellitus) was considered valid and reliable for application by health professionals in Brazil.
Highlights
Health professionals can significantly contribute so that the person living with diabetes can achieve the objectives related to glycemic control[1]
In order to provide an instrument for use in the Brazilian context, this study aimed to carry out the translation, adaptation and validation of the Diabetes Attitudes Scale - third version (DAS-3)
In the analysis of the conceptual equivalence and items, concepts related to diabetes and to the attitudes construct were explored in order to verify whether the dimensions of the instrument are relevant to the Brazilian cultural context
Summary
Health professionals can significantly contribute so that the person living with diabetes can achieve the objectives related to glycemic control[1]. As the attitudes of the professionals determine the behavior they adopt[6,7,8] and how they interact with people who have diabetes, causing repercussions in the treatment outcomes, it is necessary to identify the attitudes of these professionals when faced with this condition[9]. By identifying these attitudes, it is possible to establish educational strategies that contribute to a professional practice that considers the integrality of the care and the life context of the person with diabetes[7,8,9]. Valid and reliable instruments need to be used to measure the attitudes of these professionals, which allow the results of research conducted in different countries to be compared
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