Cross-cultural adaptation of the Impact on Participation and Autonomy questionnaire for Brazil for people with spinal cord injury

• Published in: Cadernos Brasileiros de Terapia Ocupacional Vol. 32
• Main Authors: Andrade, Valéria Sousa de, Amaral, Maíra Ferreira do, Reis, Roberta Alvarenga, Castro, Fabiana Faleiros, Santos, Claudia Benedita dos
• Format: Journal Article
• Language: English; Portuguese
• Published: Universidade Federal de São Carlos, Departamento de Terapia Ocupacional 2024
• Subjects: HEALTH CARE SCIENCES & SERVICES; Social Participation; Autonomia Pessoal; Tradução; Reabilitação; Translating; Surveys and Questionnaires; Participação Social; Personal Autonomy; Rehabilitation; Inquéritos e Questionários
• ISSN: 2526-8910; 2526-8910
• DOI: 10.1590/2526-8910.ctoao285737142

Abstract Introduction People with chronic conditions and/or disabilities can have an impact on their autonomy and participation, impairing their performance in daily activities. The measurement of these constructs should consider the biopsychosocial model. Objective To cross-culturally adapt the Impact on Participation and Autonomy questionnaire for people with spinal cord injury for use in the Brazilian context. Method Methodological study carried out in a rehabilitation center of a Brazilian public hospital involving people with spinal cord injury aged 18 and over. Internationally standardized procedures were followed for the translation-backtranslation process and evaluation of the semantic aspects of the questionnaire. Results The questionnaire was translated by two independent professionals, followed by a synthesis of the translations. The semantic, cultural, idiomatic and conceptual equivalences were then verified by the Expert Committee, followed by back-translation, which was sent to the author of the questionnaire. Eighteen people with spinal cord injury took part in the cognitive debriefing, with an average age of 38.8 years (SD = 13.1). Participants pointed out that the final version was good or very good (n=17), the questions were easy to understand (n=11), with items that are very important for the state of health/illness (n=14) and that there were no difficulties using the response categories (n=11). Conclusion The Brazilian version of the Impact on Participation and Autonomy questionnaire was easily understood, accepted and considered relevant by the participants. After validation, the questionnaire could be included in the clinical practice of rehabilitating people with spinal cord injury considering biopsychosocial aspects.