Cross-cultural adaptation and validation to Brazilian Portuguese of the ‘knowledge of gestational diabetes (GDM)’ questionnaire for women with GDM

IF 3.4 3区 医学 Q2 ENDOCRINOLOGY & METABOLISM Diabetology & Metabolic Syndrome Pub Date : 2024-09-14 DOI:10.1186/s13098-024-01456-z
Laura Betat Pereira, Helena Trevisan Schroeder, Juciela Keller dos Santos, Paulo César Brizolla Capelari, Beatriz D. Schaan, Patrícia Martins Bock
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Abstract

Gestational diabetes mellitus (GDM) is characterized by hyperglycemia during pregnancy. There are many diabetes-specific tools for collecting information validated in Brazilian Portuguese. However, there are no specific instruments to assess knowledge about GDM in Brazilian Portuguese. The aim of this study was to cross-culturally adapt and validate the Brazilian Portuguese version of the Knowledge of Gestational Diabetes Mellitus questionnaire (GDMKQ). This study was conducted in southern Brazil from January to December 2023. Women with GDM or diabetes identified during pregnancy were considered eligible based on specific criteria. Clinical and demographic data were obtained through a medical records search. The GDMKQ underwent a multistep adaptation process, including translation, back-translation, content validity assessment, and cognitive interviews. After administration to participants, internal consistency, item-total correlation, and intraclass correlation were assessed. Confirmatory factor analysis was also conducted to ensure validity. A total of 155 pregnant women were recruited for the study. Most participants were aged 18–30 years, and hypertension was the main comorbidity (25.2%). Regarding education, most participants (58.7%) attended high school. The Brazilian Portuguese version of the GDMKQ consisted of 32 items. The intraclass correlation was established by two independent interviews with 57 participants, yielding a correlation coefficient of 0.79 (p < 0.01). Internal consistency (Cronbach’s alpha) was 0.81 overall but was less than 0.7 for each domain. Item-total correlations were calculated, and confirmatory factor analysis indicated a good model fit. The final Brazilian Portuguese version of the questionnaire consisted of 32 items. The Brazilian Portuguese version of the GDMKQ yielded a reliable and valid tool for evaluating diabetes knowledge in pregnant women.
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根据巴西葡萄牙语对针对妊娠期糖尿病(GDM)妇女的 "妊娠期糖尿病(GDM)知识 "问卷进行跨文化改编和验证
妊娠糖尿病(GDM)的特点是在怀孕期间出现高血糖。有许多专门收集糖尿病信息的工具已在巴西葡萄牙语中得到验证。然而,目前还没有专门的工具来评估巴西葡萄牙语中有关 GDM 的知识。本研究旨在对巴西葡萄牙语版的妊娠糖尿病知识问卷(GDMKQ)进行跨文化改编和验证。这项研究于 2023 年 1 月至 12 月在巴西南部进行。根据特定标准,患有妊娠期糖尿病或在怀孕期间发现患有糖尿病的妇女被视为符合条件。临床和人口统计学数据通过病历检索获得。GDMKQ 经过了多步骤的调整过程,包括翻译、回译、内容有效性评估和认知访谈。在对参与者进行施测后,对内部一致性、项目总相关性和类内相关性进行了评估。此外,还进行了确认性因子分析,以确保其有效性。本研究共招募了 155 名孕妇。大多数参与者的年龄在 18-30 岁之间,高血压是主要的合并症(25.2%)。在教育程度方面,大多数参与者(58.7%)上过高中。巴西葡萄牙语版的 GDMKQ 包括 32 个项目。通过对 57 名参与者进行两次独立访谈,确定了类内相关性,相关系数为 0.79(P < 0.01)。总体内部一致性(Cronbach's alpha)为 0.81,但每个领域的内部一致性均小于 0.7。计算了项目-总相关性,确认性因素分析表明模型拟合良好。最终的巴西葡萄牙语版问卷包含 32 个项目。巴西葡萄牙语版 GDMKQ 是评估孕妇糖尿病知识的可靠而有效的工具。
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来源期刊
Diabetology & Metabolic Syndrome
Diabetology & Metabolic Syndrome ENDOCRINOLOGY & METABOLISM-
CiteScore
6.20
自引率
0.00%
发文量
170
审稿时长
7.5 months
期刊介绍: Diabetology & Metabolic Syndrome publishes articles on all aspects of the pathophysiology of diabetes and metabolic syndrome. By publishing original material exploring any area of laboratory, animal or clinical research into diabetes and metabolic syndrome, the journal offers a high-visibility forum for new insights and discussions into the issues of importance to the relevant community.
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