Pediatrics ACES and related life event screener (PEARLS): translation, transcultural adaptation, and validation to Brazilian Portuguese.

IF 2.8 4区 医学 Q1 PEDIATRICS Jornal de pediatria Pub Date : 2024-10-29 DOI:10.1016/j.jped.2024.10.003
Luciana Cristina Mancio Balico, Neeta Thakur, Dayna Long, Emerson Rodrigues da Silva, Vandrea Carla de Souza
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Abstract

Objective: Adverse Childhood Experiences (ACEs) have been associated with negative health outcomes. Screening for ACEs is crucial for improving health results, however, there is a shortage of standardized tools designed for children in Brazilian Portuguese. This study aimed to translate, culturally adapt, and validate the Pediatrics ACES and Related Life Event Screener (PEARLS) for use in Brazil.

Method: The study followed a methodological design for cross-cultural adaptation and psychometric evaluation. The PEARLS was translated and culturally adapted following a methodology that includes translation, synthesis, expert committee evaluation, target audience evaluation, and back-translation. After adaptation, a pilot cross-sectional study was conducted at a Multidisciplinary Health Care Clinical Center and a General Hospital-Reference Center for Child and Adolescent Care to assess the instrument's internal consistency, convergent validity, content validity and test-retest reliability.

Results: The PEARLS-Br versions for Children, Teens, and Teen Self-Report were developed and subjected to pilot testing with 202 subjects. Participants demonstrated excellent comprehension, with Verbal Rating Scale median scores of 4 (IQR 4-5). Internal consistency was high, with Cronbach's alpha coefficients ranging from 0.78 to 0.81. Content validity, assessed by Kappa, indicated slight to almost perfect agreement across constructs. Test-retest reliability, assessed by Spearman's correlation coefficient, ranged from 0.89 to 0.94.

Conclusions: PEARLS-BR (Child, teen, and teen self-report versions) were successfully translated, culturally adapted, and validated for assessing ACEs in Brazilian children and adolescents. This tool fills a crucial gap in ACE assessment in the Brazilian context, aligning with global recommendations for screening ACEs to improve overall health outcomes.

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儿科 ACES 及相关生活事件筛选器(PEARLS):巴西葡萄牙语的翻译、跨文化改编和验证。
目的童年不良经历(ACEs)与不良健康后果有关。筛查 ACE 对改善健康结果至关重要,然而,目前缺乏用巴西葡萄牙语设计的针对儿童的标准化工具。本研究旨在翻译、文化适应和验证在巴西使用的儿科 ACES 及相关生活事件筛查工具(PEARLS):本研究采用了跨文化适应和心理测量评估的方法设计。PEARLS 的翻译和文化适应方法包括翻译、综合、专家委员会评估、目标受众评估和回译。改编后,在一家多学科保健临床中心和一家综合医院--儿童和青少年保健参考中心进行了一项试点横断面研究,以评估该工具的内部一致性、聚合效度、内容效度和重测信度:我们开发了 PEARLS-Br 儿童版、青少年版和青少年自我报告版,并对 202 名受试者进行了试点测试。受试者的理解能力很强,口头评定量表的中位数为 4 分(IQR 4-5)。内部一致性很高,Cronbach's alpha 系数在 0.78 到 0.81 之间。用 Kappa 评估的内容效度表明,各结构之间存在轻微到几乎完美的一致性。通过斯皮尔曼相关系数评估的重测可靠性介于 0.89 和 0.94 之间:PEARLS-BR(儿童版、青少年版和青少年自我报告版)经过成功翻译、文化适应和验证,可用于评估巴西儿童和青少年的 ACE。该工具填补了巴西在 ACE 评估方面的一个重要空白,符合筛查 ACE 以改善整体健康结果的全球建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Jornal de pediatria
Jornal de pediatria 医学-小儿科
CiteScore
5.60
自引率
3.00%
发文量
93
审稿时长
43 days
期刊介绍: Jornal de Pediatria is a bimonthly publication of the Brazilian Society of Pediatrics (Sociedade Brasileira de Pediatria, SBP). It has been published without interruption since 1934. Jornal de Pediatria publishes original articles and review articles covering various areas in the field of pediatrics. By publishing relevant scientific contributions, Jornal de Pediatria aims at improving the standards of pediatrics and of the healthcare provided for children and adolescents in general, as well to foster debate about health.
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