Cross-cultural adaptation of the Recovery Self-Assessment RSA-R Family/Brazil: Validity evidence based on test content

Erazo-Chavez, Leidy Janeth; La-Rotta, Ehideé Isabel Gómez; Onocko-Campos, Rosana Teresa

doi:10.1590/1413-81232021269.2.32692019

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Sumário

HEALTH POLICY, IMPLEMENTATION OF PRACTICES • Ciênc. saúde coletiva 26 (suppl 2) • 2021 • https://doi.org/10.1590/1413-81232021269.2.32692019 copy

Cross-cultural adaptation of the Recovery Self-Assessment RSA-R Family/Brazil: Validity evidence based on test content

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

In the cross-cultural adaptation of instruments, the qualitative component of adaptation is generally poorly reported, sometimes being superficially addressed. In this study we aimed to describe the qualitative component of the cross-cultural adaptation process and to demonstrate validity evidence based on test content of the Recovery Self-Assessment-RSA-R Family/Brazil. We conducted a qualitative study that included the steps of preparation, translation, back-translation, expert’s assessment, workshop with a researcher from Yale University, and two pilot studies involving family members of patients attended at mental health services. Among the results, we found considerable validity evidence based on test content with a percentage of agreement above 80%. Pilot studies contributed to accentuating this evidence, assisting in the cultural adequacy of the statements and in the operational equivalence of the instrument. The adaptation process of the RSA-R Family/Brazil proved to be complex. From this experience, we concluded that presenting validity evidence based on test content is important to ensure the applicability tools to the target culture. The instrument will still be evaluated as for psychometric characteristics through statistical techniques.

Key words:
Recovery; Mental Health Services; Family; Validation studies; Qualitative analysis

Expert	Academic education	Experience in the field of Mental Health	Mastery of the English language/involvement with the culture of an English-speaking country
1	Psychologist, specialization course and master’s degree in the field of Mental Health and Public Health, PhD student in the field of Mental Health and Public Health.	Experience as a resident in services of the Psychosocial Support Centers of the Brazilian Unified Health System (SUS).	Fluent in English. Lived in Canada for six years.
2	Occupational therapist, graduate student in the field of Mental Health and Public Health.	Experience as a resident in services of the Psychosocial Support Centers of SUS.	Fluent in English. Lived in Ireland for one year.
3	Psychologist, specialization course and master’s degree in the field of Mental Health and Public Health, PhD student in Public Health.	Experience as a psychologist in Psychosocial Support Centers of SUS. Professor in the field of Mental Health and Public Health.	Fluent in English. Lived in the USA for one year. Lived in England for six months as part of the PhD program in Public Health.
4	Psychologist, specialization course in the field of Mental Health and Public Health.	Experience as a psychologist in Psychosocial Support Centers of SUS. Employee of the Public Health System.	Fluent in English. Lived in Canada for one year.
5	Psychologist, specialization course in the field of Mental Health and Public Health.	Experience as a psychologist in Psychosocial Support Centers of SUS. Worked with Therapeutic Accompaniment and as a Clinical Psychologist.	Fluent in English. Lived in the USA for one year.

	EXPERTS				%
	1	2	3	4	5
Title	93.75	100.00	100.00	100.00	100.00	98.75
Instructions	100.00	100.00	100.00	93.75	87.50	96.25
Response options	100.00	100.00	100.00	100.00	93.75	98.75
Item 1	81.25	100.00	87.50	100.00	100.00	93.75
Item 2	81.25	100.00	87.50	93.75	87.50	90.00
Item 3	100.00	100.00	100.00	100.00	87.50	97.50
Item 4	93.75	100.00	87.50	100.00	100.00	96.25
Item 5	100.00	100.00	93.75	100.00	100.00	98.75
Item 6	87.50	100.00	100.00	100.00	100.00	97.50
Item 7	100.00	100.00	100.00	100.00	100.00	100.00
Item 8	100.00	100.00	100.00	100.00	100.00	100.00
Item 9	93.75	100.00	87.50	100.00	87.50	93.75
Item 10	100.00	100.00	100.00	100.00	100.00	100.00
Item 11	100.00	100.00	100.00	100.00	100.00	100.00
Item 12	100.00	100.00	100.00	100.00	100.00	100.00
Item 13	87.50	100.00	81.25	93.75	81.25	88.75
Item 14	93.75	93.75	93.75	100.00	100.00	96.25
Item 15	100.00	93.75	93.75	100.00	100.00	97.50
Item 16	87.50	100.00	87.50	93.75	93.75	92.50
Item 17	100.00	100.00	100.00	100.00	93.75	98.75
Item 18	93.75	100.00	100.00	93.75	100.00	97.50
Item 19	100.00	100.00	100.00	100.00	100.00	100.00
Item 20	100.00	100.00	100.00	100.00	100.00	100.00
Item 21	93.75	93.75	87.50	100.00	87.50	92.50
Item 22	93.75	100.00	81.25	93.75	93.75	92.50
Item 23	93.75	100.00	87.50	100.00	100.00	96.25
Item 24	93.75	100.00	87.50	93.75	87.50	92.50
Item 25	93.75	100.00	75.00	93.75	87.50	90.00
Item 26	93.75	93.75	68.75	93.75	87.50	87.50
Item 27	100.00	93.75	100.00	100.00	93.75	97.50
Item 28	100.00	100.00	100.00	100.00	100.00	100.00
Item 29	100.00	100.00	81.25	93.75	81.25	91.25
Item 30	100.00	100.00	100.00	100.00	87.50	97.50
Item 31	81.25	100.00	100.00	93.75	87.50	92.50
Item 32	100.00	100.00	100.00	100.00	100.00	100.00
Item 33	87.50	100.00	100.00	100.00	87.50	95.00
Item 34	93.75	100.00	100.00	100.00	87.50	96.25
Item 35	100.00	100.00	100.00	100.00	100.00	100.00
Item 36	100.00	100.00	100.00	100.00	100.00	100.00
Item 37	81.25	100.00	87.50	100.00	100.00	93.75
Item 38	81.25	93.75	87.50	93.75	81.25	87.50
Item 39	87.50	100.00	81.25	93.75	87.50	90.00
Item 40	93.75	100	87.50	93.75	81.25	91.25

		Pilot I Focus group		Pilot II Interview
Age
	Mean±SD	53.22 (±18.1)		57.60 (±18.5)
	Minimum	20		21
	Maximum	84		79
		n	%	n	%
Sex
	Men	1	11.1	2	20.0
	Women	8	88.9	8	80.0
Marital status
	Single	5	55.6	6	60.0
	Have a partner	4	44.4	4	40.0
Education level
	Some elementary school	3	33.4	5	50.0
	Some high school	1	11.1	0	0
	High school	4	44.4	4	40.0
	University education	1	11.1	1	10.0
Bond
	Parents	5	55.6	4	40.0
	Spouse	1	11.1	3	30.0
	Brother (sister)	1	11.1	2	20.0
	Uncle (aunt)	1	11.1	0	0
	Nephew	1	11.1	0	0
	Grandparents	0	0	1	10.0
User’s diagnosis
	Autism	2	22.2	1	10.0
	Anxiety	0	0	1	10.0
	Depression	2	22.2	0	0
	Schizophrenia	3	33.4	5	50.0
	Bipolar disorder	0	0	1	10.0
	Intellectual disability	1	11.1	0	0
	Alcohol/Drugs use	0	0	1	10.0
	Do not know	1	11.1	1
Treatment time
	Less than 1 year	1	11.1	3	30.0
	1 to 3 years	3	33.4	1	10.0
	3 to 6 years	0	0	2	20.0
	Over 12 years	5	55.6	4	40.0

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[1] Collaborations

The authors contributed substantially to the conception, planning, analysis, interpretation and writing of the work. All authors approved the final version submitted.