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Acta Paulista de Enfermagem

On-line version ISSN 1982-0194


STACCIARINI, Thaís Santos Guerra  and  PACE, Ana Emilia. Translation, adaptation and validation of a self-care scale for type 2 diabetes patients using insulin. Acta paul. enferm. [online]. 2014, vol.27, n.3, pp.221-229. ISSN 1982-0194.


Translate, adapt and validate the Appraisal of Self-care Agency Scale-Revised (ASAS-R) for Brazil.


A descriptive method for adapting measurement instruments was used with 150 diabetes mellitus patients. The instrument underwent translation, synthesis of independent translations, evaluation by a committee of judges, back-translation and submittal of back-translation to original authors, semantic validation, submittal of the adapted version to original authors, and pretesting.


The ASAS-R maintained semantic, cultural and conceptual equivalence. Cronbach’s alpha was 0.74; the intraclass correlation coefficient for test-retest reliability was 0.81; and interobserver agreement was 0.84.


The Brazilian-Portuguese version maintained conceptual, semantic and cultural validity, as compared to the original version. In the discriminant validity, there was correlation between capacity for self-care, depression and perceived health, but not social support. There were significant differences between groups regarding age, education levels and insulin self-application.

Keywords : Translating; Self care; Diabetes mellitus, type 2; Insulin; Validation studies.

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