Case-Finding tool for COPD in LMIC (COLA) - translation and cross-cultural adaptation into Brazilian Portuguese language

Erika Zavaglia Kabbach; Naiara Tais Leonardi; Trishul Siddharthan; Audrey Borghi-Silva; Jaber Saud Alqahtani; John R Hurst; Renata Gonçalves Mendes

doi:10.11606/s1518-8787.2023057004904

Authors

Erika Zavaglia Kabbach Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil https://orcid.org/0000-0002-9975-5766
Naiara Tais Leonardi Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil https://orcid.org/0000-0003-0762-3932
Trishul Siddharthan University of Miami, Medicine Miller School of Medicine, Division of Pulmonary, Critical Care and Sleep, Miami, FL, USA https://orcid.org/0000-0001-9914-1839
Audrey Borghi-Silva Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil https://orcid.org/0000-0002-3891-6941
Jaber Saud Alqahtani Prince Sultan Military College of Health Sciences, Dammam, Department of Respiratory Care, Saudi Arabia https://orcid.org/0000-0003-1795-5092
John R Hurst University College London, UCL Respiratory, London, UK https://orcid.org/0000-0002-7246-6040
Renata Gonçalves Mendes Universidade Federal de São Carlos, Department of Physical Therapy, São Carlos, SP, Brazil https://orcid.org/0000-0003-4683-2657

DOI:

https://doi.org/10.11606/s1518-8787.2023057004904

Keywords:

Lung Diseases, Pulmonary Disease, Chronic Obstructive, Mass Screening, Surveys and Questionnaires, Language

Abstract

OBJECTIVE: To translate and cross-culturally adapt the COPD in Low- and middle-income countries (LMICs) Assessment (COLA) questionnaire into Brazilian Portuguese, a case-finding instrument for chronic obstructive pulmonary disease (COPD). METHODS: Translation and cross-cultural adaptation were completed in six steps: the original version was translated into Brazilian Portuguese by two native speakers of the target language; the translated versions were synthesized; back-translation was performed by two native speakers of the original language; the back-translation and the Brazilian Portuguese version of the COLA were reviewed and harmonized by an expert committee of specialists; and, then, the pre-final version was tested by 30 health professionals who were asked if the items were clear to understand. The acceptability, clarity, and understandability of the translated version were evaluated. A final review of the questionnaire was produced by the authors and approved by the author of the original questionnaire. RESULTS: Some idiomatic, semantic, and experiential inconsistencies were identified and properly adjusted. Item 3 was considered the most unclear item (23,3%). Items 7, 8, and 9 presented clarity above 80% (93%, 90%, and 90%, respectively). Suggestions were discussed and incorporated into the tool and COLA was found to be clear and easy to understand. CONCLUSIONS: The Brazilian version of the COLA was easily understood by healthcare professionals and adapted to Brazilian culture. Translation and cultural adaptation of the COLA instrument into Brazilian Portuguese can be an important case-finding instrument for chronic obstructive pulmonary disease in Brazil.

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Case-Finding tool for COPD in LMIC (COLA) - translation and cross-cultural adaptation into Brazilian Portuguese language

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