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DOI: 10.1590/0004-282X-ANP-2020-0273
Brazilian version of the Rivermead Post-Concussion Symptoms Questionnaire
Versão Brasileira do Questionário Rivermead de Sintomas Pós-Concussionais![](https://www.thieme-connect.de/media/10.1055-s-00054595/202105/lookinside/thumbnails/10-1590-0004-282x-anp-2020-0273_20200273-1.jpg)
ABSTRACT
Background: After a traumatic brain injury, post-concussion symptoms are commonly reported by patients. Although common, these symptoms are difficult to diagnose and recognize. To date, no instruments evaluating post-concussion symptoms have been culturally translated or adapted to the Brazilian context. Objective: To culturally adapt the Rivermead Post-Concussion Symptoms Questionnaire for use in Brazilian Portuguese. Methods: Cross-cultural adaptation was done in five steps: translation, synthesis of translations, back-translation, evaluation by two expert committees and two pretests among adults in a target population. Results: The semantic, idiomatic, cultural and experimental aspects of the adaptation were considered adequate. The content validity coefficient of the items regarding language clarity, pratical pertinence, relevance and dimensionality were considered adequate for evaluating the desired latent variable. Both pretests demonstrated that the instrument had satisfactory acceptability. Conclusion: The Brazilian version, named Questionário Rivermead de Sintomas pós Concussionais (RPQ-Br), has been adapted, and is ready for use in the Brazilian context.
RESUMO
Introdução: Após um traumatismo cranioencefálico, os sintomas pós-concussionais são comumente relatados pelos pacientes e, embora comuns, são difíceis de serem reconhecidos. Até o momento, não existem instrumentos que tenham sido traduzidos ou adaptados culturalmente para o contexto brasileiro. Objetivo: Adaptação transcultural do Rivermead Post Concussion Symptoms Questionnaire para o português do Brasil. Métodos: O processo de adaptação transcultural foi realizado em cinco etapas: tradução, síntese das traduções, retrotradução, avaliação por dois comitês de especialistas e dois pré-testes com adultos da população-alvo. Resultados: Os aspectos semânticos, idiomáticos, culturais e experimentais foram considerados adequados. Os coeficientes de validade de conteúdo dos itens quanto à clareza da linguagem, pertinência teórica, relevância prática e dimensionalidade foram considerados adequados para avaliar a variável latente desejada. Ambos os pré-testes demonstraram aceitabilidade satisfatória do instrumento. Conclusão: A versão brasileira do Questionário Rivermead de Sintomas pós Concussionais (RPQ-Br) foi traduzida e adaptada com sucesso e está pronta para ser utilizada no contexto brasileiro.
Authors’ contributions:
MMN, RELFR, MAAB, WSP and RLOA: study conception and design, data acquisition, data analysis and interpretation, drafting of manuscript, critical review. DVS, CYH and MJT: data acquisition, drafting of manuscript, critical review. All authors discussed the results and contributed to the final manuscript.
Publication History
Received: 29 June 2020
Accepted: 17 September 2020
Article published online:
07 June 2023
© 2021. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Menon DK, Schwab K, Wright DW, Maas AI, Demographics and Clinical Assessment Working Group of the International and Interagency Initiative toward Common Data Elements for Research on Traumatic Brain Injury and psychological health. Position statement: definition of traumatic brain injury. Arch Phys Med Rehabil. 2010 Nov;91(11):1637-40. https://orcid.org/10.1016/j.apmr.2010.05.017
- 2 Taylor C, Bell J, Breiding M, Xu L. Traumatic Brain Injury - Related Emergency Department Visits, Hospitalizations, and Deaths - United States, 2007 and 2013. MMWR Surveill Summ. 2017 Mar;66(9):1-16. https://orcid.org/10.15585/mmwr.ss6609a1
- 3 De Almeida CER, de Sousa Filho JL, Dourado JC, Gontijo PA, Dellaretti MA, Costa BS, et al. Traumatic brain injury epidemiology in Brazil. World Neurosurg. 2016 Mar;87:540-7. https://orcid.org/10.1016/j.wneu.2015.10.020
- 4 Laborey M, Masson F, Ribéreau-Gayon R, Zongo D, Salmi LR, Lagarde E. Specificity of postconcussion symptoms at 3 months after mild traumatic brain injury: results from a comparative cohort study. J Head Trauma Rehabil. 2014 Jan-Feb;29(1):E28-36. https://orcid.org/10.1097/HTR.0b013e318280f896
- 5 Teasdale G, Jennett B. Assessment of coma and impaired consciousness. A practical scale. Lancet. 1974 Jul;2(7872):81-4. https://orcid.org/10.1016/s0140-6736(74)91639-0
- 6 Suhr JA, Gunstad J. Postconcussive symptom report: the relative influence of head injury and depression. J Clin Exp Neuropsychol. 2002 Dec;24(8):981-93. https://orcid.org/10.1076/jcen.24.8.981.8372
- 7 Bigler ED. Neuropsychology and clinical neuroscience of persistent post-concussive syndrome. J Int Neuropsychol Soc. 2008 Jan;14(1):1-22. https://orcid.org/10.1017/S135561770808017X
- 8 Mott TF, McConnon ML, Rieger BP. Subacute to chronic mild traumatic brain injury. Am Fam Physician. 2012 Dec;86(11):1045-51.
- 9 Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine (Phila Pa 1976). 2000 Dec;25(24):3186-91. https://orcid.org/10.1097/00007632-200012150-00014
- 10 King NS, Crawford S, Wenden FJ, Moss NEG, Wade DT. The Rivermead Post Concussion Symptoms Questionnaire: a measure of symptoms commonly experienced after head injury and its reliability. J Neurol. 1995 Sep;242(9):587-92. https://orcid.org/10.1007/BF00868811
- 11 Likert R. A technique for the measurement of attitudes. Arch Psychol. 1932;22(140):55.
- 12 Waltz C, Strickland O, Lenz E. Measurement in nursing research. 2. ed. Philadelphia: FA Davis; 1991.
- 13 Alexandre NMC, Coluci MZO. Content validity in the development and adaptation processes of measurement instruments. Ciênc Saúde Coletiva. 2011 Jul;16(7):3061-8. http://dx.doi.org/10.1590/S1413-81232011000800006
- 14 Hernandez-Nieto R. Contributions to statistical analysis. Mérida: Los Andes University Press; 2002.
- 15 Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159-74.
- 16 Guillemin F, Bombardier C, Beaton D. Cross-cultural adaptation of health-related quality of life measures: literature review and proposed guidelines. J Clin Epidemiol. 1993 Dec;46(12):1417-32. https://orcid.org/10.1016/0895-4356(93)90142-n