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DOI: 10.1590/0004-282X-ANP-2021-0275
Translation and adaptation of the sleep apnea quality of life index (SAQLI) to Brazilian Portuguese
Tradução e adaptação cultural do questionário de qualidade de vida (SAQLI) para o português brasileiro
ABSTRACT
Background Obstructive sleep apnea syndrome (OSAS) is characterized by episodes of upper airway obstruction during sleep, with a risk of cardiovascular and cerebrovascular diseases. There is no tool in Brazil to measure the impact of treatment on patients with OSAS. Objective To translate and culturally adapt the Sleep Apnea Quality of Life Index (SAQLI) into Brazilian Portuguese. Methods The translation and cultural adaptation were carried out in five steps: translation, synthesis of the translations, back translation, review committee and pretesting. Results A version of a culturally compatible SAQLI was constructed after lexical changes, along with changes to the sentence structures, visual format, instructions and cards. The essence of the questionnaire and its social, emotional, and disease impact in treatment measures was maintained, with 80% understanding. Conclusions The questionnaire was translated and adapted culturally to Brazilian Portuguese, and presented good comprehension in the study population.
RESUMO
Antecedentes A síndrome da apneia obstrutiva do sono (SAOS) é caracterizada por episódios de obstrução da via aérea superior durante o sono, com risco para doenças cardiovasculares e cerebrovasculares. Não há ferramenta no Brasil para medir o impacto do tratamento em pacientes com SAOS. Objetivo Traduzir e adaptar culturalmente o Índice de Qualidade de Vida em Apneia do Sono (SAQLI) para o português brasileiro. Métodos A tradução e adaptação cultural foram realizadas em cinco etapas: tradução, síntese das traduções, retrotradução, comitê de revisão e pré-teste. Resultados Uma versão de SAQLI culturalmente compatível foi construída após mudanças lexicais, bem como mudanças nas estruturas das frases, formato visual, instruções e cartões, mantendo a essência do questionário e seu impacto social, emocional e da doença nas medidas de tratamento, com 80% de compreensão. Conclusões O questionário foi traduzido e adaptado culturalmente para o português brasileiro apresentando bom índice de compreensão na população estudada.
Authors’ contributions:
APFP: conception, planning, acquisition of patients and/or data, interpretation of the results and preparation of the manuscript; VRF: planning; LFP, MAM, GFP, LBCC: review committee; GFP, LBCC: conception, planning.
Support
CAPES, São Paulo SP, Brazil.
Publication History
Received: 24 August 2021
Accepted: 02 October 2021
Article published online:
06 February 2023
© 2022. 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 Kryger M, Thomas R, Dement W C. Principles and practice of sleep medicine. 6. Philadelphia (PA): Elsevier; 2017. 1785.
- 2 Tufik S, Santos-Silva R, Taddei JA, Bittencourt LRA. Obstructive sleep apnea syndrome in the São Paulo epidemiologic sleep study. Sleep Med 2010; 11 (05) 441-446 https://doi.org/10.1016/j.sleep.2009.10.005
- 3 Peppard PE, Young T, Barnet JH, Palta M, Hagen EW, Hla KM. Increased prevalence of sleep-disordered breathing in adults. Am J Epidemiol 2013; 177 (09) 1006-1014 https://doi.org/10.1093/aje/kws342
- 4 Sakamoto SY, Porto-Sousa F, Salles C. Prevalence of obstructive sleep apnea in shift workers: a systematic review. Ciênc Saúde Colet 2018; 23 (10) 3381-3392 https://doi.org/10.1590/1413-812320182310.21362018
- 5 Terán-Santos J, Jiménez-Gómez A, Cordero-Guevara J. The association between sleep apnea and the risk of traffic accidents. Cooperative Group Burgos-Santander. N Engl J Med 1999; 340 (11) 847-851 https://doi.org/10.1056/NEJM199903183401104
- 6 Jenkinson C, Stradling J, Petersen S. Comparison of three measures of quality of life outcome in the evaluation of continuous positive airways pressure therapy for sleep apnea. J Sleep Res 1997; 6 (03) 199-204 https://doi.org/10.1046/j.1365-2869.1997.00043.x
- 7 Gonçalves MA, Paiva T, Ramos E, Guilleminault C.. Obstructive sleep apnea syndrome, sleepiness, and quality of life. Chest 2004; 125 (06) P2091-P2096 https://doi.org/10.1378/chest.125.6.2091
- 8 Diaféria G, Badke L, Santos-Silva R, Bommarito S, Tufik S, Bittencourt L.. Effect of speech therapy as adjunct treatment to continuous positive airway pressure on the quality of life of patients with obstructive sleep apnea. Sleep Med 2013; 14 (07) 628-635 https://doi.org/10.1016/j.sleep.2013.03.016
- 9 Diaféria GLA.. Phonoaudiological therapy as adjunct treatment with the use of continuous positive airway pressure in patients with obstructive sleep apnea syndrome [tesis]. São Paulo, SP: Universidade Federal de São Paulo; 2012 155.
- 10 Flemons WW, Reimer MA. Development of a disease-specific health-related quality of life questionnaire for sleep apnea. Am J Respir Crit Care Med 1998; 158 (02) 494-503 https://doi.org/10.1164/ajrccm.158.2.9712036
- 11 Park P, Kim J, Song YJ, Lim JH, Cho SW, Won TB. et al. Influencing factors on CPAP adherence and anatomic characteristics of upper airway in OSA subjects. Medicine (Baltimore) 2017; 96 (51) e8818 https://doi.org/10.1097/MD.20210275202102758818
- 12 Moyer CA, Sonnad SS, Garetz SL, Helman JI, Chervin RD. Quality of life in obstructive sleep apnea: a systematic review of the literature. Sleep Med 2001; 2 (06) 477-491 https://doi.org/10.1016/S1389-9457(01)00072-7
- 13 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; 25 (24) 3186-3191 https://doi.org/10.1097/00007632-200012150-00014
- 14 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; 46 (12) P1417-P1432 https://doi.org/10.1016/0895-4356(93)90142-n
- 15 Kageyama ERO. Validação da Versão para Língua Portuguesa do Functional Measure for Amputees Questionnaire (FMA) [tesis]. São Paulo, SP: Universidade de São Paulo; 2007 105.
- 16 Silva GE, Goodwin JL, Vana KD, Quan SF. Obstructive sleep apnea and quality of life: comparison of the SAQLI, FOSQ, and SF-36 questionnaires. Southwest J Pulm Crit Care 2016; 13 (03) 137-149 https://doi.org/10.13175/swjpcc082-16
- 17 Rahavi-Ezabadi S, Amali A, Sadeghniiat-Haghighi K, Montazeri A, Nedjat S. Translation, cultural adaptation, and validation of the Sleep Apnea Quality of Life Index (SAQLI) in Persian-speaking patients with obstructive sleep apnea. Sleep Breath 2016; 20 (02) 523-528 https://doi.org/10.1007/s11325-015-1228-5
- 18 Billings ME, Rosen CL, Auckley D, Benca R, Foldvary-Schaefer N, Iber C. et al. Psychometric performance and responsiveness of the functional outcomes of sleep questionnaire and sleep apnea quality of life instrument in a randomized trial: the HomePAP study. Sleep 2014; 37 (12) 2017-2024 https://doi.org/10.5665/sleep.4262
- 19 Jang H-U, Park K-S, Cheon S-M, Lee H-W, Kim S-W, Lee S-H. et al. Development of the korean version of the sleep apnea quality of life index. Clin Exp Otorhinolaryngol 2014; 7 (01) 24-29 https://doi.org/10.3342/ceo.2014.7.1.24
- 20 Dutt N, Janmeja AK, Mohapatra PR, Singh AK. Quality of life impairment in patients of obstructive sleep apnea and its relation with the severity of disease. Lung India 2013; 30 (04) 289-294 https://doi.org/10.4103/0970-2113.120603
- 21 Saddki N, Mohamad H, Yusof NIM, Mohamad D, Mokhtar N, Bakar WZW. Validity and reliability of the Malay version of Sleep Apnea Quality of Life Index--preliminary results. Health Qual Life Outcomes 2013; 11: 100 https://doi.org/10.1186/1477-7525-11-100
- 22 Kobayashi M, Kobayashi M, Suwa H, Matsushima E. The validity and usefulness of the Japanese version of the Calgary sleep apnea quality of life index in patients with obstructive sleep apnea hypopnea syndrome. Intern Med 2013; 52 (03) 309-315 https://doi.org/10.2169/internalmedicine.52.8873
- 23 Lacasse Y, Godbout C, Sériès F. Independent validation of the sleep apnoea quality of life index. Thorax 2002; 57 (06) 483-488 https://doi.org/10.1136/thorax.57.6.483
- 24 Jones PW. Testing health status ("quality of life") questionnaires for asthma and COPD. Eur Respir J 1998; 11 (01) 5-6 https://doi.org/10.1183/09031936.98.11010005