Translation, cross-cultural adaptation, and validation of health and self-management in diabetes questionnaire (HASMID-10) into Brazilian Portuguese

Authors

Keywords:

Quality of life, Diabetes complications, Self care, Surveys and questionnaires, Measurement properties, Psychometric properties, COSMIN tools

Abstract

BACKGROUND: Considering the ability of the health and self-management in diabetes questionnaire (HASMID-10) to verify the impact of self-management on diabetes, we highlight its relevance to scientific research and clinical applicability. However, to date, no study has been conducted to scientifically support its use in other languages.
OBJECTIVE: To translate, cross-culturally adapt, and validate the HASMID-10 into the Brazilian Portuguese.
DESIGN AND SETTING: A translation, cross-cultural adaptation, and validation study conducted at Ceuma University.
METHODS: Study was conducted in accordance with the Guidelines for the Process of Cross-Cultural Adaptation of Self-Report Measures and Consensus-based Standards for the Selection of Health Measurement Instruments. We included participants of both sexes diagnosed with diabetes, aged between 18 and 64 years, and without cognitive deficits or any other limitations that would prevent them from answering the questionnaire. We assessed participants using the problem areas in diabetes (PAID) scale and HASMID-10. We assessed reliability using a test-retest model with a 7-day interval between assessments. We used intraclass
correlation coefficient (ICC), 95% confidence interval (CI), standard error of measurement (SEM), minimum detectable difference (MDD), Spearman correlation coefficient, and floor and ceiling effects.
RESULTS: Sample comprised 116 participants, most of whom were women, overweight, non-practitioners of physical activity, and nonsmokers. We observed significant correlations (P = 0.006; rho = -0.256) between the HASMID-10 and PAID, adequate reliability (ICC = 0.780) and internal consistency (Cronbach’s alpha = 0.796). No ceiling or floor effects were observed.
CONCLUSION: HASMID-10 has adequate measurement properties and may be used for Brazilians.

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Author Biographies

Aldair Darlan Santos-de-Araújo, Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil

Physiotherapist and Doctoral Student, Cardiopulmonary Physical Therapy Laboratory, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

Almir Vieira Dibai-Filho, Universidade Federal do Maranhão, São Luís, São Paulo, Brazil

PhD. Physiotherapist, Postgraduate Program in Adult Health Universidade Federal do Maranhão (UFMA), São Luís (MA), Brazil.

André Pontes-Silva, Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil

MSc. Bachelor of Physical Education, Postgraduate Program in Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos (SP), Brazil.

Adriana Sousa Rêgo, Universidade Ceuma, São Luís, Maranhão, Brazil

PhD. Physiotherapist, Postgraduate Program in Management in Health Programs and Services, Postgraduate Program in Environment, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Dalyla Lima dos Santos, Universidade Ceuma, São Luís, Maranhão, Brazil

Physiotherapist, Department of Physical Therapy, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Abraão Albino Mendes Júnior, Universidade Ceuma, São Luís, Maranhão, Brazil

Nurse, Postgraduate Program in Management of Health Programs and Services, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Fábio Henrique Ferreira Pereira, Universidade Ceuma, São Luís, Maranhão, Brazil

Physiotherapist, Postgraduate Program in Environment, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Solange Negreiros de Almeida Bacelar, Universidade Ceuma, São Luís, Maranhão, Brazil

MSc. Physiotherapist, Postgraduate Program in Dentistry, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Bárbara Emanoele Costa Oliveira, Universidade Ceuma, São Luís, Maranhão, Brazil

PhD. Dentist, Postgraduate Program in Dentistry, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Rudys Rodolfo de Jesus Tavarez, Universidade Ceuma, São Luís, Maranhão, Brazil

PhD. Dentist, Postgraduate Program in Dentistry, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

Daniela Bassi-Dibai, Universidade Ceuma, São Luís, Maranhão, Brazil

PhD. Physiotherapist, Postgraduate Programs in Management in Health Programs and Services, in
Environment, and in Dentistry, Universidade Ceuma (UNICEUMA), São Luís (MA), Brazil.

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Published

2025-03-24

How to Cite

1.
Santos-de-Araújo AD, Dibai-Filho AV, Pontes-Silva A, Rêgo AS, Santos DL dos, Mendes Júnior AA, Pereira FHF, Bacelar SN de A, Oliveira BEC, Tavarez RR de J, Bassi-Dibai D. Translation, cross-cultural adaptation, and validation of health and self-management in diabetes questionnaire (HASMID-10) into Brazilian Portuguese. Sao Paulo Med J [Internet]. 2025 Mar. 24 [cited 2026 Sep. 15];142(1):1-6. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/2983

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