Translation, adaptation, and reliability of a Social Frailty Scale for the Brazilian context
a methodological study
Keywords:
Brazil, Social support, Frailty, AgedAbstract
BACKGROUND: Frailty comprises three dimensions: physical, psychological, and social. It is established that social frailty is correlated with several variables, such as quality of life, depression, and loneliness. These findings reinforce the need to investigate and define predictors of social frailty. OBJECTIVE: To translate, culturally adapt, and assess the reliability of the HALFT scale for Brazil. DESIGN AND SETTING: Methodological study conducted at Universidade Federal de São Carlos. METHODS: This study aimed to translate and culturally adapt the HALFT scale from English to Brazilian Portuguese, for which the steps of translation, synthesis of translations, back translation, evaluation by an expert committee, pre-test, and test-retest were followed. RESULTS: Two independent translators translated the HALFT. The consensual version was established by merging the translations, which were back translated into English by a third translator. The expert committee comprised seven health professionals working in frailty and/or social fields of study. Only one item on the scale had a content validity index of less than one (0.85). The instrument was pre-tested with 35 older adults who considered it clear and understandable, with no suggestion of changes. The reliability analysis (reproducibility) of the adapted version of the HALFT with test-retest of the scale with 23 participants showed a Kappa index of 0.62, showing good agreement. CONCLUSION: The HALFT scale is translated and adapted for Brazil, and shows good reliability. However, it is necessary to conduct psychometric analysis of the instrument to provide normative data for this population.
Downloads
References
Grden CRB, Lenardt MH, Sousa JAV, et al. Associations between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community. Rev Lat Am Enfermagem. 2017;25:e2886. PMID: 28591295; https://doi.org/10.1590/1518-8345.1770.2886.
Hoogendijk EO, Afilalo J, Ensrud KE, et al. Frailty: implications for clinical practice and public health. Lancet. 2019;394(10206):1365-75. PMID: 31609228; https://doi.org/10.1016/S0140-6736(19)31786-6.
Bagueixa MAHL, Pimentel MH, Iglesias MJ. Fragilidade no idoso internado num serviço de ortopedia. Rev Port Ortop Traum. 2017;25(3):173-85. Available from: https://bibliotecadigital.ipb.pt/bitstream/10198/14883/1/Fragilidade_no_idoso_internado_num_Servi%C3%A7o_de_Ortopedia%20revista%20m%C3%B3nica%202017. pdf. Accessed in 2022 (Jun 22).
Bessa B, Ribeiro O, Coelho T. Assessing the social dimension of frailty in old age: A systematic review. Arch Gerontol Geriatr. 2018;78:101-13. PMID: 29940522; https://doi.org/10.1016/j.archger.2018.06.005.
Bunt S, Steverink N, Olthof J, van der Schans CP, Hobbelen JSM. Social frailty in older adults: a scoping review. Eur J Ageing. 2017;14(3):323-34. PMID: 28936141; https://doi.org/10.1007/s10433-017-0414-7.
Makizako H, Shimada H, Doi T, et al. Social Frailty Leads to the Development of Physical Frailty among Physically Non-Frail Adults: A Four-Year Follow-Up Longitudinal Cohort Study. Int J Environ Res Public Health. 2018;15(3):490. PMID: 29534470; https://doi.org/10.3390/ijerph15030490.
Bessa BML. A Fragilidade Social Um contributo para a compreensão da Síndrome de Fragilidade em pessoas idosas. Thesis [master’s thesis in Social Gerontology]. Portugal: Instituto Superior de Serviço Social do Porto; 2016. Available from: http://hdl.handle.net/10400.26/18685. Accessed in 2022 (Jun 22).
Ma L, Sun F, Tang Z. Social Frailty is Associated with Physical Functioning, Cognition, and Depression, and Predicts Mortality. J Nutr Health Aging. 2018;22(8):989-95. PMID: 30272104; https://doi.org/10.1007/s12603-018-1054-0.
Polit DF, Beck CT, Hungler BP. Fundamentos de Pesquisa em enfermagem: métodos, avaliação e utilização. 7a ed. Porto Alegre: Artmed; 2011.
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):3186-91. PMID: 11124735; https://doi.org/10.1097/00007632-200012150-00014.
Silva FPS. Avaliação dos hábitos de vida segundo a Assessment of Life Habits (LIFE-H): adaptação cultural e valores normativos para crianças brasileiras. Thesis [PhD in Physiotherapy]. São Carlos: UFSCar; 2016. Available from: https://repositorio.ufscar.br/handle/ufscar/7637. Accessed in 2022 (Jun 22).
Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382-5. PMID: 3640358.
Landis JR, Koch GG. An application of hierarchical kappa-type statistics in the assessment of majority agreement among multiple observers. Biometrics. 1977;33(2):363-74. PMID: 884196.
Andrew MK, Dupuis-Blanchard S, Maxwell C, et al. Social and societal implications of frailty, including impact on Canadian healthcare systems. J Frailty Aging. 2018;7(4):217-23. PMID: 30298169; https://doi.org/10.14283/jfa.2018.30.
Checa-López M, Oviedo-Briones M, Pardo-Gómez A, et al. FRAILTOOLS study protocol: a comprehensive validation of frailty assessment tools to screen and diagnose frailty in different clinical and social settings and to provide instruments for integrated care in older adults. BMC Geriatr. 2019;19(1):86. PMID: 30885132; https://doi.org/10.1186/s12877-019-1042-1.
Fiorin BH, Oliveira ERA, Moreira RSL, Luna Filho B. Adaptação transcultural do Myocardial Infarction Dimensional Assessment Scale (MIDAS) para a língua portuguesa brasileira [Cross-cultural adaptation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS) to the Brazilian Portuguese language]. Cien Saude Colet. 2018;23(3):785-93. PMID: 29538559; https://doi.org/10.1590/1413-81232018233.08332017.
Lino CRM, Brüggemann OM, Souza ML, Barbosa SFF, Santos EKA. Adaptação transcultural de instrumentos de pesquisa conduzida pela enfermagem do brasil: uma revisão integrativa. Texto Contexto Enferm. 2017;26(4):e1730017. https://doi.org/10.1590/0104-07072017001730017.
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):1417-32. PMID: 8263569; https://doi.org/10.1016/0895-4356(93)90142-n.
Coluci MZ, Alexandre NM, Milani D. Construção de instrumentos de medida na área da saúde [Construction of measurement instruments in the area of health]. Cien Saude Colet. 2015;20(3):925-36. PMID: 25760132; https://doi.org/10.1590/1413-81232015203.04332013.
Tagliaferro EPS, Ridolfi LML, Matos M, et al. Tradução e adaptação brasileira do questionário “Assessment of caries diagnosis and caries treatment”. Arq Odontol, Belo Horizonte. 2017;53:e13. Available from: https://periodicos.ufmg.br/index.php/arquivosemodontologia/article/view/3743. Accessed in 2022 (Jun 22)
Ferreira JES, Veiga GV. Confiabilidade (teste-reteste) de um questionário simplificado para triagem de adolescentes com comportamentos de risco para transtornos alimentares em estudos epidemiológicos. Rev Bras Epidemiol. 2008;11(3):393-401. https://doi.org/10.1590/S1415-790X2008000300006.
Mokkink LB, Terwee CB, Patrick DL, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Qual Life Res. 2010;19(4):539-49. PMID: 20169472; https://doi.org/10.1007/s11136-010-9606-8.
