Cross-cultural adaptation and content validation into Portuguese of the Subjective Global Nutritional Assessment for pediatric patients hospitalized with cancer
Keywords:
Cross-cultural comparison, Neoplasms, Nutrition assessment, PediatricsAbstract
Objective
Cross-cultural adaptation and content validation of the Brazilian Portuguese version of the Subjective Global Nutritional Assessment questionnaire (originally in English) for use in hospitalized children and adolescents being treated in a reference institute of oncology.
Methods
The cross-cultural adaptation process consisted of the following stages: conceptual, item, semantic, and operational equivalence. The conceptual equivalence and item was carried out through discussion with members of an expert committee. Semantic equivalence was evaluated through initial translation, synthesis of translations, back translation, discussions with experts, and pretest with 32 patients. During operational equivalence, the experts discussed about the format of questions and instructions, setting, target populations, and mode of administration to later propose a final version. Content validation was performed by the expert committee.
Results
Minor modifications were made in the instrument to facilitate its use in the Brazilian socio-cultural context. Pretest results showed that the instrument is easily understood by health care professionals and the target population.
Conclusion
The cross-cultural adaptation and validation of the Subjective Global Nutritional Assessment allowed obtaining a Brazilian version equivalent to the original. The adapted instrument will be an important tool for the subjective assessment of the nutritional status of pediatric patients hospitalized with cancer.
References
Instituto Nacional de Câncer. Câncer na criança e no adolescente no Brasil: dados dos registros de base populacional e de mortalidade. Rio de Janeiro: INCA; 2008.
Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2014: incidência de câncer no Brasil. Rio de Janeiro: INCA; 2014.
Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin. 2014;64(2):83-103. https://doi.org/10.3322/caac.21219
Mosby TT, Barr RD, Pencharz PB. Nutritional assessment of children with cancer. J Pediatr Oncol Nurs. 2009;26(4):186-97. https://doi.org/10.1177/1043454209340326
Co-Reyes E, Li R, Huh W, Chandra J. Malnutrition and obesity in pediatric oncology patients: Causes, consequences, and interventions. Pediatr Blood Cancer. 2012;59(7):1160-7. https://doi.org/10.1002/pbc.24272
Brinksma A, Roodbol PF, Sulkers E, Kamps WA, Bont ESJM, Boot AM, et al. Changes in nutritional status in childhood cancer patients: A prospective cohort study. Clin Nutr. 2015;34(1):66-73. https://doi.org/10.1016/j.clnu.2014.01.013
Sala A, Rossi E, Antillon F, Molina AL, Maselli T, Bonilla M, et al. Nutritional status at diagnosis is related to clinical outcomes in children and adolescents with cancer: A perspective from Central America. Eur J Cancer. 2012;48(2):243-52. https://doi.org/10.1016/j.ejca.2011.06.006
Joosten KFM, Hulst JM. Prevalence of malnutrition in pediatric hospital patients. Curr Opin Pediatr. 2008;20(5):590-6. https://doi.org/10.1097/MOP.0b013e32830c6ede
Secker DJ, Jeejeebhoy KN. Subjective Global Nutritional Assessment for children. Am J Clin Nutr. 2007;85(4):1083-9.
Secker DJ, Jeejeebhoy KN. How to perform Subjective Global Nutritional assessment in children. J Acad Nutr Diet. 2012;112(3):424-31.e6. https://doi.org/10.1016/j.jada.2011.08.039
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91.
Reichenheim ME, Moraes CL. Operacionalização de adaptação transcultural de instrumentos de aferição usados em epidemiologia. Rev Saúde Pública. 2007;41(4):665-73. https://doi.org/10.1590/S0034-89102006005000035
Monteiro GTR, Hora HRM. Pesquisa em saúde pública: como desenvolver e validar instrumentos de coleta de dados. Curitiba: Appris; 2013.
Saraiva DCA, Afonso WV, Pinho NB, Peres WAF, Padilha PC. Equivalência semântica do Questionário Pediatric Subjective Global Nutritional Assessment para triagem nutricional em pacientes pediátricos com câncer. Rev Nutr. 2016;29(2):211-27. https://doi.org/10.1590/1678-98652016000200006
Reichenheim ME, Moraes CL, Hasselmann MH. Equivalência semântica da versão em português do instrumento Abuse Assessment Screen para rastrear a violência contra a mulher grávida. Rev Saúde Pública. 2000;34(6):610-6. https://doi.org/10.1590/S0034-89102000000600008
Crocker L, Algina J. Introduction to classical and modern test theory. Boston: Cengage Learning; 2006.
World Health Organization. WHO Child Growth Standards: Methods and development. Geneva: WHO; 2006.
Ladas EJ, Sacks N, Meacham L, Henry D, Enriquez L, Lowry G, et al. A multidisciplinary review of nutrition considerations in the pediatric oncology population: A perspective from children’s oncology group. Nutr Clin Pract. 2005;20(4):377-93. https://doi.org/10.1177/0115426505020004377
Kondrup J. ESPEN Guidelines for Nutrition Screening 2002. Clin Nutr. 2003;22(4):415-21.
Aires MT, Werneck GL. Tradução e adaptação cultural para o português do instrumento “The Bowel Disease Questionnaire”, utilizado para a avaliação de doenças gastrointestinais funcionais. Arq Gastroenterol. 2006;43(2):138-53. https://doi.org/10.1590/S0004-28032006000200015
Luz LL, Santiago LM, Silva JFS, Mattos IE. Primeira etapa da adaptação transcultural do instrumento The Vulnerable Elders Survey (VES-13) para o Português. Cad Saúde Pública. 2013;29(3):621-8. https://doi.org/10.1590/S0102-311X201300070001922. Teitelbaum D, Guenter P, Howell WH, Kochevar ME, Roth J, Seidner DL. Definition of terms, style, and conventions used in A.S.P.E.N. guidelines and standards. Nutr Clin Pract. 2005;20(2):281-5. https://doi.org/10.1177/0115426505020002281
Sermet-Gaudelus I, Poisson-Salomon AS, Colomb V, Brusset MC, Mosser F, Berrier F, et al. Simple pediatric nutritional risk score to identify children at risk of malnutrition. Am J Clin Nutr. 2000;72(1):64-70.
McCarthy H, McNulty H, Dixon M, Eaton-Evans MJ. Screening for nutrition risk in children: The validation of a new tool. J Hum Nutr Diet. 2008;21(4):395-6. https://doi.org/10.1111/j.1365-277X.2008.00881_31.x
Gerasimidis K, Keane O, MacLeod I, Flynn DM, Wright CM. A four-stage evaluation of the Paediatric Yorkhill Malnutrition Score in a tertiary paediatric hospital and a district general hospital. Br J Nutr. 2010;104(05):751-6. https://doi.org/10.1017/S0007114510001121
Hulst JM, Zwart H, Hop WC, Joosten KFM. Dutch national survey to test the STRONGkids nutritional risk screening tool in hospitalized children. Clin Nutr. 2010;29(1):106-11. https://doi.org/10.1016/j.clnu.2009.07.006
White M, Lawson K, Ramsey R, Dennis N, Hutchinson Z, Soh XY, et al. A simple nutrition screening tool for pediatric inpatients. J Parenter Enteral Nutr. 2016;40(3):392-8. https://doi.org/10.1177/0148607114544321
Guillemin F, Bombardier C, Beaton D. Crosscultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-32. https://doi.org/10.1016/0895-4356(93)90142-N
Vermilyea S, Slicker J, El-Chammas K, Sultan M, Dasgupta M, Hoffmann RG, et al. Subjective global nutritional assessment in critically ill children. J Parenter Enteral Nutr. 2013;37(5):659-66. https://doi.org/10.1177/0148607112452000
Carniel MP, Santetti D, Andrade JS, Favero BP, Moschen T, Campos PA, et al. Validation of a subjective global assessment questionnaire for children and adolescents for use in Brazil. J Pediatr. 2015;91(6):596-602. https://doi.org/10.1016/j.jped.2015.03.005
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Copyright (c) 2023 Danúbia da Cunha Antunes SARAIVA, Wanélia Vieira AFONSO, Nivaldo Barroso de PINHO, Wilza Arantes Ferreira PERES, Patricia de Carvalho PADILHA
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