Brazilian Journal of Anesthesiology
https://bjan-sba.org/article/doi/10.1016/j.bjane.2021.06.013
Brazilian Journal of Anesthesiology
Original Investigation

Cross-cultural adaptation of the painDETECT questionnaire into Brazilian Portuguese

Adaptação transcultural do questionário painDETECT para o português brasileiro

Jéssica Pinto Martins do Rio; Juliana Valentim Bittencourt; Leticia Amaral Corrêa; Rainer Freynhagen; Felipe José Jandre dos Reis; Tamiris Barbosa de Melo; Diego Galace; Leandro Alberto Calazans Nogueira

http://dx.doi.org/10.1016/j.bjane.2021.06.013 Braz J Anesthesiol, vol.72, n1, p.44-48, 2022
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Abstract

Background and objectives: Neuropathic pain is common in the general population worldwide and Brazil. The painDETECT questionnaire is a notable instrument for screening on neuropathic pain. A Brazilian version of the painDETECT is necessary to broaden the possibilities of identification of neuropathic pain in the Brazilian population for the proper diagnosis and treatment. The current study aimed to perform the translation and cross-cultural adaptation of the painDETECT into the Portuguese language of Brazil.

Methods: A cross-cultural adaptation study was conducted in 11 stages according to standard procedures. Descriptive statistics were performed. The internal consistency of the questionnaire was assessed using Cronbach’s Alpha test (a).

Results: Four translators, 10 experts, and 30 patients participated in the study. The expert committee adapted five out of nine items (item 2, 3, 6, 8, and 10) to the Brazilian context. The pretesting phase showed good internal consistency (a = 0.74) for the nine items, including the pain pattern and the body chart domains. The Cronbach’s a of the instrument with seven descriptor items of pain was 0.83.

Conclusions: The painDETECT was cross-culturally adapted into a Brazilian context and can be used to identify neuropathic components in pain of Brazilian patients.

Clinical implications: PainDETECT is available for Brazilians to identify neuropathic components in pain.

Keywords

Neuropathic pain, Rehabilitation, Validation studies, Psychometrics

Resumo

Justificativa e objetivo: Os avanços na técnica cirúrgica, no acompanhamento pós-operatório. A dor neuropática é comum na população em geral em todo o mundo
e no Brasil. O questionário painDETECT é um instrumento notável para rastreamento da dor neuropática. Uma versão brasileira do painDETECT é necessária para ampliar as possibilidades de identificação da dor neuropática na população brasileira para o diagnóstico e tratamento adequados. O presente estudo teve como objetivo realizar a tradução e adaptação transcultural do painDETECT para a língua portuguesa do Brasil. 

Métodos: Um estudo de adaptação cultural foi conduzido em 11 etapas de acordo com os procedimentos padrão. Estatísticas descritivas foram realizadas. A consistência interna do questionário foi avaliada por meio do teste Alfa de Cronbach (α). 

Resultados: Quatro tradutores, 10 especialistas e 30 pacientes participaram do estudo. O comitê de especialistas adaptou cinco dos nove itens (itens 2, 3, 6, 8 e 10) ao contexto brasileiro. A fase de pré-teste apresentou boa consistência interna (α = 0,74) para os nove itens, incluindo o padrão de dor e os domínios do gráfico corporal. O α de Cronbach do instrumento com sete itens descritores de dor foi de 0,83.

Conclusões: O painDETECT foi adaptado culturalmente para o contexto brasileiro e pode ser usado para identificar componentes neuropáticos na dor de pacientes brasileiros. Implicações clínicas: PainDETECT está disponível para que brasileiros identifiquem componentes neuropáticos na dor.

Palavras-chave

Dor neuropática, Reabilitação, Estudos de validação, Psicometria

References

1 Bouhassira D, Lantéri-Minet M, Attal N, et al. Prevalence of chronic pain with neuropathic characteristics in the general population. Pain. 2008;136:380-7.

2 Van Hecke O, Austin SK, Khan RA, et al. Neuropathic pain in the general population: a systematic review of epidemiological studies. PAIN®. 2014;155:654-62.

3 Freynhagen R, Baron R, Gockel U, et al. Pain DETECT: a new screening questionnaire to identify neuropathic components in patients with back pain. Curr Med Res Opin. 2006;2:1911-20.

4 Colloca L, Ludman T, Bouhassira D, et al. Neuropathic pain. Nat Rev Dis Prim. 2017;3:1-19.

5 Hiyama A, Katoh H, Sakai D, et al. Clinical impact of JOABPEQ mental health scores in patients with low back pain: analysis using the neuropathic pain screening tool painDETECT. J Orthop Sci. 2017;22:1009-14.

6 Freynhagen R, Tölle TR, Gockel U, et al. The painDETECT project-far more than a screening tool on neuropathic pain. Curr Med Res Opin. 2016;32:1033-57.

7 Attal N, Bouhassira D, Baron R. Diagnosis and assessment of neuropathic pain through questionnaires. Lancet Neurol [Internet]. 2018;17:456-66.

8 Wild D, Grove A, Martin M, et al. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Heal. 2005;8:94-104.

9 Murray CCJL, Abraham J, Ali MK, et al. The state of US health, 1990-2010: burden of diseases, injuries, and risk factors. JAMA - J Am Med Assoc [Internet]. 2013;310:591-608.

10 Terwee CB, Bot SDM, de Boer MR, et al. Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol. 2007;60:34-42.

11 Sung JK, Choi J, Jeong J, et al. Korean version of the painDETECT questionnaire: a study for cultural adaptation and validation. Pain Pract. 2017;17:494-504.

12 Alkan H, Ardic F, Erdogan C, et al. Turkish version of the paindetect questionnaire in the assessment of neuropathic pain: A validity and reliability study. Pain Med (United States). 2013;14:1933-43.

13 De Andrés J, Pérez-Cajaraville J, Lopez-Alarcón MD, et al. Cultural adaptation and validation of the painDETECT scale into Spanish. Clin J Pain. 2012;28:243-53.

14 Hasvik E, Haugen AJ, Grøvle L. Call for Caution in Using the Pain DETECT Questionnaire for Patient Stratifi cation Without Additional Clinical Assessments: Comment on the Article by Soni et al. Arthritis Rheumatol. 2019;71:1201-2.
 

Submitted date:
01/09/2020

Accepted date:
06/20/2021

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