Download PDF
CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2021; 79(12): 1-8
DOI: 10.1590/0004-282X-ANP-2020-0396
Articles

Cross-cultural adaptation of the Activities of Daily Living Questionnaire-Brazil in Parkinson’s disease

Adaptação Transcultural do Questionário de Atividades de Vida Diária-Brasil para doença de Parkinson
Walter Luis Teixeira ALVES 
1   Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Neurociências, Belo Horizonte MG, Brazil.
,
Iza de FARIA-FORTINI 
2   Universidade Federal de Minas Gerais, Departamento de Terapia Ocupacional, Belo Horizonte MG, Brazil.
,
Ana Carolina Daher Ribas GALVÃO 
1   Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Neurociências, Belo Horizonte MG, Brazil.
,
Francisco Eduardo Costa CARDOSO 
3   Universidade Federal de Minas Gerais, Faculdade de Medicina, Unidade de Distúrbios do Movimento, Belo Horizonte MG, Brazil.
,
Paula Luciana SCALZO 
1   Universidade Federal de Minas Gerais, Programa de Pós-Graduação em Neurociências, Belo Horizonte MG, Brazil.
4   Universidade Federal de Minas Gerais, Instituto de Ciências Biológicas, Departamento de Morfologia, Belo Horizonte MG, Brazil.
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

ABSTRACT

Background: Culturally adapted measures to assess the performance of activities of daily living (ADL) in individuals with Parkinson’s disease (PD) are limited in Brazil. Objective: To adapt the ADL Questionnaire to the Brazilian culture and to analyze its reproducibility in individuals with PD. Methods: The ADL Questionnaire was translated and cross-culturally adapted to Brazilian Portuguese language. Reproducibility was analyzed using test-retest reliability and agreement values. The test-retest reliability of the individual items and total scores were calculated. The limits of agreement were verified using the Bland-Altman plot. The standard error of measurement (SEM) and the minimum detectable change (MDC) were calculated. Patients who were classified on a score of 1–4 on the modified Hoehn and Yahr scale were eligible. Results: No divergence was identified between the original and the adapted version, which demonstrated adequate semantic and conceptual equivalence. The Bland-Altman plot showed no systematic changes in the mean test-retest scores. The intraclass correlation coefficient (ICC) was 0.98 (95% confidence interval [95%CI] 0.93–0.99), and all individual items showed good levels of reliability (>0.60). The SEM (SEM%) and MDC (MDC%) values were 3.0 (6.75%) and 8.2 (18.7%), respectively. These values are within the recommended values. Conclusions: The ADL-Brazil Questionnaire is a reliable instrument to be used for clinical and research purposes to assess self-perceptions of ADL performance in individuals with PD.

RESUMO

Antecedentes: Medidas adaptadas transculturalmente para avaliar o desempenho nas atividades de vida diária (AVD) em indivíduos com doença de Parkinson (DP) são limitadas no Brasil. Objetivo: Adaptar transculturalmente o Questionário AVD e analisar sua reprodutibilidade em indivíduos com DP. Métodos: O Questionário AVD foi traduzido e adaptado transculturalmente para o português do Brasil. A reprodutibilidade foi analisada usando a confiabilidade teste-reteste e os valores de concordância. A confiabilidade dos itens individuais e as pontuações totais foram calculadas. Os limites de concordância foram verificados usando o gráfico Bland-Altman. O erro padrão da medida (EPM) e a diferença mínima detectável (DMD) foram calculadas. Pacientes classificados nos estágios 1–4 da escala de Hoehn e Yahr foram elegíveis. Resultados: Não foi identificada divergência entre a versão original e a versão adaptada, que demonstrou equivalência semântica e conceitual adequada. O gráfico Bland-Altman não mostrou mudanças sistemáticas nas pontuações médias do teste-reteste. O coeficiente de correlação intraclasse (CCI) foi de 0,98 (intervalo de confiança de 95% [IC95%] 0,93–0,99) e todos os itens individuais apresentaram bons níveis de confiabilidade (>0,60). Os valores do EPM (EPM%) e DMD (DMD%) foram 3,0 (6,75%) e 8,2 (18,7%), respectivamente. Esses valores estão em conformidade com os valores recomendados. Conclusões: O Questionário AVD-Brasil é um instrumento confiável para uso clínico e de pesquisa para avaliar a autopercepção do desempenho nas AVD em indivíduos com DP.

Keywords:

Parkinson Disease - Activities of Daily Living - Reproducibility of Results

Palavras-chave:

Doença de Parkinson - Atividades Cotidianas - Reprodutibilidade dos Testes

Authors’ contributions:

IFF, PLS: conceived the presented idea and supervised the findings of this work; WLT: collected the data; ACDRG, FECC: contributed with data analysis; IFF, PLS, WLT: conceived and designed the analysis, performed the analysis and wrote the paper.




Publication History

Received: 19 August 2020

Accepted: 14 February 2021

Article published online:
07 June 2023

© 2021. 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/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Gazewood JD, Richards DR, Cleback K. Parkinson disease: an update. Am Fam Physician. 2013 Feb;87(4):267-73.
  • 2 Tan D, Danoudis M, McGinley J, Morris ME. Relationships between motor aspects of gait impairments and activity limitations in people with Parkinson’s disease: A systematic review. Parkinsonism Relat Disord. 2012 Feb;18(2):117-24. https://doi.org/10.1016/j.parkreldis.2011.07.014
  • 3 Proud EL, Bilney B, Miller KJ, Morris ME, McGinley JL. Measuring hand dexterity in people with Parkinson’s disease: reliability of pegboard tests. Am J Occup Ther. 2019 Jul/Aug;73(4):7304205050p1-7304205050p8. https://doi.org/10.5014/ajot.2019.031112
  • 4 Pashmdarfard M, Azad A. Assessment tools to evaluate Activities of Daily Living (ADL) and Instrumental Activities of Daily Living (IADL) in older adults: a systematic review. Med J Islam Repub Iran. 2020 Apr;34:33. https://doi.org/10.34171/mjiri.34.33
  • 5 Soh SE, MacGinley JL, Watts JJ, Iansek R, Murphy A, Menz H, et al. Determinants of health-related quality of life in people with Parkinson’s disease: a path analysis. Qual Life Res. 2013 Sep;22(7):1543-53. https://doi.org/10.1007/s11136-012-0289-1
  • 6 Rosqvist K, Hagell P, Odin P, Ekstrom H, Iwarsson S, Nilsson MH. Factors associated with life satisfaction in Parkinson’s disease. Acta Neurol Scand. 2017 Jul;136(1):64-71. https://doi.org/10.1111/ane.12695
  • 7 Domingos J, Coelho M, Ferreira JJ. Referral to rehabilitation in Parkinson’s disease: who, when and to what end? Arq Neuro-Psiquiatr. 2013 Dec;71(12):967-72. https://doi.org/10.1590/0004-282X20130209 
  • 8 Shulman LM, Armstrong M, Ellis T, Gruber-Baldini A, Horak F, Nieuwboer A, et al. Disability rating scales in Parkinson’s disease: critique and recommendations. Mov Disord. 2016 Oct;31(10):1455-65. https://doi.org/10.1002/mds.26649
  • 9 Raggi A, Leonardi M, Ajovalasit D, Carella F, Soliveri P, Albanese A, et al. Disability and profiles of functioning of patients with Parkinson’s disease described with ICF classification. Int J Rehabil Res. 2011 Jun;34(2):141-50. https://doi.org/10.1097/MRR.0b013e328344ae09
  • 10 Nickel R, Pinto LM, Lima AP, Navarro EJ, Teive HAG, Becker N, et al. Descriptive study of occupational performance of subjects with Parkinson’s disease: the use of ICF as a tool for the classification of activity and participation. Acta Fisiatr. 2010;17(1):13-7.
  • 11 Movement Disorder Society Task Force on Rating Scales for Parkinson’s Disease. The Unified Parkinson’s Disease Rating Scale (UPDRS): status and recommendations. Mov Disord. 2003 Jul;18(7):738-50. https://doi.org/10.1002/mds.10473
  • 12 Goetz CG, Tilley BC, Shaftman SR, et al. Movement Disorder Society-sponsored revision of the Unified Parkinson’s Disease Rating Scale (MDS-UPDRS): scale presentation and clinimetric testing results. Mov Disord. 2008 Nov;23(15):2129-70. https://doi.org/10.1002/mds.22340
  • 13 Hobson JP, Edwards NI, Meara RJ. The Parkinson’s Disease Activities of Daily Living Scale: a new simple and brief subjective measure of disability in Parkinson’s disease. Clin Rehabil. 2001 Jun;15(3):241-6. https://doi.org/10.1191/026921501666767060
  • 14 Maitra KK, Erway F. Perception of client-centered practice in occupational therapists and their clients. Am J Occup Ther. 2006 May-Jun;60(3):298-310. https://doi.org/10.5014/ajot.60.3.298
  • 15 Lee SY, Kim SK, Cheon SM, Seo JW, Kim MA, Kim JW. Activities of daily living questionnaire from patients’ perspectives in Parkinson’s disease: a cross-sectional study. BMC Neurol. 2016 May;16:73. https://doi.org/10.1186/s12883-016-0600-9
  • 16 Coster WJ, Mancini MC. Recommendations for translation and cross-cultural adaptation of instruments for occupational therapy research and practice. Rev Ter Ocup Univ São Paulo. 2015 Apr;26(1):50-7. https://doi.org/10.11606/issn.2238-6149.v26i1p50-57
  • 17 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 Dec;25(24):3186-91. https://doi.org/10.1097/00007632-200012150-00014
  • 18 Wild D, Grove A, Martin M, Eremenco S, McElroy S, Verjee-Lorenz A, 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 Health. 2005 Mar-Apr;8(2):94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
  • 19 Gándara-Gafo B, Riego SS, Viana-Moldes I, Muñiz J. Cultural adaptation of the Adolescent/Adult Sensory Profile for Spain. Am J Occup Ther. 2019 Nov/Dec;73(6):7306205070p1-7306205070p9. https://doi.org/10.5014/ajot.2019.031815
  • 20 Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, et al. The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol. 2010 Mar;10:22. https://doi.org/10.1186/1471-2288-10-22
  • 21 Portney LG, Watkins MP. Foundations of clinical research: applications to practice. 3rd ed. New Jersey: Prentice Hall; 2008.
  • 22 Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry. 1992 Mar;55(3):181-4. https://doi.org/10.1136/jnnp.55.3.181
  • 23 Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967 May;17(5):427-42. https://doi.org/10.1212/wnl.17.5.427
  • 24 Brucki SM, Nitrini R, Caramelli P, Bertolucci PHF, Okamoto IH. Suggestions for utilization of the mini-mental state examination in Brazil. Arq Neuro-Psiquiatr. 2003 Sep;61(3B):777-81. https://doi.org/10.1590/S0004-282X2003000500014
  • 25 Fahn S, Elton R L, UPDRS Program Members. Unified Parkinson’s disease rating scale. In: Fahn S, Marsden CD, Goldstein M, Calne DB, editors. Recent developments in Parkinson’s disease. v. 2. New Jersey: Macmillan Healthcare Information; 1987. p. 153-163.
  • 26 De Vet HCW, Terwee CB, Mokkink CB, Knol DL. Measurement in Medicine: A Practical Guide (Practical Guides to Biostatistics and Epidemiology). Cambridge: Cambridge University Press; 2011.
  • 27 Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977 Mar;33(1):159-74.
  • 28 Munro BH. Statistical methods for health care research. 5th ed. Philadelphia: Lippincott, Williams & Wilkins; 2005.
  • 29 De Vet HCW, Terwee CB, Knol DL, Bouter L. When to use agreement versus reliability measures. J Clin Epidemiol. 2006 Oct;59(10):1033-9. https://doi.org/10.1016/j.jclinepi.2005.10.015
  • 30 Nilsson GM, Eneroth M, Ekdahl CS. The Swedish version of OMAS is a reliable and valid outcome measure for patients with ankle fractures. BMC Musculoskelet Disord. 2013;14:109. https://doi.org/10.1186/1471-2474-14-109
  • 31 Ostelo RWG, de Vet HCW, Knol DL, van den Brandt PA. 24-item Roland-Morris Disability Questionnaire was preferred out of six functional status questionnaires for post-lumbar disc surgery. J Clin Epidemiol. 2004 Mar;57(3):268-76. https://doi.org/10.1016/j.jclinepi.2003.09.005
  • 32 Chen HM, Chen CC, Hsueh IP, Huang SL, Hsieh CL. Test-retest reproducibility and smallest real difference of 5 hand function tests in patients with stroke. Neurorehabil Neural Repair. 2009 Jun;23(5):435-40. https://doi.org/10.1177/1545968308331146
  • 33 Rodriguez-Blazquez C, Rojo-Abuin JM, Alvarez-Sanchez M, Arakaki T, Begareche Yarza A, Chade A, et al. The MDS-UPDRS Part II (motor experiences of daily living) resulted useful for assessment of disability in Parkinson’s disease. Parkinsonism Relat Disord. 2013 Oct;19(10):889-93. https://doi.org/10.1016/j.parkreldis.2013.05.017
  • 34 Avelino PR, Faria-Fortini I, Basílio ML, Menezes K, Magalhães LC, Teixeira-Salmella LF. Cross-cultural adaptation of the ABILOCO: a measure of locomotion ability for individuals with stroke. Acta Fisiatr. 2016 Jan;23(4):161-5. https://doi.org/10.5935/0104-7795.20160031
  • 35 Basílio ML, Faria-Fortini I, Assumpção FSN, de Carvalho AC, Teixeira-Salmela LF. Cross-cultural adaptation of the ABILHAND Questionnaire, specific for individuals after stroke. Rev Ter Ocup Univ São Paulo. 2017 Jan/Apr;28(1):19-26. https://doi.org/10.11606/issn.2238-6149.v28i1p19-26
  • 36 Faria-Fortini I, Basílio ML, Assumpção FSN, Teixeira-Salmela LF. Cross-cultural adaptation and reproducibility of the Measure of the Quality of the Environment in individuals with hemiparesis. Rev Ter Ocup Univ São Paulo. 2016 Jul;27(1):42-51. https://doi.org/10.11606/issn.2238-6149.v27i1p42-51
  • 37 Ekstrand E, Lindgren I, Lexell J, Brogardh C. Test-retest reliability of the ABILHAND questionnaire in persons with chronic stroke. PM R. 2014 Apr;6(4):324-31. https://doi.org/10.1016/j.pmrj.2013.09.015
  • 38 Lima A, Catelli Junior R. INAF Brasil 2018: Resultados Preliminares [cited 2018 Aug 09]. Available at: https://alfabetismofuncional.org.br/
  • 39 Overend TJ, Wuori-Fearn JL, Kramer JF, MacDermid JC. Reliability of a patient-rated forearm evaluation questionnaire for patients with lateral epicondylitis. J Hand Ther. 1999 Jan-Mar;12(1):31-37. https://doi.org/10.1016/j.jht.2019.08.004