Translation into Portuguese and cross-cultural adaptation for use in Brazil of the Canadian survey of mobilization of ICU patients

Authors

DOI:

https://doi.org/10.1590/1809-2950/20024728022021

Keywords:

Intensive Care Units, Patient Care Team, Early Ambulation, Translations, Survey and Questionnaires

Abstract

This study aimed to translate and culturally adapt the “Canadian survey of mobilization of intensive care unit patients” questionnaire to Brazilian Portuguese. This instrument evaluates intensive care unit (ICU) professionals’
knowledge about early mobilization and its importance, their perceptions about barriers and rehabilitation practices with critically ill patients. The protocol includes the following steps: authorization and assignment of rights of use; translation of the instrument into Portuguese; reconciliation; back-translation to the original language; revision and harmonization of back-translation; approval from the main author of the original questionnaire; revision of the Portuguese version; cognitive debriefing; reconciliation; and preparation of the final version. Due to some conceptual and cultural differences between the two countries, some questions were discussed with the author of the original instrument, who agreed with the suggested  alterations. During cognitive debriefing, the 10 selected professionals tested the  questionnaire’s clarity, understanding, and acceptability, indicating any difficulties they had regarding its content. Many interviewees reported that the instrument raises important reflections on daily practices and the
benefits of early mobilization. The questionnaire entitled “Pesquisa de mobilização de pacientes em unidade de terapia intensiva: conhecimento, perspectivas e práticas atuais” was translated and culturally adapted to Brazilian Portuguese and can be used
to evaluate aspects of early mobilization by professionals who
participate in this process in adult and pediatric ICUs. Future studies using this version will be necessary to verify that the questionnaire provides  reproducible and valid measurements.

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References

Diaz Ballve LP, Dargains N, Urrutia Inchaustegui JG, Bratos

A, Milagros Percaz M, Bueno Ardariz C, et al. Weakness

acquired in the intensive care unit. Incidence, risk factors and

their association with inspiratory weakness: observational

cohort study. Rev Bras Ter Intensiva. 2017;29(4):466-75. doi:

5935/0103-507X.20170063.

Jolley SE, Bunnell AE, Hough CL. ICU-Acquired weakness.

Chest. 2016;150(5):1129-40. doi: 10.1016/j.chest.2016.03.045.

Ferreira NA, Lopes AJ, Ferreira AS, Ntoumenopoulos G, Dias

J, Guimaraes FS. Determination of functional prognosis in

hospitalized patients following an intensive care admission.

World J Crit Care Med. 2016;5(4):219-27. doi: 10.5492/wjccm.

v5.i4.219.

Kress JP, Hall JB. ICU-acquired weakness and recovery from

critical illness. N Engl J Med. 2014;370(17):1626-35. doi: 10.1056/

NEJMra1209390.

Zang K, Chen B, Wang M, Chen D, Hui L, Guo S, et al. The effect

of early mobilization in critically ill patients: a meta-analysis.

Nurs Crit Care. 2020;25(6):360-67. doi: 10.1111/nicc.12455.

Tipping CJ, Harrold M, Holland A, Romero L, Nisbet T, Hodgson

CL. The effects of active mobilisation and rehabilitation in ICU

on mortality and function: a systematic review. Intensive Care

Med. 2017;43(2):171-83. doi: 10.1007/s00134-016-4612-0.

Dubb R, Nydahl P, Hermes C, Schwabbauer N, Toonstra A,

Parker AM, et al. Barriers and strategies for early mobilization

of patients in intensive care units. Ann Am Thorac Soc.

;13(5):724-30. doi: 10.1513/AnnalsATS.201509-586CME.

Hodgson CL, Capell E, Tipping CJ. Early mobilization of patients

in intensive care: organization, communication and safety

factors that influence translation into clinical practice. Crit

Care. 2018;22(1):77. doi: 10.1186/s13054-018-1998-9.

Berney SC, Rose JW, Bernhardt J, Denehy L. Prospective

observation of physical activity in critically ill patients who were

intubated for more than 48 hours. J Crit Care. 2015;30(4):658-

doi: 10.1016/j.jcrc.2015.03.006.

Bakhru RN, McWilliams DJ, Wiebe DJ, Spuhler VJ, Schweickert

WD. Intensive care unit structure variation and implications

for early mobilization practices: an international survey.

Ann Am Thorac Soc. 2016;13(9):1527-37. doi: 10.1513/

AnnalsATS.201601-078OC.

Fontela PC, Forgiarini LA Jr, Friedman G. Clinical attitudes

and perceived barriers to early mobilization of critically ill

patients in adult intensive care units. Rev Bras Ter Intensiva.

;30(2):187-94. doi: 10.5935/0103-507X.20180037.

Anekwe DE, Koo KK, de Marchie M, Goldberg P, Jayaraman

D, Spahija J. Interprofessional survey of perceived barriers

and facilitators to early mobilization of critically ill patients in

Montreal, Canada. J Intensive Care Med. 2019;34(3):218-226.

doi: 10.1177/0885066617696846.

Johnson K, Petti J, Olson A, Custer T. Identifying barriers to

early mobilisation among mechanically ventilated patients in a

trauma intensive care unit. Intensive Crit Care Nurs. 2017;42:51-54.

doi: 10.1016/j.iccn.2017.06.005.

Koo KK, Choong K, Cook DJ, Herridge M, Newman A, Lo V,

et al. Canadian critical care trials group: early mobilization of

critically ill adults: a survey of knowledge, perceptions and

practices of Canadian physicians and physiotherapists. CMAJ

Open. 2016;4(3):448-54. doi: 10.9778/cmajo.20160021.

Hoyer EH, Brotman DJ, Chan KS, Needham DM. Barriers to

early mobility of hospitalized general medicine patients:

survey development and results. Am J Phys Med Rehabil.

;94(4):304-12. doi: 10.1097/PHM.0000000000000185.

Harris CL, Shahid S. Physical therapy-driven quality

improvement to promote early mobility in the intensive

care unit. Proc (Bayl Univ Med Cent). 2014;27(3):203-7. doi:

1080/08998280.2014.11929108.

Jolley SE, Regan-Baggs J, Dickson RP, Hough CL. Medical

intensive care unit clinician attitudes and perceived barriers

towards early mobilization of critically ill patients: a crosssectional survey study. BMC Anesthesiol. 2014;14:84. doi:

1186/1471-2253-14-84.

Wild D, Grove A, Martin M, Eremenco S, McElroy S, VerjeeLorenz 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;8(2):94-104. doi:

1111/j.1524-4733.2005.04054.x.

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. doi:

1016/0895-4356(93)90142-n.

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. doi:

1097/00007632-200012150-00014.

Donovan AL, Aldrich JM, Gross AK, Barchas DM, Thornton KC,

Schell-Chaple HM, et al. Interprofessional care and teamwork

in the ICU. Crit Care Med. 2018;46(6):980-990. doi: 10.1097/

CCM.0000000000003067.

Published

2023-02-23

Issue

Section

Original Research

How to Cite

Translation into Portuguese and cross-cultural adaptation for use in Brazil of the Canadian survey of mobilization of ICU patients. (2023). Fisioterapia E Pesquisa, 28(2), 201-207. https://doi.org/10.1590/1809-2950/20024728022021