Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context

Abstract Introduction: Chronic kidney disease (CKD) is a global public health problem. In Brazil, the incidence and prevalence rates of dialysis CKD progressively increase, but the transition process is a challenge for patients and caregivers in coping with the disease. Dialysis urgency, lack of pl...

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Main Authors: Luciana Adorno Sattin Rodrigues, Fernando Antonio de Almeida, Cibele Isaac Saad Rodrigues
Format: Article
Language:English
Published: Sociedade Brasileira de Nefrologia 2022-06-01
Series:Brazilian Journal of Nephrology
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002023000100067&tlng=en
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author Luciana Adorno Sattin Rodrigues
Fernando Antonio de Almeida
Cibele Isaac Saad Rodrigues
author_facet Luciana Adorno Sattin Rodrigues
Fernando Antonio de Almeida
Cibele Isaac Saad Rodrigues
author_sort Luciana Adorno Sattin Rodrigues
collection DOAJ
description Abstract Introduction: Chronic kidney disease (CKD) is a global public health problem. In Brazil, the incidence and prevalence rates of dialysis CKD progressively increase, but the transition process is a challenge for patients and caregivers in coping with the disease. Dialysis urgency, lack of planned access or prior knowledge of treatment is a reality for most. Guidelines recommend that treatment options should include the conscious preference of a fully informed patient. However, pre-dialysis educational information is an exception, leading to a large number of unplanned initial dialysis. The original study “Empowering Patients on Choices for Renal Replacement Therapy” (EPOCH-RRT) aimed to identify patient priorities and gaps in shared decision-making about dialysis, using structured interviews with questions about demographics, clinical history and patients' perception of their health. The goal of this study was to carry out the translation, cross-cultural adaptation and validation of the questionnaires used in the EPOCH-RRT Study for the Brazilian context. Method: This is a methodological study that consisted of the initial translation, synthesis of the translations, back translation, review by a committee of experts, pre-test and evaluation of the psychometric properties of the instrument. All ethical precepts were followed. Results: The questionnaires were translated, adapted and validated for the Brazilian context. Additionally, it was applied to 84 chronic renal patients on hemodialysis, peritoneal dialysis and outpatients. Discussion: There is a lack of an educational-therapeutic approach aimed at patients with CKD, and the EPOCH-RRT questionnaire can be a tool for Brazilian dialysis services to change this paradigm.
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spelling doaj.art-3d784ba556d0436892b8f0e99b4f2ea02023-04-25T07:32:08ZengSociedade Brasileira de NefrologiaBrazilian Journal of Nephrology2175-82392022-06-01451677610.1590/2175-8239-jbn-2021-0224enTranslation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian contextLuciana Adorno Sattin Rodrigueshttps://orcid.org/0000-0002-7713-5953Fernando Antonio de Almeidahttps://orcid.org/0000-0002-9404-9707Cibele Isaac Saad Rodrigueshttps://orcid.org/0000-0001-9490-7997Abstract Introduction: Chronic kidney disease (CKD) is a global public health problem. In Brazil, the incidence and prevalence rates of dialysis CKD progressively increase, but the transition process is a challenge for patients and caregivers in coping with the disease. Dialysis urgency, lack of planned access or prior knowledge of treatment is a reality for most. Guidelines recommend that treatment options should include the conscious preference of a fully informed patient. However, pre-dialysis educational information is an exception, leading to a large number of unplanned initial dialysis. The original study “Empowering Patients on Choices for Renal Replacement Therapy” (EPOCH-RRT) aimed to identify patient priorities and gaps in shared decision-making about dialysis, using structured interviews with questions about demographics, clinical history and patients' perception of their health. The goal of this study was to carry out the translation, cross-cultural adaptation and validation of the questionnaires used in the EPOCH-RRT Study for the Brazilian context. Method: This is a methodological study that consisted of the initial translation, synthesis of the translations, back translation, review by a committee of experts, pre-test and evaluation of the psychometric properties of the instrument. All ethical precepts were followed. Results: The questionnaires were translated, adapted and validated for the Brazilian context. Additionally, it was applied to 84 chronic renal patients on hemodialysis, peritoneal dialysis and outpatients. Discussion: There is a lack of an educational-therapeutic approach aimed at patients with CKD, and the EPOCH-RRT questionnaire can be a tool for Brazilian dialysis services to change this paradigm.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002023000100067&tlng=enSurveys and QuestionnairesTranslationsValidation StudyNephrologyRenal Replacement TherapyHemodialysis UnitsHospital
spellingShingle Luciana Adorno Sattin Rodrigues
Fernando Antonio de Almeida
Cibele Isaac Saad Rodrigues
Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context
Brazilian Journal of Nephrology
Surveys and Questionnaires
Translations
Validation Study
Nephrology
Renal Replacement Therapy
Hemodialysis Units
Hospital
title Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context
title_full Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context
title_fullStr Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context
title_full_unstemmed Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context
title_short Translation, cross-cultural adaptation and validation of the EPOCH-RRT questionnaire “Empowering Patients On Choices For Renal Replacement Therapy” for the Brazilian context
title_sort translation cross cultural adaptation and validation of the epoch rrt questionnaire empowering patients on choices for renal replacement therapy for the brazilian context
topic Surveys and Questionnaires
Translations
Validation Study
Nephrology
Renal Replacement Therapy
Hemodialysis Units
Hospital
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0101-28002023000100067&tlng=en
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