Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population

Abstract Introduction Few instruments are available in Brazil to evaluate psychomotor activity in psychiatric emergency, clinical, and research settings. This study aimed to perform a cross-cultural adaptation of the Behavioral Activity Rating Scale (BARS) into Brazilian Portuguese and assess the...

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Main Authors: Lucas Alves Pereira, Antônio Geraldo da Silva, Curt Hemanny, Rogério de Jesus, Maíra Moromizato, Túlio Vieira, Murilo Souza, Manuela Garcia Lima, Leonardo Baldaçara
Format: Article
Language:English
Published: Associação de Psiquiatria do Rio Grande do Sul 2023-03-01
Series:Trends in Psychiatry and Psychotherapy
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892023000100400&lng=en&tlng=en
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author Lucas Alves Pereira
Antônio Geraldo da Silva
Curt Hemanny
Rogério de Jesus
Maíra Moromizato
Túlio Vieira
Murilo Souza
Manuela Garcia Lima
Leonardo Baldaçara
author_facet Lucas Alves Pereira
Antônio Geraldo da Silva
Curt Hemanny
Rogério de Jesus
Maíra Moromizato
Túlio Vieira
Murilo Souza
Manuela Garcia Lima
Leonardo Baldaçara
author_sort Lucas Alves Pereira
collection DOAJ
description Abstract Introduction Few instruments are available in Brazil to evaluate psychomotor activity in psychiatric emergency, clinical, and research settings. This study aimed to perform a cross-cultural adaptation of the Behavioral Activity Rating Scale (BARS) into Brazilian Portuguese and assess the adapted scale’s psychometric properties. Method An expert consensus committee conducted a translation and back-translation of the original scale, resulting in the BARS-BR. Four pairs of physicians administered the BARS-BR and the Sedation-Agitation Scale (SAS) to patients in a hospital psychiatry emergency room and patients in the hospital’s psychiatric wards. The BARS-BR was compared to the SAS to assess concurrent validity and internal consistency was evaluated with the Bland-Altman technique. Results In the emergency room, the correlation coefficients between the first and second assessments were rho = 0.997 and rho = 1.0, respectively. In the hospital wards, the correlation coefficient between the pair of evaluators was rho = 0.951. There were strong correlations between the BARS-BR score of the first examiner and the SAS score of the second examiner (rho = 0.903) and between the SAS score of the first examiner and the BARS-BR score of the second examiner (rho = 0.893). Conclusion The BARS-BR showed good psychometric properties, and we recommend its use because it constitutes an easy method for assessment of changes in psychomotor activity. Further studies are suggested to evaluate adoption and comprehension of the BARS-BR scale by all classes of healthcare professionals.
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spelling doaj.art-76a8a93176c44698aba6ca65fb9b7a762023-03-14T07:35:35ZengAssociação de Psiquiatria do Rio Grande do SulTrends in Psychiatry and Psychotherapy2238-00192023-03-014510.47626/2237-6089-2021-0310Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian populationLucas Alves PereiraAntônio Geraldo da SilvaCurt HemannyRogério de JesusMaíra MoromizatoTúlio VieiraMurilo SouzaManuela Garcia LimaLeonardo BaldaçaraAbstract Introduction Few instruments are available in Brazil to evaluate psychomotor activity in psychiatric emergency, clinical, and research settings. This study aimed to perform a cross-cultural adaptation of the Behavioral Activity Rating Scale (BARS) into Brazilian Portuguese and assess the adapted scale’s psychometric properties. Method An expert consensus committee conducted a translation and back-translation of the original scale, resulting in the BARS-BR. Four pairs of physicians administered the BARS-BR and the Sedation-Agitation Scale (SAS) to patients in a hospital psychiatry emergency room and patients in the hospital’s psychiatric wards. The BARS-BR was compared to the SAS to assess concurrent validity and internal consistency was evaluated with the Bland-Altman technique. Results In the emergency room, the correlation coefficients between the first and second assessments were rho = 0.997 and rho = 1.0, respectively. In the hospital wards, the correlation coefficient between the pair of evaluators was rho = 0.951. There were strong correlations between the BARS-BR score of the first examiner and the SAS score of the second examiner (rho = 0.903) and between the SAS score of the first examiner and the BARS-BR score of the second examiner (rho = 0.893). Conclusion The BARS-BR showed good psychometric properties, and we recommend its use because it constitutes an easy method for assessment of changes in psychomotor activity. Further studies are suggested to evaluate adoption and comprehension of the BARS-BR scale by all classes of healthcare professionals.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892023000100400&lng=en&tlng=enPsychomotor agitationsedationpsychiatric emergenciesemergenciespsychometrics
spellingShingle Lucas Alves Pereira
Antônio Geraldo da Silva
Curt Hemanny
Rogério de Jesus
Maíra Moromizato
Túlio Vieira
Murilo Souza
Manuela Garcia Lima
Leonardo Baldaçara
Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
Trends in Psychiatry and Psychotherapy
Psychomotor agitation
sedation
psychiatric emergencies
emergencies
psychometrics
title Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
title_full Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
title_fullStr Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
title_full_unstemmed Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
title_short Translation, cross-cultural adaptation, and validation of the Behavioral Activity Rating Scale (BARS) for the Brazilian population
title_sort translation cross cultural adaptation and validation of the behavioral activity rating scale bars for the brazilian population
topic Psychomotor agitation
sedation
psychiatric emergencies
emergencies
psychometrics
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S2237-60892023000100400&lng=en&tlng=en
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