Translation and Cross-Cultural Adaptation of the Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema into Portuguese Language

 

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Abstract

Objective The objective of the study is to describe the process of translation and cross-cultural adaptation of the Lymphoedema Functioning, Disability, and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL) into (Brazilian) Portuguese.

Methods The process was comprised of five steps – translation, back translation, revision by an expert panel, pretest, and final translation. The first translation was performed by two professionals of the healthcare area, and the back translation was performed by two translators. An expert panel assessed the questions for semantics and idiomatic, cultural, and conceptual equivalence. The pretest was conducted on 10 patients with lymphedema.

Results Small differences were identified between the translated and back-translated versions, which were revised by the expert panel. The patients included in the pretest found 10 questions difficult to understand; these questions were reassessed by the same expert panel.

Conclusion The results of the translation and cross-cultural adaptation of the Lymph-ICF-LL resulted in a Brazilian Portuguese version, which still requires validation with various samples of the local population.

Resumo

Objetivo Descrever o processo de tradução e adaptação transcultural para o português (Brasil) do instrumento Lymphoedema Functioning, Disability and Health Questionnaire for Lower Limb Lymphoedema (Lymph-ICF-LL).

Métodos O processo foi realizado em cinco fases: tradução, retro-tradução, revisão por um comitê de especialistas, pré-teste e tradução final. A tradução inicial foi realizada por dois profissionais e a retro-tradução por dois tradutores. Um comitê de especialistas avaliou a semântica, equivalências idiomática, cultural, e conceitual das questões. Foi realizado um pré-teste em 10 pacientes com linfedema.

Resultados Durante o processo de tradução e retro-tradução, foram identificadas pequenas diferenças que foram revisadas pelo comitê. Os pacientes incluídos no pré-teste identificaram 10 questões como sendo de difícil compreensão, as quais foram reavaliadas pelo mesmo comitê de especialistas.

Conclusão Os resultados obtidos após o processo de tradução e adaptação transcultural permitiram a criação de um instrumento que necessita ser validado em diferentes populações brasileiras.

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