Tradução e adaptação cultural do Behavior Change Protocol para a língua portuguesa-Brasil

Abstract

This study aims to realisethe translation and semantic, idiomatic, cultural and conceptual validation of the "Behavior Change Protocol" for Brazilian Portuguese.The instrument originally developed in the American English language has purpose to guide and provide evidence-based strategies for that health professionals can to conduct educational activities in Diabetes Mellitus guided in the "empowerment" approach.This approach is based on the theoretical principles of Freire (1987) and requiredformal educational practices based on dialogue,qualified listening and in redefining roles by professionals and users. In empowerment approach, it is considered that 98% of cares required for the treatment of diabetes arethe responsibility of the patient.The health professional is considered expert in knowledge relating to diabetes, butpatients are responsible to manage their daily choices and needs. In this context, the health professional acts as facilitator of the autonomy of the patient, helping the individual to assess their needs and develop a plan of care according to their daily needs.The translation and cultural adaptation of the instrument were performed according to internationally recommended by Beaton et al procedures. (2000), comprising four of the five recommended steps: 1 -Initial translation; 2 -Summary of translation; 3 -back translation or translation back to the original (back-translation) language; 4 -Evaluation of the Judges Committee. The translation of the protocol was performed independently by experts in advanced translation and linguistics. It was performed two translations (T1) and (T2) that wereconsolidated in version (T1-2).This version was submitted to third expert translator in the field of linguistics and English translation.The version(T1-2) was revised 12 times until that established a consensus that generated the final synthesis version (T12). This version was submitted to the back-translation by two independent translators that were inserted to a program of Graduate studies in linguistic.Versions (BT1) and (BT2) were generated and compared to synthetic version (T13). The comparison of the synthesis version (T13) with the original version took place during the Judges Committee that had as aim to realize semantic, idiomatic, cultural and conceptual validation of the instrument.The collaboration of experts in translation and linguistic had fundamental importance to promote interdisciplinary dialogue, that allowed the development a qualified and judicious final version, allowing the construction of elaborate knowledge and critical bythe professionals involved in discussion. It was found semantic, idiomatic, cultural and conceptual equivalence between final version in Portuguese and the original English version. The process of translation and semantic validation is the first step for that a quality instrument can be available in another cultural context. Stresses the importance of further analysis of the acceptability of the instrument and of the evaluation of its psychometric properties for that "Behavior Change Protocol" will be considered suitable to use in Brazilian samples.