Natália Mb Bezerra, Lilian L Lisboa, Romulo Al Vasconcelos, Klaus Krogh, Cristiano M Gomes, Adriano A Calado
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引用次数: 0
Abstract
Study design: Cross-sectional study of cultural adaptation and validation.
Objectives: To translate and validate the MENTOR Tool, an instrument designed to monitor the effectiveness of treatment for neurogenic bowel dysfunction (NBD) and to support more objective clinical decision-making in individuals with spinal cord injury (SCI).
Setting: Individuals with SCI treated at the Anita Garibaldi Health Education and Research Center, Macaiba/RN, and at Oswaldo Cruz University Hospital, Recife/PE, Brazil.
Methods: Cross-cultural adaptation was conducted at two specialized referral centers for SCI, following the international methodology proposed by Guillemin et al. The MENTOR Tool was administered as an interview and reapplied after an interval of 7 to 21 days. In addition, participants completed the Gastrointestinal Symptom Rating Scale (GSRS). The following measurement properties were evaluated: reproducibility, internal consistency, reliability, and construct validity.
Results: 50 individuals participated in the study. The MENTOR Tool demonstrated excellent reproducibility, with an intraclass correlation coeficiente (ICC) of 0.974, Internal consistency was acceptable, with a Cronbach's alpha of 0.61. Construct Validity was supported by significant correlations between the final Neurogenic Bowel Dysfunction Score (NBDS) and GSRS scores, as well as between GSRS scores and the final MENTOR rating. Additionally, statistically significant differences were observed among the three MENTOR categories.
Conclusions: The MENTOR tool was successfully translated and validated into Brazilian Portuguese, demonstrating reliability and reproducibility for monitoring bowel treatment effectiveness in individuals with SCI and supporting clinical decision-making in the management of NBD.
期刊介绍：
Spinal Cord is a specialised, international journal that has been publishing spinal cord related manuscripts since 1963. It appears monthly, online and in print, and accepts contributions on spinal cord anatomy, physiology, management of injury and disease, and the quality of life and life circumstances of people with a spinal cord injury. Spinal Cord is multi-disciplinary and publishes contributions across the entire spectrum of research ranging from basic science to applied clinical research. It focuses on high quality original research, systematic reviews and narrative reviews.
Spinal Cord''s sister journal Spinal Cord Series and Cases: Clinical Management in Spinal Cord Disorders publishes high quality case reports, small case series, pilot and retrospective studies perspectives, Pulse survey articles, Point-couterpoint articles, correspondences and book reviews. It specialises in material that addresses all aspects of life for persons with spinal cord injuries or disorders. For more information, please see the aims and scope of Spinal Cord Series and Cases.
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