The Brazilian Version of the Visual CARE 5Q: Instrument Translation and Cultural Adaptation

IF 1.5 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Journal of evaluation in clinical practice Pub Date : 2026-10-08 DOI:10.1111/jep.70663

Amanda Piovani Monteiro, Daniel Ferreira Dahdah, Regina Helena Vitale Torkomian Joaquim, Cristina Ortiz Sobrinho Valete

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引用次数: 0

Abstract

Aim

To translate and cross-culturally adapt the Visual CARE 5Q for use with Brazilian children.

Design

A methodological cross-sectional study.

Methods

Portuguese translation and adaptation of the original Visual CARE 5Q. We followed five standardised steps: translation, synthesis, back-translation, expert evaluation, and pilot testing. Ten expert judges and 25 hospitalised children aged 7−11 years participated in the study. Content validity was assessed using the Content Validity Index (CVI). Semantic, idiomatic, conceptual, and cultural equivalence were evaluated. Reliability was assessed using internal consistency, evaluated with Cronbach's alpha. The one-factor structure was evaluated by exploratory factor analysis.

Results

Adjustments for better comprehensiveness were necessary for items 1 and 5. All items reached full agreement after adjustments. Equivalence was adequate. Children evaluated the Visual CARE 5Q Brazilian version positively. The instrument demonstrated a unidimensional structure, consistent with the original version, and acceptable internal consistency (α = 0.73).

Conclusion

After translation and cultural adaptation, the Visual CARE 5Q Brazilian version is applicable as a tool to assess hospitalised children's perception of clinical empathy in Brazil, contributing to the advancement of quality and child-centered care.

Impact

Evaluating children's perceived empathy during hospitalisation requires the use of instruments adapted to each country's reality and qualifies pediatric healthcare.

Patient or Public Contribution

These results contribute to clinical practice by providing an instrument to evaluate perceived empathy among pediatric patients in Brazil.

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巴西版视觉护理5Q：工具翻译和文化适应。

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来源期刊

Journal of evaluation in clinical practice 医学-卫生保健

CiteScore

4.80

自引率

4.20%

发文量

143

审稿时长

3-8 weeks

期刊介绍： The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.