A utilização de vinhetas na saúde mental: Tradução e adaptação transcultural de uma vinheta de ansiedade social em adolescentes

Abstract

Objective: To present the translation and cross-cultural adaptation of a social anxiety vignette in adolescents into European Portuguese and the consequent integration in the Mental Health Literacy Assessment Questionnaire — QuALiSMental. Method: A methodological study of translation and cross-cultural adaptation of a social anxiety vignette in adolescents into European Portuguese was carried out, according to the stages: 1) translation; 2) synthesis of translations; 3) back-translation; 4) synthesis of back-translations; 5) panel of experts with eight professionals from different areas of health; 5) cognitive debriefing integrating six adolescents with an average age of 14.33 years (SD = 0.52); 6) review and final report. Throughout this process, we have taken into account the ethical considerations. Results: A vignette of social anxiety was obtained in the teenagers “Joao” and “Joana” in the European Portuguese. We highlight the results related to the stages: the panel of experts and cognitive debriefing. Consensus criteria were obtained among experts for semantic and idiomatic equivalence, experiential and cultural equivalence, and conceptual equivalence. In the cognitive debriefing, a 100% agreement was found regarding the clarity of the vignette's content in European Portuguese. Conclusions: This vignette can be used in clinical practice at different levels of care, education/training, and research. Integrated with QuALiSMental allows the assessment of mental health literacy on anxiety in adolescents in different contexts and/or assessments of psychoeducational interventions' effectiveness in this area.