Brazilian version of the Care Transitions Measure: translation and validation

Aim To translate, adapt and evaluate psychometric properties of the complete (15 items) and reduced (three items) versions of the Care Transitions Measure into Brazilian Portuguese. Introduction The Care Transitions Measure assesses the quality of care transitions, from the perspective of patients....

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Bibliographic Details
Published in:International nursing review Vol. 64; no. 3; pp. 379 - 387
Main Authors: Acosta, A.M., Lima, M.A.D.S., Marques, G.Q., Levandovski, P.F., Weber, L.A.F.
Format: Journal Article
Language:English
Published: England Wiley Subscription Services, Inc 01-09-2017
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Summary:Aim To translate, adapt and evaluate psychometric properties of the complete (15 items) and reduced (three items) versions of the Care Transitions Measure into Brazilian Portuguese. Introduction The Care Transitions Measure assesses the quality of care transitions, from the perspective of patients. As accomplishing effective transitions is a challenge to healthcare systems, the instrument provides an opportunity to assess care transitions and improve quality initiatives. Methods A three‐phased design was used for cross‐cultural adaptation, pre‐testing and evaluation of psychometric properties of the measurement in a Brazilian hospital. After forward translation, back translation and expert committee review, patients evaluated the instrument in a pre‐test. Psychometric testing included face and content validity, reliability, stability and factorial analysis. Results Cross‐cultural adaptation was completed successfully with a high clarity rate. Internal consistency was good in the 15‐item version and was moderate in the three‐item version. Test–retest reliability showed good stability of the two versions over time. The three‐item version had satisfactory criterion validity. Four factors were extracted for the 15‐item measure. Limitations Samples were restricted to a group of patients from one hospital in southern Brazil. Future studies should test the measurement's construct and predictive validity. Conclusions The translated version of the Care Transitions Measure has good face and content validity, reliability and stability. It has shown to be a valid measurement for evaluating the quality of care transitions in Brazil. Implications for nursing and health policy Results are beneficial for nurses, managers and policy makers for evaluating care transitions and support the need for changes in policies and practices.
Bibliography:Funding
This study was funded by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), a Brazilian funding agency.
Conflict of interest
No conflict of interest has been declared by the authors.
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ISSN:0020-8132
1466-7657
DOI:10.1111/inr.12326