Translation and cross-cultural adaptation of the Dignity Therapy Question Protocol to Brazilian Portuguese

Author(s)

Miwa, Michelle Uchida ; Paiva, Carlos Eduardo ; Ferreira, Ana Julia Sucupira ; Juliao, Miguel ; Chochinov, Harvey Max ; Paiva, Bianca Sakamoto Ribeiro

• Document type: Journal article
• Source: PALLIATIVE & SUPPORTIVE CARE; v. N/A, p. 7-pg., 2023-04-13.

Abstract

Objectives. Dignity therapy (DT) was developed to help patients at their end of life to reframe and give meaning to their illness process. The DT question protocol focuses on personhood and important aspects of the individual' s life. This study aimed to translate and culturally adapt the Dignity Therapy Question Protocol (DTQP) to Brazilian Portuguese.Methods. This was a descriptive and methodological study, and cross-cultural adaptation pro-cess comprised 4 stages: (1) translation and synthesis of English original version protocol into Brazilian Portuguese, (2) back translation, (3) experts committee, and (4) pretest.Results. The Portuguese version of the DTQP - Protocolo de Perguntas sobre Terapia da Dignidade - demonstrated a content validity index of 1 for all equivalences. The initial sam-ple consisted of 41 participants (9 [21.9%] refused to participate and 1 [2.43%] dropped out). The pretest was applied to 30 (73.1%) participants, 15 of them were female and the mean age was 53. 4 years. The final version consisted of 10 questions that were approved by the origi-nal authors who affirmed that the DTQP Brazilian Portuguese version maintained the original English characteristics.Significance of results. The Brazilian cultural adaptation of the DTQP was well understood by patients. It will be very useful in palliative care clinical practice for patients nearing end of life. The adapted version to Brazilian Portuguese wi l l facilitate future studies using the DTQP. (AU)

• FAPESP's process: 22/13628-7 - "Translation and cultural adaptation of the Dignity Therapy Question Protocol for use in brazilian cancer patients"
• Grantee: Ana Julia Sucupira Amaral Ferreira
• Support Opportunities: Scholarships in Brazil - Scientific Initiation