Reduced version of the Activity Measure for Post-Acute Care (AM-PAC) for inpatients, “6-clicks”: Brazilian-Portuguese cross-cultural adaptation and measurement properties |
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| Institution: | 1. Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;2. Physical Therapy Department, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;3. Department of Occupational Health Care, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;4. Occupation Therapy Department, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil;1. Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium;2. Occupational Therapy Department, Artevelde University College, Ghent, Belgium;3. AZ Monica, Antwerp, Belgium;4. Kineworks, Turnhout, Belgium;1. Department of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA), Porto Alegre, RS, Brazil;2. Department of Physiology, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre, RS, Brazil;1. IRCCS Fondazione Don Carlo Gnocchi, Milan, Italy;2. ISICO, Italian Scientific Spine Institute, Milan, Italy;3. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy;1. Universidade Federal de Minas Gerais (UFMG), Departamento de Fisioterapia, Belo Horizonte, MG, Brazil;2. Cardiovascular Prevention and Rehabilitation Program, Toronto Rehabilitation Institute, University Health Network, Toronto, Canada;3. Universidade Federal de Juiz de Fora (UFJF), Faculdade de Fisioterapia, Juiz de Fora, MG, Brazil;4. Universidade Federal do Triângulo Mineiro (UFTM), Departamento de Fisioterapia Aplicada, Uberaba, MG, Brazil;5. Universidade Federal do Vale do Jequitinhonha e Mucuri (UFVJM), Departamento de Fisioterapia, Diamantina, MG, Brazil;6. School of Kinesiology and Health Science, Toronto, Canada;1. Departmento de Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista (UNESP), Presidente Prudente, SP, Brazil;2. Sydney Medical School, University of Sydney, Sydney, NSW, Australia;3. Centre for Evidence-Based Physiotherapy, Musculoskeletal Health Sydney, School of Public Health, University of Sydney, Sydney, NSW, Australia;4. La Trobe Sports and Exercise Medicine Research Centre, School of Allied Health, La Trobe University, Bundoora, Victoria, Australia;5. Departamento de Educação Física, Faculdade de Ciências, Universidade Estadual Paulista (UNESP), Bauru, SP, Brazil;6. Departamento de Fisioterapia, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil |
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| Abstract: | BackgroundThe “6-clicks” is the reduced version of the Activity Measure for Post-Acute Care for inpatients that assesses limitations in basic mobility, daily activity, and applied cognitive, simply and quickly.ObjectiveCross-culturally adapt the “6-clicks” into Brazilian-Portuguese and verify its measurement properties.MethodsCross-cultural adaptation followed recommendations from international guidelines. Reliability indices, standard error of measurement and minimum detectable difference were calculated. Participants included 13 professionals, 13 patients and 13 companions. Test of measurement properties involved 101 patients’ of both sexes, hospitalized in the infirmary, under physical therapy care, able to understand and respond to commands and with no discharge expectation. Their 30 companions were also included.ResultsMinor changes implemented to the original version. The three domains showed adequate internal consistency (α > 0.65). Inter-rater reliability (n = 50) and test–retest reliability, when administer to patients (n = 51) and to companions (n = 30), showed good for basic mobility domain (ICC2.1 = 0.81, 0.83 and 0.82, respectively), good to moderate for daily activity (ICC2.1 = 0.78 and ICC3.1 = 0.71 and 0.82, respectively) and moderate to poor for applied cognitive (ICC2.1 = 0.64, 0.36 and ICC3.1 = 0.63), respectively. The highest agreements among patients/companions were also in basic mobility. Standard error of measurement ranged from 2.03 to 2.64 while the minimum detectable difference ranged from 5.63 to 7.32.ConclusionTranslated and adapted Brazilian version of the “6-clicks” showed acceptable measurement properties. The functional data provided by the instrument could be used to enhance care and help treatment follow-up. |
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| Keywords: | Inpatients Questionnaire Rehabilitation Functionality Translation Measurement properties |
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