Translation and cross-cultural adaptation of the Behavior Change Protocol for educational practices in Diabetes Mellitus.
Fernanda Azeredo Chaves, Sumaya Giarola Cecilio, Ilka Afonso Reis and 2 others
PMID 31432918WHAT IT FOUND
A Brazilian Portuguese version of a diabetes self-care education protocol was understandable to 30 people with type 2 diabetes after confusing questions were reworded.
Experts judged it suitable, but no patient outcomes were tested.
Key findings
01The translated protocol was pre-tested with 30 people with type 2 diabetes, and three administrations were needed before comprehension problems were no longer detected.
02Expert review found the translated main questions and appendix acceptable, with mean agreement scores of 0.85 for each part, where 0.78 was the pre-set adequacy threshold.
03Numerical rating questions caused comprehension problems when the translated protocol was used with people with diabetes, even though experts had not flagged them.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study tested translation, expert agreement and understandability, not whether the protocol improves diabetes self-care or glycemic control. The pre-test included only 30 people with type 2 diabetes, and it excluded people with diabetic complications, so it may not apply to more complex patients. The version is cross-culturally adapted for spoken Brazilian Portuguese, so it may not transfer directly to other languages or cultures. The study measured expert agreement and user understanding, not reliability, construct validity, or performance in routine care.
Declared interests
Funded by FAPEMIG and CNPq grants; the supplied text does not state additional conflicts of interest.
The easy way to misread this
Do not read this as evidence that the protocol improves diabetes self-care or glycemic control. The study tested translation and understandability only, and it did not measure patient outcomes.