Translation, Cultural Adaptation, and Psychometric Evaluation of the Brazilian Portuguese Version of the Quality in Psychiatric Care—Outpatients Instrument

Author:

Lundqvist Lars-Olov1,Silva Naiara Gajo2,Barros Sônia34,Schröder Agneta15ORCID

Affiliation:

1. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, 702 81 Örebro, Sweden

2. School of Nursing, Federal University of Mato Grosso do Sul, Coxim 79070-900, Brazil

3. School of Nursing, University of São Paulo, São Paulo 05508-900, Brazil

4. Institute of Advanced Studies, University of São Paulo, São Paulo 05508-900, Brazil

5. Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7034 Gjøvik, Norway

Abstract

Measuring the quality of care received by patients of mental health services is necessary to determine the effectiveness of prevention programs and mental health treatment. This study translated the original Swedish Quality in Psychiatric Care—Outpatient (QPC-OP) instrument to Brazilian Portuguese, adapted it to the context of Brazilian psychosocial care centers (CAPS), and evaluated its psychometric properties. The instrument was translated and back-translated by two independent professional translators. A seven-person expert group of professionals and 31 psychiatric outpatients verified the content validity of the Brazilian Portuguese QPC-OP, which then was completed by 253 outpatients from 16 CAPS in São Paulo, Brazil. Confirmatory factor analysis revealed adequate goodness of fit for the factor structure corresponding to the original Swedish version, except for the discharge dimension. Three additional items added in the Brazilian Portuguese QPC-OP formed a separate factor. The internal consistency of the entire scale was excellent but low in some dimensions. In conclusion, the translation and cultural adaptation of the Brazilian Portuguese QPC-OP was satisfactory, and the psychometric evaluation demonstrated that the concept of quality of mental health care is similarly understood in the Brazilian and Swedish cultural context. Thus, the Brazilian Portuguese QPC-OP is a useful instrument for assessing the quality of care in the Brazilian CAPS context and will be useful in quality assurance and in cross-cultural research addressing quality of mental health care from the patient’s perspective.

Funder

Fundação Universidade Federal de Mato Grosso do Sul

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior—Brasil

Region Örebro County Research Committee, Örebro, Sweden

Publisher

MDPI AG

Subject

Health Information Management,Health Informatics,Health Policy,Leadership and Management

Reference31 articles.

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