Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old

Detalhes bibliográficos
Autor(a) principal: de Deus Silva, Laura Cantisano [UNESP]
Data de Publicação: 2021
Outros Autores: Bianchini, Priscila Monaro [UNESP], Ortolan, Erika Veruska Paiva [UNESP], Hamamoto, Juliana Fattori [UNESP], Fermiano, Rosemary [UNESP], Rego, Rebeca Mayara Padilha [UNESP], Lyra, João César [UNESP], Benninga, Marc Alexander, de Arruda Lourenção, Pedro Luiz Toledo [UNESP]
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNESP
Texto Completo: http://dx.doi.org/10.1186/s12887-021-02527-0
http://hdl.handle.net/11449/207249
Resumo: Background: For newborns and infants wearing diapers the difficulties in characterizing the appearance of the stool are significant, since the changes in consistency, quantity, and color of the stool are higher than in other age groups. The Amsterdam Infant Stool Scale (AISS) was created and validated in 2009, providing a specific tool for the evaluation of the stool of children up to 120 days old. However, to be used in clinical practice and scientific investigations in Brazil, it is mandatory to perform the translation and cross-cultural adaptation process for Brazilian Portuguese language. Thus, we aim to perform the translation and cross-cultural adaptation of AISS into Brazilian Portuguese and to evaluate the psychometric properties of the translated version. Methods: The process of translation and cross-cultural adaptation was performed according to the internationally accepted methodology, including: translation, summary of translations, backtranslation, preparation of the pre-final version, application of the pre-test and determination of the final version. The evaluation of the psychometric properties was performed through the application of Brazilian Portuguese AISS, by five examiners (including child health field specialists and a literate adult lay on the subject), analyzing 238 stool photographs of children under 120 days old. The intra and inter-examiner agreement values were determined using kappa statistic. The validity of the criterion was investigated through correlation analysis (Kendall’s coefficient) between the classifications determined by the non-specialist examiner and the expert examiners. Results: In all 30 tests performed between different examiners, there was an agreement considered as at least moderate (kappa values above 0.40). The intra-examiner reliability was considered as substantial (kappa> 0.6). There was a statistically significant correlation (p < 0.05) between the classifications determined by the examiners considered as specialists and the examiner considered as non-specialist. Conclusion: The Brazilian Portuguese AISS version proved to be valid and reliable to be used by healthcare professionals and the general public in the evaluation of stool from children up to 120 days old.
id UNSP_d5af57c6219416165deaa4aed4ea38b9
oai_identifier_str oai:repositorio.unesp.br:11449/207249
network_acronym_str UNSP
network_name_str Repositório Institucional da UNESP
repository_id_str 2946
spelling Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days oldDefecationInfantNewbornReproducibility of resultsTranslationsBackground: For newborns and infants wearing diapers the difficulties in characterizing the appearance of the stool are significant, since the changes in consistency, quantity, and color of the stool are higher than in other age groups. The Amsterdam Infant Stool Scale (AISS) was created and validated in 2009, providing a specific tool for the evaluation of the stool of children up to 120 days old. However, to be used in clinical practice and scientific investigations in Brazil, it is mandatory to perform the translation and cross-cultural adaptation process for Brazilian Portuguese language. Thus, we aim to perform the translation and cross-cultural adaptation of AISS into Brazilian Portuguese and to evaluate the psychometric properties of the translated version. Methods: The process of translation and cross-cultural adaptation was performed according to the internationally accepted methodology, including: translation, summary of translations, backtranslation, preparation of the pre-final version, application of the pre-test and determination of the final version. The evaluation of the psychometric properties was performed through the application of Brazilian Portuguese AISS, by five examiners (including child health field specialists and a literate adult lay on the subject), analyzing 238 stool photographs of children under 120 days old. The intra and inter-examiner agreement values were determined using kappa statistic. The validity of the criterion was investigated through correlation analysis (Kendall’s coefficient) between the classifications determined by the non-specialist examiner and the expert examiners. Results: In all 30 tests performed between different examiners, there was an agreement considered as at least moderate (kappa values above 0.40). The intra-examiner reliability was considered as substantial (kappa> 0.6). There was a statistically significant correlation (p < 0.05) between the classifications determined by the examiners considered as specialists and the examiner considered as non-specialist. Conclusion: The Brazilian Portuguese AISS version proved to be valid and reliable to be used by healthcare professionals and the general public in the evaluation of stool from children up to 120 days old.Botucatu Medical School São Paulo State University (UNESP)Department of Surgery and Orthopedics - Division of Pediatric Surgery Botucatu Medical School São Paulo State University (UNESP)Department of Pediatrics Division of Neonatology Botucatu Medical School São Paulo State University (UNESP)Emma Children’s Hospital Amsterdam UMC University of Amsterdam Pediatric Gastroenterology Hepatology and NutritionBotucatu Medical School São Paulo State University (UNESP)Department of Surgery and Orthopedics - Division of Pediatric Surgery Botucatu Medical School São Paulo State University (UNESP)Department of Pediatrics Division of Neonatology Botucatu Medical School São Paulo State University (UNESP)Universidade Estadual Paulista (Unesp)Hepatology and Nutritionde Deus Silva, Laura Cantisano [UNESP]Bianchini, Priscila Monaro [UNESP]Ortolan, Erika Veruska Paiva [UNESP]Hamamoto, Juliana Fattori [UNESP]Fermiano, Rosemary [UNESP]Rego, Rebeca Mayara Padilha [UNESP]Lyra, João César [UNESP]Benninga, Marc Alexanderde Arruda Lourenção, Pedro Luiz Toledo [UNESP]2021-06-25T10:51:57Z2021-06-25T10:51:57Z2021-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1186/s12887-021-02527-0BMC Pediatrics, v. 21, n. 1, 2021.1471-2431http://hdl.handle.net/11449/20724910.1186/s12887-021-02527-02-s2.0-85100525894Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengBMC Pediatricsinfo:eu-repo/semantics/openAccess2024-09-03T13:46:39Zoai:repositorio.unesp.br:11449/207249Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestrepositoriounesp@unesp.bropendoar:29462024-09-03T13:46:39Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
title Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
spellingShingle Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
de Deus Silva, Laura Cantisano [UNESP]
Defecation
Infant
Newborn
Reproducibility of results
Translations
title_short Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
title_full Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
title_fullStr Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
title_full_unstemmed Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
title_sort Brazilian Portuguese version of the Amsterdam infant stool scale: a valid and reliable scale for evaluation of stool from children up to 120 days old
author de Deus Silva, Laura Cantisano [UNESP]
author_facet de Deus Silva, Laura Cantisano [UNESP]
Bianchini, Priscila Monaro [UNESP]
Ortolan, Erika Veruska Paiva [UNESP]
Hamamoto, Juliana Fattori [UNESP]
Fermiano, Rosemary [UNESP]
Rego, Rebeca Mayara Padilha [UNESP]
Lyra, João César [UNESP]
Benninga, Marc Alexander
de Arruda Lourenção, Pedro Luiz Toledo [UNESP]
author_role author
author2 Bianchini, Priscila Monaro [UNESP]
Ortolan, Erika Veruska Paiva [UNESP]
Hamamoto, Juliana Fattori [UNESP]
Fermiano, Rosemary [UNESP]
Rego, Rebeca Mayara Padilha [UNESP]
Lyra, João César [UNESP]
Benninga, Marc Alexander
de Arruda Lourenção, Pedro Luiz Toledo [UNESP]
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Universidade Estadual Paulista (Unesp)
Hepatology and Nutrition
dc.contributor.author.fl_str_mv de Deus Silva, Laura Cantisano [UNESP]
Bianchini, Priscila Monaro [UNESP]
Ortolan, Erika Veruska Paiva [UNESP]
Hamamoto, Juliana Fattori [UNESP]
Fermiano, Rosemary [UNESP]
Rego, Rebeca Mayara Padilha [UNESP]
Lyra, João César [UNESP]
Benninga, Marc Alexander
de Arruda Lourenção, Pedro Luiz Toledo [UNESP]
dc.subject.por.fl_str_mv Defecation
Infant
Newborn
Reproducibility of results
Translations
topic Defecation
Infant
Newborn
Reproducibility of results
Translations
description Background: For newborns and infants wearing diapers the difficulties in characterizing the appearance of the stool are significant, since the changes in consistency, quantity, and color of the stool are higher than in other age groups. The Amsterdam Infant Stool Scale (AISS) was created and validated in 2009, providing a specific tool for the evaluation of the stool of children up to 120 days old. However, to be used in clinical practice and scientific investigations in Brazil, it is mandatory to perform the translation and cross-cultural adaptation process for Brazilian Portuguese language. Thus, we aim to perform the translation and cross-cultural adaptation of AISS into Brazilian Portuguese and to evaluate the psychometric properties of the translated version. Methods: The process of translation and cross-cultural adaptation was performed according to the internationally accepted methodology, including: translation, summary of translations, backtranslation, preparation of the pre-final version, application of the pre-test and determination of the final version. The evaluation of the psychometric properties was performed through the application of Brazilian Portuguese AISS, by five examiners (including child health field specialists and a literate adult lay on the subject), analyzing 238 stool photographs of children under 120 days old. The intra and inter-examiner agreement values were determined using kappa statistic. The validity of the criterion was investigated through correlation analysis (Kendall’s coefficient) between the classifications determined by the non-specialist examiner and the expert examiners. Results: In all 30 tests performed between different examiners, there was an agreement considered as at least moderate (kappa values above 0.40). The intra-examiner reliability was considered as substantial (kappa> 0.6). There was a statistically significant correlation (p < 0.05) between the classifications determined by the examiners considered as specialists and the examiner considered as non-specialist. Conclusion: The Brazilian Portuguese AISS version proved to be valid and reliable to be used by healthcare professionals and the general public in the evaluation of stool from children up to 120 days old.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-25T10:51:57Z
2021-06-25T10:51:57Z
2021-12-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://dx.doi.org/10.1186/s12887-021-02527-0
BMC Pediatrics, v. 21, n. 1, 2021.
1471-2431
http://hdl.handle.net/11449/207249
10.1186/s12887-021-02527-0
2-s2.0-85100525894
url http://dx.doi.org/10.1186/s12887-021-02527-0
http://hdl.handle.net/11449/207249
identifier_str_mv BMC Pediatrics, v. 21, n. 1, 2021.
1471-2431
10.1186/s12887-021-02527-0
2-s2.0-85100525894
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv BMC Pediatrics
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.source.none.fl_str_mv Scopus
reponame:Repositório Institucional da UNESP
instname:Universidade Estadual Paulista (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Repositório Institucional da UNESP
collection Repositório Institucional da UNESP
repository.name.fl_str_mv Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv repositoriounesp@unesp.br
_version_ 1810021392691757056