Rodriguez Añez Ciro Romélio, Reis Rodrigo Siqueira, Petroski Edio Luiz
Pontifícia Universidade Católica do Paraná, Curitiba, PR - Brasil.
Arq Bras Cardiol. 2008 Aug;91(2):92-8. doi: 10.1590/s0066-782x2008001400006.
Inappropriate lifestyles have been responsible for the leading causes of mortality. The purpose of the Fantastic Lifestyle Questionnaire is to help physicians involved in health prevention to identify and assess their patients' lifestyles.
To translate and validate the Fantastic Lifestyle Questionnaire for use with young adults.
The process of translation into Portuguese and validation consisted of four steps: 1) translation; 2) correction and semantic adaptation by professional experts (judges); 3) content validation; and 4) a final evaluation by the target population. The statistical analyses used were Cronbach's alpha to measure internal consistency reliability, intra-class correlation coefficient (R) for external consistency, and the Kappa index to test construct validity.
Cronbach's alpha coefficient measured the correlation between items and the total was 0.69, which is considered reasonable for an instrument designed to evaluate a latent variable that can only be estimated and not measured. When the items were grouped into domains, it was possible to verify that they all contributed equally to the stability of the questionnaire (alpha=0.60). The external consistency evaluated by intra-class correlation was R=0.92 (p=0.2), which demonstrates a high degree of reproducibility; the construct validity of 4 and 3 categories was 75 and 80.7% with Kappa indices of 0.58 and 0.7, respectively, which show an excellent discriminatory classificatory capacity.
The Fantastic Lifestyle Questionnaire has an adequate internal and external consistency for evaluating young adult lifestyles, and it can be recommended for primary care and epidemiological studies.
不健康的生活方式是导致死亡的主要原因。“奇妙生活方式问卷”的目的是帮助参与健康预防的医生识别和评估患者的生活方式。
翻译并验证“奇妙生活方式问卷”,以便用于年轻人。
翻译成葡萄牙语并进行验证的过程包括四个步骤:1)翻译;2)由专业专家(评委)进行校正和语义调整;3)内容验证;4)由目标人群进行最终评估。所使用的统计分析方法包括:用克朗巴哈系数(Cronbach's alpha)测量内部一致性信度,用组内相关系数(R)评估外部一致性,用卡帕指数(Kappa index)检验结构效度。
克朗巴哈系数测量了各条目与总分之间的相关性,结果为0.69,对于一个旨在评估只能估计而无法测量的潜在变量的工具来说,这一结果被认为是合理的。当将条目分组到不同领域时,可以验证它们对问卷稳定性的贡献是相等的(α = 0.60)。通过组内相关评估的外部一致性为R = 0.92(p = 0.2),这表明具有高度的可重复性;4类和3类的结构效度分别为75%和80.7%,卡帕指数分别为0.58和0.7,这表明具有出色的区分分类能力。
“奇妙生活方式问卷”在评估年轻人生活方式方面具有足够的内部和外部一致性,可推荐用于初级保健和流行病学研究。