Cunha Agnes Flórida Santos da, Leite Hércules Ribeiro, Gonçalves Rejane Vale, King Gillian, Camargos Ana Cristina Resende
Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Braz J Phys Ther. 2025 Jul-Aug;29(4):101209. doi: 10.1016/j.bjpt.2025.101209. Epub 2025 May 3.
The Pediatric Rehabilitation Intervention Measure of Engagement - Observation Version (PRIME-O) is a standardized tool that assesses client engagement, which can be the child, youth, or parent/caregiver, as well as service provider engagement, during a pediatric rehabilitation session from the perspective of an external observer.
To translate and cross-culturally adapt the PRIME-O into Brazilian Portuguese and evaluate measurement properties.
This study included translation, cross-cultural adaptation, back-translation, analysis of face validity, test-retest reliability, standard error of measurement, internal consistency, and Bland-Altman analysis of the PRIME-O Brazilian version. Fifty-one respondents included physical therapists (n = 47) and occupational therapists (n = 4) working in pediatric rehabilitation in Brazil.
Translation and cross-cultural adaptation resulted in a Brazilian version of the PRIME-O that is easily understandable with local language appropriateness, semantically equivalent to the original version. In the face validity analysis, all PRIME-O items were considered useful, appropriate, and relevant for assessing engagement. Test-retest reliability ranged from 0.81 to 0.93 across all domains and total score. Cronbach's alpha ranged from 0.90 to 0.95 and the SEM ranged from 0.40 to 0.42 on average across domains with a value of 0.27 for the total test score. Bland-Altman plot analysis showed that most data points were within agreement limits, without proportional bias (p = 0.74).
The PRIME-O Brazilian version is a reliable and valid tool for measuring client and service provider engagement in pediatric rehabilitation sessions.
《儿童康复参与度干预测量工具——观察版》（PRIME - O）是一种标准化工具，用于从外部观察者的角度评估儿童、青少年或家长/照顾者等服务对象的参与度，以及儿科康复治疗过程中服务提供者的参与度。
将PRIME - O翻译成巴西葡萄牙语并进行跨文化调适，同时评估其测量特性。
本研究包括对PRIME - O巴西版本进行翻译、跨文化调适、回译、表面效度分析、重测信度分析、测量标准误分析、内部一致性分析以及布兰德 - 奥特曼分析。51名受访者包括在巴西从事儿科康复工作的物理治疗师（n = 47）和职业治疗师（n = 4）。
翻译和跨文化调适产生了PRIME - O巴西版本，该版本易于理解，语言符合当地习惯，在语义上与原始版本等效。在表面效度分析中，所有PRIME - O项目都被认为对评估参与度有用、恰当且相关。所有领域和总分的重测信度在0.81至0.93之间。各领域的克朗巴哈系数在0.90至0.95之间，测量标准误平均在0.40至0.42之间，总测试分数的测量标准误为0.27。布兰德 - 奥特曼图分析表明，大多数数据点在一致限度内，无比例偏差（p = 0.74）。
PRIME - O巴西版本是一种可靠且有效的工具，可用于测量儿科康复治疗过程中服务对象和服务提供者的参与度。
