Adaptação transcultural para o português brasileiro do questionário Parent-Report Form For Neonates And Toddlers (0-3 years of age) para avaliação de distúrbios de interação intestino-cérebro em pediatria

Abstract

Functional gastrointestinal disorders (FGD), currently known as gut-brain interaction disorders (DGBI), are recognized as frequent and recurrent gastrointestinal symptoms involving different regions of the digestive tract. These disorders have great clinical and economic relevance, with a negative impact on the quality of life of the entire family, in addition to representing a large part of the demand for pediatric gastroenterology practices. Its diagnosis is based on the Rome IV criteria, translated through a questionnaire prepared by the Rome Foundation in English. The translation and cross-cultural adaptation of this instrument helps in the most appropriate diagnosis, providing a better quality of life for patients. Objective: to carry out the translation and cross-cultural adaptation of the questionnaire “Parent-Report Form For Neonates And Toddlers (0 To 3 Years)” R4PDQ (Rome IV Pediatric Diagnostic Questionnaire) – Neonates and Toddlers into Brazilian Portuguese, observing conceptual, item and semantic equivalences; evaluate acceptability and evaluate content validity index. Method: the process of translation and cross-cultural adaptation of the instrument was based on the universalist model, following the methodological steps proposed internationally, in addition to the translation guidelines recommended by the Rome Foundation: double translation, synthesis and back-translation, analysis by a committee of experts, proposition of a pre-final version, cognitive assessment, content validity index assessment (CVI - number of experts in agreement divided by the total number of experts) and proposition of the final version of the questionnaire. Result: The results of the translated and adapted questionnaire indicated agreement in the comparisons; cognitive assessment demonstrating good understanding and receptivity; CVI equal to 1. The final questionnaire and the favorable opinion of the Brazilian monitor in Rome were sent to the Foundation, with final approval of the questionnaire translated and adapted into Brazilian Portuguese. Conclusion: the translation and cross-cultural adaptation of the questionnaire “Parent-Report Form For Neonates And Toddlers (0-3 Years Of Age)” for assessing DGBI in Pediatrics into Brazilian Portuguese was successfully achieved and demonstrated to be understandable. This questionnaire may help and encourage new projects on DGBI in the pediatric population.