Escala ALONE para a população idosa portuguesa: Tradução, adaptação cultural, validade de conteúdo e validade facial
DOI:
https://doi.org/10.12707/RVI23.137.33676Palavras-chave:
idosos, solidão, estudo de validaçãoResumo
Enquadramento: A solidão nos idosos é uma preocupação de saúde pública que requer deteção precoce para intervenções eficazes. A escala ALONE é breve (cinco itens) e fiável, prometendo utilidade clínica.
Objetivo: Tradução, adaptação cultural, validade de conteúdo e validade facial da escala ALONE para idosos portugueses residentes na comunidade ( ≥ 65 anos).
Metodologia: Este estudo metodológico compreendeu três fases: (a) tradução e adaptação cultural; (b) avaliação da validade de conteúdo com 15 especialistas (índice de validade de conteúdo, IVC); e (c) avaliação da validade facial através de entrevistas semiestruturadas com oito idosos.
Resultados: Alcançou-se equivalência linguística com a escala ALONE original. Os itens demostraram forte validade de conteúdo (IVC ≥ 0,8, IVC médio de 0,97, concordância universal de 0,71, kappa excelente). A validade facial mostrou que a escala ALONE deteta sentimentos de solidão, é útil e fácil de compreender e responder.
Conclusão: A escala ALONE, traduzida e culturalmente adaptada, é válida para avaliar a solidão nos idosos portugueses em contextos comunitários.
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Referências
Baarck, J., d’Hombres, B., Tintori, G., Balahur, A., Cassio, L., & Pásztor, Z. (2021). Loneliness in Europe before and during the COVID-19 pandemic. In European Commission (Ed.), Loneliness in the EU: Insights from surveys and online media data (pp. 16-34). Publications Office of the European Union. https://doi.org/10.2760/28343
Boateng, G. O., Neilands, T. B., Frongillo, E. A., Melgar-Quiñonez, H. R., & Young, S. L. (2018). Best practices for developing and validating scales for health, social, and behavioral research: A primer. Frontiers in Public Health, 6. https://doi.org/10.3389/fpubh.2018.00149
Borson, S., Scanlan, J., Brush, M., Vitaliano, P., & Dokmak, A. (2000). The Mini-Cog: A cognitive ‘vital signs’ measure for dementia screening in multi-lingual elderly. International Journal of Geriatric Psychiatry, 15(11), 1021-1027. https://doi.org/10.1002/1099-1166(200011)15:11<1021:AID-GPS234>3.0.CO;2-6
Bugallo-Carrera, C., Dosil-Díaz, C., Anido-Rifón, L., Pacheco-Lorenzo, M., Fernández-Iglesias, M. J., & Gandoy-Crego, M. (2023). A systematic review evaluating loneliness assessment instruments in older adults. Frontiers in Psychology, 14. https://doi.org/10.3389/fpsyg.2023.1101462
Carvalho, R., Sousa, L., & Tavares, J. (2023). Instruments for Assessing Loneliness in Older People in Portugal: A Scoping Review. Portuguese Journal of Public Health, 41(1), 45–64. https://doi.org/10.1159/000529147
Chawla, K., Kunonga, T. P., Stow, D., Barker, R., Craig, D., & Hanratty, B. (2021). Prevalence of loneliness amongst older people in high-income countries: A systematic review and meta-analysis. PLOS ONE, 16(7), e0255088. https://doi.org/10.1371/journal.pone.0255088
Connell, J., Carlton, J., Grundy, A., Buck, E. T., Keetharuth, A. D., Ricketts, T., Barkham, M., Robotham, D., Rose, D., & Brazier, J. (2018). The importance of content and face validity in instrument development: Lessons learnt from service users when developing the recovering quality of life measure (ReQoL). Quality of Life Research, 27, 1893-1902. https://doi.org/10.1007/s11136-018-1847-y
Deol, E. S., Yamashita, K., Elliott, S., Malmstorm, T. K., & Morley, J. E. (2022). Validation of the ALONE scale: A clinical measure of loneliness. The Journal of Nutrition, Health & Aging, 26(5), 421-424. https://doi.org/10.1007/s12603-022-1794-8
DiTommaso, E., & Spinner, B. (1997). Social and emotional loneliness: A re-examination of weiss’ typology of loneliness. Personality and Individual Differences, 22(3), 417-427. https://doi.org/10.1016/S0191-8869(96)00204-8
Golaszewski, N. M., LaCroix, A. Z., Godino, J. G., Allison, M. A., Manson, J. E., King, J. J., Weitlauf, J. C., Bea, J. W., Garcia, L., Kroenke, C. H., Saquib, N., Cannell, B., Nguyen, S., &
Bellettiere, J. (2022). Evaluation of social isolation, loneliness, and cardiovascular disease among older women in the US. JAMA Network Open, 5(2), e2146461. https://doi.org/10.1001/jamanetworkopen.2021.46461
Guarda Nacional Republicana. (2022). Censos Sénior 2022. https://www.gnr.pt/noticias.aspx?linha=20474
Guerra, S., Sousa, L., Carvalho, R., Melo, S., & Ribeiro, O. (2022). Understanding Loneliness in Older Adults: Reports from Experts by Experience to Reach Digital Solutions. Journal of Gerontological Social Work, 65(7), 728–734. https://doi.org/10.1080/01634372.2021.2019866
Holt-Lunstad, J. (2018). Why social relationships are important for physical health: A systems approach to understanding and modifying risk and protection. Annual Review of Psychology, 69, 437-458. https://doi.org/10.1146/annurev-psych-122216-011902
Macià, D., Cattaneo, G., Solana, J., Tormos, J. M., Pascual-Leone, A., & Bartrés-Faz, D. (2021). Meaning in life: A major predictive factor for loneliness comparable to health status and social connectedness. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.627547
Martín-María, N., Caballero, F. F., Lara, E., Domènech-Abella, J., Haro, J. M., Olaya, B., Ayuso-Mateos, J. L., & Miret, M. (2021). Effects of transient and chronic loneliness on major depression in older adults: A longitudinal study. International Journal of Geriatric Psychiatry, 36(1), 76-85. https://doi.org/10.1002/gps.5397
McKenna-Plumley, P. E., Groarke, J. M., Turner, R. N., & Yang, K. (2020). Experiences of loneliness: A study protocol for a systematic review and thematic synthesis of qualitative literature. Systematic Reviews, 9(284). https://doi.org/10.1186/s13643-020-01544-x
Mokkink, L. B., Terwee, C. B., & Vet, H. C. (2014). COSMIN: Consensus-based standards for the selection of health status measurement instruments. In A. C. Michalos (Ed.), Encyclopedia of quality of life and well-being research (pp. 1309-1312). Springer. https://doi.org/10.1007/978-94-007-0753-5_595
Perlman, D., & Peplau, L. A. (1984). Loneliness research: A survey of empirical findings. In L. A. Peplau, & S. E. Goldston (Eds.), Preventing the harmful consequences of severe and persistent loneliness (pp. 13-46). National Institute of Mental Health.
Russell, D., Peplau, L. A., & Ferguson, M. L. (1978). Developing a measure of loneliness. Journal of Personality Assessment, 42(3), 290–294. https://doi.org/10.1207/s15327752jpa4203_11
Saunders, B., Sim, J., Kingstone, T., Baker, S., Waterfield, J., Bartlam, B., Burroughs, H., & Jinks, C. (2018). Saturation in qualitative research: Exploring its conceptualization and operationalization. Quality & Quantity, 52, 1893–1907. https://doi.org/10.1007/s11135-017-0574-8
Sundström, A., Adolfsson, A. N., Nordin, M., & Adolfsson, R. (2020). Loneliness increases the risk of all-cause dementia and Alzheimer’s disease. The Journals of Gerontology: Series B, 75(5), 919-926. https://doi.org/10.1093/geronb/gbz139
Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398-405. https://doi.org/10.1111/nhs.12048
Wang, F., Gao, Y., Han, Z., Yu, Y., Long, Z., Jiang, X., Wu, Y., Pei, B., Cao, Y., Ye, J., Wang, M., & Zhao, Y. (2023). A systematic review and meta-analysis of 90 cohort studies of social isolation, loneliness and mortality. Nature Human Behaviour, 7, 1307-1319. https://doi.org/10.1038/s41562-023-01617-6
Wild, D., Grove, A., Martin, M., Eremenco, S., McElroy, S., Verjee-Lorenz, A., & Erikson, P. (2005). Principles of good practice for the translation and cultural adaptation process for patient-reported outcomes (PRO) measures: Report of the ISPOR task force for translation and cultural adaptation. Value Health, 8(2), 94-104. https://doi.org/10.1111/j.1524-4733.2005.04054.x
Word Health Organization. (2021). Advocacy brief: Social isolation and loneliness among older people. https://iris.who.int/bitstream/handle/10665/343206/9789240030749-eng.pdf?sequence=1
Yusoff, M. S. (2019). ABC of content validation and content validity index calculation. Education in Medicine Journal, 11(2), 49–54. https://doi.org/10.21315/eimj2019.11.2.6
