Cross-cultural adaptation, face validity and reliability of the Model of Human Occupation Screening Tool to Brazilian Portuguese

Cruz, Daniel Marinho Cezar da; Parkinson, Sue; Rodrigues, Daniela da Silva; Carrijo, Débora Couto de Melo; Costa, Jacqueline Denubila; Fachin-Martins, Emerson; Pfeifer, Luzia Iara

doi:10.4322/2526-8910.ctoAO2007

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Original Article • Cad. Bras. Ter. Ocup. 27 (4) • Oct-Dec 2019 • https://doi.org/10.4322/2526-8910.ctoAO2007 copy

Cross-cultural adaptation, face validity and reliability of the Model of Human Occupation Screening Tool to Brazilian Portuguese¹ 1 Research approved in 2016 by the Ethics Committee for Research with Human Beings from the Federal University of Sao Carlos, Sao Paulo, Brazil (protocol number CAAE 68946717.7.0000.5504).

Adaptação transcultural, validade de face e confiabilidade do Instrumento de Identificação da Participação Ocupacional do Modelo de Ocupação Humana para o português do Brasil

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction

The Model of Human Occupation Screening Tool (MOHOST) was developed in the UK and measures the occupational participation. Until its translation, there were no standardised instruments in Brazil of a similar nature.

Objectives

To describe the translation and cross-cultural adaptation process of the MOHOST for Brazil, its face validity and test-retest reliability among occupational therapists.

Method

A translation agreement was established allowing the assessment to be translated and honed after a back translation. An expert committee was formed of ten occupational therapists to test face validity of the instrument with 50 occupational therapists. Statistical analysis was employed to investigate whether the occupational therapists’ understanding of the MOHOST was linked to their length of clinical experience. The test-retest reliability was examined among a sample of eight adults with physical disabilities.

Results

The cross-cultural adaptation of the Brazilian MOHOST has been completed. A significant correlation (p=0.04) was found between years of professional experience and greater understanding of the MOHOST items. The MOHOST presented very high reliability in the test-retest (r>0.900).

Conclusion

A Brazilian translation of the MOHOST has face validation and test-retest reliability. Future studies addressing this instrument’s psychometric properties of validity and inter-rater reliability are recommended.

Keywords:
Occupational Therapy; Validation Studies; Rehabilitation

E ^* * Expert.	MOHOST UK	MOHOST Brazil	*E suggestions**	Final Decision of MOHOST Brazil
2	Stamina	Vigour	Energy	Rejected (the term “energy” is adopted in another item)
4	Appraisal of Ability	Judgment of Ability	Assessment of ability	Rejected because “judgment of ability” was recommended during the reconciliation of the back-translated versions.
4	Accurate belief in skill, accurate view of competence	Accurate belief in skill, accurate view of competence	Accurate belief in the skill, accurate view of competence	Suggestion accepted
4	Does not reflect on skills, fails to realistically estimate own abilities	Does not reflect on skills, fails to realistically estimate own abilities	Does not reflect on skills, fails to realistically assess own abilities	Suggestion accepted
4	Has some hope for success, adequate self-belief but has some doubts, may need encouraging	Has some hope for success, adequate self-belief but has some doubts, may need encouraging	Has some hope for success, adequate self-belief but has some doubts, will probably require encouraging	Rejected because it does not accurately reflect the original version
4	Sense of value and meaning	Sense of value and meaning	Sense of value and purpose	Rejected because it does not accurately reflect the original version
4	Mostly able to make choices, may need encouragement to set and work towards goals	Mostly able to make choices, may need encouragement to set and work towards goals	Able to make choices most of the time and may need encouragement to set and work towards goals	Suggestion accepted
4	Identifies with a variety of roles, has a sense of identity/belonging that comes from roles	Identifies with a variety of roles, has a sense of identity/belonging that comes from roles	comes or accrues from roles	Suggestion accepted

MOHOST domains	% of Understanding	Understanding’s hierarchical order
Motivation for occupation	98.92%	5
Pattern of occupation	99.51%	3
Communication & interaction skills	99.51%	3
Process skills	99.31%	4
Motor skills	99.71%	1
Environment	99.61%	2

Maximum	99.71	-
75% Percentile	99.64	-
Median	99.51	-
25% Percentile	99.21	-
Minimum	98.92	-

Mean	99.43	-
Std. Deviation	0.2822	-
Std. Error of Mean	0.1152	-
Upper 95% CI of mean	99.72	-
Lower 95% CI of mean	99.13	-

Coefficient of variation	0.28%	-

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br

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[1] Corresponding author: Daniel Marinho Cezar da Cruz, Departamento de Terapia Ocupacional, Universidade Federal de São Carlos, Rodovia Washington Luis, Km 235, CP 676, CEP 13565-905, São Carlos, SP, Brasil, e-mail: danielcruz@ufscar.br