ArticleJournal of evaluation in clinical practice2026
The Brazilian Version of the Visual CARE 5Q: Instrument Translation and Cultural Adaptation.
Article in Journal of evaluation in clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimTo translate and cross-culturally adapt the Visual CARE 5Q for use with Brazilian children.
designA methodological cross-sectional study.
methodsPortuguese translation and adaptation of the original Visual CARE 5Q. We followed five standardised steps: translation, synthesis, back-translation, expert evaluation, and pilot testing. Ten expert judges and 25 hospitalised children aged 7-11 years participated in the study. Content validity was assessed using the Content Validity Index (CVI). Semantic, idiomatic, conceptual, and cultural equivalence were evaluated. Reliability was assessed using internal consistency, evaluated with Cronbach's alpha. The one-factor structure was evaluated by exploratory factor analysis.
resultsAdjustments for better comprehensiveness were necessary for items 1 and 5. All items reached full agreement after adjustments. Equivalence was adequate. Children evaluated the Visual CARE 5Q Brazilian version positively. The instrument demonstrated a unidimensional structure, consistent with the original version, and acceptable internal consistency (α = 0.73).
conclusionAfter translation and cultural adaptation, the Visual CARE 5Q Brazilian version is applicable as a tool to assess hospitalised children's perception of clinical empathy in Brazil, contributing to the advancement of quality and child-centered care. IMPACT: Evaluating children's perceived empathy during hospitalisation requires the use of instruments adapted to each country's reality and qualifies pediatric healthcare. PATIENT OR PUBLIC CONTRIBUTION: These results contribute to clinical practice by providing an instrument to evaluate perceived empathy among pediatric patients in Brazil.
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