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Translation, Cultural Adaptation, and Psychometric Evaluation of the Brazilian Portuguese Version of the Quality in Psychiatric Care-Outpatients Instrument
Örebro University, School of Health Sciences. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.ORCID iD: 0000-0002-6703-7575
School of Nursing, Federal University of Mato Grosso do Sul, Coxim 79070-900, Brazil.
School of Nursing, University of São Paulo, São Paulo 05508-900, Brazil; Institute of Advanced Studies, University of São Paulo, São Paulo 05508-900, Brazil.
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden; Department of Health Sciences in Gjøvik, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology (NTNU), 7034 Gjøvik, Norway.ORCID iD: 0000-0002-2157-8579
2023 (English)In: Healthcare, E-ISSN 2227-9032, Vol. 11, no 7, article id 1001Article in journal (Refereed) Published
Abstract [en]

Measuring the quality of care received by patients of mental health services is necessary to determine the effectiveness of prevention programs and mental health treatment. This study translated the original Swedish Quality in Psychiatric Care-Outpatient (QPC-OP) instrument to Brazilian Portuguese, adapted it to the context of Brazilian psychosocial care centers (CAPS), and evaluated its psychometric properties. The instrument was translated and back-translated by two independent professional translators. A seven-person expert group of professionals and 31 psychiatric outpatients verified the content validity of the Brazilian Portuguese QPC-OP, which then was completed by 253 outpatients from 16 CAPS in São Paulo, Brazil. Confirmatory factor analysis revealed adequate goodness of fit for the factor structure corresponding to the original Swedish version, except for the discharge dimension. Three additional items added in the Brazilian Portuguese QPC-OP formed a separate factor. The internal consistency of the entire scale was excellent but low in some dimensions. In conclusion, the translation and cultural adaptation of the Brazilian Portuguese QPC-OP was satisfactory, and the psychometric evaluation demonstrated that the concept of quality of mental health care is similarly understood in the Brazilian and Swedish cultural context. Thus, the Brazilian Portuguese QPC-OP is a useful instrument for assessing the quality of care in the Brazilian CAPS context and will be useful in quality assurance and in cross-cultural research addressing quality of mental health care from the patient's perspective.

Place, publisher, year, edition, pages
MDPI, 2023. Vol. 11, no 7, article id 1001
Keywords [en]
community mental health services, outpatient care, psychometric evaluation, quality of health care, validation study
National Category
Nursing
Identifiers
URN: urn:nbn:se:oru:diva-105532DOI: 10.3390/healthcare11071001ISI: 000969590400001PubMedID: 37046931Scopus ID: 2-s2.0-85152638820OAI: oai:DiVA.org:oru-105532DiVA, id: diva2:1750942
Funder
Region Örebro County
Note

Funding agencies:

Fundacao Universidade Federal de Mato Grosso do Sul-UFMS/MEC-Brazil

Coordenacao de Aperfeicoamento de Pessoal de Nivel Superior (CAPES) 001

Available from: 2023-04-14 Created: 2023-04-14 Last updated: 2023-05-15Bibliographically approved

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Lundqvist, Lars-OlovSchröder, Agneta

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