Cross-Cultural Translation into Brazilian Portuguese and Validation of the Oral Anticoagulation Knowledge Tool (AKT-Br)

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Auteur principal: Felipe F. Mainka
Format: Artículo científico
Langue:en
Publié: Sociedade Brasileira de Cirurgia Cardiovascular 2022
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author Felipe F. Mainka
author_facet Felipe F. Mainka
contents Cross-Cultural Translation into Brazilian Portuguese and Validation of the Oral Anticoagulation Knowledge Tool (AKT-Br) Felipe F. Mainka Vinicius L. Ferreira Antonio M. Mendes Gustavo L. Marques Cassyano J. Correr Fernanda S. Tonin Roberto Pontarolo Medicina Warfarin Translating Anticoagulants Medication Adherence Surveys and Questionnaires Introduction: Oral anticoagulants are the treatment of choice for diverse types of coagulation disorders. Warfarin is widely used by the Brazilian population, possibly due to its lower cost than other oral anticoagulants. However, it has a high risk of serious adverse effects if used incorrectly. The Anticoagulation Knowledge Tool (AKT) can assess a patient’s knowledge about her/his oral anticoagulant therapy and can assist health professionals in identifying patients with difficulties in adherence. This study aimed to translate, culturally adapt, and validate the AKT into Brazilian Portuguese.Methods: After a standard forward-backward procedure to translate the AKT into Brazilian Portuguese (AKT-Br), a version of the instrument was applied in three groups (patients, pharmacists, and the general population). The reliability of the AKT-Br was tested using an internal consistency measure and test-retest. The validity of the instrument was confirmed with data from the contrasted groups. All statistical analyses were performed with RStudio.Results: The median scores obtained with the AKT-Br were 29.0, 17.0, and 7.5 for pharmacists, patients, and the general population, respectively (maximum score of 35 points). There was moderate internal consistency for the instrument and test-retest reliability was satisfactory. Analysis of variance for validity of the groups revealed a significant relationship between the total score and the evaluated groups.Conclusion: The ATK-Br is a reliable and valid tool to assess knowledge about oral anticoagulants. AKT-Br can be used in clinical practice as an auxiliary tool to improve patient care through personalised educational interventions. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398971282012 https://www.redalyc.org/journal/3989/398971282012/ https://www.redalyc.org/journal/3989/398971282012/html/ https://www.redalyc.org/journal/3989/398971282012/398971282012.epub https://www.redalyc.org/journal/3989/398971282012/movil 10.21470/1678-9741-2020-0731 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.37
format Artículo científico
id redalyc_398971282012
institution Redalyc
language en
publishDate 2022
publisher Sociedade Brasileira de Cirurgia Cardiovascular
spellingShingle Cross-Cultural Translation into Brazilian Portuguese and Validation of the Oral Anticoagulation Knowledge Tool (AKT-Br)
Felipe F. Mainka
Medicina
Warfarin
Translating
Anticoagulants
Medication Adherence
Surveys and Questionnaires
Cross-Cultural Translation into Brazilian Portuguese and Validation of the Oral Anticoagulation Knowledge Tool (AKT-Br) Felipe F. Mainka Vinicius L. Ferreira Antonio M. Mendes Gustavo L. Marques Cassyano J. Correr Fernanda S. Tonin Roberto Pontarolo Medicina Warfarin Translating Anticoagulants Medication Adherence Surveys and Questionnaires Introduction: Oral anticoagulants are the treatment of choice for diverse types of coagulation disorders. Warfarin is widely used by the Brazilian population, possibly due to its lower cost than other oral anticoagulants. However, it has a high risk of serious adverse effects if used incorrectly. The Anticoagulation Knowledge Tool (AKT) can assess a patient’s knowledge about her/his oral anticoagulant therapy and can assist health professionals in identifying patients with difficulties in adherence. This study aimed to translate, culturally adapt, and validate the AKT into Brazilian Portuguese.Methods: After a standard forward-backward procedure to translate the AKT into Brazilian Portuguese (AKT-Br), a version of the instrument was applied in three groups (patients, pharmacists, and the general population). The reliability of the AKT-Br was tested using an internal consistency measure and test-retest. The validity of the instrument was confirmed with data from the contrasted groups. All statistical analyses were performed with RStudio.Results: The median scores obtained with the AKT-Br were 29.0, 17.0, and 7.5 for pharmacists, patients, and the general population, respectively (maximum score of 35 points). There was moderate internal consistency for the instrument and test-retest reliability was satisfactory. Analysis of variance for validity of the groups revealed a significant relationship between the total score and the evaluated groups.Conclusion: The ATK-Br is a reliable and valid tool to assess knowledge about oral anticoagulants. AKT-Br can be used in clinical practice as an auxiliary tool to improve patient care through personalised educational interventions. 2022 artículo científico 0102-7638 https://www.redalyc.org/articulo.oa?id=398971282012 https://www.redalyc.org/journal/3989/398971282012/ https://www.redalyc.org/journal/3989/398971282012/html/ https://www.redalyc.org/journal/3989/398971282012/398971282012.epub https://www.redalyc.org/journal/3989/398971282012/movil 10.21470/1678-9741-2020-0731 en http://www.redalyc.org/revista.oa?id=3989 Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery application/pdf Sociedade Brasileira de Cirurgia Cardiovascular Revista Brasileira de Cirurgia Cardiovascular/Brazilian Journal of Cardiovascular Surgery (Brasil) Num.3 Vol.37
title Cross-Cultural Translation into Brazilian Portuguese and Validation of the Oral Anticoagulation Knowledge Tool (AKT-Br)
topic Medicina
Warfarin
Translating
Anticoagulants
Medication Adherence
Surveys and Questionnaires
url https://www.redalyc.org/articulo.oa?id=398971282012
https://www.redalyc.org/journal/3989/398971282012/
https://www.redalyc.org/journal/3989/398971282012/html/
https://www.redalyc.org/journal/3989/398971282012/398971282012.epub
https://www.redalyc.org/journal/3989/398971282012/movil