Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation
https://cpcrjournal.org/article/doi/10.4322/2675-9977.cpcr.43048
Cardiorespiratory Physiotherapy, Critical Care and Rehabilitation
Original Research

Translation, cross-cultural adaptation and validation of the Pulmonary Rehabilitation Adapted Index of Self-efficacy (PRAISE) scale for Brazilian patients with chronic obstructive pulmonary disease"

Simone Graciosa Gavenda, Manuela Karloh, Hellen Fontão Alexandre, Thiago Sousa Matias, Anamaria Fleig Mayer

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Abstract

Background: Patients with Chronic Obstructive Pulmonary Disease (COPD) present a progressive chronic airflow obstruction. Pulmonary Rehabilitation (PR) promotes the reversal of the extrapulmonary effects of the disease and improves the quality of life. Despite the physiological benefits, the major challenge of PR is to promote change in lifestyle. In this sense, it has been emphasized the study of psychological variables such as self-efficacy. Aim: To translate, cross-culturally adapt and validate the PRAISE scale for Brazilian COPD patients. Methods: The PRAISE scale was applied on the first day by two raters and 15-20 days later by one rater. Patients were assessed for self-efficacy with the General Self-Efficacy Scale (GSS) and the COPD Self-Efficacy Scale (CSES); functional limitation for activities of daily living with the London Chest Activity of Daily Living (LCADL) scale; anxiety and depression symptoms with the Hospital Anxiety and Depression Scale (HADS); quality of life with Saint George’s Respiratory Questionnaire (SGRQ); resilience with the Resilience Scale; and basic psychological needs with the Basic Psychological Needs in Exercise Scale (BPNES). The tests used were: Student’s t-test or Wilcoxon’s test (PRAISE score comparison); intraclass correlation coefficient (ICC), interrater reliability and test-retest and Cronbach’s alpha; and Spearman’s or Pearson’s correlation coefficient to assess validity. Results: The scale was pre-tested in 10 patients to evaluate translation accuracy and cross-cultural adaptation. Thirty-four patients with COPD took part (22 men; FEV1=42.2±15.7%pred). The interrater and test-retest ICCs were excellent (0.82 and 0.86, respectively), with no significant differences in test-retest reliability (p>0.05). Cronbach’s alpha interrater and testretest were 0.90 and 0.92, respectively (p<0.001). There were no floor and ceiling effects. The scale showed weak to moderate correlations with GSS, CSES, LCADL, HADS, SGRQ, Resilience Scale, and BPNES. Conclusions: The PRAISE scale proved to be valid and reliable for Brazilian patients with COPD.

Keywords

Self-efficacy; Chronic Obstructive Pulmonary Disease; Validity

References

1. Agusti AG, Noguera A, Sauleda J, Sala E, Pons J, Busquets X. Systemic effects of chronic obstructive pulmonary disease. Eur Respir J. 2003;21(2):347-60. http://dx.doi.org/10.1183/09031936.03.00405703. PMid:12608452.

2. Singh G, Zhang W, Kuo YF, Sharma G. Association of Psychological Disorders With 30-Day Readmission Rates in Patients With COPD. Chest. 2016;149(4):905-15. http://dx.doi.org/10.1378/chest.15-0449. PMid:26204260.

3. Spruit MA, Pitta F, McAuley E, ZuWallack RL, Nici L. Pulmonary rehabilitation and physical activity in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med. 2015;192(8):924-33. http://dx.doi.org/10.1164/rccm.201505-0929CI. PMid:26161676.

4. Spruit MA, Singh SJ, Garvey C, ZuWallack R, Nici L, Rochester C, et al. An official American Thoracic Society/European Respiratory Society statement: key concepts and advances in pulmonary rehabilitation. Am J Respir Crit Care Med. 2013;188(8):e13-64. http://dx.doi.org/10.1164/rccm.201309-1634ST. PMid:24127811.

5. Bandura A. Self-efficacy: the exercise of control. W H Freeman; 1997.

6. Bourbeau J, Nault D, Dang-Tan T. Self-management and behaviour modification in COPD. Patient Educ Couns. 2004;52(3):271-7. http://dx.doi.org/10.1016/S0738-3991(03)00102-2. PMid:14998597.

7. Bentsen SB, Wentzel-Larsen T, Henriksen AH, Rokne B, Wahl AK. Self-efficacy as a predictor of improvement in health status and overall quality of life in pulmonary rehabilitation--an exploratory study. Patient Educ Couns. 2010;81(1):5-13. http://dx.doi.org/10.1016/j.pec.2009.11.019. PMid:20356700.

8. Karloh M, Matias TS, Gavenda SG, Silveira JA. Novas perspectivas para a reabilitação pulmonar: contribuições teóricas da autoeficácia. In: J. M, M. K, Dal Corso SO, editors. PROFISIO - Programa de Atualização em Fisioterapia Cardiovascular e Respiratória. 5. ed. Porto Alegre: Artmed Panamericana; 2019. p. 9-32.

9. Awotidebe TO, Awopeju OF, Bisiriyu LA, Ativie RN, Oke KI, Adedoyin RA, et al. Relationships between respiratory parameters, exercise capacity and psychosocial factors in people with chronic obstructive pulmonary disease. Ann Phys Rehabil Med. 2017;60(6):387-92. http://dx.doi.org/10.1016/j.rehab.2017.06.005. PMid:28797622.

10. Garrod R, Marshall J, Jones F. Self efficacy measurement and goal attainment after pulmonary rehabilitation. Int J Chron Obstruct Pulmon Dis. 2008;3(4):791-6. http://dx.doi.org/10.2147/COPD.S3954. PMid:19281094.

11. Oka RK, Gortner SR, Stotts NA, Haskell WL. Predictors of physical activity in patients with chronic heart failure secondary to either ischemic or idiopathic dilated cardiomyopathy. Am J Cardiol.1996;77(2):159-63. http://dx.doi.org/10.1016/S0002-9149(96)90588-3. PMid:8546084.

12. Karloh M, Sousa Matias T, Fleig Mayer A. Lack of responsiveness of the PRAISE tool to pulmonary rehabilitation: instrument or protocol limitation? Physiotherapy. 2020;106:215-6. http://dx.doi.org/10.1016/j.physio.2019.09.001. PMid:31992447.

13. Vincent E, Sewell L, Wagg K, Deacon S, Williams J, Singh S. Measuring a change in self-efficacy following pulmonary rehabilitation: an evaluation of the PRAISE tool. Chest. 2011;140(6):1534-9. http://dx.doi.org/10.1378/chest.10-2649. PMid:21737490.

14. Santos CD, Santos AJ, Santos M, Rodrigues F, Barbara C. Pulmonary rehabilitation adapted index of self-efficacy (PRAISE) validated to Portuguese respiratory patients. Pulmonology. 2019;25(6):334-9. http://dx.doi.org/10.1016/j.pulmoe.2019.06.003. PMid:31540750.

15. Song HY, Nam KA. Psychometric properties of the Korean version of the Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) for individuals with COPD. Int J Chron Obstruct Pulmon Dis. 2017;12:2611-20. http://dx.doi.org/10.2147/COPD.S142488. PMid:28919729.

16. Liacos A, McDonald CF, Mahal A, Hill CJ, Lee AL, Burge AT, et al. The Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) tool predicts reduction in sedentary time following pulmonary rehabilitation in people with chronic obstructive pulmonary disease (COPD). Physiotherapy. 2019;105(1):90-7. http://dx.doi.org/10.1016/j.
physio.2018.07.009. PMid:30316548.

17. Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine. 2000;25(24):3186-91. http://dx.doi.org/10.1097/00007632-200012150-00014. PMid:11124735.

18. Mokkink LB, Terwee CB, Knol DL, Stratford PW, Alonso J, Patrick DL, et al. The COSMIN checklist for evaluating the methodological quality of studies on measurement properties: a clarification of its content. BMC Med Res Methodol. 2010;10(1):22. http://dx.doi.org/10.1186/1471-2288-10-22. PMid:20298572.

19. Schwarzer R, Jerusalem M. Generalized Self-efficacy scale. measures in health psychology: a user’s portfolio causal and control beliefs. Windsor, UK: NFER-NELSON; 1995.

20. Rolim MKSB. Autoeficácia, estilo de vida e desempenho cognitivo de adolescentes ativos e sedentários. Florianópolis, SC: Universidade do Estado de Santa Catarina; 2007.

21. Wigal JK, Creer TL, Kotses H. The COPD self-efficacy scale. Chest. 1991;99(5):1193-6. http://dx.doi.org/10.1378/chest.99.5.1193. PMid:2019177.

22. Miller MR, Hankinson J, Brusasco V, Burgos F, Casaburi R, Coates A, et al. Standardisation of spirometry. Eur Respir J. 2005;26(2):319-38. 
http://dx.doi.org/10.1183/09031936.05.00034805. PMid:16055882.

23. Pereira CA, Sato T, Rodrigues SC. New reference values for forced spirometry in white adults in Brazil. Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. 2007;33(4):397-406.

24. Jones PW, Quirk FH, Baveystock CM. The St George’s Respiratory Questionnaire. Respiratory medicine. 1991;85(Suppl B):25-31; discussion 3-7.

25. Sousa TC, Jardim JR, Jones P. Validação do Questionário do Hospital Saint George na Doença Respiratória (SGRQ) em pacientes
portadores de doença pulmonar obstrutiva crônica no Brasil. J Pneumol. 2000;26(3):119-28. http://dx.doi.org/10.1590/S0102-35862000000300004.

26. Camelier A, Rosa FW, Salim C, Nascimento OA, Cardoso F, Jardim JR. Using the Saint George’s Respiratory Questionnaire to evaluate quality of life in patients with chronic obstructive pulmonary disease: validating a new version for use in Brazil. Jornal Brasileiro de Pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. 2006;32(2):114-22.

27. Garrod R, Bestall JC, Paul EA, Wedzicha JA, Jones PW. Development and validation of a standardized measure of activity of daily living in patients with severe COPD: the London Chest Activity of Daily Living scale (LCADL). Respir Med. 2000;94(6):589-96. http://dx.doi.org/10.1053/rmed.2000.0786. PMid:10921765.

28. Carpes MF, Mayer AF, Simon KM, Jardim JR, Garrod R. The brazilian portuguese version of the London Chest Activity of Daily Living scale for use in patients with chronic obstructive pulmonary disease. Jornal brasileiro de pneumologia: publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia. 2008;34(3):143-51.

29. Botega NJ, Bio MR, Zomignani MA, Garcia C Jr, Pereira WA. Mood disorders among inpatients in ambulatory and validation of the anxiety and depression scale HAD. Rev Saude Publica. 1995;29(5):355-63. PMid:8731275.

30. Phan T, Carter O, Adams C, Waterer G, Chung LP, Hawkins M, et al. Discriminant validity of the Hospital Anxiety and Depression Scale, Beck Depression Inventory (II) and Beck Anxiety Inventory to confirmed clinical diagnosis of depression and anxiety in patients with chronic obstructive pulmonary disease. Chron Respir Dis. 2016;13(3):220-8. http://dx.doi.org/10.1177/1479972316634604. PMid:26944070.

31. Vlachopoulos SP, Michailidou S. Development and initial validation of a measure of autonomy, competence, and relatedness in exercise: the basic psychological needs in exercise scale. Meas Phys Educ Exerc Sci. 2006;10(3):179-201. http://dx.doi.org/10.1207/s15327841mpee1003_4.

32. Cannon DL, Sriram KB, Liew AW, Sun J. Resilience factors important in health-related quality of life of subjects with COPD. Respir Care. 2018;63(10):1281-92. http://dx.doi.org/10.4187/respcare.05935. PMid:30065078.

33. Bentsen SB, Wentzel-Larsen T, Henriksen AH, Rokne B, Wahl AK. Anxiety and depression following pulmonary rehabilitation. Scand J Caring Sci. 2013;27(3):541-50. http://dx.doi.org/10.1111/j.1471-6712.2012.01064.x. PMid:22924539.

34. Andenaes R, Bentsen SB, Hvinden K, Fagermoen MS, Lerdal A. The relationships of self-efficacy, physical activity, and paid work to health-related quality of life among patients with chronic obstructive pulmonary disease (COPD). J Multidiscip Healthc. 2014;7:239-47. http://dx.doi.org/10.2147/JMDH.S62476. PMid:24944515.

35. Solano JP, Gomes B, Higginson IJ. A comparison of symptom prevalence in far advanced cancer, AIDS, heart disease, chronic obstructive pulmonary disease and renal disease. J Pain Symptom Manage. 2006;31(1):58-69. http://dx.doi.org/10.1016/j.jpainsymman.2005.06.007. PMid:16442483.

36. Lopes AC. Estratégias para avaliação do paciente DPOC grave e muito grave. São Paulo: Faculdade de Medicina da USP; 2016.

37. Ryan RM, Deci EL. Intrinsic and extrinsic motivations: classic definitions and new directions. Contemp Educ Psychol. 2000;25(1):54-67. http://dx.doi.org/10.1006/ceps.1999.1020. PMid:10620381.

38. Edmunds J, Ntoumanis N, Duda JL. Testing a self-determination theory-based teaching style intervention in the exercise domain. Eur J Soc Psychol. 2008;38(2):375-88. http://dx.doi.org/10.1002/ejsp.463.

39. Guimaraes SER, Boruchovitch E. O estilo motivacional do professor e a motivação intrínseca dos estudantes: uma perspectiva da teoria da autodeterminação. Psicol Reflex Crit. 2004;17(2):143-50. http://dx.doi.org/10.1590/S0102-79722004000200002.

40. Karloh M, Martias TS, Silveira JA, Gavenda SG. Novas perspectivas para a reabilitação pulmonar: Uma abordagem baseada na motivação. In: Martins J, Karsten M, Dal Corso S, editors. PROFISIO - Programa de Atualização em Fisioterapia Cardiovascular e Respiratória. 5. ed. Porto Alegre: Artmed Panamericana; 2019. p. 79-112.


Submitted date:
03/30/2021

Accepted date:
10/26/2021

61c49a39a953955a50412b73 cpcr Articles
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