[Cross-cultural adaptation of section A of the Cambridge Examination for Mental Disorders of the Elderly-Revised Version (CAMDEX-R) for dementia diagnosis].
This article concerns the first phase of the cross-cultural equivalence of Section A in the Cambridge Examination for Mental Disorders of the Elderly-Revised Version (CAMDEX-R), a clinical interview for dementia diagnosis. Evaluating conceptual and item equivalencies involved a literature review and expert groups. Semantic equivalence involved translations of the original into Portuguese and back-translations, with analysis of the versions and the original text; meetings with experts; discussions with 52 elders using the focus group technique; further meeting with experts; pretesting on 35 elders; and elaboration of the final version. For the reliability analysis, the version was applied to 160 patients. Inter-observer reliability was nearly perfect in all sub-sections of present state and in individual items of past medical history. Test-retest reliability was moderate or higher in the sub-sections and substantial or nearly perfect in 70% of the items in past history. The Brazilian version shows satisfactory equivalence to the original and good reliability levels.
Lima
Daniele Aguiar
DA
Universidade do Estado do Rio de Janeiro, Rio de Janeiro, Brazil. dradanielelima@gmail.com
Lourenço
Roberto Alves
RA
D000368:Aged; D000369:Aged, 80 and over; D001938:Brazil; D003431:Cross-Cultural Comparison; D003466:Cultural Characteristics; D003704:Dementia / Q000175:diagnosis*; D005260:Female; D015577:Geriatric Assessment / Q000379:methods*; D006801:Humans; D007406:Interview, Psychological / Q000592:standards*; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D015203:Reproducibility of Results; D012959:Socioeconomic Factors; D014177:Translations