title: Cultural adaptation to Brazil of the questionnaire Costs of caring for children with cancer.
abstract: OBJECTIVE
  to present the cultural adaptation of the questionnaire Costs of caring for children with cancer, offering a valid and reliable tool to assess the economic repercussions of childhood cancer for Brazilian families.
  
  
  METHODS
  it is a methodological research with a cross-sectional design. The methodological framework to validate the questionnaire was a combined process that included seven steps: translation to Portuguese; first translated consensus version; evaluation by Expert Committee; consensus on the Expert Committee version; back-translation; consensus of back-translated versions; semantic validation. The study was conducted in two phases: phase one was the translation and back-translations process, with five expert committee members. Phase two was the semantic validation, with 24 participants, who answered an instrument about their impressions of the questionnaire and suggested modifications.
  
  
  RESULTS
  in phase one, items were included, excluded, and replaced to make the content equivalent and valid for use with Brazilian context. In phase two, the majority of the participants were mothers, who made suggestions about the relevance and clarity of the items in the questionnaire.
  
  
  CONCLUSIONS
  the authors discussed these recommendations and made adaptations, turning the questionnaire into a valid and reliable tool for application.
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Raquel
authors.initials: R
authors.lastname: Pan
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Amanda Rossi
authors.initials: AR
authors.lastname: Marques
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Bruna Domingos
authors.initials: BD
authors.lastname: dos Santos
authors.affiliation: School of Nursing, University of California, Los Angeles, California, USA.
authors.forename: Eufemia
authors.initials: E
authors.lastname: Jacob
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Claudia Benedita
authors.initials: CB
authors.lastname: dos Santos
authors.affiliation: Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
authors.forename: Lucila Castanheira
authors.initials: LC
authors.lastname: Nascimento
mesh_terms: D000293:Adolescent; D001938:Brazil; D002648:Child; D017281:Cost of Illness; D003430:Cross-Sectional Studies; D003466:Cultural Characteristics; D005190:Family; D006801:Humans; D009369:Neoplasms / Q000191:economics* / Q000628:therapy; D011795:Surveys and Questionnaires; D014177:Translations