title: Cross-cultural adaptation and content validation of START.
abstract: OBJECTIVE
  Non-treatment of diseases or clinical conditions has been considered to constitute omission of care in several countries. The aim of the present study was to develop a transcultural adaptation of the Screening Tool to Alert Doctors to the Right Treatment (START) to Brazilian Portuguese and to validate the tool's content.
  
  
  METHODS
  Cultural adaptation and validation of the START criteria using the Delphi consensus technique.
  
  
  METHODS
  START was translated from its original language into Brazilian Portuguese, followed by back-translation and validation by means of the modified Delphi technique. For this, an electronic form was developed and sent to 20 experts, who were asked to use a Likert scale to assess the statements included in START, in relation to their pertinence to Brazilian realities. All of the statements that exhibited mean scores greater than 4.0 were considered to have attained consensus. The experts' identities were kept confidential throughout the validation process.
  
  
  RESULTS
  In the first phase of the validation process, 63.6% (14/22) of the statements in START attained consensus. The remaining statements were returned to the experts so that they could have the opportunity to review their comments and statements and to assess them again, based on the Likert scale used earlier. In this phase, 100% of the START instrument attained consensus.
  
  
  CONCLUSIONS
  The content of START was entirely validated for Brazil, with all of the original criteria maintained.
authors.affiliation: Clinical Pharmacist, Cardiopulmonary Institute, Salvador, Bahia, Brazil.
authors.forename: Aline Cristina
authors.initials: AC
authors.lastname: Luz
authors.affiliation: Clinical Pharmacy, Multidisciplinary Health Institute, Universidade Federal da Bahia, Vitória da Conquista, Bahia, Brazil.
authors.forename: Márcio Galvão
authors.initials: MG
authors.lastname: Oliveira
authors.affiliation: Clinical Pharmacy, School of Pharmacy, Universidade Federal da Bahia, Salvador, Bahia, Brazil.
authors.forename: Lúcia
authors.initials: L
authors.lastname: Noblat
mesh_terms: D000368:Aged; D001938:Brazil; D003431:Cross-Cultural Comparison; D003697:Delphi Technique; D011307:Drug Prescriptions / Q000592:standards*; D006801:Humans; D007802:Language; D010379:Peer Group; D011795:Surveys and Questionnaires; D014177:Translations