title: Cross-cultural adaptation and reproducibility of the Brazilian-Portuguese version of the modified FRESNO Test to evaluate the competence in evidence based practice by physical therapists.
abstract: BACKGROUND
  The Modified Fresno Test was developed to assess knowledge and skills of both physical therapy (PT) professionals and students to use evidence-based practice (EBP).
  
  
  OBJECTIVE
  To translate the Modified Fresno Test into Brazilian-Portuguese and to evaluate the test's reproducibility.
  
  
  METHODS
  The first step consisted of adapting the instrument into the Brazilian-Portuguese language. Then, a total of 57 participants, including PT students, PT professors and PT practitioners, completed the translated instrument. The responses from the participants were used to evaluate reproducibility of the translated instrument. Internal consistency was calculated using the Cronbach's alpha. Reliability was calculated using the intraclass correlation coefficient (ICC) for continuous variables, and the Kappa coefficient (K) for categorical variables. The agreement was assessed using the standard error of the measurement (SEM).
  
  
  RESULTS
  The cross-cultural adaptation process was appropriate, providing an adequate Brazilian-Portuguese version of the instrument. The internal consistency was good (α=0.769). The reliability for inter- and intra-rater assessment were ICC=0.89 (95% CI 0.82 to 0.93); for evaluator 1 was ICC=0.85 (95% CI 0.57 to 0.93); and for evaluator 2 was ICC=0.98 (95% CI 0.97 to 0.99). The SEM was 13.04 points for inter-rater assessment, 12.57 points for rater 1 and 4.59 points for rater 2.
  
  
  CONCLUSIONS
  The Brazilian-Portuguese language version of the Modified Fresno Test showed satisfactory results in terms of reproducibility. The Modified Fresno Test will allow physical therapy professionals and students to be evaluated on the use of understanding EBP.
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Anderson M
authors.initials: AM
authors.lastname: Silva
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Lucíola C M
authors.initials: LC
authors.lastname: Costa
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Maria L
authors.initials: ML
authors.lastname: Comper
authors.affiliation: Universidade Cidade de São Paulo, São Paulo, SP, Brazil.
authors.forename: Rosimeire S
authors.initials: RS
authors.lastname: Padula
mesh_terms: D001938:Brazil; D055317:Evidence-Based Practice; D006801:Humans; D059825:Physical Therapists; D011594:Psychometrics / Q000379:methods*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires