title: New version of the Pediatric Evaluation of Disability Inventory (PEDI-CAT): translation, cultural adaptation to Brazil and analyses of psychometric properties.
abstract: The Pediatric Evaluation of Disability Inventory-Computer Adaptive Test (PEDI-CAT), developed with innovative measurement methodologies, evaluates functioning of children and youth, from 0 to 21 years, with different health conditions. It is a revision of an earlier instrument (PEDI) that has been used in national and international clinical practice and research. It was felt to be necessary to make this new version (PEDI-CAT) available in Brazil.
  
  
  
  Translate and culturally adapt the PEDI-CAT to the Brazilian-Portuguese language and test its psychometric properties.
  
  
  
  This methodological study was developed through the following stages: (1) translation, (2) synthesis, (3) back-translation, (4) revision by an expert committee, (5) testing of the pre-final version, and (6) evaluation of the psychometric properties. The 276 translated PEDI-CAT items were divided into three age groups (0-7, 8-14, and 15-21 years).
  
  
  
  The PEDI-CAT translation followed all six stages. The adaptations incorporated cultural and socioeconomic class specificities. The PEDI-CAT/Brazil showed good indices of inter-examiner (intraclass correlation coefficient-ICC=0.83-0.89) and test-retest (ICC=0.96-0.97) reliability, good internal consistency (0.99) and small standard error of measurement in all three age groups (0.12-0.17). Factor analyses grouped the items from the three functional skills domains into one factor, and items from the responsibility scale into three factors, supporting the adequacy of these factor solutions to the conceptual structure of the instrument and the developmental model.
  
  
  
  The PEDI-CAT/Brazil is a theoretically consistent, culturally appropriate, and reliable instrument. Its availability in Brazil will contribute to the evaluation and measurement of functional outcomes from clinical interventions, longitudinal follow-up, and rehabilitation research.
authors.affiliation: Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Belo Horizonte MG , Brazil, Programa de Pós-graduação em Ciências da Reabilitação, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
authors.forename: Marisa C
authors.initials: MC
authors.lastname: Mancini
authors.affiliation: College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston University, Boston , USA, Department of Occupational Therapy, College of Health and Rehabilitation Sciences: Sargent College, Boston University, Boston, USA.
authors.forename: Wendy J
authors.initials: WJ
authors.lastname: Coster
authors.affiliation: Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Belo Horizonte MG , Brazil, Programa de Pós-graduação em Ciências da Reabilitação, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.|Departamento de Terapia Ocupacional de Lagarto, Universidade Federal de Sergipe, Universidade Federal de Sergipe, Lagarto SE , Brazil, Departamento de Terapia Ocupacional de Lagarto, Universidade Federal de Sergipe (UFS), Lagarto, SE, Brazil.
authors.forename: Maíra F
authors.initials: MF
authors.lastname: Amaral
authors.affiliation: Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Belo Horizonte MG , Brazil, Programa de Pós-graduação em Ciências da Reabilitação, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
authors.forename: Bruna S
authors.initials: BS
authors.lastname: Avelar
authors.affiliation: Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Belo Horizonte MG , Brazil, Programa de Pós-graduação em Ciências da Reabilitação, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
authors.forename: Raphael
authors.initials: R
authors.lastname: Freitas
authors.affiliation: Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais, Universidade Federal de Minas Gerais, Belo Horizonte MG , Brazil, Programa de Pós-graduação em Ciências da Reabilitação, Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil.
authors.forename: Rosana F
authors.initials: RF
authors.lastname: Sampaio