title: Brazilian version of the Care Transitions Measure: translation and validation.
abstract: OBJECTIVE
  To translate, adapt and evaluate psychometric properties of the complete (15 items) and reduced (three items) versions of the Care Transitions Measure into Brazilian Portuguese.
  
  
  BACKGROUND
  The Care Transitions Measure assesses the quality of care transitions, from the perspective of patients. As accomplishing effective transitions is a challenge to healthcare systems, the instrument provides an opportunity to assess care transitions and improve quality initiatives.
  
  
  METHODS
  A three-phased design was used for cross-cultural adaptation, pre-testing and evaluation of psychometric properties of the measurement in a Brazilian hospital. After forward translation, back translation and expert committee review, patients evaluated the instrument in a pre-test. Psychometric testing included face and content validity, reliability, stability and factorial analysis.
  
  
  RESULTS
  Cross-cultural adaptation was completed successfully with a high clarity rate. Internal consistency was good in the 15-item version and was moderate in the three-item version. Test-retest reliability showed good stability of the two versions over time. The three-item version had satisfactory criterion validity. Four factors were extracted for the 15-item measure.
  
  
  CONCLUSIONS
  Samples were restricted to a group of patients from one hospital in southern Brazil. Future studies should test the measurement's construct and predictive validity.
  
  
  CONCLUSIONS
  The translated version of the Care Transitions Measure has good face and content validity, reliability and stability. It has shown to be a valid measurement for evaluating the quality of care transitions in Brazil.
  
  
  CONCLUSIONS
  Results are beneficial for nurses, managers and policy makers for evaluating care transitions and support the need for changes in policies and practices.
authors.affiliation: School of Nursing, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
authors.forename: A M
authors.initials: AM
authors.lastname: Acosta
authors.affiliation: School of Nursing, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
authors.forename: M A D S
authors.initials: MADS
authors.lastname: Lima
authors.affiliation: School of Nursing, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
authors.forename: G Q
authors.initials: GQ
authors.lastname: Marques
authors.affiliation: School of Nursing, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
authors.forename: P F
authors.initials: PF
authors.lastname: Levandovski
authors.affiliation: School of Nursing, Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil.
authors.forename: L A F
authors.initials: LAF
authors.lastname: Weber
mesh_terms: D001938:Brazil; D006801:Humans; D010360:Patient Transfer / Q000592:standards*; D011594:Psychometrics; D011787:Quality of Health Care / Q000592:standards*; D015203:Reproducibility of Results; D011795:Surveys and Questionnaires / Q000592:standards*; D014177:Translations
keywords: Brazil; Care Coordination; Care Transition; Cross-Cultural Adaptation; Instrument Development; Nursing Care; Quality Measurement; Validation Studies