title: Validation of questionnaire on the Spiritual Needs Assessment for Patients (SNAP) questionnaire in Brazilian Portuguese.
abstract: OBJECTIVE
  Spirituality is related to the care and the quality of life of cancer patients. Thus, it is very important to assess their needs. The objective of this study was the translation and cultural adjustment of the Spiritual Needs Assessment for Patients (SNAP) questionnaire to the Brazilian Portuguese language.
  
  
  METHODS
  The translation and cultural adjustment of the SNAP questionnaire involved six stages: backtranslation, revision of backtranslation, translation to the original language and adjustments, pre-test on ten patients, and test and retest with 30 patients after three weeks. Adult patients, with a solid tumour and literate with a minimum of four years schooling were included. For analysis and consistency we used the calculation of the Cronbach alpha coefficient and the Pearson linear correlation.
  
  
  RESULTS
  The final questionnaire had some language and content adjustments compared to the original version in English. The correlation analysis of each item with the total score of the questionnaire showed coefficients above 0.99. The calculation of the Cronbach alpha coefficient was 0.9. The calculation of the Pearson linear correlation with the test and retest of the questionnaire was equal to 0.95.
  
  
  CONCLUSIONS
  The SNAP questionnaire translated into Brazilian Portuguese is adequately reliable and consistent. This instrument allows adequate access to spiritual needs and can help patient care.
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Diego
authors.initials: D
authors.lastname: de Araujo Toloi
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Deise
authors.initials: D
authors.lastname: Uema
authors.affiliation: Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Felipe
authors.initials: F
authors.lastname: Matsushita
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Paulo Antonio
authors.initials: PA
authors.lastname: da Silva Andrade
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Tiago Pugliese
authors.initials: TP
authors.lastname: Branco
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Fabiana Tomie Becker
authors.initials: FT
authors.lastname: de Carvalho Chino
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Raquel Bezerra
authors.initials: RB
authors.lastname: Guerra
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Túlio Eduardo Flesch
authors.initials: TE
authors.lastname: Pfiffer
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Toshio
authors.initials: T
authors.lastname: Chiba
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Rodrigo Santa Cruz
authors.initials: RS
authors.lastname: Guindalini
authors.affiliation: School of Medicine and Divinity School, Chicago University, IL 60637, USA.
authors.forename: Daniel P
authors.initials: DP
authors.lastname: Sulmasy
authors.affiliation: Instituto do Câncer do Estado de São Paulo, 01246-000, Brazil; Faculty of Medicine of São Paulo University, 01246-903, Brazil.
authors.forename: Rachel P
authors.initials: RP
authors.lastname: Riechelmann
keywords: cancer; spirituality