PDF icon Download PDF
Open Access
CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2018; 76(08): 512-516
DOI: 10.1590/0004-282X20180069
Article

Cross-cultural adaptation to Brazilian Portuguese of the Dementia Knowledge Assessment Tool Version Two: DKAT2

Adaptação transcultural para o português brasileiro da Dementia Knowledge Assesment Tool Version Two: DKAT2
Marcelo Piovezan
1   Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brasil
,
Hélio Amante Miot
1   Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brasil
,
Miriane Garuzi
1   Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brasil
,
Alessandro Ferrari Jacinto
1   Universidade Estadual Paulista, Faculdade de Medicina de Botucatu, Botucatu SP, Brasil
› Author Affiliations
› Further Information
Also available ateRef
  Permissions and Reprints
Preview

ABSTRACT

The Dementia Knowledge Assessment Tool Version Two (DKAT2) was developed to measure caregivers’ knowledge about the trajectory of dementia and assess changes in the knowledge before and after educational programs. The DKAT2 is a 21-item tool with questions about several aspects of dementia. The possible answers for each question are “yes”, “no” or “don't know”. The maximum score is 21.

Objective: The aim of the study was to cross-culturally adapt the DKAT2 to Brazilian Portuguese.

Methods: The essential steps to cross-culturally adapt were conducted and the final version administered to 30 caregivers of older people with dementia, sampled by convenience.

Results: In the sample assessed, the mean age was 55.7 (± 12.5) years, 93.3% were female, 56.7% were sons/daughters and 23.3% were spouses of the older adults with dementia. The mean time caring for the elder was 4.7 (± 3.3) years and 70% of the caregivers had some level of burden. The mean age of the older people was 82.4 (± 6.7) years, 19 (63.3%) had a diagnosis of Alzheimer's disease, 100% were dependent for instrumental activities of daily living and 70% had some degree of dependence for basic activities of daily living. The mean score for the caregivers’ knowledge level was 15.0 (± 2.5) correct answers.

Conclusions: The Brazilian Portuguese version was developed and the final version is suitable for use in Brazil.

RESUMO

“Dementia Knowledge Assessment Tool Version Two” (DKAT2) foi desenvolvido para medir o conhecimento de cuidadores sobre a trajetória da demência e avaliar as mudanças no conhecimento antes e depois de programas educacionais. DKAT2 é uma ferramenta de 21 itens com perguntas sobre vários aspectos da demência. As respostas possíveis para cada pergunta são “sim”, “não” ou “não sei”. A pontuação máxima é de 21.

Objetivo: Adaptar culturalmente o DKAT2 ao português brasileiro.

Métodos: Foram realizadas as etapas essenciais para a adaptação cultural e a versão final foi administrada a uma amostra de conveniência de 30 cuidadores de idosos com demência.

Resultados: A idade média dos cuidadores foi de 55,7 (± 12,5) anos, 93,3% eram do sexo feminino, 56,7% eram filhos e 23,3% cçnjuges dos idosos com demência. O tempo médio de cuidado ao idoso foi de 4,7 (± 3,3) anos e 70,0% dos cuidadores mostraram algum nível de sobrecarga. A média de idade dos idosos com demência foi de 82,4 (± 6,7) anos, 19 (63,3%) tiveram diagnóstico de doença de Alzheimer, 100% eram dependentes nas atividades instrumentais da vida diária e 70,0% tinham algum grau de dependência nas atividades básicas de vida diária. O escore médio do nível de conhecimento dos cuidadores foi de 15,0 (± 2,5) respostas corretas.

Conclusões: A versão em português do Brasil foi obtida e mostrou-se adequada para uso no Brasil.

Keywords:

aged - caregivers - dementia - knowledge

Palavras-chave:

idoso - cuidadores - demência - conhecimento

Support

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) – Masters Scholarship.




Publication History

Received: 16 February 2018

Accepted: 09 April 2018

Article published online:
23 August 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil

 

  • References

  • 1 Lopes MA, Bottino CM. [Prevalence of dementia in several regions of the world: analysis of epidemiologic studies from 1994 to 2000]. Arq Neuropsiquiatr. 2002 Mar;60(1):61-9. Protuguese. https://doi.org/10.1590/S0004-282X2002000100012
  • 2 Pot AM, Petrea I. Bupa/ADI: Melhoria mundial do tratamento da demência: ideias e conselhos sobre o desenvolvimento e implementação de um Plano Nacional de Demência. Londres: Bupa/ADI; 2013.
  • 3 Nitrini R, Bottino CM, Albala C, Custodio Capuñay NS, Ketzoian C, Llibre Rodriguez JJ et al. Prevalence of dementia in Latin America: a collaborative study of population-based cohorts. Int Psychogeriatr. 2009 Aug;21(4):622-30. https://doi.org/10.1017/S1041610209009430
  • 4 Novelli MM, Caramelli P. The influence of neuropsychiatric and functional changes on quality of life in Alzheimer's disease. Dement Neuropsychol. 2010 Jan-Mar;4(1):47-53. https://doi.org/10.1590/S1980-57642010DN40100008
  • 5 Chang YJ, Kwon YC, Lee WJ, Do YR, Seok LK, Kim HT et al. Burdens, needs and satisfaction of terminal cancer patients and their caregivers. Asian Pac J Cancer Prev. 2013;14(1):209-16. https://doi.org/10.7314/APJCP.2013.14.1.209
  • 6 Robinson A, Eccleston C, Annear M, Elliott KE, Andrews S, Stirling C et al. Who knows, who cares? Dementia knowledge among nurses, care workers, and family members of people living with dementia. J Palliat Care. 2014;30(3):158-65.
  • 7 Toye C, Lester L, Popescu A, McInerney F, Andrews S, Robinson AL. Dementia Knowledge Assessment Tool Version Two: development of a tool to inform preparation for care planning and delivery in families and care staff. Dementia. 2014 Mar;13(2):248-56. https://doi.org/10.1177/1471301212471960
  • 8 Canino G, Bravo M. The adaptation and testing of diagnostic and outcome measures for cross-cultural research. Int Rev Psychiatry. 1994;6(4):281-6. https://doi.org/10.3109/09540269409023267
  • 9 Pfeffer RI, Kurosaki TT, Harrah CH Jr, Chance JM, Filos S. Measurement of functional activities in older adults in the community. J Gerontol. 1982 May;37(3):323-9. https://doi.org/10.1093/geronj/37.3.323
  • 10 Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA. 1963 Sep;185(12):914-9. https://doi.org/10.1001/jama.1963.03060120024016
  • 11 Scazufca M. Versão brasileira da escala Burden Interview para avaliação de sobrecarga em cuidadores de indivíduos com doenças mentais. Rev Bras Psiquiatr. 2002 Mar;24(1):12-7. https://doi.org/10.1590/S1516-44462002000100006.
  • 12 Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: validity of a two-item depression screener. Med Care. 2003 Nov;41(11):1284-92. https://doi.org/10.1097/01.MLR.0000093487.78664.3C
  • 13 Miot HA. Assessing normality of data in clinical and experimental trials. J Vasc Bras. 2017;16(2):88-91. https://doi.org/10.1590/1677-5449.041117
  • 14 Sourial N, Wolfson C, Zhu B, Quail J, Fletcher J, Karunananthan S et al. Correspondence analysis is a useful tool to uncover the relationships among categorical variables. J Clin Epidemiol. 2010 Jun;63(6):638-46. https://doi.org/10.1016/j.jclinepi.2009.08.008
  • 15 Neri AL, Sommerhalder C. As várias faces do cuidador e do bem-estar do cuidador. In: Neri AL. Cuidar de idosos no contexto da família: questões psicológicas e sociais. 3a ed. Campinas, SP: Alínea; 2012.
  • 16 Hosseinpoor AR, Bergen N, Chatterji S. Socio-demographic determinants of caregiving in older adults of low- and middle-income countries. Age Ageing. 2013 May;42(3):330-8. https://doi.org/10.1093/ageing/afs196
  • 17 Toribio-Díaz ME, Medrano-Martínez V, Moltó-Jordá JM, Beltrán-Blasco I. Characteristics of informal caregivers of patients with dementia in Alicante province. Neurología. 2013 Mar;28(2):95-102. https://doi.org/10.1016/j.nrl.2012.03.010
  • 18 Taub A, Andreoli S, Bertolucci PH. Dementia caregiver burden: reliability of the Brazilian version of the Zarit caregiver burden interview. Cad Saúde Pública. 2004Mar-Apr;20(2):372-6. https://doi.org/10.1590/S0102-311X2004000200004
  • 19 Instituto Brasileiro de Geografia e Estatística – IBGE. Em 2013, esperança de vida ao nascer era de 74,9 anos. Rio de Janeiro: Instituto Brasileiro de Geografia e Estatística; 2014 [access 2018 Jan 30]. Available from: https://agenciadenoticias.ibge.gov.br/2013-agencia-de-noticias/releases/14712-asi-em-2013-esperanca-de-vida-ao-nascer-era-de-749-anos.html