The Brazilian version of the DOS for the detection of orthorexia nervosa: transcultural adaptation and validation among dietitians and Nutrition college students.

PURPOSE: Orthorexia nervosa has been receiving considerable attention and several tools have been developed to assess it, for instance, the "Düsseldorf Orthorexie Scale" (DOS). Such scale is a validated test to measure orthorexic eating behavior and it has shown good psychometric properties. Therefore, this study aimed to transculturally adapt and validate the Brazilian version of the DOS (DOS-BR). METHODS: DOS-BR was obtained using the back-translation process after two reviews done by a focus group and after running a pilot-test (n = 64). A self-report questionnaire was administered to a sample of Brazilian dietitians and Nutrition college students (n = 486). To examine the factor structure of the DOS-BR, exploratory factor analysis and confirmatory factor analysis were conducted. The ordinal alpha was examined. Test-retest reliability was evaluated in a sub-sample (n = 159). Convergent validity was assessed by conducting correlation analyses between the DOS-BR and other theoretically related tools (EAT-26 and OCI-R) within the sub-sample. RESULTS: A three-factor structure was revealed for the DOS-BR properly fitted (KMO = 0.787). The test showed good internal consistency with an ordinal alpha of 0.795, and it also had excellent test-retest reliability of 0.776. DOS-BR median score was 17 (14-22) in Measurement 1 and 19 (17-22) in Measurement 2. The total score had a positive and moderate correlation with eating disorders symptoms (0.488) and a positive and weak correlation with obsessive-compulsive symptoms (0.224). CONCLUSION: The DOS-BR was culturally and psychometrically adequate for the samples of Brazilian Nutrition-related subjects. The tool is indicated as a reliable alternative to evaluate orthorexia nervosa in Brazilian scenery. LEVEL OF EVIDENCE: Descriptive (cross-sectional) study, Level V.

Sala de espera: diálogo entre extensão universitária e educação alimentar e nutricional com pacientes pré e pós-transplante hepático / Waiting room: dialogue between university extension and food and nutritional education with patients pre- and post-liver transplantation

Introdução: A Educação Alimentar e Nutricional (EAN) deve estar inserida em diversos setores públicos, dentre esses a Sala de Espera, que consiste em área física com pessoas que aguardam atendimento profissional. Esse espaço pode ser utilizado para ajudar pacientes e familiares, em situações que exijam maior atenção de cuidados de saúde, incluindo a nutrição. Pacientes candidatos ou já submetidos ao transplante hepático são grupo vulnerável que deve compreender o tratamento e aprender a manejar os cuidados necessários por toda a vida, especialmente os dietéticos. Método: Estudo descritivo com abordagem quanti-qualitativa, cujas atividades desenvolvidas consistiram em oficinas com diferentes temáticas. O público-alvo foi de pacientes candidatos ou já submetidos ao transplante hepático e que aguardavam atendimento médico na Sala de Espera. A efetividade das oficinas foi avaliada por meio de testes de conhecimento pré e pós-oficina, utilizando-se o teste t Student para verificar a média de acertos obtidos antes e após as oficinas, considerando-se 5% como valor de significância. Ademais, foram analisados comentários e sugestões deixadas pelos participantes de forma a avaliar as representações dos pacientes em relação às oficinas. Resultados: A amostra foi composta por 62 pacientes (23 pré-transplante e 39 pós-transplante hepático). A idade média foi 45,7 anos, sendo 32 pacientes do sexo masculino e 30 do sexo feminino. Verificou-se que, após as oficinas, os participantes, tanto pré como póstransplante, tiveram melhor desempenho nos testes de conhecimento (p<0,05). Conclusões: A Sala de Espera revelou-se como espaço de construção de conhecimento, compartilhamento de experiências, sentimentos, dúvidas e socialização dos saberes técnico-científico e popular.

Introduction: The Food and Nutrition Education must be inserted in various public sectors, among others, the Waiting Room, consisting of physical area with people waiting for a professional service. This space can be used to help patients and families, in situations that require greater attention to health care, including nutrition. Patient candidates or already undergoing liver transplantation are vulnerable group that should understand the treatment and learn how to handle the necessary care for life, especially dietary. Methods: A descriptive study with quantitative and qualitative approach developed whose activities consisted of workshops with different themes. The audience was patient candidates or already undergoing liver transplantation and waiting for medical care in the Waiting Room. The effectiveness of the workshops was assessed by pre-and post-workshop knowledge tests, using the student t test to verify the mean score obtained before and after the workshops, considering 5% significance level. In addition, we analyzed comments and suggestions left by participants to assess the representations of patients in relation to the workshops. Results: The sample consisted of 62 patients (23 pre-transplant and 39 post-liver transplantation). The mean age was 45.7 years, 32 male and 30 females. It was found that after the workshops, participants from both pre-and post-transplant showed better performance in the knowledge tests (p<0.05). Conclusions: The Waiting Room proved as a space to build knowledge, share experiences, feelings, doubts, and socialization of scientific-technical and popular knowledge.