Cross-cultural adaptation to Portuguese of a measure of satisfaction with participation of the Patient-Reported Outcomes Measurement Information System (PROMIS(r)).

BACKGROUND: Mental disorders often impair functioning in several areas of life and lead to unhappiness and suffering that may affect health-related quality of life (HRQoL). Satisfaction with participation is an indicator of HRQoL, and its measurement by patients reflects the impact of disease on their social, emotional and professional life. The Patient-Reported Outcomes Measurement Information System (PROMIS(r)) offers an item bank based on item response theory. This system provides efficient, reliable and valid self-report instruments of satisfaction with participation, a measure that is both scarce and useful in the assessment of mental disorder outcomes. OBJECTIVE: To cross-culturally adapt the PROMIS(r) satisfaction with participation item bank to Portuguese. METHODS: Cross-cultural adaptation followed the Functional Assessment of Chronic Illness Therapy (FACIT) multilingual translation method and was achieved through steps of forward and backward translations, review by bilingual experts (one of them a native of Portugal) and pretesting in a group of 11 adult native Brazilians. Instrument adaptation followed a universal approach to translation, with harmonization across languages. RESULTS: Equivalence of meaning was achieved. As two of the 26 translated items, which asked about leisure and social activities, were not understood by less educated participants, an explanation in parentheses was added to each item, and the problem was solved. All items were appropriate and did not cause embarrassment to the participants. CONCLUSIONS: The satisfaction with participation item bank is culturally and linguistically suitable to be used in Brazil. After the pretest is applied in Portugal and in other Portuguese-speaking countries, the same instrument will be ready to be used in multinational studies.

Estudo compartivo do Midazolam e do Pentobartial na medicaçåo pré-anestésica em pediatria / A comparative study between midazolam and pentobal as premedication in children

Background and objectives - Premedication is used in children to minimize psychhological consequences and to potentiate anesthesia, avoiding some untoward effects which sometimes may pose risk to the patients. The purpose of this study was to compare the effects of oral midazolam and pentotal as premediaction in children. Methods - Ninety patients were included in the study and were randomly allocated into three groups of thirty, according to the premedication used. In Group I the patients received midazolam 0,7 mg.kg diluted in sweet syrup. In Group II the patients received pentotal 3 mg.kg diluted in sweet syrup. In Group III the patient received only sweet syrup and served as controls. The following variables were studied: a) reaction to separation from parents (clm, somnolent, anxious, reactive); b) sedation upon admission to the operating room (sleeping, somnolet, agirted); c) reaction to venopuncture (cooperative, non-cooperative). Results - There were significant differences between Groups I and II regarding the reaction to separation from the parents. Upon admission to the operating room, 56,67 per cent of the children in Group II were sleeping, compared to only 23.33 per cent in Group I. However, 40 per cent of children in Gropu I were somnolent. The reaction to venopuncture was less in patients receiving midazolam. There were no cases of respiratory depression or cyanosis. Conclusions: According to the studied variables, both drugs are equally effective as premedication in children, with no additional risks