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Updated: Aug 22, 2025

Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
Cross-cultural adaptation and validation of instrument to measure nursing care dependency
Murilo Dos Santos Graeff1, Miriam de Abreu Almeida1, Ana María Porcel-Gálvez2
1Universidade Federal do Rio Grande do Sul (UFRGS). Porto Alegre, Rio Grande do Sul, Brasil.
Objective:
To cross-culturally adapt and validate the INICIARE instrument for use in Brazil.
Method:
methodological study divided into two phases: cross-cultural adaptation and validation. The first phase took place in six stages: translation, synthesis, back-translation, expert review, pre-test and submission to the author. The second, carried out with 130 patients, took place at a private hospital in Porto Alegre, Rio Grande do Sul, Brazil, between May and July 2019. The study was approved by the Research Ethics Committee. Data were analyzed for stability, equivalence and internal consistency.
Results:
In the cross-cultural adaptation, the expert committee adjusted the translated version, validating the content. At validation, most patients were women (64.6%) with a mean age of 59 ± 15.3. The reliability index was 0.744.
Conclusion:
The version of the instrument adapted for Brazil proved to be adequate and reflects the reality of daily nursing practice.
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