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Adaptação e validação da Escala de Avaliação do Risco no Luto (ERL)
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Abstract(s)
O objetivo deste estudo foi validar a Escala de Avaliação do Risco no Luto (ERL) para a população portuguesa de cuidadores familiares de pacientes em cuidados paliativos. A ERL foi desenvolvida para avaliar o risco de desenvolver Perturbação de Luto Prolongado (PLP) através da análise de quatro fatores de risco: raiva, culpa/acusação, relações atuais e capacidade de adaptação ao luto. O estudo seguiu um desenho quantitativo e transversal, envolvendo 222 participantes provenientes de unidades de cuidados paliativos em Portugal. Na primeira fase do estudo, foi realizada a tradução e adaptação cultural da ERL do inglês para o português, garantindo a equivalência linguística e conceptual. Na segunda fase, foram avaliadas as propriedades psicométricas da escala. Os resultados mostraram que a versão portuguesa da ERL apresentou boas propriedades psicométricas, incluindo uma boa consistência interna (alfa de Cronbach = 0,853) e validade. O estudo revelou que 36,9% da amostra está em risco elevado de PLP, valor significativamente superior à estimativa prévia de 10%. Os resultados destacam a utilidade potencial da ERL em contextos clínicos para uma avaliação rápida e eficaz do risco e planeamento de intervenções. Pesquisas futuras devem abordar as limitações do estudo, como a dependência de instrumentos de hetero-aplicação e a necessidade de avaliações da validade preditiva. A ampliação do estudo para incluir diferentes populações e a aplicação de medidas de auto-relato poderiam melhorar a compreensão do risco de PLP e aprimorar as estratégias de intervenção.
This study aimed to validate the Bereavement Risk Assessment Tool (ERL) for the Portuguese population of family caregivers of palliative care patients. The ERL is designed to assess the risk of developing Prolonged Grief Disorder (PLP) by evaluating four risk factors: anger, guilt/blame, current relationships, and adaptability to grief. The study followed a quantitative, cross-sectional design, involving 222 participants from palliative care units in Portugal. The first phase of the study involved translating and culturally adapting the ERL from English to Portuguese, ensuring its linguistic and conceptual equivalence. In the second phase, the tool's psychometric properties were evaluated. Results demonstrated that the Portuguese version of the ERL exhibited strong psychometric properties, including good internal consistency (Cronbach’s alpha = 0.853) and validity The study found that 36.9% of the sample was at high risk for PLP, which is notably higher than the previously estimated 10% risk. The findings highlight the ERL's potential utility in clinical settings for quick and effective risk assessment and intervention planning. Future research should address the limitations of the study, such as the reliance on hetero-administered instruments and the need for predictive validity evaluations. Expanding the study to include different populations and applying self-report measures could enhance the understanding of PLP risk and improve intervention strategies.
This study aimed to validate the Bereavement Risk Assessment Tool (ERL) for the Portuguese population of family caregivers of palliative care patients. The ERL is designed to assess the risk of developing Prolonged Grief Disorder (PLP) by evaluating four risk factors: anger, guilt/blame, current relationships, and adaptability to grief. The study followed a quantitative, cross-sectional design, involving 222 participants from palliative care units in Portugal. The first phase of the study involved translating and culturally adapting the ERL from English to Portuguese, ensuring its linguistic and conceptual equivalence. In the second phase, the tool's psychometric properties were evaluated. Results demonstrated that the Portuguese version of the ERL exhibited strong psychometric properties, including good internal consistency (Cronbach’s alpha = 0.853) and validity The study found that 36.9% of the sample was at high risk for PLP, which is notably higher than the previously estimated 10% risk. The findings highlight the ERL's potential utility in clinical settings for quick and effective risk assessment and intervention planning. Future research should address the limitations of the study, such as the reliance on hetero-administered instruments and the need for predictive validity evaluations. Expanding the study to include different populations and applying self-report measures could enhance the understanding of PLP risk and improve intervention strategies.
Description
Dissertação de Mestrado apresentada no Ispa - Instituto Universitário para obtenção de grau de Mestre na especialidade clínica.
Keywords
Perturbação de luto prolongado Cuidados paliativos Escala de avaliação Prolonged grief disorder Palliative care Assessment tool
Citation
Maurício, M. J. (2024). Adaptação e validação da Escala de Avaliação do Risco no Luto (ERL) [Dissertação de Mestrado]. Ispa - Instituto Universitário.