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COVID-19 and mental health: cultural adaptation and validation of instruments for the Brazilian context


The COVID-19 pandemic is the biggest public health emergency facing the international community in decades. In addition to concerns about physical health, it also brings concerns about mental health, since psychological suffering can be experienced by the general population and by the health professionals involved, directly impacting their quality of life. The intensification of feelings such as fear, anger, stress, insecurity and frustration are associated with an increased risk of developing psychiatric disorders. In this context, the availability of measurement instruments related to COVID-19 and Mental Health, adapted and validated for the Brazilian context, is of great relevance, as for measuring anxiety (COVID Anxiety Scale - CAS) and the threat perceived by COVID-19 (Perceived Coronavirus Threat Questionnaire -PCTQ) and the impact of COVID-19 (Coronavirus Impacts Questionnaire - CIQ). They are instruments that have shown reliability and validity in their original version, developed in other cultures, such as India and the United States and that, through this study, will be made available in Brazil and may guide the conduct taken by health professionals and competent authorities, and the elaboration of public health care policy plans, aiming to prevent the population's injuries. In view of the above, the present study has the general objective of translating, adapting and validating CAS, PCTQ and CIQ for the Brazilian context. This is a methodological study, which will respect the steps recommended by Beaton et al. (2000), which are: translation, synthesis of translations, back-translation, evaluation by a committee of experts, pre-test, presentation and evaluation of reports on the process of cultural adaptation and analysis of the psychometric properties of these instruments. The researchers who developed the tools authorized the process of validating them in Brazil and are associated researchers in the proposal. All ethical precepts will be respected and the project was submitted to the Research Ethics Committee of the Federal University of São Carlos (UFSCar). The development of this study will enable several results, such as the availability of several instruments related to COVID-19 and Mental Health. In addition, it will enhance the international partnership of the proposing researcher with new international research groups of excellence in the subject investigated. The stages of data collection will be carried out online, after the free and informed consent of the participants (in different stages), with the completion of the data collection instruments through google forms, being disseminated at national level, respecting the eligibility criteria previously established. Statistical analyzes will be carried out at different stages of the research, such as descriptive, correlation and confirmatory factor analysis, among others, in order to verify the evidence of reliability and validity of the Brazilian version of the instruments analyzed. It is important to highlight that the proposed research project is original, innovative, with great scientific relevance and notorious applicability for the current pandemic context that we are experiencing. (AU)

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