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Introdução: O EFAT é um instrumento de avaliação baseado no desempenho funcional que contempla duas partes. A primeira parte engloba 10 itens que descrevem funções e sintomas. A segunda parte contém um único item estado funcional que resume a avaliação dos 10 itens específicos anteriores. A necessidade crescente de investigação que suporte a efetividade da reabilitação em doentes paliativos e a escassez de instrumentos de avaliação da funcionalidade, devidamente validados para Portugal, nesta área específica de cuidados, determinou a necessidade de: adaptar e validar o Instrumento Edmonton Functional Assessment Tool (EFAT) para a população portuguesa; avaliar o respetivo grau de reprodutibilidade, determinando as suas características psicométricas numa população específica e caracterizar a amostra de doentes paliativos oncológicos quanto à idade, sexo, localização do tumor primário e funcionalidade. Metodologia: Trata-se de um estudo metodológico e quantitativo, quanto ao tipo de análise de dados. Procedeu-se à tradução do EFAT e realizaram-se os procedimentos para a sua validação numa amostra de 12 doentes (167 observações) internados numa unidade de cuidados paliativos. Para além do EFAT-Pt, foram também aplicados outros 3 instrumentos (Índice de Karnofsky, Palliative Performance Status e Eastern Cooperative Oncologic Group Performance Status). Resultados: A reprodutibilidade do EFAT-Pt foi avaliada através do coeficiente de concordância (kappa ponderado) para os diferentes itens do instrumento tendo-se obtido valores compreendidos entre 0,629 e os 1,00, com p<0,001, e através do ICC, com valores entre r=0,896 e r=1,000. O alfa de Cronbach global alcançado foi de 0,854. A validade concorrente estimada pela correlação das pontuações do EFAT-Pt com as pontuações da KPS foi r=-0,570 (p=0,000); com a PPS foi r=-0,755 (p=0,000) e com o EGOG foi r=0,663 (p=0,000). Conclusão: Apesar dos resultados apresentados corroborarem a validação do EFAT-Pt, uma vez que os dados obtidos foram baseados num número considerável de observações mas não de doentes, sugere-se a realização de novos estudos com amostra consideravelmente maior.
Background: The Edmonton Functional Assessment Tool (EFAT) is an assessment instrument based on the functional performance and comprises two distinct parts. While the first part includes 10 items describing functions and symptoms, the second one contains a single item, the functional status, which summarizes the evaluation of the previous 10 specific items. More research is needed to support the effectiveness of rehabilitation in palliative patients and the lack of functional assessment tools, properly validated for Portugal. Based on this, the aim of the present study is to adapt and validate the EFAT for the Portuguese population, assessing to its degree of reproducibility and determining its psychometric characteristics in a specific population, as well as characterize the sample of palliative cancer patients for age, sex, primary tumor location and functionality. Methods: Considering the type of data analysis, this is a methodological and quantitative study. The EFAT was translated and the procedures to validate this instrument were performed in a sample of 12 patients (167 observations) admitted in a palliative care unit. In addition to EFAT-Pt, three other instruments (Karnofsky Index, Palliative Performance Status and Eastern Cooperative Oncologic Group Performance Status) were also applied. Results: The interrater reability of EFAT-Pt was evaluated by the correlation coefficient (weighted kappa), yielding values between 0.629 and 1.00, p< 0.001 and, was also expressed as an intraclass correlation (ICC), establishing values between r = 0.896 and r = 1.000. A Cronbach's alpha of 0.854 was determined. Concurrent validity of the EFAT was demonstrated by correlating the total EFAT score with the KPS (r = -0.570, p = 0.000), the PPS (r = -0.755, p = 0.000) and the EGOG (r = 0.663, p = 0.000). Conclusion: The findings described in the present study provide evidence that EFAT-Pt can be validated for Portugal. However further studies with a larger sample should be performed, since the data are based on a substantial number of observations but not of patients.
Background: The Edmonton Functional Assessment Tool (EFAT) is an assessment instrument based on the functional performance and comprises two distinct parts. While the first part includes 10 items describing functions and symptoms, the second one contains a single item, the functional status, which summarizes the evaluation of the previous 10 specific items. More research is needed to support the effectiveness of rehabilitation in palliative patients and the lack of functional assessment tools, properly validated for Portugal. Based on this, the aim of the present study is to adapt and validate the EFAT for the Portuguese population, assessing to its degree of reproducibility and determining its psychometric characteristics in a specific population, as well as characterize the sample of palliative cancer patients for age, sex, primary tumor location and functionality. Methods: Considering the type of data analysis, this is a methodological and quantitative study. The EFAT was translated and the procedures to validate this instrument were performed in a sample of 12 patients (167 observations) admitted in a palliative care unit. In addition to EFAT-Pt, three other instruments (Karnofsky Index, Palliative Performance Status and Eastern Cooperative Oncologic Group Performance Status) were also applied. Results: The interrater reability of EFAT-Pt was evaluated by the correlation coefficient (weighted kappa), yielding values between 0.629 and 1.00, p< 0.001 and, was also expressed as an intraclass correlation (ICC), establishing values between r = 0.896 and r = 1.000. A Cronbach's alpha of 0.854 was determined. Concurrent validity of the EFAT was demonstrated by correlating the total EFAT score with the KPS (r = -0.570, p = 0.000), the PPS (r = -0.755, p = 0.000) and the EGOG (r = 0.663, p = 0.000). Conclusion: The findings described in the present study provide evidence that EFAT-Pt can be validated for Portugal. However further studies with a larger sample should be performed, since the data are based on a substantial number of observations but not of patients.
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Funcionalidade Cuidados paliativos Reabilitação Doentes oncológicos Functionality Palliative care Rehabilitation Cancer patients