Review of the mais published cross-cultural validation guidelines for translation, adaptation and validation of questionnaries

Authors

  • Thaís de Albuquerque Centro Integrado de Defesa Aérea e Controle de Tráfego Aéreo, CINDACTA II, Curitiba, PR, Brasil
  • Helder Guerra de Resende Programa de Pós-Graduação em Desempenho Humano Operacional, PPGDHO, Universidade da Força Aérea, UNIFA, Rio de Janeiro, RJ, Brasil
  • Guilherme Eugênio Van Keulen Programa de Pós-Graduação em Desempenho Humano Operacional, PPGDHO, Universidade da Força Aérea, UNIFA, Rio de Janeiro, RJ, Brasil
  • Vinicius de Oliveira Damasceno Programa de Pós-Graduação em Desempenho Humano Operacional, PPGDHO, Universidade da Força Aérea, UNIFA, Rio de Janeiro, RJ, Brasil

DOI:

https://doi.org/10.22480/rev.unifa.2025.38.811

Keywords:

Cross-cultural comparison, Validation studies, Questionnaires

Abstract

 Musculoskeletal complaints such as pain, discomfort, stiffness, tingling, or numbness are common and globally prevalent, associated with decreased professional performance, resulting in absenteeism and 
declining quality of life. This impact particularly affects military pilots of combat aircraft and rotor-wing 
helicopters due to prolonged exposure to flight conditions causing muscle fatigue and increasing the risk of spinal injuries. Monitoring these complaints among Armed Forces aviators is complex, lacking 
reliable surveillance tools for this purpose. The “University of Canberra Fast Jet Aircrew Musculoskeletal 
Questionnaire (UC-FJAMQ)”, initially developed for Royal Australian Air Force fighter pilots, has demonstrated validity and robust psychometric properties, surpassing conventional injury surveillance methods. This instrument is now being transculturally adapted for use by Brazilian Air Force (FAB) pilots. This study aims to review guidelines on transcultural adaptation of questionnaires, addressing similarities and controversies in different stages of this process. The methodology included searching MEDLINE, LILACS, SciELO, and Google Scholar databases using descriptors “cross-cultural” AND “adaptation OR translation OR validation” AND “instruments OR questionnaires” AND “guideline.” A total of 150 articles were identified, and three guidelines were selected for instrument adaptation: Beaton et al. (2000), Reichenheim and Moraes (2007), and Sousa and Rojjanasrirat (2011). The guidelines show similarities but differ in specific aspects, such as discussions with specialists and target populations to ensure equivalence.

Author Biographies

  • Thaís de Albuquerque, Centro Integrado de Defesa Aérea e Controle de Tráfego Aéreo, CINDACTA II, Curitiba, PR, Brasil

    Graduated in Medicine from the Fluminense Federal University (2017),
    specialization in Family and Community Medicine (2020) and Internal Medicine (2022). Course Training of Career Military Officers of the CAMAR Medical Officers Cadre in 2022. Aerospace Medicine Course at the Institute of Aerospace Medicine (IMAE) in 2022. She is currently attending the Master's Graduate Program in Performance Operational Human Program (PPGDHO) by the University of the Air Force (UNIFA). Currently is an Adjunct Officer to the Medicine Section of CINDACTA II.

  • Helder Guerra de Resende, Programa de Pós-Graduação em Desempenho Humano Operacional, PPGDHO, Universidade da Força Aérea, UNIFA, Rio de Janeiro, RJ, Brasil

    Current professional and academic relationship: Associate Professor III of the
    University of the Air Force, linked to the Graduate Program in Performance
    Operational Human Program (PPGDHO), at the master's level, in the professional modality. Member of the PPGDHO Coordination Committee; Education: Undergraduate in Physical Education from Gama Filho University (1978); Fundamentals Specialization
    of Education (1979) and Master's Degree in Education (1985) from the State University of Rio de Janeiro January; Associate Professor/Doctorate in Physical Education Didactics (1992) from the University
    Gama Filho. Relevant professional performances: Full Professor and Academic Vice-Rector of Castelo Branco University, having also held the position of Vice-Rector of Research and Post-Graduation; Full Professor at the Gama Filho University, having held the positions Director of the Department of Physical Education and Coordinator of the Graduate Program
    Degree in Physical Education; Deputy Representative of the Physical Education Area / Physiotherapy / Speech Therapy at CAPES

  • Guilherme Eugênio Van Keulen, Programa de Pós-Graduação em Desempenho Humano Operacional, PPGDHO, Universidade da Força Aérea, UNIFA, Rio de Janeiro, RJ, Brasil

    She holds a degree in Physical Education and Sports from the University Federal University of Juiz de Fora - MG (1992), specialization in Sports Training from
    Universidade Gama Filho - RJ (1994), Master's degree in Human Movement Sciences from the Universidade do Estado de Santa Catarina - UDESC (2009), PhD in Biological Sciences Sport from the Federal University of Minas Gerais - UFMG (2017), postdoctoral fellow at Federal University of Juiz de Fora - UFJF (2022). He is an effective professor of the Program Postgraduate Program in Operational Human Performance (PPGDHO) at the University
    of the Air Force (UNIFA).

  • Vinicius de Oliveira Damasceno, Programa de Pós-Graduação em Desempenho Humano Operacional, PPGDHO, Universidade da Força Aérea, UNIFA, Rio de Janeiro, RJ, Brasil

    He holds a full degree in Physical Education from the University Federal University of Juiz de Fora (2001), Specialization in Physiology and Morphofunctional Assessment from Gama Filho University (2002), Master's Degree in Human Motricity Science from Castelo Branco University (2004) and PhD in Child and Adolescent Health, from Faculty of Medicine of the Federal University of Minas Gerais (2013). Advisor Professor Master's Graduate Program in Operational Human Performance (PPGDHO) by the Air Force University (UNIFA).

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v.

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Published

2025-03-05

Issue

Section

Review Articles

How to Cite

Review of the mais published cross-cultural validation guidelines for translation, adaptation and validation of questionnaries. The Journal of the University of the Air Force , Rio de Janeiro, v. 38, p. 1–21, 2025. DOI: 10.22480/rev.unifa.2025.38.811. Disponível em: https://revistadaunifa.fab.mil.br/index.php/reunifa/article/view/811.. Acesso em: 3 may. 2025.

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