Background Image
Previous Page  46 / 105 Next Page
Information
Show Menu
Previous Page 46 / 105 Next Page
Page Background

D

e

S

oárez

PC

et

al

.

236

R

ev

A

ssoc

M

ed

B

ras

2016; 62(3):236-242

ORIGINAL ARTICLE

Cross-cultural adaptation of the CDC Worksite Health ScoreCard

questionnaire into Portuguese

P

atrícia

C

oelho

de

S

oárez

¹

*, R

ozana

M

esquita

C

iconelli

²

, T

hiago

P

avin

³

, A

lberto

J

osé

N

iituma

O

gata

4

, K

átia

A

udi

C

urci

3

,

M

artha

R

egina

de

O

liveira

3

1

PhD – Professor at the Department of Preventive Medicine, Faculdade de Medicina, Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil

2

PhD – MD, Escola Paulista de Medicina da Universidade Federal de São Paulo (Unifesp), São Paulo, SP, Brazil

3

MSc – Researcher at the Laboratório de Inovações Assistenciais em Promoção da Saúde e Prevenção de Riscos e Doenças na Saúde Suplementar, Agência Nacional de Saúde Suplementar (ANS), São Paulo, SP, Brazil

4

MSc – Coordinator at the Laboratório de Inovações Assistenciais em Promoção da Saúde e Prevenção de Riscos e Doenças na Saúde Suplementar, ANS, São Paulo, SP, Brazil

S

ummary

Study conducted at Departamento de

Medicina Preventiva, Faculdade de

Medicina da Universidade de São Paulo

(FMUSP), São Paulo, SP, Brazil

Article received:

9/29/2014

Accepted for publication:

10/7/2014

*Correspondence:

Address: Av. Dr. Arnaldo, 55, 2

o

andar,

sala 2228

São Paulo, SP – Brazil

Postal code: 01246-903

patricia.soarez@usp.br http://dx.doi.org/10.1590/1806-9282.62.03.236

Financial support:

Pan American Health

Organization (PAHO)

Objective:

Despite the progress in the implementation of health promotion

programs in the workplace, there are no questionnaires in Brazil to assess the

scope of health promotion interventions adopted and their scientific basis. This

study aimed to translate into Brazilian Portuguese and culturally adapt the CDC

Worksite Health ScoreCard (HSC) questionnaire.

Method:

The HSC has 100 questions grouped into twelve domains. The steps

are as follows: translation, reconciliation, back-translation, review by expert

panel, pretesting, and final revision. The convenience sample included 27 indi-

viduals from health insurance providers and companies of various sizes, types

and industries in São Paulo. Data were analyzed using descriptive statistics.

Results:

The average age of the sample was 38 years, most of the subjects were

female (21 of 27), and were responsible for programs to promote health in these

workplaces. Most questions were above the minimum value of understanding

set at 90%. The participants found the questionnaire very useful to determine

the extent of existing health promotion programs and to pinpoint areas that

could be developed.

Conclusion

: The Brazilian Portuguese version of the HSC questionnaire may

be a valid measure and useful to assess the degree of implementation of health

promotion interventions based on evidence in local health organizations.

Keywords:

health promotion, occupational health, occupational health servic-

es, surveillance in occupational health.

I

ntroduction

Chronic non-communicable diseases (CNCD) are the

leading cause of mortality and burden of disease in most

countries in the world.

1

In the United States of America,

estimates of the total cost of cardiovascular diseases, in-

cluding heart disease and strokes, totaled US$ 444 bil-

lion in 2010.

2

For medium/high income countries such

as Brazil, the estimated annual cost is 4% of the GDP, i.e.

approximately US$ 139

per capita

per year.

3

Estimates for

Brazil suggest that the loss of productivity at work and

decreased family income resulting from merely three

CNCD (diabetes, heart disease and stroke) will lead to a

loss in the Brazilian economy of US$ 4.18 billion between

2006 and 2015.

4

Faced with the exponential growth of health costs,

many employers are implementing evidence-based health

promotion programs, including individual risk reduc-

tion programs, connected to environmental support for

healthy behaviors, coordinated and integrated into oth-

er activities related to wellbeing, which has been shown

to be the most efficient strategy to reduce the risk of de-

veloping chronic diseases.

5-7

Several studies have concluded that health promo-

tion programs in the workplace can improve employee

health and reduce the health expenditure of employers.

8-10

In North America, 76% of companies have some kind of

health promotion program. In Latin America, this figure

reaches 43%.

11