National Institute of Mental Health Life Chart Method – Self/Prospective (NIMH-LCM-S/P™): translation and adaptation to Brazilian Portuguese

Costa, Dalton Breno; Müller, Luana; Irigaray, Tatiana Quarti; Wagner, Gabriela Peretti

doi:10.47626/2237-6089-2020-0140

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Brasil

Trends in Psychiatry and Psychotherapy

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Original Article • Trends Psychiatry Psychother. 44 • 2022 • https://doi.org/10.47626/2237-6089-2020-0140 copy

National Institute of Mental Health Life Chart Method – Self/Prospective (NIMH-LCM-S/P™): translation and adaptation to Brazilian Portuguese

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

The objective of this study was to translate and adapt the National Institute of Mental Health Life Chart Method – Self/Prospective (NIMH-LCM-S/P™) instrument for self-monitoring of mood into Brazilian Portuguese and provide evidence of content validity. Additionally, a user guide was prepared for the instrument and evaluated by mental health professionals.

Methods

The study was divided into two stages – Stage 1: Translation and cross-cultural adaptation and Stage 2: Determination of content validity index (CVI) scores. The translation and cross-cultural adaptation process involved 37 participants between translators, experts, target population, and evaluators.

Results

The CVI was evaluated by 15 mental health professionals. 11 (78.57%) of the items evaluated attained the maximum CVI score of 1.00, which constitutes the highest level of content validity, and no changes were suggested by participants. Only one of the items evaluated had a CVI score lower than 0.80.

Conclusion

The final translated and adapted version of the NIMH-LCM-S/P™ and its user guide were evaluated by the target population and the mental health professionals. Both groups displayed satisfactory comprehension levels, suggesting there is potential for using this instrument in clinical practice to assess therapeutic interventions in Brazilian settings.

Affective states; self-monitoring; mood disorders; mood

Items	Phase	Suggestions	Alterations
General structure of the instrument	Evaluation by the target population	Distribution of items on additional sheets of paper, more space for notes	The original instrument was reorganized to use two pages. The life events and impact items and the list of comorbid symptoms were moved to a second page of the instrument. Font size, font type and graphs were also altered to optimize space for notes. The NIMH-LCM-S/P™ method was preserved.
Dotted lines	Evaluation by the target population	Substitution of the dotted lines in the mood severity note section for something more intuitive and easier to understand. Suggestion: circles that can be colored-in.	Suggestions were taken into consideration. The dotted lines were substituted by circles that can be colored-in.
Instructions	Evaluation by the target population and during the evaluation by professionals	Creation of a guide for patients and summarized instructions of the instrument.	Suggestions were taken into consideration. A user guide for using the instrument was created, and the summarized instructions were integrated into the instrument.

Items	Frequency	%	CVI
1 - NIMH-LCM-S/P – Medication	15	100.00	1.00
2 - NIMH-LCM-S/P – Hours of Sleep	15	100.00	1.00
3 - NIMH-LCM-S/P – Severity of Mood	15	100.00	1.00
4 - NIMH-LCM-S/P – Mood Scale	15	100.00	1.00
5 - NIMH-LCM-S/P – Number of Mood Switches	14	93.33	0.86
6 - NIMH-LCM-S/P – Menstrual Cycle	14	93.33	0.86
7 - NIMH-LCM-S/P – Life Events	15	100.00	1.00
8 - NIMH-LCM-S/P – Comorbid Symptoms	15	100.00	1.00
Summarized instructions – Introduction	13	86.67	0.73
Summarized instructions – Symptoms	15	100.00	1.00
Summarized instructions – User guide	15	100.00	1.00
User guide – Presentation	15	100.00	1.00
User guide – Introduction	15	100.00	1.00
User guide – Instructions	15	100.00	1.00

Associação de Psiquiatria do Rio Grande do Sul Av. Ipiranga, 5311/202, 90610-001 Porto Alegre RS/ Brasil, Tel./Fax: (55 51) 3024 4846 - Porto Alegre - RS - Brazil
E-mail: trends@aprs.org.br

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[1] Correspondence: Dalton Breno Costa Rua Sarmento Leite, 245, apto. 208, prédio I 90050-170 - Porto Alegre, RS - Brazil Tel.: +555133038875 E-mail: daltonbrenocosta@yahoo.com.br