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Translation, transcultural adaptation, and validation of the Brazilian Portuguese version of the Obstructive Sleep Apnea Knowledge and Attitudes (OSAKA) questionnaire

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Abstract

Purpose

To analyse the psychometric properties of the translated and cross-culturally adapted version of the OSAKA (Obstructive Sleep Apnea Knowledge and Attitudes) questionnaire in the Brazilian Portuguese language.

Methods

The OSAKA instrument was translated by two independent translators, and the back-translated conciliated version was presented and approved by Washington University, which holds the intellectual property for the OSAKA questionnaire. Physicians from different specialties electronically completed the OSAKA instrument and the ASKME (Assessment of Sleep Knowledge in Medical Education) questionnaire, which was used as an auxiliary instrument to analyse the construct validity.

Results

The questionnaire was tested with 176 physicians. The items from the knowledge and attitudes domains presented acceptable internal consistency values, with McDonald’s omega coefficients (Ω) of 0.70 and 0.73, respectively. The OSAKA questionnaire showed a moderate correlation with the ASKME instrument (r = 0.60, p < 0.001) and excellent retest reliability, with an intraclass correlation coefficient of 0.81. There were differences in knowledge between the medical specialties (p < 0.001). Regarding attitudes, most respondents considered obstructive sleep apnoea and its diagnosis to be important and felt confident in identifying it, but the same majority did not feel confident in treating the disease.

Conclusion

The OSAKA instrument, as a translated and cross-culturally adapted Brazilian Portuguese version, presented psychometric properties with adequate reliability and validity.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author upon reasonable request.

References

  1. Rundo JV (2019) Obstructive sleep apnea basics. Cleve Clin J Med. https://doi.org/10.3949/CCJM.86.S1.02

    Article  PubMed  Google Scholar 

  2. Yazici O, Hatipoglu O (2019) Evaluation of quality of life, anxiety, and depression in the spouses of patients with obstructive sleep apnea syndrome. Niger J Clin Pract 22:516–520. https://doi.org/10.4103/njcp.njcp_500_18

    Article  CAS  PubMed  Google Scholar 

  3. Lin Z, Si Q, Xiaoyi Z (2017) Obstructive sleep apnoea in patients with epilepsy: a meta-analysis. Sleep Breath 21:263–270. https://doi.org/10.1007/s11325-016-1391-3

    Article  PubMed  Google Scholar 

  4. Mery VP, Gros P, Lafontaine AL et al (2017) Reduced cognitive function in patients with Parkinson disease and obstructive sleep apnea. Neurology 88:1120–1128. https://doi.org/10.1212/WNL.0000000000003738

    Article  PubMed  Google Scholar 

  5. Ji T, Li X, Qiu Y et al (2021) Disease characteristics and neuropathological changes associated with cognitive dysfunction in obstructive sleep apnea. Pediatr Investig 5:52–57. https://doi.org/10.1002/ped4.12247

    Article  PubMed  PubMed Central  Google Scholar 

  6. Haula TM, Puustinen J, Takala M, Holm A (2021) Wake-up strokes are linked to obstructive sleep apnea and worse early functional outcome. Brain Behav. https://doi.org/10.1002/brb3.2284

    Article  PubMed  PubMed Central  Google Scholar 

  7. Tokunou T, Ando S, ichi, (2020) Recent advances in the management of secondary hypertension—obstructive sleep apnea. Hypertens Res 43:1338–1343. https://doi.org/10.1038/s41440-020-0494-1

    Article  PubMed  Google Scholar 

  8. Rana D, Torrilus C, Ahmad W et al (2020) Obstructive sleep apnea and cardiovascular morbidities: a review article. Cureus 12. https://doi.org/10.7759/cureus.10424

  9. Shahar E, Whitney CW, Redline S et al (2001) Sleep-disordered breathing and cardiovascular disease: cross-sectional results of the Sleep Heart Health Study. Am J Respir Crit Care Med 163(1):19–25. https://doi.org/10.1164/ajrccm.163.1.2001008

    Article  CAS  PubMed  Google Scholar 

  10. Drager LF, Polotsky VY, Lorenzi-Filho G (2011) Obstructive sleep apnea: an emerging risk factor for atherosclerosis. Chest 140:534–542. https://doi.org/10.1378/chest.10-2223

    Article  PubMed  PubMed Central  Google Scholar 

  11. Pak, V. M.; Grandner, M. A.; Pack AI (2014) Circulating adhesion molecules in obstructive sleep apnea and cardiovascular disease. Sleep Med Rev 18. https://doi.org/10.1016/j.smrv.2013.01.002

  12. Karimi M, Hedner J, Zou D et al (2015) Attention deficits detected in cognitive tests differentiate between sleep apnea patients with or without a motor vehicle accident. Sleep Med 16:528–533. https://doi.org/10.1016/j.sleep.2014.11.015

    Article  CAS  PubMed  Google Scholar 

  13. Jurado-Gámez B, Guglielmi O, Gude F, Buela-Casal G (2015) Workplace accidents, absenteeism and productivity in patients with sleep apnea. Arch Bronconeumol 51:213–218. https://doi.org/10.1016/j.arbr.2014.12.002

    Article  PubMed  Google Scholar 

  14. Benjafield AV, Ayas NT, Eastwood PR et al (2019) Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med 7:687–698. https://doi.org/10.1016/S2213-2600(19)30198-5

    Article  PubMed  PubMed Central  Google Scholar 

  15. Tufik S, Santos-Silva R, Taddei JA, Bittencourt LRA (2010) Obstructive sleep apnea syndrome in the Sao Paulo Epidemiologic Sleep Study. Sleep Med 11:441–446. https://doi.org/10.1016/j.sleep.2009.10.005

    Article  PubMed  Google Scholar 

  16. Ravesloot MJL, Van Maanen JP, Hilgevoord AAJ et al (2012) Obstructive sleep apnea is underrecognized and underdiagnosed in patients undergoing bariatric surgery. Eur Arch Oto-Rhino-Laryngology 269(7):1865–1871. https://doi.org/10.1007/s00405-012-1948-0

    Article  CAS  Google Scholar 

  17. Young T, Evans L, Finn L, Palta M (1997) Estimation of the clinically diagnosed proportion of sleep apnea syndrome in middle-aged men and women. Sleep. https://doi.org/10.1093/sleep/20.9.705

    Article  PubMed  Google Scholar 

  18. Cherrez Ojeda I, Jeffe DB, Guerrero T et al (2013) Attitudes and knowledge about obstructive sleep apnea among Latin American primary care physicians. Sleep Med 14:973–977. https://doi.org/10.1016/j.sleep.2013.06.005

    Article  PubMed  Google Scholar 

  19. Ozoh OB, Iwuala SO, Desalu OO et al (2015) An assessment of the knowledge and attitudes of graduating medical students in Lagos, Nigeria, regarding obstructive sleep apnea. Ann Am Thorac Soc. https://doi.org/10.1513/AnnalsATS.201412-561OC

    Article  PubMed  Google Scholar 

  20. Southwell C, Moallem M, Auckley D (2008) Cardiologist’s knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath. https://doi.org/10.1007/s11325-008-0170-1

    Article  PubMed  Google Scholar 

  21. Schotland HM, Jeffe DB (2003) Development of the obstructive sleep apnea knowledge and attitudes (OSAKA) questionnaire. Sleep Med 4:443–450. https://doi.org/10.1016/S1389-9457(03)00073-X

    Article  PubMed  Google Scholar 

  22. Chung SA, Jairam S, Hussain MRG, Shapiro CM (2001) Knowledge of sleep apnea in a sample grouping of primary care physicians. Sleep Breath 5:115–121. https://doi.org/10.1007/s11325-001-0115-4

    Article  CAS  PubMed  Google Scholar 

  23. Corso RM, Sorbello M, Buccioli M et al (2017) Survey of knowledge and attitudes about obstructive sleep apnoea among Italian anaesthetists. Turk Anesteziyoloji ve Reanimasyon Dern Derg 45:146–152. https://doi.org/10.5152/TJAR.2017.51423

    Article  Google Scholar 

  24. Wang CL, Li XZ, Cai XL et al (2012) Anesthesiologist’s knowledge and attitudes about obstructive sleep apnea: a survey study. Sleep Breath 16:41–46. https://doi.org/10.1007/s11325-011-0482-4

    Article  PubMed  Google Scholar 

  25. Chérrez-Ojeda I, Calderón JC, Fernández García A, et al (2018) Obstructive sleep apnea knowledge and attitudes among recent medical graduates training in Ecuador. Multidiscip Respir Med 13.https://doi.org/10.1186/s40248-018-0117-8

  26. Uong EC, Jeffe DB, Gozal D, et al (2005) Development of a measure of knowledge and attitudes about obstructive sleep apnea in children (OSAKA-KIDS). Arch. Pediatr. Adolesc. Med.

  27. de Melo Júnior JT, Maurici R, de Tavares MG, S, et al (2017) Quebec sleep questionnaire sobre qualidade de vida em pacientes com apneia obstrutiva do sono: tradução e adaptação cultural para uso no Brasil. J Bras Pneumol 43(5):331–336. https://doi.org/10.1590/s1806-37562016000000160

    Article  PubMed  Google Scholar 

  28. Mokkink LB, de Vet HCW, Prinsen CAC et al (2018) COSMIN risk of bias checklist for systematic reviews of patient-reported outcome measures. Qual Life Res 27(5):1171–1179. https://doi.org/10.1007/s11136-017-1765-4

    Article  CAS  PubMed  Google Scholar 

  29. Paradowski PT, Witoński D, Kęska R, Roos EM (2013) Cross-cultural translation and measurement properties of the Polish version of the Knee injury and Osteoarthritis Outcome Score (KOOS) following anterior cruciate ligament reconstruction. Health Qual Life Outcomes 11:107. https://doi.org/10.1186/1477-7525-11-107

    Article  PubMed  PubMed Central  Google Scholar 

  30. DeVon HA, Block ME, Moyle-Wright P et al (2007) A psychometric toolbox for testing validity and reliability. J Nurs Scholarsh 39:155–164. https://doi.org/10.1111/j.1547-5069.2007.00161.x

    Article  PubMed  Google Scholar 

  31. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307–310

    Article  CAS  PubMed  Google Scholar 

  32. Arous F, Boivin JM, Chaouat A et al (2017) Awareness of obstructive sleep apnea-hypopnea syndrome among the general population of the Lorraine Region of France. Eur Ann Otorhinolaryngol Head Neck Dis 134:303–308. https://doi.org/10.1016/j.anorl.2017.02.010

    Article  CAS  PubMed  Google Scholar 

  33. Harris PA, Taylor R, Minor BL et al (2019) The REDCap consortium: building an international community of software platform partners. J Biomed Inform 95:103208. https://doi.org/10.1016/j.jbi.2019.103208

    Article  PubMed  PubMed Central  Google Scholar 

  34. CONWAY SG, (2009) Avaliação dos conhecimentos sobre a medicina do sono dos alunos da UNIFESP e do Instituto do Sono por meio do questionário ASKME [thesis]. Federal University of Sao Paulo, Sao Paulo

    Google Scholar 

  35. DeVon H, a, Block ME, Moyle-Wright P, et al (2007) A psychometric toolbox for testing validity and reliability. J Nurs Scholarsh 39:155–164. https://doi.org/10.1111/j.1547-5069.2007.00161.x

    Article  PubMed  Google Scholar 

  36. Terwee CB, Bot SDM, de Boer MR et al (2007) Quality criteria were proposed for measurement properties of health status questionnaires. J Clin Epidemiol 60:34–42. https://doi.org/10.1016/j.jclinepi.2006.03.012

    Article  PubMed  Google Scholar 

  37. Heitor SFD, Reichenheim ME, de Ferreira JE, S, Castro S de S, (2019) Validity of the factorial structure of the brazilian version scale of the food choice questionnaire. Cienc e Saude Coletiva 24:3551–3561. https://doi.org/10.1590/1413-81232018249.26482017

    Article  Google Scholar 

  38. Kocatürk E, Kızıltaç U, Can P et al (2019) Validation of the Turkish version of the Urticaria Control Test: correlation with other tools and comparison between spontaneous and inducible chronic urticaria. World Allergy Organ J 12. https://doi.org/10.1016/j.waojou.2018.11.007

  39. DERMAN, E., WHITESMAN S, (2011) Healthy lifestyle interventions in general practice: part 16: lifestyle and fibromyalgia. S Afr Fam Pr 53:511–515. https://doi.org/10.1080/20786204.2011.10874144

    Article  Google Scholar 

  40. Ansari S, Hu A (2020) Knowledge and confidence in managing obstructive sleep apnea patients in Canadian otolaryngology-head and neck surgery residents: a cross sectional survey. J Otolaryngol - Head Neck Surg 49:1–9. https://doi.org/10.1186/s40463-020-00417-6

    Article  Google Scholar 

  41. Devaraj NK (2020) Knowledge, attitude, and practice regarding obstructive sleep apnea among primary care physicians. Sleep Breath 24:1581–1590. https://doi.org/10.1007/s11325-020-02040-1

    Article  PubMed  Google Scholar 

  42. Chang JWR, Akemokwe FM, Marangu DM et al (2020) Obstructive sleep apnea awareness among primary care physicians in Africa. Ann Am Thorac Soc 17:98–106. https://doi.org/10.1513/AnnalsATS.201903-218OC

    Article  PubMed  Google Scholar 

  43. Wadhwa R, Jain A, Kundu K et al (2020) Knowledge about obstructive sleep apnea among medical undergraduate students: a long way to go! Indian J Psychiatry. https://doi.org/10.4103/psychiatry.IndianJPsychiatry_587_19

    Article  PubMed  PubMed Central  Google Scholar 

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Acknowledgements

To Coordenação de Aperfeiçoamento de Pessoal de Nível Superior – Brazil (CAPES). To Laboratory of Edition, Translation and Review of Academic Texts (LETRARE) of the Federal University of Ceara (UFC).

Author information

Authors and Affiliations

  1. Master Program in Physiotherapy and Functioning, Federal University of Ceara, Rua Coronel Nunes de Melo, nº 1127, 1º andar, Rodolfo Teofilo, Campus do Porangabussu, CEP: 60.430-275, Fortaleza, CE, Brazil

    Francisca Soraya Lima Silva & Camila Ferreira Leite

  2. Graduate Program in Rehabilitation Sciences, Pitagoras-Unopar University (UNOPAR); Laboratory of Research in Respiratory Physiotherapy (LFIP), State University of Londrina, Londrina, Parana, Brazil

    Karina Couto Furlanetto & Thainá Bessa Alves

  3. Master Program in Human Movement Sciences, Federal University of Para, Belem, Para, Brazil

    Laura Maria Tomazi Neves

  4. Science and Technology in Health Program, University of Brasilia, Brasilia, Brazil

    Graziella França Bernardelli Cipriano & Alexandra Corrêa Gervazoni Balbuena Lima

  5. Department of Applied Physical Therapy, Federal University of Triangulo Mineiro, Uberaba, Minas Gerais, Brazil

    Marilita Falângola Accioly

  6. Clinical Research Unit of Hospital Universitário Walter Cantidio, Federal University of Ceara, Fortaleza, Brazil

    Antonio Brazil Viana-Júnior

  7. Hospital Complex of Federal University of Para (CHU-UFPA-EBSERH), Federal University of Para, Belem, Para, Brazil

    William Rafael Almeida Moraes

  8. Department of Pneumology, Federal University of Triangulo Mineiro, Uberaba, Minas Gerais, Brazil

    Karoline Bento Ribeiro

  9. Department of Clinical Medicine, Federal University of Ceara, Fortaleza, Ceara, Brazil

    Manoel Alves Sobreira-Neto

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  1. Francisca Soraya Lima Silva
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  2. Karina Couto Furlanetto
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Contributions

FSLS: preparation and planning of work, data acquisition, and drafting of manuscript.

TBA, WRAM, KBR, and ACGBL: data acquisition, data analysis, and interpretation.

KCF, LMTN, GFBC, MFA, and MASN: critical revision of the work for important intellectual content.

ABVJ: methodological review and statistical analysis.

CFL: draft preparation, revision, and study conceptualization.

Corresponding author

Correspondence to Camila Ferreira Leite.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the Resolution 466/12 of the Brazilian National Health Council, and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Silva, F.S.L., Furlanetto, K.C., Neves, L.M.T. et al. Translation, transcultural adaptation, and validation of the Brazilian Portuguese version of the Obstructive Sleep Apnea Knowledge and Attitudes (OSAKA) questionnaire. Sleep Breath 27, 1195–1201 (2023). https://doi.org/10.1007/s11325-022-02661-8

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