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Tradução, adaptação transcultural e validação linguística dos questionários sobre aparência facial do terço superior, qualidade de vida relacionada com a saúde e eventos adversos : FACE-Q | Aesthetics para Português (Portugal)
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Introdução: O FACE-Q | Aesthetics é um instrumento de resultados reportados pelos pacientes (Patient-Reported Outcome Measure - PROM) amplamente utilizado para avaliar a satisfação com a aparência, a qualidade de vida relacionada com a saúde e a perceção dos resultados de procedimentos estéticos faciais. Apesar da sua utilização internacional, não existia uma versão adaptada para português (Portugal).
Objetivo: Realizar a tradução, adaptação transcultural e validação linguística de 16 escalas do FACE-Q | Aesthetics para português (Portugal).
Materiais e Métodos: O processo foi conduzido de acordo com as orientações da equipa que desenvolveu o FACE-Q | Aesthetics (Q-Portfolio) e as recomendações internacionais para adaptação transcultural de PROMs. Entre novembro de 2025 e maio de 2026, foram realizadas duas traduções diretas independentes, seguidas de reconciliação, retrotradução, revisão pelo QPortfolio, debriefing cognitivo em cinco participantes da população-alvo e revisão final. Paralelamente, foi efetuada uma análise quantitativa das discrepâncias entre as traduções bem como das alterações ao longo das etapas do processo.
Resultados: Foram analisadas 210 componentes linguísticas (itens, instruções e opções de resposta). Identificaram-se discrepâncias entre as traduções diretas em 152 componentes (72,4%), evidenciando a importância da etapa de reconciliação. Após a retrotradução foi introduzida apenas uma alteração (0,5%), enquanto o debriefing cognitivo originou modificações em 16 componentes (7,6%), maioritariamente relacionadas com a clareza e harmonização linguística.
Não foram solicitadas alterações durante a revisão final pelo Q-Portfolio.
Conclusão: Foi obtida e aprovada uma versão em português europeu de 16 escalas do FACE-Q | Aesthetics, relevantes na avaliação do terço superior da face, impacto na perceção da aparência e no bem-estar psicossocial, demonstrando adequação linguística e cultural para utilização na população portuguesa. Esta ferramenta poderá ser utilizada na investigação e na prática clínica na área da estética facial e da harmonização orofacial em Portugal.
Introduction: FACE-Q | Aesthetics is a Patient-Reported Outcome Measure (PROM) widely used to assess satisfaction with appearance, health-related quality of life, and patients’ perceptions of the outcomes of facial aesthetic procedures. Despite its international use, no version adapted for Portuguese (Portugal) was available. Objective: To translate, culturally adapt, and linguistically validate 16 FACE-Q | Aesthetics scales for Portuguese (Portugal). Materials and Methods: The process was conducted according to the team who developed the FACE-Q | Aesthetics (Q-Portfolio) guidelines and international recommendations for the cross-cultural adaptation of PROMs. Between November 2025 and May 2026, two independent forward translations were performed, followed by reconciliation, backtranslation, review by the Q-Portfolio team, cognitive debriefing with five participants from the target population, and final proofreading. In parallel, a quantitative analysis of the differences identified between translations and of the modifications introduced throughout the different stages of the process was carried out. Results: A total of 210 linguistic components (items, instructions, and response options) were analysed. Differences between the two forward translations were identified in 152 components (72.4%), highlighting the importance of the reconciliation stage. Following backtranslation, only one modification (0.5%) was introduced, whereas cognitive debriefing resulted in changes to 16 components (7.6%), mainly related to clarity and wording adjustments. No additional modifications were requested during the final review by the Q-Portfolio team. Conclusion: A Portuguese (Portugal) version of 16 FACE-Q | Aesthetics scales, considered relevant for the assessment of the upper third of the face, as well as their impact on appearance perception and psychosocial well-being, was validated. The scales demonstrated linguistic and cultural suitability for use in the Portuguese population. This tool will support both research and clinical practice in facial aesthetics and orofacial harmonisation in Portugal.
Introduction: Le FACE-Q | Aesthetics est un instrument de résultats rapportés par les patients (Patient-Reported Outcome Measure - PROM) utilisé pour évaluer la satisfaction liée à l’apparence, la qualité de vie liée à la santé et la perception des résultats des procédures esthétiques faciales. Malgré son utilisation internationale, aucune version portugaise (Portugal) n’était disponible. Objectif: Traduire, adapter transculturellement et valider linguistiquement 16 échelles du FACE-Q | Aesthetics en portugais (Portugal). Matériaux et Méthodes: Le processus a suivi les recommandations de l’équipe qui a développé le FACE-Q | Aesthetics (Q-Portfolio) et les lignes directrices internationales pour l’adaptation transculturelle des PROMs. Entre novembre 2025 et mai 2026, deux traductions directes indépendantes ont été réalisées, suivies d’une réconciliation, d’une rétrotraduction, d’une révision par Q-Portfolio, d’un débriefing cognitif auprès de cinq participants et d’une révision finale. Une analyse quantitative des différences entre les traductions et des modifications apportées au cours du processus a également été réalisée. Résultats: Au total, 210 composantes linguistiques ont été analysées. Des différences entre les traductions directes ont été observées dans 152 composantes (72,4 %). Après la rétrotraduction, une seule modification (0,5 %) a été introduite, tandis que le débriefing cognitif a conduit à des modifications dans 16 composantes (7,6%), principalement liées à la clarté et à l’harmonisation linguistique. Aucune modification supplémentaire n’a été demandée lors de la révision finale par le Q-Portfolio. Conclusion: Une version en portugais (Portugal) de 16 échelles du FACE-Q | Aesthetics, particulièrement utile dans l’évaluation du tiers supérieur du visage, l’impact de la perception de l’apparence et du bien-être psychosocial, a été développée et approuvée. Elle démontre une adéquation linguistique et culturelle pour une utilisation auprès de la population portugaise et constitue un outil pour la recherche et la pratique clinique dans le domaine de l’harmonisation orofaciale au Portugal.
Introduction: FACE-Q | Aesthetics is a Patient-Reported Outcome Measure (PROM) widely used to assess satisfaction with appearance, health-related quality of life, and patients’ perceptions of the outcomes of facial aesthetic procedures. Despite its international use, no version adapted for Portuguese (Portugal) was available. Objective: To translate, culturally adapt, and linguistically validate 16 FACE-Q | Aesthetics scales for Portuguese (Portugal). Materials and Methods: The process was conducted according to the team who developed the FACE-Q | Aesthetics (Q-Portfolio) guidelines and international recommendations for the cross-cultural adaptation of PROMs. Between November 2025 and May 2026, two independent forward translations were performed, followed by reconciliation, backtranslation, review by the Q-Portfolio team, cognitive debriefing with five participants from the target population, and final proofreading. In parallel, a quantitative analysis of the differences identified between translations and of the modifications introduced throughout the different stages of the process was carried out. Results: A total of 210 linguistic components (items, instructions, and response options) were analysed. Differences between the two forward translations were identified in 152 components (72.4%), highlighting the importance of the reconciliation stage. Following backtranslation, only one modification (0.5%) was introduced, whereas cognitive debriefing resulted in changes to 16 components (7.6%), mainly related to clarity and wording adjustments. No additional modifications were requested during the final review by the Q-Portfolio team. Conclusion: A Portuguese (Portugal) version of 16 FACE-Q | Aesthetics scales, considered relevant for the assessment of the upper third of the face, as well as their impact on appearance perception and psychosocial well-being, was validated. The scales demonstrated linguistic and cultural suitability for use in the Portuguese population. This tool will support both research and clinical practice in facial aesthetics and orofacial harmonisation in Portugal.
Introduction: Le FACE-Q | Aesthetics est un instrument de résultats rapportés par les patients (Patient-Reported Outcome Measure - PROM) utilisé pour évaluer la satisfaction liée à l’apparence, la qualité de vie liée à la santé et la perception des résultats des procédures esthétiques faciales. Malgré son utilisation internationale, aucune version portugaise (Portugal) n’était disponible. Objectif: Traduire, adapter transculturellement et valider linguistiquement 16 échelles du FACE-Q | Aesthetics en portugais (Portugal). Matériaux et Méthodes: Le processus a suivi les recommandations de l’équipe qui a développé le FACE-Q | Aesthetics (Q-Portfolio) et les lignes directrices internationales pour l’adaptation transculturelle des PROMs. Entre novembre 2025 et mai 2026, deux traductions directes indépendantes ont été réalisées, suivies d’une réconciliation, d’une rétrotraduction, d’une révision par Q-Portfolio, d’un débriefing cognitif auprès de cinq participants et d’une révision finale. Une analyse quantitative des différences entre les traductions et des modifications apportées au cours du processus a également été réalisée. Résultats: Au total, 210 composantes linguistiques ont été analysées. Des différences entre les traductions directes ont été observées dans 152 composantes (72,4 %). Après la rétrotraduction, une seule modification (0,5 %) a été introduite, tandis que le débriefing cognitif a conduit à des modifications dans 16 composantes (7,6%), principalement liées à la clarté et à l’harmonisation linguistique. Aucune modification supplémentaire n’a été demandée lors de la révision finale par le Q-Portfolio. Conclusion: Une version en portugais (Portugal) de 16 échelles du FACE-Q | Aesthetics, particulièrement utile dans l’évaluation du tiers supérieur du visage, l’impact de la perception de l’apparence et du bien-être psychosocial, a été développée et approuvée. Elle démontre une adéquation linguistique et culturelle pour une utilisation auprès de la population portugaise et constitue un outil pour la recherche et la pratique clinique dans le domaine de l’harmonisation orofaciale au Portugal.
Descrição
Dissertação para obtenção do grau de Mestre no Instituto Universitário Egas Moniz
Palavras-chave
FACE-Q Adaptação transcultural Validação linguística Estética facial