{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,21]],"date-time":"2025-10-21T01:41:04Z","timestamp":1761010864735,"version":"build-2065373602"},"reference-count":25,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100001871","name":"Funda\u00e7\u00e3o para a Ci\u00eancia e a Tecnologia","doi-asserted-by":"publisher","award":["UIDP\/4255\/2020"],"award-info":[{"award-number":["UIDP\/4255\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["MDM Policy &amp; Practice"],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:p>\n            <jats:bold>Introduction.<\/jats:bold>\n            Patient decision aids support health care decision making by dynamically integrating evidence-based information with patients\u2019 values, goals, and preferences. However, most of these aids are available only in English, limiting accessibility for non\u2013English-speaking populations. Although Portuguese is one of the most spoken languages worldwide, validated decision aids and evaluation instruments in Portuguese remain scarce.\n            <jats:bold>Objectives.<\/jats:bold>\n            To translate, culturally adapt, and conduct preliminary content validation of the International Patient Decision Aid Standards (IPDAS) Minimal Criteria instrument for the Portuguese population.\n            <jats:bold>Methods.<\/jats:bold>\n            A multidisciplinary team conducted a structured linguistic validation process, including forward and backward translation, synthesis meetings, expert committee review, and pilot testing. Clarity and content relevance were evaluated by a panel of 10 experts using a dichotomous clarity scale and a 4-point relevance scale. Quantitative measures included percentage agreement, Fleiss\u2019 kappa, and item-level and scale-level content validity indices (I-CVI, S-CVI\/Ave). Qualitative input was gathered through open-ended responses and discussion during the expert panel meeting.\n            <jats:bold>Results.<\/jats:bold>\n            Five of the 44 criteria were identified as unclear by more than 20% of the expert panel and were revised. The overall agreement was high (0.93 [0.89; 0.97]), but Fleiss\u2019 kappa indicated low interrater agreement (0.03 [\u22120.01; 0.08]). Eleven criteria were rated by at least 1 panel member as less relevant or in need of revision and were refined accordingly. For all criteria, the I-CVI was &gt;0.79, and the overall S-CVI\/Ave was 0.97. Fleiss\u2019 kappa for content validity was \u22120.02 [\u22120.06; 0.02].\n            <jats:bold>Conclusions.<\/jats:bold>\n            The Portuguese version of the IPDAS Minimal Criteria demonstrated strong content validity and linguistic appropriateness. This adapted instrument will enable more rigorous evaluation of patient decision aids in Portuguese-speaking contexts and support broader implementation of shared decision making.\n          <\/jats:p>\n          <jats:sec>\n            <jats:title>Highlights<\/jats:title>\n            <jats:list list-type=\"bullet\">\n              <jats:list-item>\n                <jats:p>This study provides the first content-validated version of the IPDAS Minimal Criteria in Portuguese, addressing a significant gap in shared decision-making tools.<\/jats:p>\n              <\/jats:list-item>\n              <jats:list-item>\n                <jats:p>The instrument supports Portuguese-speaking researchers and clinicians in systematically assessing decision aids for quality and usability.<\/jats:p>\n              <\/jats:list-item>\n              <jats:list-item>\n                <jats:p>These findings highlight the importance of cultural adaptation in ensuring the applicability and effectiveness of decision support tools across different populations.<\/jats:p>\n              <\/jats:list-item>\n              <jats:list-item>\n                <jats:p>This study advances the field of decision-making research by fostering equitable access to high-quality decision aids in clinical practice.<\/jats:p>\n              <\/jats:list-item>\n            <\/jats:list>\n          <\/jats:sec>","DOI":"10.1177\/23814683251386451","type":"journal-article","created":{"date-parts":[[2025,10,18]],"date-time":"2025-10-18T07:14:12Z","timestamp":1760771652000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Translation, Cultural Adaptation, and Validation of the International Patient Decision Aid Standards Minimal Criteria Instrument for the Portuguese Population"],"prefix":"10.1177","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8168-0009","authenticated-orcid":false,"given":"Micaela","family":"Greg\u00f3rio","sequence":"first","affiliation":[{"name":"RISE-Health, Faculty of Medicine, University of Porto, Alameda Prof. Hern\u00e2ni Monteiro, Porto, Portugal"},{"name":"#H4A Primary Healthcare Research Network, Guif\u00f5es, Portugal"},{"name":"Rede de Investiga\u00e7\u00e3o nos Cuidados de Sa\u00fade Prim\u00e1rios do Alto Ave, ULS Alto Ave, Guimar\u00e3es, Portugal"},{"name":"Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Alameda Prof. Hern\u00e2ni Monteiro, Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1199-2220","authenticated-orcid":false,"given":"Andreia","family":"Teixeira","sequence":"additional","affiliation":[{"name":"RISE-Health, Faculty of Medicine, University of Porto, Alameda Prof. Hern\u00e2ni Monteiro, Porto, Portugal"},{"name":"#H4A Primary Healthcare Research Network, Guif\u00f5es, Portugal"},{"name":"Department of Community Medicine, Information and Health Decision Sciences (MEDCIDS), Faculty of Medicine, University of Porto, Alameda Prof. Hern\u00e2ni Monteiro, Porto, Portugal"},{"name":"ADiT-LAB, Instituto Polit\u00e9cnico de Viana do Castelo, Rua Escola Industrial e Comercial Nun\u2019\u00c1lvares, Viana do Castelo, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-4365-8439","authenticated-orcid":false,"given":"Mariana","family":"Teixeira","sequence":"additional","affiliation":[{"name":"Medical translator, Vila do Conde, Portugal"}]},{"given":"In\u00eas","family":"Marques","sequence":"additional","affiliation":[{"name":"EN-PT translator &amp; translation project manager, Madrid, Spain"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-8213-4108","authenticated-orcid":false,"given":"Ana Sofia","family":"Correia","sequence":"additional","affiliation":[{"name":"Medical translator and writer, Lous\u00e3, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8787-2199","authenticated-orcid":false,"given":"Phillippa May","family":"Bennett","sequence":"additional","affiliation":[{"name":"Faculty of Arts and Humanities, University of Coimbra, Coimbra, Portugal"},{"name":"Centre for English, Translation, and Anglo-Portuguese Studies, New University of Lisbon, Portugal"}]},{"given":"Helen","family":"Carter","sequence":"additional","affiliation":[{"name":"Translator EN&lt;&gt;PT, Tomar, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2681-741X","authenticated-orcid":false,"given":"Dawn","family":"Stacey","sequence":"additional","affiliation":[{"name":"School of Nursing, University of Ottawa, Ottawa, Canada"},{"name":"Centre for Practice Changing Research, Ottawa Hospital Research Institute, Ottawa, Canada"}]},{"given":"Carlos","family":"Martins","sequence":"additional","affiliation":[{"name":"RISE-Health, Faculty of Medicine, University of Porto, Alameda Prof. Hern\u00e2ni Monteiro, Porto, Portugal"},{"name":"#H4A Primary Healthcare Research Network, Guif\u00f5es, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2025,10,18]]},"reference":[{"key":"e_1_3_3_2_2","volume-title":"The Social System","author":"Parsons T.","year":"1991","unstructured":"Parsons T. 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