{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T22:34:35Z","timestamp":1762900475777,"version":"3.40.5"},"reference-count":28,"publisher":"Sociedade Brasileira de Pneumologia e Tisiologia","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Bras Pneumol."],"abstract":"<jats:p>Objective: To adapt the PROactive Physical Activity in COPD-clinical visit (C-PPAC) instrument to the cultural setting in Brazil and to determine the criterion validity, test-retest reliability agreement, and internal consistency of this version. Methods: A protocol for cultural adaptation and validation was provided by the authors of the original instrument and, together with another guideline, was applied in a Portuguese-language version developed by a partner research group from Portugal. The adapted Brazilian Portuguese version was then cross-sectionally administered twice within a seven-day interval to 30 individuals with COPD (57% were men; mean age was 69 \u00b1 6 years; and mean FEV1 was 53 \u00b1 18% of predicted) to evaluate internal consistency and test-retest reliability. Participants also completed the International Physical Activity Questionnaire (IPAQ), the modified Medical Research Council scale, the COPD Assessment Test, and Saint George's Respiratory Questionnaire to evaluate criterion validity. Results: The C-PPAC instrument showed good internal consistency and excellent test-retest reliability: \"amount\" domain = 0.87 (95% CI, 0.73-0.94) and \"difficulty\" domain = 0.90 (95% CI, 0.76-0.96). Bland &amp; Altman plots, together with high Lin's concordance correlation coefficients, reinforced that agreement. Criterion validity showed moderate-to-strong correlations of the C-PPAC with all of the other instruments evaluated, especially with the IPAQ (rho = -0.63). Conclusions: The Brazilian Portuguese version of the C-PPAC is a reliable and valid instrument for evaluating the experience of Brazilian individuals with COPD with their physical activity in daily life.<\/jats:p>","DOI":"10.36416\/1806-3756\/e20220372","type":"journal-article","created":{"date-parts":[[2023,7,10]],"date-time":"2023-07-10T16:21:22Z","timestamp":1689006082000},"page":"e20220372","source":"Crossref","is-referenced-by-count":3,"title":["Cultural adaptation and validation of the Brazilian Portuguese version of the PROactive Physical Activity in COPD\u2013clinical visit instrument for individuals with COPD"],"prefix":"10.36416","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4308-8415","authenticated-orcid":false,"given":"Andr\u00e9","family":"Vinicius Santana1","sequence":"first","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2452-2148","authenticated-orcid":false,"given":"Andrea","family":"Daiane Fontana1","sequence":"additional","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3466-2021","authenticated-orcid":false,"given":"Rafaela","family":"Cristina de Almeida1","sequence":"additional","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3347-3632","authenticated-orcid":false,"given":"Leandro","family":"Cruz Mantoani1","sequence":"additional","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7648-8573","authenticated-orcid":false,"given":"Carlos","family":"Augusto Camillo1,2","sequence":"additional","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil. 2. Centro de Pesquisas em Ci\u00eancias Biol\u00f3gicas e da Sa\u00fade, Universidade Pit\u00e1goras\/Universidade Norte do Paran\u00e1 \u2013 UNOPAR \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7496-7228","authenticated-orcid":false,"given":"Karina","family":"Couto Furlanetto1,2","sequence":"additional","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil. 2. Centro de Pesquisas em Ci\u00eancias Biol\u00f3gicas e da Sa\u00fade, Universidade Pit\u00e1goras\/Universidade Norte do Paran\u00e1 \u2013 UNOPAR \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4403-2878","authenticated-orcid":false,"given":"F\u00e1tima","family":"Rodrigues3,4","sequence":"additional","affiliation":[{"name":"3. Instituto de Sa\u00fade Ambiental, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal. 4. Unidade de Reabilita\u00e7\u00e3o Respirat\u00f3ria, Hospital Pulido Valente, Centro Hospitalar Universit\u00e1rio Lisboa Norte, Lisboa, Portugal."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4911-4469","authenticated-orcid":false,"given":"Joana","family":"Cruz5","sequence":"additional","affiliation":[{"name":"5. Center for Innovative Care and Health Technology \u2013 ciTechCare \u2013 Escola Superior de Sa\u00fade \u2013 ESSLEI \u2013 Polit\u00e9cnico de Leiria, Leiria, Portugal."}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4980-6200","authenticated-orcid":false,"given":"Alda","family":"Marques6","sequence":"additional","affiliation":[{"name":"6. Laborat\u00f3rio de Investiga\u00e7\u00e3o e Reabilita\u00e7\u00e3o Respirat\u00f3ria \u2013 Lab3R \u2013 Escola Superior de Sa\u00fade e Instituto de Biomedicina \u2013 ESSUA\/iBiMED \u2013 Universidade de Aveiro, Aveiro, Portugal."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1151-8791","authenticated-orcid":false,"given":"Cristina","family":"J\u00e1come7,8","sequence":"additional","affiliation":[{"name":"7. Departamento de Medicina da Comunidade, Informa\u00e7\u00e3o e Decis\u00e3o em Sa\u00fade \u2013 MEDCIDS \u2013 Faculdade de Medicina, Universidade do Porto, Porto, Portugal. 8. Centro de Investiga\u00e7\u00e3o em Tecnologias e Servi\u00e7os de Sa\u00fade \u2013 CINTESIS \u2013 Faculdade de Medicina, Universidade do Porto, Porto, Portugal."}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8925-0564","authenticated-orcid":false,"given":"Heleen","family":"Demeyer9","sequence":"additional","affiliation":[{"name":"9. Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9502-7374","authenticated-orcid":false,"given":"Fabienne","family":"Dobbels10","sequence":"additional","affiliation":[{"name":"10. Academic Center for Nursing and Midwifery, Department of Public Health and Primary Care, Katholieke Universiteit Leuven, Leuven, Belgium."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7097-4586","authenticated-orcid":false,"given":"Judith","family":"Garcia-Aymerich11,12,13","sequence":"additional","affiliation":[{"name":"11. Instituto de Salud Global \u2013 ISGlobal \u2013 Barcelona, Espa\u00f1a. 12. Universitat Pompeu Fabra \u2013 UPF \u2013 Barcelona, Espa\u00f1a. 13. Centro de Investigaci\u00f3n Biomedica En Red de Epidemiolog\u00eda y Salud P\u00fablica \u2013 CIBERESP \u2013 Barcelona, Espa\u00f1a."}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2767-5027","authenticated-orcid":false,"given":"Thierry","family":"Troosters9","sequence":"additional","affiliation":[{"name":"9. Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5219-851X","authenticated-orcid":false,"given":"Nidia","family":"Aparecida Hernandes1","sequence":"additional","affiliation":[{"name":"1. Laborat\u00f3rio de Pesquisa em Fisioterapia Pulmonar \u2013 LFIP \u2013 Departamento de Fisioterapia, Universidade Estadual de Londrina \u2013 UEL \u2013 Londrina (PR) Brasil."}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3369-6660","authenticated-orcid":false,"given":"Fabio","family":"Pitta1","sequence":"additional","affiliation":[{"name":"1. 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Validity of activity monitors in health and chronic disease: a systematic review. Int J Behav Nutr Phys Act. 2012;9:84. https:\/\/doi.org\/10.1186\/1479-5868-9-84","key":"ref7","DOI":"10.1186\/1479-5868-9-84"},{"doi-asserted-by":"publisher","unstructured":"9.            Watz H, Pitta F, Rochester CL, Garcia-Aymerich J, ZuWallack R, Troosters T, et al. An official European Respiratory Society statement on physical activity in COPD. Eur Respir J. 2014;44(6):1521-1537. https:\/\/doi.org\/10.1183\/09031936.00046814","key":"ref8","DOI":"10.1183\/09031936.00046814"},{"doi-asserted-by":"publisher","unstructured":"10.          Pitta F, Troosters T, Spruit MA, Decramer M, Gosselink R. Activity monitoring for assessment of physical activities in daily life in patients with chronic obstructive pulmonary disease. 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