Objective: We adapted the MacArthur Competence Assessment Tool for Treatment (MacCAT-T) to Brazilian Portuguese, pilot testing it on mild and moderate patients with Alzheimer’s disease (AD). Methods: The cross-cultural process required six steps. Sixty-six patients with AD were assessed for competence to consent to treatment, global cognition, working memory, awareness of disease, functionality, depressive symptoms and dementia severity. Results: The items had semantic, idiomatic, conceptual and experiential equivalence. We found no difference between mild and moderate patients with AD on the MacCAT-T domains. The linear regressions showed that reasoning (p = 0.000) and functional status (p = 0.003) were related to understanding. Understanding (p = 0.000) was related to appreciation and reasoning. Awareness of disease (p = 0.001) was related to expressing a choice. Conclusions: The MacCAT-T adaptation was well-understood and the constructs of the original version were maintained. The results of the pilot study demonstrated an available Brazilian tool focused on decision-making capacity in AD.
CITATION STYLE
Santos, R. L., De Sousa, M. F. B., Neto, J. P. S., Bertrand, E., Mograbi, D. C., Landeira-Fernandez, J., … Dourado, M. C. N. (2017). MacArthur competence Assessment Tool for Treatment in Alzheimer disease: Cross-cultural adaptation. Arquivos de Neuro-Psiquiatria, 75(1), 36–43. https://doi.org/10.1590/0004-282x20160181
Mendeley helps you to discover research relevant for your work.