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Revista Colombiana de Reumatología
versión impresa ISSN 0121-8123
Resumen
IMBACHI SALAMANCA, Alex Jhonier et al. Cultural adaptation and validation of the COPCORD questionnaire for the detection of rheumatic diseases in the indigenous Misak population. Rev.Colomb.Reumatol. [online]. 2023, vol.30, n.1, pp.28-36. Epub 09-Ago-2023. ISSN 0121-8123. https://doi.org/10.1016/j.rcreu.2021.04.011.
Introduction:
The objective was to adapt and valídate in a culturally sensitive way the methodology of the community-oriented programme for the control of rheumatic diseases (COPCORD) in the indigenous Misak community of Colombia.
Material and methods:
A culturally sensitive validation of the COPCORD questionnaire in Spanish was carried out, translating into the nam trik wam language used by the Misak community of Guambia town. It was adapted to the context of this population and later a back-translation to Spanish was carried out. Finally, it was validated applying the survey with the support of bilingual translators. Participants with pain, stiffness or swelling in any joint in the previous 7 days and/or at any time in life were evaluated by physicians and physiotherapists and were then, upon confirming the diagnosis of a musculoskeletal disorder, subsequently examined by a rheumatologist.
Results:
In this population (n = 106), 58.5% were women with an average age of 45.5 years. In the last 7 days, 51 subjects (48.1%) reported having musculoskeletal pain and 7 (44.3%) reported pain at some time in their life. Of those who received treatment, 53.1% reported using traditional medicine, 34.4% homeopathic treatment, and 25% allopathic treatment. The COPCORD Misak demonstrated an adequate capacity to detect musculoskeletal disorders, with a sensitivity of 63.3% and a specificity of 80.3%, with a positive likelihood ratio of 3.2, and area under the curve of.71.
Conclusion:
The COPCORD methodology is a valid screening tool to detect musculoskeletal disorders in the Misak community.
Palabras clave : Misak; Copcord; Rheumatic diseases Cross-cultural validation.