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Vol. 17. Issue 2.
Pages 82-87 (February 2021)
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Vol. 17. Issue 2.
Pages 82-87 (February 2021)
Original Article
DOI: 10.1016/j.reumae.2019.02.007
Transcultural adaptation and validation of the methodology of the Community Oriented Programme for Control of Rheumatic Disease (COPCORD) in the indigenous Wayuu population. Venezuela
Adaptación transcultural y validación de la metodología del Programa Orientado a la Comunidad para el Control de Enfermedades Reumáticas (COPCORD) en población indígena Wayuu. Venezuela
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Nataly Beleño-Epieyua, Ysabel Granadosb,
Corresponding author
ymgranados@gmail.com

Corresponding author.
, Ernesto García Mac Gregora, Dexys Márqueza, Mery Evangelista Guerrac, Ingris Peláez Ballestad
a Unidad de Reumatología, Hospital Central Dr. Urquinaona, Maracaibo, Zulia, Venezuela
b Centro Médico, Maturín, Monagas, Venezuela
c Hospital Central Dr. Urquinaona, Maracaibo, Zulia, Venezuela
d Hospital General de México, Secretaría de Salud, Mexico City, Mexico
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Figures (2)
Tables (5)
Table 1. Demographic characteristics of the indigenous Wayuu population.
Table 2. Most frequent rheumatological diagnoses.
Table 3. Internal consistency of the COPCORD instrument.
Table 4. Spearman’s correlation to measure the COPCORD instrument’s criterion validity.
Table 5. Performance of the COPCORD instrument as a screening tool for musculoskeletal disorders and rheumatic diseases.
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Abstract
Objective

To adapt cross-culturally and validate the COPCORD methodology in the indigenous Wayuu population of Zulia state, Venezuela.

Methodology

A cross-sectional study was conducted on Wayuu indigenous people from the Mara and Guajira municipalities of the state of Zulia, Venezuela. The Venezuelan version of the COPCORD questionnaire was transculturally adapted and translated from Venezuelan Spanish to Wayuunaiki (Wayuu language). One hundred indigenous Wayuu, agreed to participate, they were administered the instrument, house by house, by health personnel, who were bilingual and previously trained. Positive COPCORD individuals were evaluated by rheumatologists. A descriptive analysis of variables was performed, Cronbach's alpha was measured, Spearman's correlation, screening test analysis (sensitivity, specificity, VPP and SVR +).

Results

66% were women, average age 41.4 years, 20% monolingual, 21% illiterate, 69% in a couple/married, 57% with informal work. Sixty-two percent reported pain, 56% with criteria of rheumatic diseases, the most frequent were: osteoarthritis (32.3%), mechanical lower back pain (13.9%), and regional rheumatic pain syndrome (12.3%). Five dimensions of the instrument presented Cronbach's alpha> .7. The sensitivity was 100% and specificity 11.1%, VPP 14.3%, SVR + 1.13%.

Conclusion

The COPCORD is valid and useful as a screening tool for the detection of musculoskeletal complaints and rheumatic diseases in the indigenous Wayuu population.

Keywords:
Cross-cultural adaptation
COPCORD
Wayuu population
Musculoskeletal complaints
Rheumatic diseases
Resumen
Objetivo

Adaptar transculturalmente y Validar la metodología COPCORD en población indígena Wayuu del estado Zulia, Venezuela.

Metodología

Se realizó estudio de corte transversal, en indígenas Wayuu, de los municipios Mara y Guajira del estado Zulia, Venezuela, se adaptó transculturalmente la versión venezolana del cuestionario COPCORD y se tradujo del español venezolano al wayuunaiki (idioma Wayuu). Cien indígenas Wayuu, aceptaron participar, se les administró el instrumento, casa por casa, por personal de salud, bilingüe capacitado. Los individuos COPCORD positivos fueron evaluados por reumatólogos. Se realizó análisis descriptivo de variables, se midió alfa de Cronbach, correlación de Spearman, análisis de prueba de cribado (sensibilidad, especificidad, VPP y RVS+).

Resultados

El 66% fueron mujeres, edad promedio 41,4 años, 20% monolingües, 21% analfabetas, 69% unidos/casados, 57% con trabajo informal. El 62% reporto dolor, 56% con criterios de enfermedades reumáticas, las más frecuentes fueron: osteoartritis (32,3%), lumbalgia mecánica (13,9%) y síndrome doloroso regional reumático (12,3%). Cinco dimensiones del instrumento presentaron alfa de Cronbach >0,7. La sensibilidad fue de 100% y especificidad 11,1%, VPP 14,3%, RVS + 1,13%.

Conclusión

El COPCORD es válido y útil como herramienta de cribado para la detección de malestares musculoesqueléticos y enfermedades reumáticas en la población indígena Wayuu.

Palabras clave:
Adaptación transcultural
COPCORD
Población Wayuu
Malestares musculoesqueléticos
Enfermedad reumática

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