Validity Evidence of Brazilian Portuguese Version of the Professional Fulfillment Index

• Published in: American journal of health promotion 2022-09, Vol.36 (7), p.1112-1122
• Main Authors: Silva-Junior, João Silvestre, Niituma Ogata, Alberto José, Scarpellini, Bruno Correia, Arantes da Cunha, Arthur, Trockel, Mickey, Demarch, Rodrigo Bornhausen
• Format: Article
• Language: English
• Subjects: Adaptation; Brazil; Brazilian Portuguese; Clinical assessment; Confirmatory factor analysis; Cross-Sectional Studies; Disengagement; Fatigue; Female; Health promotion; Humans; Male; Mapping; Middle Aged; Physicians; Psychometrics; Questionnaires; Reliability; Reproducibility of Results; Surveys and Questionnaires; Translation; Translations; Well being
• ISSN: 0890-1171; 2168-6602
• DOI: 10.1177/08901171221086945

Purpose The questionnaire “Professional Fulfillment Index” (PFI) was validated to assess emotional exhaustion, interpersonal disengagement, and professional achievement among physicians. This study presents the process of cross-cultural adaptation of the PFI to the Brazilian context. Design Analytical cross-sectional study carried out between July and October 2020. Settings: For conceptual equivalence, a panel of experts was constituted who conducted analyzes on the translation and back-translation processes from English to Brazilian Portuguese. Subjects For the operational equivalence, 432 physicians in the field of Occupational Medicine were invited. Measures They answered the PFI in an online platform. Analysis: Both exploratory and confirmatory factor analysis were performed to seek evidence of the hypothesized structure of PFI item responses. Reliability was assessed using three indicators. Results The Brazilian version can be considered similar to the original. Most of participants were female (57.6%) and mean age 49.6 years—SD 14.0. The mean time since graduation was 18.5 years—SD 9.67. Most of them had a full-time job (88.0%) and were trained through post-graduation courses 83.8%. The most frequent job task was to perform worker´s clinical evaluations (84.9%). Exploratory and confirmatory analyzes showed the adequacy of the items in measuring the instrument’s construct, with stability for use in other populations and samples. Conclusion The PFI was developed to evaluate positive and negative aspects of physicians’ role and performance. The process described in this article was the first cross-cultural adaptation of the questionnaire. The PFI can help in mapping potential risk situations for negative impacts on physicians’ occupational well-being and performance at work, in order to propose interventions that reduce exhaustion and expand professional fulfillment.