Patricia Driusso

Background: Primary dysmenorrhea (PD) is a common gynecological condition in Spain that negatively affects the quality of life of many women of reproductive age. Although PD is highly prevalent, it remains frequently underdiagnosed, and culturally adapted educational resources are limited, while management continues to rely predominantly on pharmacological treatment. Developing culturally adapted educational materials is relevant to promote menstrual health and self-care strategies in Spanish women with PD. Objective: To translate, culturally adapt, and assess the content and face validity of an educational brochure originally developed in Brazil for Spanish women with PD. Design: Cross-cultural adaptation and face validation. Methods: The process comprised 2 stages: (1) translation and cross-cultural adaptation following standardized guidelines; and (2) face validation by 10 physical therapists and 26 women with PD. Clarity, content appropriateness, presentation, and usefulness were assessed using structured questionnaires. Content validity was assessed among physiotherapists using the Content Validity Index ( CVI ), whereas face validity among women with PD was evaluated using the Percentage of Absolute Agreement ( PAA ). The thresholds for CVI and PAA were established at 0.78 and 75%, respectively. Results: The Spanish version of the brochure demonstrated strong face validity. All items assessed by physiotherapists reached high agreement, with CVI values ≥ 0.90 across all domains. Among women with primary dysmenorrhea, the brochure achieved full agreement for language clarity ( PAA= 100%) and high acceptability of its presentation ( PAA= 92.3%). Participants highlighted the clarity, usefulness, and visual organization of the material. Conclusion: The educational brochure originally developed in Brazil was successfully translated and culturally adapted for Spanish women with PD. The Spanish version demonstrated strong face validity and appears to be a clear and useful resource for supporting menstrual health education and self-care strategies.

RESUMO Este estudo teve como objetivo avaliar a satisfação de mulheres no puerpério imediato com o atendimento fisioterapêutico. Trata-se de um estudo transversal. A conduta fisioterapêutica foi baseada em cinesioterapia, massoterapia e recursos eletrofísicos, finalizando com educação em saúde. Cerca de 7 a 15 dias após alta hospitalar, foi realizado contato telefônico com as participantes do estudo, sendo realizadas 10 perguntas relacionadas ao atendimento prestado pelo fisioterapeuta na maternidade no período do puerpério imediato. Participaram do estudo 49 puérperas, com média de idade de 27 anos (±3,7), em sua maioria brancas, em união estável, ensino médio completo e multíparas; a via de nascimento predominante foi a vaginal (61,22%). Todas as participantes declararam satisfação com o atendimento recebido, clareza das orientações sobre os exercícios propostos e esclarecimento de dúvidas. Cerca de três (6%) das mulheres consideraram que o atendimento demorou ou causou incômodo, 70% (35) realizaram em casa as orientações recebidas na maternidade e 12% (7) tiveram dificuldade na execução das orientações. Todas as puérperas declararam que gostariam de ter acesso ao atendimento fisioterapêutico novamente caso tenham outro bebê; a satisfação média para o atendimento fisioterapêutico recebido na maternidade foi de 9,64. Constatou-se que as mulheres ficaram satisfeitas com o atendimento fisioterapêutico na maternidade e a maioria utilizou as orientações recebidas em casa.

This study aimed to evaluate women’s satisfaction with physical therapy care during the immediate postpartum period. This is a cross-sectional study. The physical therapy approach was based on kinesiotherapy, massage therapy, electrophysical resources, and concluded with health education. Approximately seven to 15 days after hospital discharge, participants were contacted by phone and asked ten questions regarding the care provided by the physical therapist in the maternity ward during the immediate postpartum period. The study included 49 puerperal women with a mean age of 27 years (±3.7), mostly White, in stable unions, with complete secondary education, and multiparous; the predominant mode of delivery was vaginal childbirth (61.22%). All participants reported satisfaction with the care received, clarity of the instructions regarding the proposed exercises, and clarification of doubts. Three (6%) women felt the care took too long or caused discomfort, 70% (35) followed the instructions received at the maternity hospital at home, and 12% (seven) had difficulty following the instructions. All women stated they would like to have access to physical therapy care again if they had another baby; the average satisfaction with the physical therapy care received at the maternity hospital was 9.64. It was found that the women were satisfied with the physical therapy care at the maternity hospital, and most applied the instructions received at home.