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vestibular disorders, dizziness, postural balance, data accuracy, validation studies.
Background: Vestibular Activities and Participation measure (VAP) is an instrument that measures the effect of vestibular disorders on activity and participation using items from the International Classification of Functioning, Disability and Health. Its original version was developed in the United States of America and validated in India, from which two subscales were translated and validated for Germany, Jordan, Saudi Arabia and China. Objectives: To translate and perform the cross-cultural adaptation of the VAP subscales and to evaluate its measurement properties remotely. Methods: This is an accuracy study, in which we performed the cross-cultural adaptation of VAP subscales to a Brazilian version through translation, synthesis, back-translation, expert committee review and pre-test methods. Structural validity was assessed using exploratory factor analysis and construct validity was performed between the VAP and Dizziness Handicap Inventory (DHI) instruments using Pearson’s correlations. Cronbach's alpha was used to measure the internal consistency, as well corrected total item correlations. For intra- and inter-rater reliability analysis, the intraclass correlation coefficient was used for total score of each subscale and weighted Kappa for individual items. Partial results: The VAP-BR subscales received some additional information, in order to improve the volunteers' understanding after 6 subjects present difficulties in the pre-test. After changes, no further doubts were reported regarding the instructions, statement, items and answer options of the scales. In the exploratory factor analysis, one factor was found for each subscale. The subscales 1 and 2 showed Chronbach's alpha equal to 0.80 and 0.82, respectively. Regarding intra-rater reliability, the subscales 1 and 2 the ICC respective values of 0.89 and 0.94. For inter-rater reliability, the ICC values were 0.96 for subscale 1 and 0.82 for subscale 2. The correlations between DHI and VAP showed coefficients above 0.60 for the two subscales. Subscales are expected to be reliable and valid for assessing activity and participation of subjects with vestibular disorders.