Portuguese validation of the Regret Intensity Scale (RIS-10) for measuring the intensity of regret associated with the provision of attention in health


  • Fabiana Rosa Neves Smiderle Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória
  • Valmin Ramos-Silva Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória
  • Stela Maris de Jezus Castro Universidade Federal do Rio Grande do Sul
  • Delphine Sophie Courvoisier Hôpitaux Universitaires de Genève
  • Rita Mattiello Pontifícia Universidade Católica




emotions, health personnel, psychological adaptation, psychometrics, validation studies


Objective. The aim of the study was to adapt and validate the Regret Intensity Scale-10 (RIS-10) for Brazilian health professionals.

Methods. The validation study took place in two phases, in which the first was the translation of the instruments and the second, the field validation using psychometric properties validity and reliability of the scale with 341 professionals (doctors, nurses and physiotherapists) linked to hospitals. Validity was assessed using content validities (six judges evaluation), criteria (correlation with the Life Satisfaction Scale - SWLS and Self-Reporting Questionnaire 20 -SRQ-20) and construct (exploratory analysis using the rotation method Promax, based on the slope graph and the Kaiser criterion and confirmatory using the structural equation model) after applying the questionnaire to professionals.Reliability was measured by Cronbach's α coefficient and retest test over a maximum period of 30 days. Reproducibility was calculated by intraclass correlation.

Results. A total of 341 professionals participated, with an average age of 38.6 ± 9.2 years. The content validity index (CVI) was 1.00, for all items of the scale in the proportion of agreement of the judges. Exploratory factor analysis showed a satisfactory correlation (Kaiser-Meyer-Olkin = 0.88), suggesting a two-factor model, which comprises the main components of the emotion of regret (Factor I – emoticons, Factor II - feelings), accounting for 64% of the total variation of the first factor. In the confirmation, the index standardized root mean squared residual = 0.063 was close to the acceptable and other values were below. The scale correlated positively with SRQ-20 (p < 0.001) and negatively with SLWS (p = 0.003). Reliability showed (Cronbach’s α = 0.863) and test–retest reliability showed lower values ​​than expected. The Bland-Altman graph showed a mean bias of -1.5 with lower and upper limits of 15.8 to 12.8 respectively.

Conclusion. The RIS-10 adapted for the population performed adequately in the psychometric properties evaluated for the assessment of the intensity of regret related to the provision of health care.

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Author Biographies

Fabiana Rosa Neves Smiderle , Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória

Enfermeira. Doutora. Professora da Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, EMESCAM, Espírito Santo, Brazil. Email: fabiana.neves@emescam.br

Valmin Ramos-Silva, Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória

Médico. Doutor. Professora. Escola Superior de Ciências da Santa Casa de Misericórdia de Vitória, EMESCAM, Espírito Santo, Brazil. Email: valmin.silva@gmail.com

Stela Maris de Jezus Castro , Universidade Federal do Rio Grande do Sul

Estatística. Doutora. Professora Universidade Federal do Rio Grande do Sul, Brazil. Email: stela.castro@ufrgs.br

Delphine Sophie Courvoisier, Hôpitaux Universitaires de Genève

Bioestatística. Doutora. Professora Hôpitaux Universitaires de Genève, Swiss. Email: delphine.courvoisier@hcuge.ch

Rita Mattiello , Pontifícia Universidade Católica

Fisioterapeuta. Doutora. Professora Pontifícia Universidade Católica, Porto Alegre, Rio Grande do Sul, Brazil. Email: rita.mattiello@pucrs.br. Corresponding author


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How to Cite

Smiderle , F. R. N. ., Ramos-Silva, V., Castro , S. M. de J. ., Courvoisier, D. S., & Mattiello , R. (2021). Portuguese validation of the Regret Intensity Scale (RIS-10) for measuring the intensity of regret associated with the provision of attention in health. Investigación Y Educación En Enfermería, 39(3). https://doi.org/10.17533/udea.iee.v39n3e09




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