Adaptação e evidências de validade da High Blood Pressure - Focused Health Literacy Scale para o português
Palavras-chave:
Letramento em Saúde., Hipertensão, Estudo de Validação, Enfermagem, Educação em SaúdeResumo
Objetivo: adaptar e estimar as evidências de validade com base no conteúdo e estrutura interna do High Blood Pressure-Focused Health Literacy Scale para o português brasileiro. Método: estudo metodológico com tradução e retrotradução. As evidências com base no conteúdo foram obtidas por Comitê de nove especialistas e 30 pessoas com hipertensão. Para as evidências com base na estrutura interna, a versão adaptada foi aplicada a 1318 pessoas com hipertensão. Resultados: A versão adaptada mostrou índice de validade de conteúdo de 0,92. Análise paralela indicou uma estrutura com dois fatores. A Análise Fatorial Exploratória com os 43 itens mostrou matriz de correlação negativa com grande destruição de covariância (entre 29,8% a 82,6%). Houve correção da matriz após a retirada de 12 itens. O modelo final mostrou correspondência com a teoria e adequação dos índices de ajuste. O fator 1, Letramento Funcional em Saúde, explica 7,63% da variância. O Fator 2, Letramento de Impressão, explica 44,33% da variância. Os indicadores de confiabilidade mostraram-se dentro dos padrões de adequação. Conclusão: O instrumento adaptado mostrou evidências de validade relacionadas ao conteúdo e à estrutura interna para sua aplicação a pessoas com hipertensão no Brasil.
Referências
Mills KT, Stefanescu A, He J. The global epidemiology of hypertension. Nat Rev Nephrol. 2020;16:223-37. DOI: https://doi.org/10.1038/s41581-019-0244-2.
Burnier M, Egan BM. Adherence in Hypertension- A Review of Prevalence, Risk Factors, Impact, and Management. Circulation Research. 2019;124(7):1124-40. DOI: https://doi.org/10.1161/CIRCRESAHA.118.313220.
Han HR, Delva S, Greeno RV, Negoita S, Cajita M, Will W. A Health Literacy-Focused Intervention for Latinos with Hypertension. Health Lit Res Pract. 2018;Feb 7; 2(1):e21-e25. DOI: https://doi.org/10.3928/24748307-20180108-02.
Borges FM, Silva ARV, Lima LHO, Almeida PC, Vieira NFC, Machado ALG. Health literacy of adults with and without arterial hypertension. Rev. Bras. Enferm. 2019;Jun; 72(3): 646-53. DOI: http://dx.doi.org/10.1590/0034-7167-2018-0366.
Nielsen-Bohlman L, Panzer AM, Kindig DA. Health literacy: A prescription to end confusion. Institute of Medicine (US) Committee on Health Literacy. Washington (DC): National Academies Press (US). 2004. DOI: https://doi.org/10.17226/10883.
Bostock S, Steptoe A. Association between low functional health literacy and mortality in older adults: Longitudinal cohort study. British Medical Journal. 2012;Mar 15;344:e1602. DOI: https://doi.org/10.1136/bmj.e1602.
Berkman ND, Sheridan SL, Donahue KE, Halpern DJ, Crotty, K. Low health literacy and health outcomes: an updated systematic review. Ann Intern Med. 2011;155(2):97-107. DOI: https://doi.org/10.7326/0003-4819-155-2-201107190-00005.
Sampaio HAC, Carioca AAF, Sabry MOD, Santos PM, Coelho MAM, Passamai MPB. Health literacy in type 2 diabetics: associated factors and glycemic control. Ciênc. saúde coletiva. 2015;Mar; 20(3):865-74. DOI: http://dx.doi.org/10.1590/1413-81232015203.12392014.
Amouzandeh C, Fingland D, Vidgen HA. A Scoping Review of the Validity, Reliability and Conceptual Alignment of Food Literacy Measures for Adults. Nutrients. 2019;11(4):801. DOI: https://doi.org/10.3390/nu11040801.
Kim MT, Song HJ, Han HR, Song Y, Nam S, Nguyen TH, Lee HC, Kim KB. Development and validation of the high blood pressure-focused health literacy scale. Patient Educ Couns. 2012;May; 87(2):165-70. DOI: https://doi.org/10.1016/j.pec.2011.09.005.
Institute of Medicine. Health literacy. Washington, DC: National Academies Press; 2004. Available from: https://pubmed.ncbi.nlm.nih.gov/25009856/.
Zhang Q, Huang F, Liu Z, Zhang N, Mahapatra T, et al. Cross-Cultural Validation of the High Blood Pressure Health Literacy Scale in a Chinese Community. PLOS ONE 2016;11(4): e0152182. DOI: https://doi.org/10.1371/journal.pone.0152182.
Newton PE, Shaw SD. Standards for Talking and Thinking About Validity. Psychological Methods. Advance online publication. 2013. DOI: 10.1037/a0032969.
Cizek GJ. Validating test score meaning and defending test score use: different aims, different methods. Assessment in Education: Principles, Policy & Practice, 2016;23:2, 212-225. DOI: 10.1080/0969594X.2015.1063479.
Machado ALG, Lima FET, Cavalcante TF, Araújo TL, Vieira NFC. Instruments of health literacy used in nursing studies with hypertensive elderly. Rev. Gaúcha Enferm. 2014;Dec; 35(4):101-107. DOI: http://dx.doi.org/10.1590/1983-1447.2014.04.45139.
Costa VRS, Costa PDR, Nakano EY, Apolinário D, Santana ANC. Functional health literacy in hypertensive elders at primary health care. Rev. Bras. Enferm. 2019; 72(Suppl 2):266-273. DOI: http://dx.doi.org/10.1590/0034-7167-2018-0897.
Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations for the Cross-Cultural Adaptation of the DASH & QuickDASH Outcome Measures. Institute for Work & Health 2002, 2007:1-45. Available from: http://www.dash.iwh.on.ca/sites/dash/files/downloads/cross_cultural_adaptation_2007.pdf.
Polit DF, Beck CT. The content validity index: are you sure you know what's being reported? Critique and recommendations. Res Nurs Health. 2006;Oct; 29(5):489-97. DOI: https://doi.org/10.1002/nur.20147.
Timmerman ME, Lorenzo-Seva U. Dimensionality assessment of ordered polytomous items with parallel analysis. Psychol Methods. 2011;Jun;16(2):209-20. DOI: 10.1037/a0023353.
Lloret-Segura S, Ferreres-Traver A, Hernandez-Baeza A, Tomas-Marco I. El Análisis Factorial Exploratorio de los Ítems: una guía práctica, revisada y actualizada. 2014;1151-1169. DOI: http://dx.doi.org/10.6018/analesps.30.3.199361.
Banjanovic ES, Osborne JW. “Confidence Intervals for Effect Sizes: Applying Bootstrap Resampling” Practical Assessment, Research, and Evaluation. 2014;21,a.5.
DOI: https://doi.org/10.7275/dz3r-8n08.
Lorenzo-Seva U, Ferrando PJ. Not Positive Definite Correlation Matrices in Exploratory Item Factor Analysis: Causes, Consequences and a Proposed Solution, Structural Equation Modeling: A Multidisciplinary Journal, 2021;28:1, 138-147. DOI: 10.1080/10705511.2020.1735393.
Hair Jr JF, Black WC, Babin BJ, Anderson RE, Tatham RL. Análise multivariada de dados. 2009:e.6. Porto Alegre: Bookman.
Arthur JP, Mantovani MF, Ferraz MIR, Mattei AT, Kalinke LP, Corpolato RC. Translation and cross-cultural adaptation of the Hypertension Knowledge-Level Scale for use in Brazil. Rev. Latino-Am. Enfermagem. 2018;26:e3073. DOI: http://dx.doi.org/10.1590/1518-8345.2832.3073.
Medeiros RKS, Ferreira Jr MA, Pinto DPSR, Vitor AF, Santos VEPS, Barichello E. Pasquali’s model of content validation in the Nursing researches. Rev. Enf. Ref. 2015; serIV(4):127-35. DOI: http://dx.doi.org/10.12707/RIV14009.
Van de Vijver F, He J. Measurement and Monitoring Youth Development Indicators from a Comparative Perspective. In S. Verma & A. Petersen (Eds.), Sustainable Development Goals: Using Developmental Science to Improve Young Lives Globally. New York. 2018. Available from: https://www.springer.com/gp/book/9783319965918.
Watson LK, Kaiser BN, Giusto AM, Ayuku D, Puffer ES. Validating mental health assessment in Kenya using an innovative gold standard. Int J Psychol. 2020;Jun;55(3):425-434. DOI: 10.1002/ijop.12604.
Rios J, Wells C. Validity evidence based on internal structure. Psicothema. 2014;26(1):108-16. DOI: 10.7334/psicothema2013.260.
Gibson Jr TO, Morrow JA, Rocconi LM. A modernized heuristic approach to robust exploratory factor analysis. The Quantitative Methods for Psychology. 2020;16(4), 295–307. DOI:10.20982/tqmp.16.4.p295.
Maes M, Vojdani A, Geffard M, Moreira Eg, Barbosa Ds, Michelin Ap, et al. Schizophrenia phenomenology comprises a bifactorial general severity and a single-group factor, which are differently associated with neurotoxic immune and immune-regulatory pathways. Biomol Concepts. 2019;10(1):209–225. Available from: 10.1515/bmc-2019-0023.
Downloads
Publicado
Como Citar
Edição
Seção
Licença
Copyright (c) 2025 Revista Enfermagem UFPI
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.
