Development and validation of an instrument for the evaluation of HIV care in Primary Health Care

Development and validation of an instrument for the evaluation of HIV care in Primary Health Care

ABSTRACT Objective: To develop and validate an instrument to evaluate the decentralization process of care for People Living with HIV in Primary Health Care. Method: Methodological study, developed in four stages: elaboration of the logical model based on the triad Structure-Process-Outcomes; development of the instrument; content validation by expert judges and technical reviewers; and semantic validation. Online questionnaires were used, and the Kappa index was used for analysis. Results: The instrument with 68 items and 8 factors was submitted to validation by expert judges who recommended the exclusion of 3 items and the alteration of 2 factors. In the validation by technical reviewers, 2 items were excluded and 6 factors were highlighted; the agreement index was ≥0.75. In the semantic validation, 87.3% of the judges answered “totally agree” for the items presented. Conclusion: The instrument is validated for its content, has 63 items and has the potential to assess the care provided for people living with HIV in Primary Health Care.

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Bibliographic Details
Main Authors: Pinho,Clarissa Mourão, Lima,Morgana Cristina Leôncio de, Silva,Mônica Alice Santos, Dourado,Cynthia Angélica Ramos de Oliveira, Oliveira,Regina Célia de, Aquino,Jael Maria de, Pinto,Erika Simone Galvão, Andrade,Maria Sandra
Format: Digital revista
Language:English
Published: Associação Brasileira de Enfermagem 2023
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672023000100169
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Summary:ABSTRACT Objective: To develop and validate an instrument to evaluate the decentralization process of care for People Living with HIV in Primary Health Care. Method: Methodological study, developed in four stages: elaboration of the logical model based on the triad Structure-Process-Outcomes; development of the instrument; content validation by expert judges and technical reviewers; and semantic validation. Online questionnaires were used, and the Kappa index was used for analysis. Results: The instrument with 68 items and 8 factors was submitted to validation by expert judges who recommended the exclusion of 3 items and the alteration of 2 factors. In the validation by technical reviewers, 2 items were excluded and 6 factors were highlighted; the agreement index was ≥0.75. In the semantic validation, 87.3% of the judges answered “totally agree” for the items presented. Conclusion: The instrument is validated for its content, has 63 items and has the potential to assess the care provided for people living with HIV in Primary Health Care.

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