Validation of the internal structure of the Brazilian Dental Vulnerability Scale.

OBJECTIVE: This study aimed to evaluate evidence of validity of internal structure of the Brazilian Dental Vulnerability Scale (EVO-BR) when applied in Brazil. METHODS: This is a psychometric study that seeks to validate a scale elaborated by evidence of internal structure. Data collection was conducted in 18 basic health units that implement the Brazilian Healthcare Planning (PAS) methodology, across the five regions of Brazil. The initial version of the EVO-BR contained 41 items that measured dental vulnerability and was applied to users of the Brazilian Unified Health System (SUS) aged 18 years or older who were in basic health units for consultation with higher education professionals. To evaluate the evidence, the following statistical analyses were performed: exploratory factor analysis, confirmatory factor analysis, and network analysis. RESULTS: A total of 1,753 users participated in the study. To adjust the sample, we considered the factorability obtained from Kaiser-Meyer-Olkin (KMO) test = 0.65, Bartlett sphericity test = 8019.7, and a matrix determinant of 0.008. The initial parallel analysis indicated a four-dimensional model and had the items adjusted according to factor loading (ranging from 0.38 to 0.99), common factors (0.13 to 0.89), and Pratt's measure, until the model presented congruence in the statistical and interpretative principles simultaneously. The final model contained 15 items, maintaining the four dimensions indicated by the parallel analysis, and held an explained variance of 68.56%. CONCLUSIONS: The EVO-BR is a validated scale to measure dental vulnerability and, thus, can contribute to the organization of access to the oral health team in primary health care (PHC) by stratifying the population, as recommended in the Brazilian Healthcare Planning.

Family Vulnerability Scale: validity evidence in primary health care.

OBJECTIVE: Investigate evidence of validity of the Family Vulnerability Scale (EVFAM-BR) as an instrument to support population-based management in primary health care (PHC), in the scope of Health Care Planning (PAS). METHODS: This is a psychometric study to assess any additional evidence of the internal structure of EVFAM-BR using confirmatory factor analysis (CFA) and network analysis (NA). A preliminary version of the scale with 38 items was submitted to patients of PHC facilities that use the PAS methodology, distributed across the five regions of Brazil. For the primary CFA data, factor loadings and predictive power (R2) of the item were used. Seven model adjustment indices were adopted and reliability was measured by three indicators, using Bayesian estimation. RESULTS: The preliminary version of the scale was applied to 1,255 patients. Using the AFC, factor loadings ranged from 0.66 to 0.90 and R2 from 0.44 to 0.81. Both the primary indicators and the model adequacy indices presented satisfactory and consistent levels. According to the NA, the items were appropriately associated with their peers, respecting the established dimensions, thus demonstrating sustainability and stability of the proposed model. CONCLUSIONS: The evidence of validity presented by EVFAM-BR indicates, for the first time in Brazil, a concise instrument that is able to assertively measure family vulnerability, potentially supporting population-based management.

Brazilian Scale for Evaluation of Mental Health Care Needs: Additional Evidence.

OBJECTIVE: To investigate validity evidence of the Brazilian Scale for Evaluation of Mental Health Care Needs (CuidaSM). METHODS: This is a psychometric study, which seeks additional evidence of internal structure. Data collection was carried out in 11 Primary Health Care (PHC) services , which implement the Health Care Planning (HCP) methodology, distributed across the five Brazilian regions. The preliminary version of CuidaSM, containing a block self-referred by the user and another block evaluated by PHC professionals, was applied to users aged 18 or over who attended the PHC services for consultation with a higher education professional. The techniques of confirmatory factor analysis and network analysis were used to investigate validity evidence. For the primary data of the confirmatory factor analysis, the factorial loads and the item's predictive power (R2) were used. Six model adjustment indices were adopted and reliability was measured by three indicators using Bayesian estimation. RESULTS: A total of 879 users participated in the study. By confirmatory factor analysis, factorial loads ranged from 0.43 to 0.99 and R2 from 0.19 to 0.98. Both the primary indicators and the model adequacy indices were established at satisfactory and consistent levels. The network analysis showed that the items were appropriately associated with their peers, respecting the established dimensions, which again indicates the sustainability and stability of the proposed model. CONCLUSIONS: The study findings confirm a consistent and reliable model of the instrument, through a combination of techniques. Considering the importance of using solid instruments in clinical practice, CuidaSM is a promising tool for population-based management and network care organization, aligned with HCP proposals.

Validity and reliability of the Brazilian Portuguese version of the Florida Patient Acceptance Survey for patients with implantable cardioverter defibrillators.

Device acceptance is a crucial factor in identifying implantable cardioverter defibrillator (ICD) patients at risk for psychosocial distress and unfavorable quality of life outcomes. The purpose of this study was to examine the evidence of the validity of internal structure (construct) and reliability of the Florida Patient Acceptance Survey (FPAS) in a sample of ICD patients, comparing the psychometric indicators of the complete (FPAS-18 item) and abbreviated (FPAS-12 item) versions. The sample included 151 participants (97 males, mean age of 55.7 ± 14.1 years) who completed the cross-culturally adapted version of the FPAS instrument for the Brazilian context. The psychometric properties of both versions of the FPAS instrument were evaluated by two distinct approaches:•Exploratory and confirmatory factor analysis: used to test the internal structure of the instrument•Cronbach's Alpha and McDonald's Omega: used to determine the reliability of the instrument The two versions of the FPAS-Br instrument showed consistent evidence of internal structure validity and reliability. However, the FPAS-Br 12-item showed a better psychometric adjustment, confirmed by the analysis of the quality indicators of the models.

Normatização dos escores da escala eHealth Literacy Scale para avaliação do letramento digital em saúde / Standardization of eHealth Literacy Scale scores for assessing digital health literacy / Estandarización de las puntuaciones de la escala eHealth Literacy Scale para evaluar la alfabetización digital en salud

Objetivo: analisar os dados de normatização dos escores da versão brasileira do instrumento eHealth Literacy Scale (eHeals) para avaliação do letramento digital em saúde. Método: estudo transversal com 502 adultos brasileiros, realizado em 2019. Dados coletados pelo instrumento eHeals e questionário sociodemográfico. Foram aplicadas árvores de decisão e análise discriminante. Estudo aprovado pelo Comite de Ética em Pesquisa. Resultados: a análise discriminante determinou as faixas de classificação do eHeals a partir da distribuição dos escores. A árvore de decisão indicou que a escolaridade afetou de forma relevante os resultados da escala. Os indivíduos com escolaridade até o ensino fundamental II incompleto: baixo (até 10), médio (11 a 25), alto (27 a 40), e escolaridade acima: baixo (até 25), médio (25 a 32) e alto LDS (33 a 40). Conclusão: a classificação dos níveis de letramento digital em saúde de adultos pelo eHeals deve ser controlada pelos níveis de escolaridade dos participantes.

Objective: to analyze the normative data of the scores of the Brazilian version of the eHealth Literacy Scale (eHeals) instrument for assessing digital health literacy. Method: cross-sectional study with 502 Brazilian adults in 2019. Data collected using the eHeals instrument and sociodemographic questionnaire. Decision trees and discriminant analysis were applied. Study approved by the Research Ethics Committee. Results: Discriminant analysis determined the eHeals classification ranges based on the distribution of scores. The decision tree indicated that education significantly affected the scale results. Thus, individuals with incomplete elementary school education up to II: low (up to 10), medium (11 to 25), high (27 to 40), and higher education: low (up to 25), medium (25 to 32) and high LDS (33 to 40). Conclusion: the classification of digital health literacy levels using eHeals in adults should be controlled by the participants' education levels.

Objetivo: analizar los datos de estandarización de las puntuaciones de la versión brasileña del instrumento eHealth Literacy Scale (eHeals) para evaluar la alfabetización digital en salud. Método: estudio transversal con 502 adultos brasileños que tuvo lugar en 2019. La recolección de datos se hizo mediante el instrumento eHeals y un cuestionario sociodemográfico. Se aplicaron árboles de decisión y análisis discriminante. El Comité de Ética en Investigación aprobó el estudio. Resultados: El análisis discriminante determinó los rangos de clasificación de eHeals con base en la distribución de puntuaciones. El árbol de decisión indicó que la educación afectó significativamente los resultados de la escala. Individuos con educación primaria incompleta: baja (hasta 10), media (11 a 25), alta (27 a 40), y educación superior a esa mencionada: baja (hasta 25), media (25 a 32) y alto LDS (33 a 40). Conclusión: la clasificación de los niveles de alfabetización en salud digital en adultos con eHeals debe ser controlada por los niveles de educación de los participantes.

Versão brasileira da Self-efficacy for home exercise programs scale para a população idosa / Brazilian version of Self-efficacy for home exercise programs scale for the elderly population / Versión brasileña de "self-efficacy for home exercise programs scale" para la población de ancianos

Objetivo: buscar evidências de validade da versão brasileira Self-efficacy for home exercise programs scale" para a população idosa. Método: foram analisadas as evidências de conteúdo, processo de resposta e estrutura interna. Foram utilizados dois painéis de especialistas (equivalências e conteúdo) por ser um assembly. Três formatos da escala foram analisados: original, 5 pontos e 7 pontos. Para o processo de resposta e estrutura interna participaram 174 idosos. A Estrutura interna foi testada pela análise fatorial exploratória. Resultados: Sete dos 12 itens passaram por ajuste de redação, e um item foi adicionado por orientação dos especialistas. O processo de resposta indicou que a versão com 5 pontos foi a apontada pelos idosos como a melhor para ser respondida. Na estrutura interna, o modelo unidimensional com a escala de 5 pontos obteve com os melhores indicadores. Conclusão: recomenda-se a adoção do instrumento de forma unidimensional e o uso da escala de 5 pontos.

Objective: to seek evidence of validity of the Brazilian version Self-efficacy for home exercise programs scale" for the elderly population. Method: evidence of content, response process and internal structure were analyzed. Two expert panels were used (equivalences and content) as it is an assembly. Three scale formats were analyzed: original, 5 points and 7 points. For the response process and internal structure, 174 older people participated. The Internal Structure was tested by exploratory factor analysis. Results: Seven of the 12 items underwent wording adjustments, and one item was added following expert guidance. The response process indicated that the version with 5 points was pointed out by the elderly as the best to be answered. In the internal structure, the one-dimensional model with the 5-point scale obtained the best indicators. Conclusion: it is recommended to adopt the instrument in a unidimensional way and use the 5-point scale.

Objetivo: buscar evidencias de validez de la versión brasileña de "Self-efficacy for home exercise programs scale" (escala de autoeficacia de programas de ejercicios en el hogar) para la población anciana. Método: se analizaron evidencias de contenido, proceso de respuesta y estructura interna. Se utilizaron dos paneles de expertos (equivalencias y contenido) por tratarse de una asamblea. Se analizaron tres formatos de escala: original, 5 puntos y 7 puntos. 174 ancianos participaron en el proceso de respuesta y la estructura interna. Se probó la Estructura Interna mediante análisis factorial exploratorio. Resultados: Siete de los 12 ítems se sometieron a ajustes de redacción y se agregó un ítem siguiendo la opinión de expertos. El proceso de respuesta indicó que los ancianos indicaron la versión con 5 puntos como siendo la mejor para ser respondida. En la estructura interna, el modelo unidimensional con escala de 5 puntos obtuvo los mejores indicadores. Conclusión: se recomienda adoptar el instrumento de forma unidimensional y utilizar la escala de 5 puntos.

Family vulnerability scale: Evidence of content and internal structure validity.

INTRODUCTION: Territory view based on families' vulnerability strata allows identifying different health needs that can guide healthcare at primary care scope. Despite the availability of tools designed to measure family vulnerability, there is still a need for substantial validity evidence, which limits the use of these tools in a country showing multiple socioeconomic and cultural realities, such as Brazil. The primary objective of this study is to develop and gather evidence on the validity of the Family Vulnerability Scale for Brazil, commonly referred to as EVFAM-BR (in Portuguese). METHODS: Items were generated through exploratory qualitative study carried out by 123 health care professionals. The data collected supported the creation of 92 initial items, which were then evaluated by a panel of multi-regional and multi-disciplinary experts (n = 73) to calculate the Content Validity Ratio (CVR). This evaluation process resulted in a refined version of the scale, consisting of 38 items. Next, the scale was applied to 1,255 individuals to test the internal-structure validity by using the Exploratory Factor Analysis (EFA). Dimensionality was evaluated using Robust Parallel Analysis, and the model underwent cross-validation to determine the final version of EVFAM-BR. RESULTS: This final version consists of 14 items that are categorized into four dimensions, accounting for an explained variance of 79.02%. All indicators were within adequate and satisfactory limits, without any cross-loading or Heywood Case issues. Reliability indices also reached adequate levels (α = 0.71; ω = 0.70; glb = 0.83 and ORION ranging from 0.80 to 0.93, between domains). The instrument scores underwent a normalization process, revealing three distinct vulnerability strata: low (0 to 4), moderate (5 to 6), and high (7 to 14). CONCLUSION: The scale exhibited satisfactory validity evidence, demonstrating consistency, reliability, and robustness. It resulted in a concise instrument that effectively measures and distinguishes levels of family vulnerability within the primary care setting in Brazil.

Content validity evidence of the Brazilian version of the Cognitive Symptom Checklist-Work-21.

OBJECTIVE: to cross-culturally adapt and assess the content validity evidence of the Cognitive Symptom Checklist-Work-21 for the Brazilian context. METHOD: a psychometric study of cross-cultural adaptation, covering the stages of translation, reconciliation, back-translation, intercultural equivalence assessment and content validity evidence analysis, considering Content Validity Ratio parameters in breast cancer survivors. RESULTS: the translations were equivalent to the original version. Colloquial expressions were modified, tense, verbal adjusted, and two items containing multiple commands were separated. The final version now contains 22 items, presenting semantic, conceptual, idiomatic and experimental equivalences. The pre-test indicated good understanding and ease in the response process. CONCLUSION: the final version was defined as "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", showing good linguistic equivalence and strong evidence of content validity in the Brazilian context.

Análise de estrutura interna do IBALEC / Analysis of the internal structure of IBALEC / Análisis de la estructura interna de IBALEC

O Instrumento para Breve Avaliação da Leitura, Escrita e Compreensão (IBALEC) se propõe a avaliar o desempenho de alunos de escola pública no domínio das habilidades básicas de alfabetização. Após a validação de conteúdo, por meio da análise de um grupo de especialistas, o IBALEC foi aplicado individualmente em 825 alunos (439 do sexo masculino e 386 do sexo feminino) do 1º ao 5º ano do ensino fundamental em duas escolas públicas, a fim de realizar a análise de sua estrutura interna. As análises fatoriais efetuadas demonstraram bom ajustamento do instrumento a um modelo de estrutura interna composto por cinco fatores correlacionados, correspondentes aos construtos teóricos que subsidiaram a sua construção: leitura de palavras, escrita de palavras, escrita de frases, leitura/compreensão de frases e, leitura/compreensão de texto. Esses resultados constituem forte evidência da validade de construto do IBALEC, para avaliar as habilidades a que se propõe. (AU)

The Instrument for Brief Assessment of Reading, Writing, and Comprehension (IBALEC) aims to assess the performance of public school students in the mastery of basic literacy skills. After content validation, based on the analysis of a group of specialists, the IBALEC was applied individually to 825 students (439 boys and 386 girls) from the 1st to the 5th year of Elementary Education in two public schools, to analyze its internal structure. The factorial analyses performed demonstrated a good fit of the instrument to an internal structure model composed of five correlated factors, corresponding to the theoretical constructs that subsidized its construction: word reading, word writing, sentence writing, sentence reading comprehension, and reading/understanding text. These results are strong evidence of the construct validity of IBALEC, to assess the proposed skills. (AU)

El Instrumento de Evaluación Breve de Lectura, Escritura y Comprensión (IBALEC) tiene como objetivo evaluar el desempeño de los estudiantes de escuelas públicas en las competencias básicas de alfabetización. Después de la validación del contenido, mediante el análisis de un grupo de especialistas, el IBALEC se aplicó de forma individual a 825 alumnos (439 niños y 386 niñas) de 1º a 5º año de primaria de dos centros públicos, con el fin de realizar el análisis de su estructura interna. Los análisis factoriales ejecutados demostraron un buen ajuste del instrumento a un modelo de estructura interna compuesto por cinco factores correlacionados, correspondientes a los constructos teóricos que subsidiaban su construcción: lectura de palabras, escrita de palabras, escrita de oraciones, lectura/comprensión de oraciones, y lectura/comprensión de texto. Estos resultados constituyen una fuerte evidencia de la validez de constructo del IBALEC para evaluar las habilidades propuestas. (AU)

Transtornos de ansiedade em idosos: um estudo bibliométrico anxiety disorders in the elderly people: a bibliometric study / Anxiety disorders in the elderly: a bibliometric study anxiety disorders in the elderly people / Trastornos de ansiedad en ancianos: estudio bibliométrico trastornos de ansiedad en ancianos

OBJETIVO: Esboçar o panorama científico sobre os sintomas dos transtornos de ansiedade em idosos. MÉTODOS: Trata-se de um artigo original com abordagem descritiva através de um estudo bibliométrico a partir de dois bancos gerados pela SCOPUS, os dados foram organizados com o Rayyan com a retirada das duplicidades e o VOSviewer foi o software escolhido para realizar as análises bibliométricas. RESULTADOS: Destaca-se que as análises bibliométricas agruparam os termos em clusters, corroborando com os pressupostos teóricos encontrados, com a prevalência de sintomas clínicos e doenças neurológicas associando-se com as intervenções e aspectos sociais, entretanto, os índices também revelam novas linhas de pesquisas. A partir das análises mais minuciosas e individualizadas da bibliometria, podemos inferir que os termos associados aos sintomas dos transtornos de ansiedade e idosos estabelecem baixa correlação, existindo assim, lacunas e fragilidades no campo de pesquisa com este tema. CONCLUSÃO: Este estudo permitiu explorar os sintomas dos transtornos de ansiedade em idosos através do campo literário e científico produzido em 2020, 2021 e 2022 em um cenário mundial com o total de 22.087 documentos, sendo 17.665 artigos e 4.422 revisões. Sugerimos que novos estudos com o objetivo de avançar frente a temática, ressaltando a importância dos estudos longitudinais e/ou multidisciplinares devido à natureza das variáveis.

Outline the scientific panorama on the symptoms of anxiety disorders in older adults. METHODS: It is an original article with a descriptive approach through a bibliometric study from two databases generated by SCOPUS, the data were organized with Rayyan with the removal of duplicates and VOSviewer was the software chosen to perform the bibliometric analyzes. RESULTS: It is noted that bibliometric analyzes grouped the terms into clusters, corroborating the theoretical assumptions found, with the prevalence of clinical symptoms and neurological diseases associating with interventions and social aspects, however, the indices also reveal new lines of research. From the most detailed and individualized analyzes of bibliometry, we can infer that the terms associated with the symptoms of anxiety disorders and the elderly establish low correlation, thus existing gaps and weaknesses in the field of research with this theme. CONCLUSION: This study allowed to explore the symptoms of anxiety disorders in older adults through the literary and scientific field produced in 2020, 2021 and 2022 in a global setting with a total of 22,087 documents, 17,665 articles and 4,422 reviews. We suggest that new studies with the aim of advancing the subject, emphasizing the importance of longitudinal and/or multidisciplinary studies due to the nature of the variables.

Esbozar el panorama científico sobre los síntomas de los trastornos de ansiedad en los adultos mayores. MÉTODOS: Es un artículo original con enfoque descriptivo a través de un estudio bibliométrico a partir de dos bases de datos generadas por SCOPUS, los datos fueron organizados con Rayyan con la eliminación de duplicados y VOSviewer fue el software elegido para realizar los análisis bibliométricos. RESULTADOS: Se observa que los análisis bibliométricos agruparon los términos en conglomerados, corroborando los supuestos teóricos encontrados, con la prevalencia de síntomas clínicos y enfermedades neurológicas asociadas a intervenciones y aspectos sociales, sin embargo, los índices también revelan nuevas líneas de investigación. A partir de los análisis más detallados e individualizados de la bibliometría, podemos inferir que los términos asociados a los síntomas de los trastornos de ansiedad y los adultos mayores establecen baja correlación, existiendo así brechas y debilidades en el campo de la investigación con este tema. CONCLUSIÓN: Este estudio permitió explorar los síntomas de los trastornos de ansiedad en adultos mayores a través del campo literario y científico producido en 2020, 2021 y 2022 en un escenario global con un total de 22.087 documentos, 17.665 artículos y 4.422 revisiones. Se sugiere realizar nuevos estudios con el objetivo de avanzar en el tema, enfatizando la importancia de los estudios longitudinales y/o multidisciplinares debido a la naturaleza de las variables.

Content validity evidence of the Brazilian version of the Cognitive Symptom Checklist-Work-21 / Evidencia de validez de contenido de la versión brasileña del Cognitive Symptom Checklist-Work-21 / Evidências de validade de conteúdo da versão brasileira do Cognitive Symptom Checklist-Work-21

ABSTRACT Objective: to cross-culturally adapt and assess the content validity evidence of the Cognitive Symptom Checklist-Work-21 for the Brazilian context. Method: a psychometric study of cross-cultural adaptation, covering the stages of translation, reconciliation, back-translation, intercultural equivalence assessment and content validity evidence analysis, considering Content Validity Ratio parameters in breast cancer survivors. Results: the translations were equivalent to the original version. Colloquial expressions were modified, tense, verbal adjusted, and two items containing multiple commands were separated. The final version now contains 22 items, presenting semantic, conceptual, idiomatic and experimental equivalences. The pre-test indicated good understanding and ease in the response process. Conclusion: the final version was defined as "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", showing good linguistic equivalence and strong evidence of content validity in the Brazilian context.

RESUMEN Objetivo: realizar la adaptación transcultural y evaluar las evidencias de validez de contenido del Cognitive Symptom Checklist-Work-21 para el contexto brasileño. Método: estudio psicométrico de adaptación transcultural, abarcando las etapas de traducción, reconciliación, retrotraducción, evaluación de equivalencia intercultural y análisis de evidencias de validez de contenido, considerando parámetros de Content Validity Ratio en sobrevivientes de cáncer de mama. Resultados: las traducciones fueron equivalentes a la versión original. Se modificaron las expresiones coloquiales, se tensaron, se ajustaron las verbales y se separaron dos ítems que contenían múltiples comandos. La versión final ahora contiene 22 ítems, presentando equivalencia semántica, conceptual, idiomática y experimental. El pre-test indicó buena comprensión y facilidad en el proceso de respuesta. Conclusión: la versión final fue definida como "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", mostrando buena equivalencia lingüística y fuerte evidencia de validez de contenido en el contexto brasileño.

RESUMO Objetivo: realizar a adaptação transcultural e avaliar as evidências de validade de conteúdo do Cognitive Symptom Checklist-Work-21 para o contexto brasileiro. Método: estudo psicométrico de adaptação transcultural, abrangendo as etapas de tradução, reconciliação, retrotradução, avaliação de equivalência intercultural e análise das evidências de validade de conteúdo, considerando parâmetros de Content Validy Ratio em sobreviventes de câncer de mama. Resultados: as traduções demonstraram equivalência à versão original. Expressões coloquiais foram modificadas, o tempo verbal ajustado, e dois itens contendo múltiplos comandos foram separados. A versão final passou a conter 22 itens, apresentando equivalências semântica, conceitual, idiomática e experimental. Os valores de CVR mantiveram-se acima de 0,87. O pré-teste indicou boa compreensão e facilidade no processo de resposta. Conclusão: a versão final foi definida como "Lista de verificação de sintomas cognitivos relacionados ao trabalho - 22 itens", apresentando boa equivalência linguística e fortes evidências de validade de conteúdo no contexto brasileiro.

Evidence of validity of internal structure of the Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale (FACIT-Sp-12) in Brazilian adolescents with chronic health conditions.

This study explored the evidence of validity of internal structure of the 12-item Functional Assessment of Chronic Illness Therapy-Spiritual Wellbeing Scale (FACIT-Sp-12) in Brazilian adolescents with chronic health conditions. The study involved 301 Brazilian adolescents with cancer, type 1 diabetes mellitus, or cystic fibrosis. Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA), and Item Response Theory (IRT) were used to test the internal structure. Reliability was determined with Cronbach's Alpha and McDonald's Omega. The EFA suggested a one-dimensional scale structure in contrast to the original 2-factor model or the 3-factor model which were not reproduced in the current CFA. All quality indicators for the EFA one-factor exceeded the required criteria (FDI = 0.97, EAP = 0.97, SR = 3.96 and EPTD = 0.96, latent GH = 0.90. and the observed GH = 0.85). The FACIT-Sp-12 for adolescents yielded strong evidence for a 1-factor model and with good reliability.

Psychometric properties of the Brazilian version of the European Health Literacy Survey Questionnaire short form.

The aim of this study was to analyze the psychometric properties of the Portuguese Brazilian version of the instrument for measuring health literacy European Health Literacy Survey Questionnaire short form (HLS-EU-Q16). The study sample consisted of 783 Brazilian adults with a mean age of 38.6 years. The data were analyzed through an extensive and robust process of testing the properties with the combination of exploratory factor analysis (EFA), confirmatory factor analysis (CFA) and item response theory (IRT) techniques, aiming to search for strong validation evidence in the internal structure and stability step for other sub-samples. The instrument's reliability was tested using Cronbach's alpha and McDonald's Omega. The analyses indicated the existence of only one dimension and good reliability values. The model tested with cross-validation indicated satisfactory, adequate, consistent and stable levels for EFA, IRT via item discrimination and CFA, both for primary indicators as factor loadings, communalities, item discrimination as well as for the model adequacy indicators. It is concluded that the Brazilian Portuguese version of the HLS-EU-Q16 proved to be a one-dimensional, consistent, accurate and stable model for measuring health literacy in Brazilian adults.

Health literacy (HL) is a field of scientific knowledge that has been related to the knowledge and skills of people to access, understand, evaluate and apply information in health. Among the currently existing instruments for measuring the HL construct in its broader aspects, involving multidimensional characteristics, there is the short version of European Health Literacy Survey Questionnaire (HLS-EU-Q16). The aim of this study was to investigate the psychometric properties of the Brazilian Portuguese version of the HL instrument European Health Literacy Survey Questionnaire in its short form, also known as HLS-EU-Q16. The instrument was applied to a sample of 783 Brazilian adults. Our results demonstrated that the Brazilian version of HLS-EU-Q16 presented good psychometric properties to measure HL in Brazilian adults.

Instruments to assess the role of the clinical pharmacist: a systematic review.

BACKGROUND: The clinical pharmacist is an essential member of the healthcare team and plays an important role in health care in the primary care and the hospital setting. Knowledge regarding the instruments that evaluate the different activities of the clinical pharmacist, as well as the evaluation of the psychometric properties of these instruments, is necessary. METHODS: A literature search was performed in the PubMed and Scopus electronic databases without time and language restrictions. For the search strategy, the "pharmaceutical services," "validity studies," and "professional performance" domains were used. To assess the quality of the instruments, the five sources of validity evidence of contemporary psychometry were used, and the Joanna Briggs Institute's standardized instrument was used to assess the methodological quality of the studies. After screening 4096 articles, 32 studies were selected. RESULTS: A total of 32 studies were included, and 32 instruments were identified to be used by pharmacists acting in various pharmaceutical practice scenarios. It was found that the available instruments were developed or adapted from others, with variation in the methods, constructs, dimensions, and domains, as well as the psychometric properties. Most of the instruments addressed community pharmacies, and evidence of content validity and internal structure was found most frequently. A standardized and validated instrument that comprehensively assessed the performance of the clinical pharmacist, addressing clinical activities, was not identified for all practice environments. CONCLUSIONS: Without standardized and validated instruments specifics to assess the performance of the clinical pharmacist, it is hard to establish the main clinical activities performed by pharmacists in their pharmaceutical practice environments and to propose training actions to improve professional practice. Despite the large number of instruments available and considered validated by the authors, it is questioned to what extent the validity indicators presented in the different studies really show the validation status. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD 42018099912.

Checklists for Assessing Skills of Children With Type 1 Diabetes on Insulin Injection Technique.

BACKGROUND: School-aged children often participate in type 1 diabetes (T1D) self-care tasks. Despite widespread discussion about the importance of developing self-care skills in childhood, few explain how the health care team should assess the skills of children with T1D when performing insulin injections. OBJECTIVE: We sought to assess content validity evidence in two checklists regarding injection technique performed by children. METHODS: Two checklists were designed based on a systematic review of the insulin injection technique. Experts in pediatric diabetes, health literacy, and diabetes education assessed the checklists regarding their clarity, objectivity, and relevance. Content validity was assessed using the content validity ratio (CVR). RESULTS: Eleven providers (72% nurses or physicians, professional experience 19.4 ± 10.1 years, 45% of specialists in endocrinology, and 18% in pediatrics) participated in the assessment. Experts considered items containing the word homogeneity inappropriate. Items related to the needle insertion angle and the skin fold did not reach the CVR critical value. The final version of the checklist for syringe injection comprised 22 items with CVR = 0.91, and the checklist for pen injection comprised 18 items with CVR = 0.87. CONCLUSIONS: The checklists presented clear, objective, and relevant content that assesses the skills of children with T1D for insulin injection. The checklists formally present the order of the technique and all the steps for insulin injection and allow a quantitative assessment of the operational skills of children. The developed instruments offer providers the possibility of continuous assessment of the progress of the pediatric clientele until they reach independence in diabetes self-care.

Validade do Índice de Katz para avaliar a dependência em pacientes em tratamento oncológico / Validez del Índice de Katz para evaluar la dependencia de pacientes en tratamiento oncológico / Validity of Katz Index to assess dependency in patients on oncology treatment

Resumo Objetivo Analisar a validade de constructo do Índice de Katz para pacientes com diagnóstico de câncer. Método Estudo psicométrico realizado para avaliar as evidências da validade da versão brasileira do Índice de Katz em pacientes com diagnóstico de câncer. Estudo realizado com 691 pacientes hospitalizados entre abril e junho de 2016. Os dados foram analisados por análise fatorial exploratória e confirmatória. A confiabilidade foi avaliada pelo alfa de Cronbach e ômega de McDonald. Resultado Os participantes eram em sua maioria mulheres (72,6%), média de idade de 53,7±13,28 anos; 55,3% dos pacientes relataram não precisar de cuidador, e 56,6% não tinham cuidador. Dos 42,5% que precisavam de ajuda, o cuidador predominante foi um familiar (39,6%). A análise fatorial exploratória e confirmatória evidenciou que o Índice de Katz é um instrumento unidimensional, válido e confiável para avaliar a dependência nesta população, com boa variância e sem evidência de multicolinearidade ou necessidade de revisão (KMO=0,89437; teste de Bartlett x2 =3337,2 p<0,001; UNICO=0,999, EC=0,974; MIREAL=0,122). O Índice de Katz explica 97,72% do fenômeno e os resultados indicam bom ajuste do modelo, nível aceitável de resíduos e boa confiabilidade (G-H=0,986; α-Cronbach=0,970560; Ω-McDonald=0,971787) para avaliar a independência para atividades de vida diária básicas em pacientes com diagnóstico de câncer. Conclusão A versão brasileira do Índice de Katz apresenta excelentes evidências da validade de constructo e confiabilidade, podendo ser utilizada como instrumento clínico para avaliar a dependência de pacientes em tratamento oncológico.

Resumen Objetivo Analizar la validez de constructo del Índice de Katz para pacientes con diagnóstico de cáncer. Método Estudio psicométrico realizado para evaluar las evidencias de la validez de la versión brasileña del Índice de Katz de pacientes con diagnóstico de cáncer. Estudio realizado con 691 pacientes hospitalizados entre abril y junio de 2016. Los datos fueron analizados por análisis factorial exploratorio y confirmatorio. La fiabilidad fue evaluada por el alfa de Cronbach y omega de McDonald. Resultado Los participantes eran en su mayoría mujeres (72,6 %), edad promedio de 53,7±13,28 años; el 55,3 % de los pacientes relató que no necesitaba cuidador, y el 56,6 % no tenía cuidador. Del 42,5 % que necesitaba ayuda, el cuidador predominante fue un familiar (39,6 %). El análisis factorial exploratorio y confirmatorio evidenció que el Índice de Katz es un instrumento unidimensional, válido y confiable para evaluar la dependencia de esta población, con una buena varianza y sin evidencia de multicolinealidad ni necesidad de revisión (KMO=0,89437; prueba de Bartlett x2 =3337,2 p<0,001; UNICO=0,999, EC=0,974; MIREAL=0,122). El Índice de Katz explica el 97,72 % del fenómeno y los resultados indican una buena adaptación del modelo, un nivel aceptable de residuos y buena fiabilidad (G-H=0,986; α-Cronbach=0,970560; Ω-McDonald=0,971787) para evaluar la independencia de AVD básicas en pacientes con diagnóstico de cáncer. Conclusión La versión brasileña del Índice de Katz presenta excelentes evidencias de la validez de constructo y fiabilidad, por lo que puede ser utilizada como instrumento clínico para evaluar la dependencia de pacientes en tratamiento oncológico.

Abstract Objective To analyze construct validity of the Katz Index for patients with cancer diagnoses. Methods Psychometric study, performed to evaluate evidences of validity of the Brazilian version of the Katz Index in patients with cancer diagnoses. The study was conducted in 691 hospitalized patients between April and June 2016. Data was analyzed by Exploratory and Confirmatory Factor Analysis. Reliability was assessed by Cronbach's Alpha and McDonald's Ômega. Results Participants were mostly women (72.6%), with a mean age of 53.7±13.28 years; 55.3% reported that they did not need caregivers, and 56.6% did not have caregivers. Of the 42.5% who need help, predominant caregiver was a relative (39.6%). Exploratory and Confirmatory Factor Analysis evidenced that Katz Index is a unidimensional instrument, valid and reliable to assess dependency in this population, with a good variance and no evidence of multicollinearity or need of revision (KMO=0.89437; x2 Bartlett=3337.2 p<0.001; UNICO=0.999, EC=0.974; MIREAL=0.122). Katz Index explains 97.72% of the phenomenon and results indicate good adjustment of the model, acceptable level of residuals and good reliability (G-H=0.986; α-Cronbach=0.970560; Ω-McDonald=0.971787) to assess independence to basic activity daily living in patients with cancer diagnoses. Conclusion The Brazilian version of the Katz Index presents excellent evidences of construct validity and reliability in its Brazilian version, and may be used as a clinical instrument to assess dependency of patients on oncology treatment.

Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults / Evaluación de las propiedades psicométricas del instrumento eHealth Literacy Scale en adultos brasileños / Avaliação das propriedades psicométricas do instrumento eHealth Literacy Scale em adultos brasileiros

ABSTRACT Objective: To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version. Methods: The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach's alpha and McDonald's omega). Results: The eHealth Literacy Scale - Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%. Conclusions: The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.

RESUMEN Objetivo: Traducir y adaptar la eHealth Literacy Scale a realidad cultural Brasileña y evaluar sus propiedades psicométricas de la versión en portugués brasileño. Métodos: El instrumento fue traducido y adaptado al portugués brasileño y, en seguida, aplicado en una muestra de 502 individuos entre 18 y 80 años residentes en áreas cercas a seis Unidades de Salud de la Familia de un municipio del interior del estado de São Paulo, Brasil. Los datos fueron evaluados mediante análisis factorial exploratoria y confirmatoria, Teoría de Respuesta al Ítem y confiabilidad del instrumento (alfa de Cronbach y omega de McDonald). Resultados: El instrumento eHealth Literacy Scale - versión brasileña (eHEALS-Br) presentó excelente consistencia interna (α = 0,95 y ω = 0,95), apenas una dimensión y variancia explicada de 81,79%. Conclusiones: La versión brasileña del instrumento mostró excelentes propiedades psicométricas para contraste de los niveles de alfabetización digital en salud en adultos del nuestro país.

RESUMO Objetivo: Traduzir e adaptar a eHealth Literacy Scale para a realidade cultural do Brasil e avaliar suas propriedades psicométricas da versão em português brasileiro. Métodos: O instrumento foi traduzido e adaptado ao português brasileiro e, em seguida, aplicado em uma amostra de 502 indivíduos entre 18 e 80 anos residentes em áreas circunvizinhas a seis Unidades de Saúde da Família de um município do interior do estado de São Paulo, Brasil. Os dados foram avaliados mediante análises fatorial exploratória e confirmatória, Teoria de Resposta ao Item e confiabilidade do instrumento (alfa de Cronbach e ômega de McDonald). Resultados: O instrumento eHealth Literacy Scale - versão brasileira (eHEALS-Br) apresentou excelente consistência interna (α = 0,95 e ω = 0,95), apenas uma dimensão e variância explicada de 81,79%. Conclusões: A versão brasileira do instrumento mostrou excelentes propriedades psicométricas para aferição dos níveis de letramento digital em saúde em adultos do nosso país.

Avaliação da alfabetização: elaboração e validação de conteúdo do IBALEC / Literacy Assessment: Preparation and content validation of IBALEC content

Profissionais de saúde frequentemente recebem crianças com queixas de dificuldades de aprendizagem, porém, em geral, não possuem instrumentos breves para avaliar as defasagens da criança em relação às habilidades de leitura e escrita. Neste sentido, foi construído o Instrumento para Breve Avaliação da Leitura, Escrita e Compreensão (IBALEC), destinado a avaliar o desempenho em habilidades básicas de leitura, escrita e compreensão de alunos do Ciclo I do Ensino Fundamental. O objetivo deste trabalho é apresentar a estrutura e processo de validação de conteúdo do IBALEC. Após sua construção preliminar, o instrumento foi submetido a um painel formado por nove especialistas da área da aprendizagem da língua escrita, os quais avaliaram os itens do instrumento quanto à sua adequação aos objetivos propostos, incluindo aspectos como clareza, organização, objetividade e pertinência. Foi aplicado como índice de validade para a seleção dos itens o Content Validity Ratio (CVR), o qual indicou um valor crítico de 0,95, sendo acima do valor esperado (0,77). Foram obtidos, ainda, os seguintes CVR: pertinência 0,96; objetividade 0,98; organização 0,98 e clareza 0,95. Os índices obtidos sugerem a adequação do instrumento a suas finalidades. Torna-se essencial avançar para as etapas de evidências de estrutura interna e relação com outras variáveis para aumentar a confiabilidade do instrumento.

Health professionals often receive children with complaints of learning difficulties, however, in general, they do not have brief instruments to assess the child's lags in relation to reading and writing skills. In this sense, the Instrument for Brief Assessment of Reading, Writing and Understanding (IBALEC) was built, aimed at assessing the performance in basic reading, writing and comprehension skills of students in Cycle I of Elementary School. The objective of this work is to present the structure and content validation process of IBALEC. After its preliminary construction, the instrument was submitted to a panel formed by nine specialists in the area of learning the written language, who evaluated the items of the instrument as to their suitability for the proposed objectives, including aspects such as clarity, organization, objectivity and pertinence. The Content Validity Ratio (CVR) was applied as a validity index for the selection of items, which indicated a critical value of 0.95, being above the expected value (0.77). The following CVR were also obtained: pertinence 0.96; objectivity 0.98; organization 0.98 and clarity 0.95. The indexes obtained suggest the suitability of the instrument for its purposes. It is essential to proceed to the stages of evidence of internal structure and relationship with other variables to increase the reliability of the instrument.

Evaluating the psychometric properties of the eHealth Literacy Scale in Brazilian adults.

OBJECTIVE: To translate and adapt the eHealth Literacy Scale for the cultural reality of Brazil and to evaluate the psychometric properties of its Brazilian Portuguese version. METHODS: The instrument was translated and adapted to Brazilian Portuguese and applied to a sample of 502 individuals from 18 to 80 years old who lived in the surrounding areas of six Family Health Units of a city in the countryside of the state of São Paulo, Brazil. The data was evaluated using exploratory and confirmatory factor analysis, item response theory, and instrument reliability measures (Cronbach's alpha and McDonald's omega). RESULTS: The eHealth Literacy Scale - Brazilian version (eHEALS-Br) presented an excellent internal consistency (α = 0.95 e ω = 0.95), with only one dimension and an explained variation of 81.79%. CONCLUSIONS: The Brazilian version of the instrument showed excellent psychometric properties to measure the levels of digital health literacy in adults from the country.