Validation of vulnerability markers of dysfunctions in the socioemotional development of infants

Abstract

Objectives:to validate the vulnerability markers of dysfunctions in the socioemotional development of infants. Methods:study with a sequential exploratory mixed-method design. The vulnerability markers elaborated in the qualitative phase were analyzed by experts in the quantitative phase using the Delphi technique with a minimum consensus of 70%. Seventeen judges answered the questionnaire in the first round of analysis and 11 answered in the second round. Results:in the first round, two markers did not reach minimum consensus: the presence of instability in family relationships (66%) and delinquency and/or drug abuse by parents/caregivers (65%). In the second round, all markers were validated, with more than 90% agreement in most of the attributes, and reached the minimum consensus of 73%. Conclusion:the eight vulnerability markers reached the minimum consensus for validation, and a relevant instrument for infant care can be developed after assessing the reliability and clinically validating these markers.

The trajectory of crack users to the street situation in the perspective of family members

“…Children who live in vulnerable environments are at greater risks of presenting difficulties in developing social, emotional, and self-perception competencies that aid them in the adoption of proper behaviors to the different contexts of society. (21) In this context, when the behavior problems started to get in the way of school activities, the mother was called. However, the solutions found for these problems resulted in a constant changing of schools until school dropout.…”

“…A child's socioemotional development is related to their biological development and interactions with their environment since birth. Children who live in vulnerable environments are at greater risks of presenting difficulties in developing social, emotional, and self-perception competencies that aid them in the adoption of proper behaviors to the different contexts of society,( 21 )…”

Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding

“…Current studies on the development of measurement instruments demonstrate that a widely used approach to assess content and/or appearance validity is Content Validity Index (CVI) by item, by dimension or globally, adopting a value minimum to reach agreement, which can range from 0.70 to 0.80 (30)(31)(32)(33)(34)(35)(37)(38)(39)(40)(41)(42)(43)(44) .…”

“…A literature review showed that some authors recommend a committee composed of at least 5 and at most 10 professionals with clinical experience in the field and working at the time of the research (22) . Some studies that address content validation selected from 5 to 17 experts for the validation stage (29)(30)(31)33,(36)(37) .…”

“…Content and appearance validation took place through the Delphi technique, which consisted of sending the data collection instrument in rounds, which could extend up to 3 and/or end with the achievement of the determined minimum agreement (32)(33) . This strategy has been widely used in the field of health (32)(33)(37)(38) to obtain a maximum consensus from a group of experts on a given topic, especially when unanimity of opinion does not exist due to the lack of scientific evidence (20) . For this assessment, a Likert-type scale was adopted with a score of 1 to 4, and, in the case of non-agreement, a space for comments and suggestions was reserved.…”