Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension

Abstract

RESUMOO objetivo do estudo foi realizar a validação de conteúdo das dimensões constitutivas da não adesão ao tratamento da Hipertensão Arterial Sistêmica. Estudo metodológico de validação de conteúdo. Inicialmente foi realizada uma revisão integrativa que demonstrou quatro dimensões da não adesão: pessoa, doença/tratamento, serviço de saúde e ambiente. Content validation of the dimensions constituting non-adherence to treatment of arterial hypertension * ABSTRACTThe objective of the study was to validate the content of the dimensions that constituted nonadherence to treatment of arterial systemic hypertension. It was a methodological study of content validation. Initially an integrative review was conducted that demonstrated four dimensions of nonadherence: person, disease/treatment, health service, and environment. Definitions of these dimensions were evaluated by 17 professionals, who were specialists in the area, including: nurses, pharmacists and physicians. The Content Validity Index was calculated for each dimension (IVCi) and the set of the dimensions (IVCt), and the binomial test was conducted. The results permitted the validation of the dimensions with an IVCt of 0.88, demonstrating reasonable systematic comprehension of the phenomena of nonadherence. DESCRIPTORS Hypertension Medication adherence Patient compliance Validation studies RESUMENEl objetivo del estudio fue realizar la validación del contenido de las dimensiones que constituyen la falta de adherencia al tratamiento de la hipertensión arterial sistémica. Estudio metodológico de validación del contenido. Inicialmente se realizó una revisión integradora que demostró cuatro dimensiones de la falta de adherencia: persona, enfermedad/tratamiento, servicio de salud y ambiente. Las definiciones de estas dimensiones fueron evaluadas por 17 profesionales expertos en el tema, entre ellos enfermeras, farmacéuticos y médicos. Se calculó el Índi-ce de Validez del Contenido de cada dimensión (IVCi) y del conjunto de las dimensiones (IVCt), y se realizó la prueba binomial. Los resultados permitieron la validación de las dimensiones con un IVCt de 0.88, demostrando razonable comprensión sistémica del fenómeno de la falta de adherencia.

Construction and validation of educational materials for the prevention of metabolic syndrome in adolescents

“…Similar to the previous questionnaire, the rating for the answers used a Likert scale type, in this case a four-point scale, defined as: one = totally disagree, two = disagree, three = agree, and four = totally agree. In this case, the Content Validity Index (CVI) was used to validate the instrument; value greater than 0.78 were accepted as valid 11 .…”

Blood Pressure Treatment Adherence and Control after Participation in the ReHOT

“…7 Different factors interfering with this process include socioeconomic status, sex, age, education level, complexity of the therapeutic regimen, relationship with the health care team, and absence of symptoms. 8 Lack of treatment adherence must not be confused with resistant hypertension, which is defined as the occurrence of BP levels above the target range (≥ 140 x 90 mmHg) despite the use of three antihypertensive drugs of different classes (including a diuretic at optimal doses). 9 Patients with resistant hypertension must have good treatment adherence, since lack of adherence - namely pseudoresistance - may lead to addition of unnecessary medications to their treatment.…”

Adesão terapêutica em idosos hipertensos: revisão integrativa

“…Assim, orientações que envolvam conhecimento, mudança de comportamento e gerenciamento da doença são ações benéficas; entretanto, devem levar em consideração as questões biopsicossociais (23)(24)27) e culturais (24-25-26-27) da pessoa idosa com hipertensão arterial.…”