Development of an instrument to measure beliefs and attitudes from heart valve disease patients

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Cornélio ME, Gallani MCBJ, Godin G, Rodrigues RCM, Mendes RDR, Nadruz W Junior. Development and reliability of an instrument to measure psychosocial determinants of salt consumption among hypertensive patients. Rev Latino-am Enfermagem 2009 setembro-outubro; 17 (5) C h a n g e s i n f o o d p a t t e r n s , w i t h l e s s vegetable consumption, increased use of meet and, recently, industrialized products (1) , have resulted i n s a l t i n t a k e a b o v e r e c o m m e n d e d l i m i t s i n different population groups (2)(3) . A recent study (3) found daily salt consumption between 13 and 17g in hypertensive patients, with 40 to 55% of this consumption deriving from addition to foods during or after their preparation, while consumption of high-salt foods was also frequent. This intake greatly exceeds the recommended limit of 6g of salt/day for normotensive people or 4g of salt/day for hypertensive persons (4) .Excessive salt consumption, in turn, has been associated with severity of arterial hypertension and ventricular hypertrophy (5) , resulting in international recommendations for the use of reduced-salt diets as an important non-pharmacological intervention in hypertension prevention and treatment (6) .Hypertensive patients are familiar with recommendations about the need to restrict salt consumption in their diet. Many report following lowsalt diets, as appointed in earlier research (7)(8) . The actual measurement of this behavior, however, indicates continued high consumption in that population, which confirms that food pattern changes are not easy to achieve and maintain. There is growing evidence that education programs have the highest chance of success if they are aimed at factors that operate on the motivation to act (9) .In social psychology, there are conceptual models that serve as a base to understand and to p r e d i c t h e a l t h b e h a v i o r s . I n g e n e r a l , s t r o n g variations are found between subjects who adhere or not to certain behaviors, particularly in terms o f c o g n i t i v e f a c t o r s , d e s c r i b e d a s t h e m o s t important determinants of the motivation to actand, consequently, of behavior (10) . Among theories aimed at understanding and predicting health behaviors, the Theory of Planned Behavior (11) -TPB has been widely used, including for food-related behaviors (12)(13) . According to TPB, the proximal METHOD Instrument developmentThe instrument was designed after an extensive literature review of research that used sociocognitive theories to study food behaviors and specific studies on factors interfering in salt consumption. TPB was used as the theoretical framework, in addition to other variables related to food behavior (self-efficacy, habit and environment) or specifically to salt consumption (food preferences, hedonic determinants and diet quality assessment).Direct measurements of the involved constructs were carried out (11) . Definition of psychosocial variablesBehavior was initially defined as: consider a low-salt diet as: consumption ...

Section: P R E D I C T H E a L T H B E H A V I O R S I N G E N E R mentioning

confidence: 99%

Development and reliability of an instrument to measure psychosocial determinants of salt consumption among hypertensive patients

Cornélio

Gallani

Godin

et al. 2009

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“…shown to be valid and reliable when used in coronary disease patients being treated at outpatient clinics (14) .…”

Section: Introductionmentioning

confidence: 99%

Reliability and practical aspects of the disease impact measure on hypertensive patients

Pavan

Padilha

Rodrigues

et al. 2013

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OBJECTIVE: to evaluate the feasibility, acceptability, the ceiling and floor effects and the reliability of the Instrument to Measure the Impact of Coronary Disease on Patient's Daily Life (IDCV) when applied to hypertensive patients. METHOD: one hundred and thirty seven hypertensive outpatients were interviewed, using questionnaires to collect sociodemographic and clinical data, followed by the IDCV. Reliability was assessed according to the temporal stability and internal consistency criteria. RESULTS: the IDCV was applied in 8.0 (±3.0) minutes with 100% of the items answered. A ceiling effect of 31.4% was observed in the domain Adjustment to the Disease. The stability measure was observed for the total score and for all domains. There was evidence of internal consistency of the total IDCV (α=0.83) and the domains Physical Impact of the Disease - Symptoms (α=0.78) and Social and Emotional Impact of the Disease (α=0.74). CONCLUSION: the IDCV is an instrument of easy use and its reliability among hypertensive patients is evidenced. The domain Adjustment to the Disease, however, should be reviewed in further studies.

“…These studies first focused on the development and refinement of measurement instruments and, later, exploratory studies focused on understanding the relationships among the model components, such as quality of life, symptoms, and clinical and genetic profiles. Predictive studies were used to identify determinants of healthrelated behaviors (11)(12)(13)(14) .…”

Section: The Conceptual Structure and Methodological Designsmentioning

confidence: 99%

Conceptual framework for research and clinical practice concerning cardiovascular health-related behaviors

Gallani

Cornélio²,

Agondi³

et al. 2013

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Objective: To present a conceptual framework based on the PRECEDE model conceived to guide research and the clinical practice of nurses in the clinical follow-up of patients with cardiovascular diseases. Method: The conceptual bases as well as the study designs used in the framework are discussed. The contextualization of the proposed structure is presented in the clinical follow-up of hypertensive patients. Examples of the intervention planning steps according to the intervention mapping protocol are provided. Results: This conceptual framework coherently and rationally guided the diagnostic steps related to excessive salt intake among hypertensive individuals, as well as the development and assessment of specific interventions designed to change this eating behavior. Conclusion: The use of this conceptual framework enables a greater understanding of health-related behaviors implied in the development and progression of cardiovascular risk factors and is useful in proposing nursing interventions with a greater chance of success. This model is a feasible strategy to improve the cardiovascular health of patients cared for by the Brazilian Unified Health System. Estrutura conceitual para pesquisa e prática clínica na mudança de comportamentos em saúde cardiovascular Objetivo: apresentar a estrutura conceitual baseada no modelo PRECEDE, para guiar a pesquisa e a prática clínica do enfermeiro, na abordagem do paciente cardiopata ao longo de seu seguimento clínico. Método: as bases conceituais, assim como os desenhos metodológicos de pesquisa, implicados na estrutura conceitual, são abordados. A seguir, a contextualização da estrutura proposta é ilustrada no seguimento clínico de pacientes hipertensos, com incorporação das etapas de planejamento de intervenções, segundo o protocolo intervention mapping.Resultados: constata-se que a utilização dessa estrutura conceitual permitiu guiar, de modo coerente e racional, as etapas diagnósticas relacionadas ao consumo excessivo de sal entre os hipertensos, bem como norteou o desenvolvimento e avaliação de intervenções específicas para mudança desse comportamento alimentar. Conclusão: a utilização da estrutura conceitual proposta permite compreensão mais ampla dos comportamentos em saúde, implicados no desenvolvimento e progressão dos fatores de risco cardiovascular, assim como revela-se um caminho interessante para a proposição de intervenções de enfermagem, com maior chance de sucesso. O emprego dessa estrutura, de modo ampliado, pode constituir um meio factível para melhorar a saúde cardiovascular dos pacientes atendidos pelo Sistema Único de Saúde.Descritores: Comportamento; Planejamento em Saúde; Educação em Saúde; Enfermagem. Modelo conceptual para la investigación y la práctica clínica en los cambios de comportamiento en salud cardiovascularObjetivo: presentar el marco conceptual basado en el modelo PRECEDE, concebido para orientar la investigación y la práctica clínica de las enfermeras para el seguimiento clínico de pacientes cardíacos. Método: La base conceptual, así...