Banca de DEFESA: VITORIA JESSICA TEIXEIRA DANTAS BRITO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : VITORIA JESSICA TEIXEIRA DANTAS BRITO
DATE: 01/03/2024
TIME: 09:00
LOCAL: remoto
TITLE:

VALIDATION OF THE ADHERE QUESTIONNAIRE - BARRIERS AND FACILITATORS FOR ADHERENCE TO PREVENTION AND CONTROL MEASURES OF INFECTOCONTAGIOUS RESPIRATORY DISEASES.

KEY WORDS:

Keywords: questionnaires; validation studies; patient adherence; respiratory diseases

PAGES: 67
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: Infectious respiratory diseases cause high health costs and high rates of morbidity and mortality, making it necessary to understand the aspects that influence the population's adherence to these diseases. Objective: To evaluate the evidence of validity and reliability of the ADHERE questionnaire and validate the questionnaire to identify barriers and facilitators of adherence to measures to prevent and control infectious respiratory diseases in the Brazilian population, in addition, to investigate the predictors of adherence to measures in this population. Methods: Psychometric study carried out in accordance with the recommendations of the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). Construct validity (structural and convergent) and reliability (internal consistency and test-retest) were assessed. Structural validity was tested through exploratory (AFE) and confirmatory factor analysis (AFC), while convergent validity was verified through Spearman's correlation between the total ADHERE score and the number of doses of the COVID-19 vaccine received by the participant. Internal consistency was analyzed using McDonalds omega (ω) and test-retest using the intraclass correlation coefficient (ICC). To analyze the predictors of adherence to the measures, biserial analysis of the variables was used. Results: 654 respondents participated in the validation study, residents of the five Brazilian regions, ranging in age from 18 to 94 years old, the majority being female (73.2%), educated with higher education (52.3%) and residents in urban areas (93.4%). Both factor analyzes showed sample adequacy, enabling data factorization (KMO>0.70; Bartlett sphericity with p<0.01). AFE reduced the number of items in the questionnaire from 34 to 12 distributed across three dimensions (1st: individual attitudes and behaviors, 2nd: health policies and 3rd: knowledge about vaccines).The CFA resulted in the exclusion of the third dimension, confirming the final model in two dimensions and a total of 10 items. Convergent validity showed statistical significance, in a positive and weak correlation between the ADHERE score and the number of doses received for COVID-19 (r=0.22; p<0.001). The internal consistency for each dimension was 0.78 and the temporal stability reflected by the ICC was 0.93 (95%CI: 0.88 - 0.96). In the analysis of predictors, 1759 Brazilians participated, and it was identified that increasing age, being female, having comorbidities, having completed higher education and family income between 2 and 10 minimum wages contributed significantly to the increase in adherence. Conclusions: The ADHERE questionnaire presented adequate validity and reliability to assess barriers and facilitators of adherence to measures to prevent and control infectious respiratory diseases in the Brazilian population. And from the final version of the ADHERE questionnaire, predictors of adherence to measures in this population were identified.

COMMITTEE MEMBERS:
Presidente - 2291421 - KARLA MORGANNA PEREIRA PINTO DE MENDONCA
Externa ao Programa - 3358154 - GIANE AMORIM RIBEIRO SAMORA - UFRNExterna à Instituição - THAYLA AMORIM SANTINO - UEPB