Início Escala de avaliação para adesão ao tratamento psiquiátrico: construção de instrumento e...
psicologia da saúde
Escala de avaliação para adesão ao tratamento psiquiátrico: construção de instrumento e qualidades psicométricas iniciais
Resumo:
Introduction: Difficulties in psychiatric treatments have been shown to be a public health problem, generating high costs in treatments and exacerbation of severe mental symptoms. In view of the gap related to protocols or assessment instruments for this condition in the Brazilian scenario, the present study aimed to develop a self-report scale that assesses the process of adherence to psychiatric drug treatment, entitled "Scale for assessing adherence to medication in treatment psychiatric” and the investigation of its psychometric qualities. Material and methods: Two studies were carried out: pilot study and investigation of the evidence of content validity of the scale. The results of the pilot study, conducted with 15 patients undergoing psychiatric treatment, made it possible to adjust the wording of the items. Then, the 118 items were sent to five expert judges who rated the items in the five areas. For the pilot study, the preliminary version of the Assessment Scale of Adherence (self-report) to medication in psychiatric treatment was used, containing 114 items. Result and discussion: Thus, 105 items presented agreement considered adequate (equal to or above 80%), being selected to compose the current version of the instrument, in order to confirm their evidence of content validity. Final considerations: The results of the initial investigation studies of its psychometric qualities proved to be favorable and motivate the continuation of the studies with the instrument. It is worth noting that there are limitations to this study, given that the construction of a self-report instrument is subjective and requires a cognitive understanding of the subject, especially on issues related to their physical and mental well-being.
Keywords: instrument, health psychology, mental health, psychiatric treatment.
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