Validade e confiabilidade do Questionário Orientação para Viver de Antonovsky (SC-29 itens), versão em espanhol
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Jul 22, 2020
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Natalia Esquivel Garzón
https://orcid.org/0000-0002-5354-6774
Luz Patricia Díaz Heredia
https://orcid.org/0000-0002-7167-282X
https://orcid.org/0000-0002-5354-6774
Luz Patricia Díaz Heredia
https://orcid.org/0000-0002-7167-282X
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Resumo
Introdução: O questionário Orientação para Viver mede o senso de coerência, um conceito relacionado ao uso dos recursos de enfrentamento que influenciam positivamente uma melhor qualidade de vida e bem-estar de adultos com doença cardiovascular. Objetivo: Determinar a validade e confiabilidade do questionário Orientação para Viver de Antonovsky, em adultos com hipertensão arterial. Método: Estudo de tipo metodológico em que se realizou adaptação cultural e determinou-se a validade facial, de conteúdo, de constructo e confiabilidade. Na adaptação cultural foi seguido um processo de tradução, consenso e retrotradução. A validade facial e de conteúdo foram atendidas por julgamento de especialistas, utilizando testes estatísticos de coeficiente kappa de Fleiss e índice de Lawshe modificado. Na validade de constructo e teste de confiabilidade participaram 220 pessoas. A confiabilidade foi calculada usando o teste estatístico de alfa de Cronbach. Resultados: Na validade facial, o instrumento relatou um índice kappa de Fleiss maior a 0,41, interpretado como uma concordância moderada. O índice de validade de conteúdo foi satisfatório com 0,87, a análise fatorial exploratória mostrou três fatores com variância total explicada de 36,21%. O alfa de Cronbach foi de 0,82 para a escala total. Conclusões: A versão em espanhol do instrumento Orientação para Viver apresenta adequado índice de validade de conteúdo e confiabilidade para uso no contexto local. É preciso continuar a sua aplicação em outros grupos e momentos para continuar refinando sua validade.
Objetivo: Determinar a validade e confiabilidade do questionário Orientation to Life em sua versão em espanhol, que mede o senso de coerência, conceito central da teoria salutogênica de Aaron Antonovsky. Métodos: Estudo metodológico no qual a adaptação cultural foi realizada e a aparente validade, conteúdo, construto e confiabilidade do instrumento foram determinados. Para adaptação cultural, seguiu-se um
Keywords
psicometria; estudos de validação; senso de coerência; enfermagempsychometry; validation studies; sense of coherence; nursingpsicometría, estudios de validación, sentido de coherencia, enfermería
References
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5. Silarova B, Nagyova I, Rosenberger J, Van Dijk JP, Reijneveld SA. Sense of coherence as a mediator between hostility and health-related quality of life among coronary heart disease patients. Hear Lung. 2016;45(2):126-31. http://dx.doi.org/10.1016/j.hrtlng.2015.11.004
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7. Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Wiley; 1987.
8. Izydorczyk B, Sitnik-Warchulska K, Kühn-Dymecka A, Lizińczyk S. Resilience, sense of coherence, and coping with stress as predictors of psychological well-being in the course of schizophrenia: the study design. Int J Environ Res Public Health. 2019;16(7):1266. https://doi.org/10.3390/ijerph16071266
9. Langeland E, Forbech H. The application of salutogenesis in mental healthcare settings. En: Mittelmark M, Sagy S, Eriksson M, Bauer G, Pelikan J, Lindström B, editores. The handbook of salutogenesis. New York: Springer; 2017. p. 299-304.
10. Del-Pino-Casado R, Espinosa-Medina A, López-Martínez C, Orgeta V. Sense of coherence, burden and mental health in caregiving: a systematic review and meta-analysis. J Affect Disord. 2019;242(1):14-21. https://doi.org/10.1016/j.jad.2018.08.002
11. Li Z, Liu T, Han J, Li T, Zhu Q, Wang A. Confrontation as a mediator between sense of coherence and self-management behaviors among elderly patients with coronary heart disease in North China. Asian Nurs Res (Korean SC Nurs Sci). 2017;11(3):201-6. https://doi.org/10.1016/j.anr.2017.08.003
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13. Winger JG, Adams RN, Mosher CE. Relations of meaning in life and sense of coherence to distress in cancer patients: a meta-analysis. Psychooncology. 2016;25(1):2-10. https://doi.org/10.1002/pon.3798
14. Juvinya-Canal D. Salutogénesis, nuevas perspectivas para promover la salud. Enferm Clín. 2013;23(3):87-8. https://doi.org/10.15446/rcp.v24n1.42949
15. Eriksson M, Lindström B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Community Health. 2005;59(6):460-6. https://doi.org/10.1136/jech.2003.018085
16. Sangster-Gormley E, Frisch N, Schreiber R. Articulating new outcomes of nurse practitioner practice. J Am AsSC Nurse Pract. 2013;25(12):653-8. https://doi.org/10.1002/2327-6924.12040
17. LoBiondo-Wood G, Judith H. Nursing research methods and critical appraisal for evidence-based practice. 8th ed. St. Louis, Missouri: Elsevier; 2014.
18. Norman G, Streiner D. Bioestadística. Madrid: Mosby/Doyma; 1996.
19. Muñiz J, Elosua P. Directrices para la traducción y adaptación de los tests: segunda edición. Psicothema. 2013;25(2):151-7. https://doi.org/10.7334/psicothema2013.24
20. Ramada Rodilla JM, Serra Pujadas C, Clanchet Delclós LG. Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas. Salud Pública Méx [internet]. 2013;55(1):57-66. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342013000100009
21. Landis RJ, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74. https://doi.org/10.2307/2529310
22. Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Av Medición [internet]. 2003;6(1):37-48. Disponible en: http://www.humanas.unal.edu.co/psicometria/files/8413/8574/6036/Articulo4_Indice_de_validez_de_contenido_37-48.pdf
23. Ministerio de Salud de la República de Colombia. Resolución 008430/1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [internet]. Bogotá. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
24. República de Colombia. Ley 911 de 2004, por la cual se dictan disposiciones en materia de responsabilidad deontológica para el ejercicio de la profesional de enfermería en Colombia [internet]. Disponible en: http://www.mineducacion.gov.co/1621/articles-105034_archivo_pdf.pdf
25. Consejo de Organizaciones Internacionales de las Ciencias Médicas. Pautas éticas para la investigación biomédica en seres humanos preparadas por el Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS). Ginebra; 2002.
26. Silarova B, Nagyova I, Rosenberger J, Studencan M, Ondusova D, Reijneveld SA, et al. Sense of coherence as a predictor of health-related behaviours among patients with coronary heart disease. Eur J Cardiovasc Nurs. 2014;13(4):345-356. https://doi.org/10.1177/1474515113497136
27. Kocjan J. Sense of coherence as a predictor of physical and psychoSCial health among cardiac patients. J Educ Heal Sport. 2015;5(6):241-50. http://dx.doi.org/10.5281/zenodo.18558
28. Falk Kristin SK. Fatigue is a prevalent and severe symptom associated with uncertainty and sense of coherence in patients with chronic heart failure. Eur J Cardiovasc Nurs. 2007;6:99-104. https://doi.org/10.1016/j.ejcnurse.2006.05.004
29. Cea D’Ancona MÁ. Análisis multivariante teoría y práctica en la investigación social. 2.ª ed. Madrid: Sintesis; 2002.
30. Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36(6):725-33.
31. Söderhamn U, Sundsli K, Cliffordson C, Dale, B. Psychometric properties of Antonovsky’s 29-item sense of coherence scale in research on older home-dwelling Norwegians. Scand J Public Health. 2015;43(8):867-74. https://doi.org/10.1177/1403494815598863
32. Rivera de los Santos FJ, López AM, Ramos P, Moreno M del C. Propiedades psicométricas de la escala sentido de coherencia (SC-29) en adolescentes españoles. Child Adolesc Psychol [internet]. 2011;4:11-39. Disponible en: http://hdl.handle.net/11441/41008
33. Von Humboldt S, Leal I. The Orientation to Life Questionnaire: validation of a measure to assess older adults’ sense of coherence. Educ Gerontol. 2015;41(6):451-65. https://doi.org/10.1080/03601277.2014.983373
34. Bachem R, Maercker A. Development and psychometric evaluation of a revised sense of coherence scale. Eur J Psychol Assess. 2016;34(3):206-15. https://doi.org/10.1027/1015-5759/a000323
35. Nunnally JC, Bernstein IH. Psychometric theory. 3r ed. New York: McGraw-Hill; 1994.
36. Bengtsson-Tops A, Brunt D, Rask M. The structure of Antonovsky’s sense of coherence in patients with schizophrenia and its relationship to psychopathology. Scand J Caring Sci. 2005;19(3):280-7. https://doi.org/10.1111/j.1471-6712.2005.00342.x
37. Spadoti Dantas RA, Silva FSE, Ciol MA. Psychometric properties of the Brazilian Portuguese versions of the 29- and 13-item scales of the Antonovsky’s Sense of Coherence (SC-29 and SC-13) evaluated in Brazilian cardiac patients. J Clin Nurs. 2014;23(1-2):156-65. https://doi.org/10.1111/jocn.12157
38. Echevarría-Guanilo ME, Gonçalves N, Romanoski PJ. Psychometric properties of measurement instruments: conceptual bases and evaluation methods-Part I. Texto Context Enferm [Internet]. 2017;26(4). Disponible en: http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0104-07072017000400326
39. Bauer GF, Roy M, Bakibinga P, Contu P, Downe S, Eriksson M, et al. Future directions for the concept of salutogenesis: a position article. Health Promot Int. 2019;1-9.
2. Sarki AM, Nduka CU, Stranges S, Kandala NB, Uthman OA. Prevalence of hypertension in low-and middle-income countries: A systematic review and meta-analysis. Medicine (Baltimore). 2015;94(50):1-16. https://doi.org/10.1097/MD.0000000000001959
3. Orozco-Gómez ÁM, Castiblanco-Orozco L. Factores psicosociales e intervención psicológica en enfermedades crónicas no transmisibles. Rev Colomb Psicol. 2014;24(1):203-17. https://doi.org/10.15446/rcp.v24n1.42949
4. Kristofferzon ML, Engström M, Nilsson A. Coping mediates the relationship between sense of coherence and mental quality of life in patients with chronic illness: a cross-sectional study. Qual Life Res. 2018;27(7):1855-63. http://dx.doi.org/10.1007/s11136-018-1845-0
5. Silarova B, Nagyova I, Rosenberger J, Van Dijk JP, Reijneveld SA. Sense of coherence as a mediator between hostility and health-related quality of life among coronary heart disease patients. Hear Lung. 2016;45(2):126-31. http://dx.doi.org/10.1016/j.hrtlng.2015.11.004
6. Super S, Wagemakers M, Picavet H, Verkooijen K, Koelen M. Strengthening sense of coherence: opportunities for theory building in health promotion. Health Promot Int [Internet]. 2016;31:869-78. Disponible en: https://academic.oup.com/heapro/article-lookup/doi/10.1093/heapro/dav071
7. Antonovsky A. Unraveling the mystery of health: how people manage stress and stay well. San Francisco: Wiley; 1987.
8. Izydorczyk B, Sitnik-Warchulska K, Kühn-Dymecka A, Lizińczyk S. Resilience, sense of coherence, and coping with stress as predictors of psychological well-being in the course of schizophrenia: the study design. Int J Environ Res Public Health. 2019;16(7):1266. https://doi.org/10.3390/ijerph16071266
9. Langeland E, Forbech H. The application of salutogenesis in mental healthcare settings. En: Mittelmark M, Sagy S, Eriksson M, Bauer G, Pelikan J, Lindström B, editores. The handbook of salutogenesis. New York: Springer; 2017. p. 299-304.
10. Del-Pino-Casado R, Espinosa-Medina A, López-Martínez C, Orgeta V. Sense of coherence, burden and mental health in caregiving: a systematic review and meta-analysis. J Affect Disord. 2019;242(1):14-21. https://doi.org/10.1016/j.jad.2018.08.002
11. Li Z, Liu T, Han J, Li T, Zhu Q, Wang A. Confrontation as a mediator between sense of coherence and self-management behaviors among elderly patients with coronary heart disease in North China. Asian Nurs Res (Korean SC Nurs Sci). 2017;11(3):201-6. https://doi.org/10.1016/j.anr.2017.08.003
12. Nilsen V, Bakke PS, Rohde G, Gallefoss F. Is sense of coherence a predictor of lifestyle changes in subjects at risk for type 2 diabetes? Public Health. 2015;129:155-61. http://dx.doi.org/10.1016/j.puhe.2014.12.014
13. Winger JG, Adams RN, Mosher CE. Relations of meaning in life and sense of coherence to distress in cancer patients: a meta-analysis. Psychooncology. 2016;25(1):2-10. https://doi.org/10.1002/pon.3798
14. Juvinya-Canal D. Salutogénesis, nuevas perspectivas para promover la salud. Enferm Clín. 2013;23(3):87-8. https://doi.org/10.15446/rcp.v24n1.42949
15. Eriksson M, Lindström B. Validity of Antonovsky’s sense of coherence scale: a systematic review. J Epidemiol Community Health. 2005;59(6):460-6. https://doi.org/10.1136/jech.2003.018085
16. Sangster-Gormley E, Frisch N, Schreiber R. Articulating new outcomes of nurse practitioner practice. J Am AsSC Nurse Pract. 2013;25(12):653-8. https://doi.org/10.1002/2327-6924.12040
17. LoBiondo-Wood G, Judith H. Nursing research methods and critical appraisal for evidence-based practice. 8th ed. St. Louis, Missouri: Elsevier; 2014.
18. Norman G, Streiner D. Bioestadística. Madrid: Mosby/Doyma; 1996.
19. Muñiz J, Elosua P. Directrices para la traducción y adaptación de los tests: segunda edición. Psicothema. 2013;25(2):151-7. https://doi.org/10.7334/psicothema2013.24
20. Ramada Rodilla JM, Serra Pujadas C, Clanchet Delclós LG. Adaptación cultural y validación de cuestionarios de salud: revisión y recomendaciones metodológicas. Salud Pública Méx [internet]. 2013;55(1):57-66. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0036-36342013000100009
21. Landis RJ, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-74. https://doi.org/10.2307/2529310
22. Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Av Medición [internet]. 2003;6(1):37-48. Disponible en: http://www.humanas.unal.edu.co/psicometria/files/8413/8574/6036/Articulo4_Indice_de_validez_de_contenido_37-48.pdf
23. Ministerio de Salud de la República de Colombia. Resolución 008430/1993, por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud [internet]. Bogotá. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/DE/DIJ/RESOLUCION-8430-DE-1993.PDF
24. República de Colombia. Ley 911 de 2004, por la cual se dictan disposiciones en materia de responsabilidad deontológica para el ejercicio de la profesional de enfermería en Colombia [internet]. Disponible en: http://www.mineducacion.gov.co/1621/articles-105034_archivo_pdf.pdf
25. Consejo de Organizaciones Internacionales de las Ciencias Médicas. Pautas éticas para la investigación biomédica en seres humanos preparadas por el Consejo de Organizaciones Internacionales de las Ciencias Médicas (CIOMS). Ginebra; 2002.
26. Silarova B, Nagyova I, Rosenberger J, Studencan M, Ondusova D, Reijneveld SA, et al. Sense of coherence as a predictor of health-related behaviours among patients with coronary heart disease. Eur J Cardiovasc Nurs. 2014;13(4):345-356. https://doi.org/10.1177/1474515113497136
27. Kocjan J. Sense of coherence as a predictor of physical and psychoSCial health among cardiac patients. J Educ Heal Sport. 2015;5(6):241-50. http://dx.doi.org/10.5281/zenodo.18558
28. Falk Kristin SK. Fatigue is a prevalent and severe symptom associated with uncertainty and sense of coherence in patients with chronic heart failure. Eur J Cardiovasc Nurs. 2007;6:99-104. https://doi.org/10.1016/j.ejcnurse.2006.05.004
29. Cea D’Ancona MÁ. Análisis multivariante teoría y práctica en la investigación social. 2.ª ed. Madrid: Sintesis; 2002.
30. Antonovsky A. The structure and properties of the sense of coherence scale. Soc Sci Med. 1993;36(6):725-33.
31. Söderhamn U, Sundsli K, Cliffordson C, Dale, B. Psychometric properties of Antonovsky’s 29-item sense of coherence scale in research on older home-dwelling Norwegians. Scand J Public Health. 2015;43(8):867-74. https://doi.org/10.1177/1403494815598863
32. Rivera de los Santos FJ, López AM, Ramos P, Moreno M del C. Propiedades psicométricas de la escala sentido de coherencia (SC-29) en adolescentes españoles. Child Adolesc Psychol [internet]. 2011;4:11-39. Disponible en: http://hdl.handle.net/11441/41008
33. Von Humboldt S, Leal I. The Orientation to Life Questionnaire: validation of a measure to assess older adults’ sense of coherence. Educ Gerontol. 2015;41(6):451-65. https://doi.org/10.1080/03601277.2014.983373
34. Bachem R, Maercker A. Development and psychometric evaluation of a revised sense of coherence scale. Eur J Psychol Assess. 2016;34(3):206-15. https://doi.org/10.1027/1015-5759/a000323
35. Nunnally JC, Bernstein IH. Psychometric theory. 3r ed. New York: McGraw-Hill; 1994.
36. Bengtsson-Tops A, Brunt D, Rask M. The structure of Antonovsky’s sense of coherence in patients with schizophrenia and its relationship to psychopathology. Scand J Caring Sci. 2005;19(3):280-7. https://doi.org/10.1111/j.1471-6712.2005.00342.x
37. Spadoti Dantas RA, Silva FSE, Ciol MA. Psychometric properties of the Brazilian Portuguese versions of the 29- and 13-item scales of the Antonovsky’s Sense of Coherence (SC-29 and SC-13) evaluated in Brazilian cardiac patients. J Clin Nurs. 2014;23(1-2):156-65. https://doi.org/10.1111/jocn.12157
38. Echevarría-Guanilo ME, Gonçalves N, Romanoski PJ. Psychometric properties of measurement instruments: conceptual bases and evaluation methods-Part I. Texto Context Enferm [Internet]. 2017;26(4). Disponible en: http://www.revenf.bvs.br/scielo.php?script=sci_arttext&pid=S0104-07072017000400326
39. Bauer GF, Roy M, Bakibinga P, Contu P, Downe S, Eriksson M, et al. Future directions for the concept of salutogenesis: a position article. Health Promot Int. 2019;1-9.
Como Citar
Esquivel Garzón, N., & Díaz Heredia, L. P. (2020). Validade e confiabilidade do Questionário Orientação para Viver de Antonovsky (SC-29 itens), versão em espanhol. Investigación En Enfermería: Imagen Y Desarrollo, 22. https://doi.org/10.11144/Javeriana.ie22.vcco
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