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心理健康治疗依从性测量的改编与验证

Adaptation and validation of the Measuring of Treatment Adherence for mental health.

作者信息

Borba Letícia de Oliveira, Capistrano Fernanda Carolina, Ferreira Aline Cristina Zerwes, Kalinke Luciana Puchalski, Mantovani Maria de Fátima, Maftum Mariluci Alves

机构信息

Universidade Federal do Paraná. Curitiba, Paraná, Brazil.

出版信息

Rev Bras Enferm. 2018;71(suppl 5):2243-2250. doi: 10.1590/0034-7167-2017-0796.

Abstract

OBJECTIVE

to adapt culturally and validate the Measuring Instrument of Treatment Adherence for mental health.

METHOD

methodological study, carried out with 300 individuals with mental disorders, in two Psychosocial Care Centers in Curitiba, state of Paraná, Brazil, from April to June 2014. The cross-cultural adaptation was developed according to international recommendations, the construct validation was made by exploratory factor analysis, and internal consistency was verified by Cronbach's alpha.

RESULTS

through the evaluation of a committee of experts and completion of the pre-testing, face and content validation was achieved. From the factor analysis, we identified two factors of the instrument's construct: involuntary action and voluntary action, with a total explanation variance of 55.7%. The value of Bartlett's test of sphericity was p<0.001. Cronbach's alpha was 0.74.

CONCLUSION

the adapted and validated instrument proved to be trustworthy to be applied to the verification of adherence to drug therapy for individuals with mental disorders.

摘要

目的

对心理健康治疗依从性测量工具进行文化调适并验证其有效性。

方法

2014年4月至6月,在巴西巴拉那州库里蒂巴市的两个心理社会关怀中心,对300名精神障碍患者开展了一项方法学研究。跨文化调适依据国际建议进行,结构效度通过探索性因素分析确定,内部一致性通过克朗巴哈系数(Cronbach's alpha)验证。

结果

通过专家委员会评估和预测试完成,实现了表面效度和内容效度。通过因素分析,我们确定了该工具结构的两个因素:非自愿行为和自愿行为,总解释方差为55.7%。巴特利特球形检验值为p<0.001。克朗巴哈系数为0.74。

结论

经调适和验证的该工具被证明可用于验证精神障碍患者药物治疗的依从性。

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