Sabrina Souza Santos Thanise, Campos Victor Jhessica, Ribeiro Dias Gabriela, Cosmo de Moura Balbino Agatha, Jaime Patrícia Constante, Lourenço Bárbara Hatzlhoffer
Research Group on Nutrition Interventions, Department of Nutrition, Nursing School, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil.
Department of Nutrition, School of Public Health, University of São Paulo, São Paulo, Brazil.
J Interprof Care. 2023 May-Jun;37(3):418-427. doi: 10.1080/13561820.2022.2085677. Epub 2022 Jul 26.
Health professionals have to be confident to manage therapeutic groups of patients with obesity considering the potential of such approach to organize and provide health care. This study aimed to validate the scale of self-efficacy among health professionals to manage therapeutic groups of patients with obesity. Items were developed by an interprofessional group based on theoretical references on humanized healthcare. Scope, relevance, clarity, and comprehensibility of items and response options were evaluated by experts and health professionals. Using factor analysis and item response theory analysis, items with better discrimination were selected. The interpretation of the scores was proposed with a description of the self-efficacy around different levels. All steps were conducted using online forms. A pool of 21 items was proposed with up to five response options. Experts and health professionals retained 17 items with few changes in wording and four response options. The final scale was composed of 17 items, from which we derived three levels of self-efficacy (low, moderate, high). This study conceived a simple tool to assess health professionals' confidence in managing obesity in therapeutic groups, which may be helpful in designing and measuring the impact of interprofessional education programs to leverage health assistance quality.
考虑到组织和提供医疗保健的这种方法的潜力，健康专业人员必须有信心管理肥胖患者的治疗小组。本研究旨在验证健康专业人员管理肥胖患者治疗小组的自我效能量表。项目由一个跨专业小组根据人性化医疗的理论参考文献制定。项目及回答选项的范围、相关性、清晰度和可理解性由专家和健康专业人员进行评估。使用因素分析和项目反应理论分析，选择了具有更好区分度的项目。提出了分数的解释，并描述了不同水平的自我效能。所有步骤均通过在线表格进行。提出了一组21个项目，最多有五个回答选项。专家和健康专业人员保留了17个项目，措辞几乎没有变化，并保留了四个回答选项。最终量表由17个项目组成，从中我们得出了三个自我效能水平（低、中、高）。本研究构思了一个简单的工具来评估健康专业人员管理治疗小组中肥胖症的信心，这可能有助于设计和衡量跨专业教育项目对提高医疗保健质量的影响。
