Adaptación y validación del Medida de Adhesión al Tratamiento para la salud mental

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

doi:10.1590/0034-7167-2017-0796

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Revista Brasileira de Enfermagem

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RESEARCH • Rev. Bras. Enferm. 71 (suppl 5) • 2018 • https://doi.org/10.1590/0034-7167-2017-0796 copiar

Adaptación y validación del Medida de Adhesión al Tratamiento para la salud mental

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

adaptar culturalmente y validar el instrumento de Medida de Adhesión al Tratamiento para salud mental.

Método:

estudio metodológico, realizado con 300 portadores de trastorno mental, en dos Centros de Atención Psicosocial en Curitiba, Paraná, de abril a junio de 2014. Se realizó la adaptación transcultural según recomendaciones internacionales, la validación de constructo a través del análisis factorial exploratorio, y la verificación de la consistencia interna por el alfa de Cronbach.

Resultados:

mediante evaluación de comité de especialistas y realización del pre-test, se logró la validación de cara y contenido. A partir del análisis factorial, se identificaron dos factores del constructo del instrumento: acción involuntaria y acción voluntaria, con total de la varianza de explicación del 55,7%. En la prueba de esfericidad de Bartlett se obtuvo p < 0,001. El alfa de Cronbach general fue 0,74.

Conclusión:

el instrumento adaptado y validado se mostró fidedigno para ser aplicado en la verificación de la adhesión a la terapéutica medicamentosa por portadores de trastorno mental.

Descriptores:
Salud Mental; Cumplimiento de la Medicación; Trastornos Mentales; Estudios de Validación; Enfermería

Need to use a questionnaire on a new population	Results in changes in:			Necessary adjustments:
Need to use a questionnaire on a new population	Culture	Language	Country of use	Translation	Adaptation
A. To use in the same population. Without any change in culture, language, or country of origin.	–	–	–	–	–
B. To use in immigrants established in the country of origin.	✓	–	–	–	✓
C. To use in another country, but with the same language.	✓	–	✓	–	✓
D. To use in new immigrants who do not speak English, but in the same country of origin.	✓	✓	–	✓	✓
E. To use in another country and with another language.	✓	✓	✓	✓	✓

Construct	KMO*	Communality	Factor loading
Factor 1: involuntary action
1 – Have you ever forgotten to take any of the medication for mental disorders?	0.75	0.65	0.76
2 – Have you ever neglected the time to take the medication for mental disorders?	0.73	0.63	0.78
6 – Have you ever interrupted the treatment for mental disorder for running out of the medication?	0.85	0.40	0.60
7 – Have you ever stopped taking the medication for mental disorders for any other reason but indication of the physician?	0.74	0.69	0.82
Factor 2: involuntary action
3 – Have you ever stopped taking the medication for mental disorders, due to feeling better?	0.77	0.56	0.69
4 – Have you ever stopped taking the medication for mental disorders, by your own initiative, after feeling worse?	0.82	0.50	0.70
5 – Have you ever increased the dosage of the medication for mental disorders, by your own initiative, after feeling worse?	0.80	0.48	0.69

Questions	Q1	Q2	Q3	Q4	Q5	Q6	Q7
Q1
Q2	0.51
Q3	0.38	0.22
Q4	0.25	0.17	0.36
Q5	0.28	0.24	0.24	0.24
Q6	0.19	0.23	0.23	0.25	0.13
Q7	0.31	0.24	0.48	0.38	0.18	0.28
Total	0.70	0.64	0.63	0.57	0.54	0.47	0.61

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[1] CORRESPONDING AUTHOR: Letícia de Oliveira Borba E-mail: leticia_ufpr@yahoo.com.br

1 – Have you ever forgotten to take any of the medication for mental disorders?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6
2 – Have you ever neglected the time to take the medication for mental disorders?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6
3 – Have you ever stopped taking the medication for mental disorders, by your own initiative, due to feeling better?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6
4 – Have you ever stopped taking the medication for mental disorders, by your own initiative, after feeling worse?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6
5 – Have you ever increased the dosage of the medication for mental disorders, by your own initiative, after feeling worse?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6
6 – Have you ever interrupted the treatment for mental disorder for running out of the medication?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6
7 – Have you ever stopped taking the medication for mental disorders for any other reason but indication of the physician?
Always	Almost always	Often	Sometimes	Rarely	Never
1	2	3	4	5	6