Development and validation of an instrument to evaluate interventions in relation to Health Promotion principles

Loch, Mathias Roberto; Lemos, Emmanuelly Correia de; Jaime, Patrícia Constante; Rech, Cassiano Ricardo

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Brasil

Epidemiologia e Serviços de Saúde

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Brasil

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Sumário

Original Article • Epidemiol. Serv. Saúde 30 (3) • 2021 • https://doi.org/10.1590/S1679-49742021000300005 copy

Development and validation of an instrument to evaluate interventions in relation to Health Promotion principles

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To develop and validate of an instrument to evaluate interventions in relation to Health Promotion principles in Brazil.

Methods

A cross-sectional study of the development and validation of an instrument was carried out, based on the assessment of the first version by 20 health workers, the final version by 19, analysis of reliability by 31, and content evaluation of the first version by ten experts and of the final version by 12 experts. The content validity index, Cronbach’s alpha (α) and intraclass correlation coefficient were used.

Results

The indicators achieved 89.9% adequacy, 82.5% clarity, internal consistency was α = 0.80, and the test-retest correlation was 0.93.

Conclusion

The instrument showed acceptable validity and reliability and can be used for the evaluation of Health Promotion interventions.

Keywords:
Health Promotion; Validity Studies; Surveys and Questionnaires; Health Care Models

Principle	Indicator	Content validity index		Reliability rating
Principle	Indicator	Adequacy^a	Clearness^b	Test-retest^c
Equity	The intervention addresses in a differentiated way individuals or groups that most need it	83.3	83.3	90.3
Social participation	The intervention encourages social participation of individuals and groups	83.3	75.0	93.6
Autonomy	The intervention encourages the development of skills personal details of its participants, seeking that they are more autonomous, conscious and critical in their daily lives, in relation to their lifestyles	91.7	83.3	90.3
Empowerment	The intervention encourages participants to have control over decisions and choices of ways of living/lifestyles in view of opportunities available, based on their social, economic, and cultural conditions	83.3	66.7	77.4
Intrasectoriality	The intervention encourages articulation between stakeholders in the same sector, seeking to build and articulated cooperative and resolutive networks	91.7	91.7	80.7
Intersectoriality	The intervention encourages articulation between different sectors, seeking to build shared interventions, involving joint responsibility and joint management	91.7	75.0	90.3
Sustainability	The intervention provides conditions for it to have continuity for as long as it is a priority for the territory	100.0	91.7	80.7
Integrality	The intervention considers the complexity, potentiality and singularities of its participants	83.3	75.0	77.4
Territoriality	The intervention considers the specificities of the territory where it takes place	100.0	100.0	80.6
Overall Average		89.8	82.5	84.6

Secretaria de Vigilância em Saúde e Ambiente - Ministério da Saúde do Brasil SRTVN Quadra 701, Via W5 Norte, Lote D, Edifício P0700, CEP: 70719-040, +55 61 3315-3464, Fax: +55 61 3315-3464 - Brasília - DF - Brazil
E-mail: ress.svs@gmail.com

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[1] Correspondence
Mathias Roberto Loch - Universidade Estadual de Londrina, Departamento de Educação Física, Campus Universitário, Rodovia Celso Garcia Cid, PR 445, km 380, Londrina, PR, Brazil. Postcode: 86057-970. E-mail: mathiasuel@hotmail.com