Development and validation of an instrument for the evaluation of HIV care in Primary Health Care

ABSTRACT Objective: To develop and validate an instrument to evaluate the decentralization process of care for People Living with HIV in Primary Health Care. Method: Methodological study, developed in four stages: elaboration of the logical model based on the triad Structure-Process-Outcomes; development of the instrument; content validation by expert judges and technical reviewers; and semantic validation. Online questionnaires were used, and the Kappa index was used for analysis. Results: The instrument with 68 items and 8 factors was submitted to validation by expert judges who recommended the exclusion of 3 items and the alteration of 2 factors. In the validation by technical reviewers, 2 items were excluded and 6 factors were highlighted; the agreement index was ≥0.75. In the semantic validation, 87.3% of the judges answered “totally agree” for the items presented. Conclusion: The instrument is validated for its content, has 63 items and has the potential to assess the care provided for people living with HIV in Primary Health Care.

[1]  L. Nascimento,et al.  Learning through play: semantic validation of educational technology on tuberculosis for school children , 2021 .

[2]  Ivia Maksud,et al.  Cuidado de pessoas vivendo com HIV na atenção primária à saúde: reconfigurações na rede de atenção à saúde? , 2021, Cadernos de Saúde Pública.

[3]  C. Pinho,et al.  Diagnostic aspects and in-service training in the decentralization of care to people living with HIV. , 2021, Revista da Escola de Enfermagem da U S P.

[4]  M. Horberg,et al.  Primary Care Guidance for Persons With Human Immunodeficiency Virus: 2020 Update by the HIV Medicine Association of the Infectious Diseases Society of America. , 2020, Clinical infectious diseases : an official publication of the Infectious Diseases Society of America.

[5]  G. McHugh,et al.  A comparison of HIV outpatient care in primary and secondary healthcare-level settings in Zimbabwe. , 2020, Public health action.

[6]  A. Puren,et al.  Successes and gaps in the HIV cascade of care of a high HIV prevalence setting in Zimbabwe: a population‐based survey , 2020, Journal of the International AIDS Society.

[7]  Thaís de Souza Maia,et al.  Avaliação das medidas de controle do HIV na atenção básica , 2020 .

[8]  Richardson Augusto Rossendo da Silva,et al.  Construct validation: coping with HIV/AIDS in Primary Health Care. , 2019, Revista brasileira de enfermagem.

[9]  R. L. D. Aquino,et al.  Protocolo clínico e diretrizes terapêuticas para o manejo da infecção pelo hiv em adultos , 2018, Revista de Enfermagem UFPE on line.

[10]  Ivia Maksud,et al.  Cuidado, HIV/Aids e atenção primária no Brasil: desafio para a atenção no Sistema Único de Saúde? , 2018, Revista panamericana de salud publica = Pan American journal of public health.

[11]  C. Pinho,et al.  Perception of nurses who perform rapid tests in Health Centers. , 2018, Revista brasileira de enfermagem.

[12]  S. Po‐Chedley,et al.  Distance to care, enrollment and loss to follow-up of HIV patients during decentralization of antiretroviral therapy in Neno District, Malawi: A retrospective cohort study , 2017, PloS one.

[13]  Richardson Augusto Rossendo da Silva,et al.  Mapping the implementation of the rapid HIV test in the Family Health Strategy: the nurses' perspective , 2017 .

[14]  J. Seeley,et al.  Impact of decentralisation of antiretroviral therapy services on HIV testing and care at a population level in Agago District in rural Northern Uganda: results from the Lablite population surveys. , 2017, International health.

[15]  Gustavo Zambenedetti,et al.  Descentralização da atenção em HIV-Aids para a atenção básica: tensões e potencialidades , 2016 .

[16]  B. Uzochukwu,et al.  Investigating client perception and attitude to decentralization of HIV/AIDS treatment services to primary health centres in three Nigerian states , 2015, Health expectations : an international journal of public participation in health care and health policy.

[17]  I. Hoffman,et al.  Adherence to Early Antiretroviral Therapy: Results From HPTN 052, a Phase III, Multinational Randomized Trial of ART to Prevent HIV-1 Sexual Transmission in Serodiscordant Couples , 2015, Journal of acquired immune deficiency syndromes.

[18]  D. Eignor.  The standards for educational and psychological testing. , 2013 .

[19]  O. Y. Tanaka,et al.  [Nurses and the assessment in health system management]. , 2012, Revista da Escola de Enfermagem da U S P.

[20]  Myron S. Cohen,et al.  HIV treatment as prevention and HPTN 052. , 2012, Current opinion in HIV and AIDS.

[21]  N. M. C. Alexandre,et al.  Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas , 2011 .

[22]  Luiz Pasquali,et al.  Psicometria Psicometría Psychometrics , 2009 .

[23]  Alija Kulenović,et al.  Standards for Educational and Psychological Testing , 1999 .

[24]  A. Donabedian,et al.  The Criteria and Standards of Quality , 1980 .

[25]  Jacob Cohen,et al.  Weighted kappa: Nominal scale agreement provision for scaled disagreement or partial credit. , 1968 .

[26]  Jacob Cohen.  A Coefficient of Agreement for Nominal Scales , 1960 .