Content validation of the Nutritional Attention Assessment Instrument in Primary Health Care

Validation of a dietary advice protocol for adults with obesity in primary health care according to the Brazilian Dietary Guidelines

BACKGROUND

Obesity is a non-communicable chronic disease which carries a high cost for the Brazilian Unified Health System. Standardized protocols can help primary health care (PHC) professionals manage the disease.

OBJECTIVES

To describe the validation process of a protocol concerning dietary guidelines for adults with obesity in PHC by non-nutrition professionals.

METHODS

A validation study of a dietary advice protocol consisting of 6 recommendations was conducted according to Brazilian Dietary Guidelines. The topics incorporated into the recommendations were submitted to a panel of judges for content validity and achieved a Scale Content Validity Index (S-CVI) score >0.80. Subsequently, an online workshop was held and consisted of guiding questions to adequately improve current protocols. Face validity was assessed in a mediation workshop conducted with PHC non-nutrition professionals. Following the validation process, necessary adjustments were made to the eating protocol.

RESULTS

The validation process was conducted by a panel of 20 judges and 10 PHC professionals. The content was validated using a 0.98 S-CVI. The online workshop expert panel agreed the instrument provides a trustworthy foundation for appropriate dietary guidelines. Moreover, the judges suggested changes to the flowchart designed to support the professionals' decisions, discussed the absence of quantitative prescription guidelines, and offered additional suggestions to strengthen equity and encourage autonomy in non-nutrition healthcare professionals in PHC.

CONCLUSION

This study describes the validation process of a dietary advice protocol for people with obesity, as well as the importance of its integration into PHC.

NEUROGENIC DYSFUNCTION OF THE LOWER URINARY TRACT: CONSTRUCTION AND VALIDATION OF AN INSTRUMENT FOR NURSING CONSULTATION

Objective: To construct and validate the content of a data collection instrument for the nursing consultation of people with neurogenic lower urinary tract dysfunction in outpatient follow-up. Methods: This is a methodological study composed of two stages: elaboration of the instrument and content validation. Through the search for scientific evidence found in the literature, an instrument for admission consultation wasdeveloped. The content was validated in August 2021 by experts through independent reviews. Results: After the evaluation performed, some modifications were necessary for better adaptation and final presentation of the instrument developed. In the content analysis, 62 items with mean content validity reason below 0.78 were identified, which were excluded from the instrument. The final instrument had 160 items organized into three parts. Conclusion: The instrument represents a guide for the nursing consultation and for futureinvestigations, contributing to the improvement of the quality of care, through the systematization of care and a comprehensive approach to care for this clientele.

DISFUNÇÃO NEUROGÊNICA DO TRATO URINÁRIO INFERIOR: CONSTRUÇÃO E VALIDAÇÃO DE INSTRUMENTO PARA CONSULTA DE ENFERMAGEM

Objetivo:Construir e validar conteúdo de instrumento de coleta de dados para a consulta de enfermagem à pessoa com disfunção neurogênica do trato urinário inferior em seguimento ambulatorial. Métodos: Trata-se de um estudo metodológico composto de duas etapas: elaboração do instrumento e validação do conteúdo. Por meio da busca de evidências científicas encontradas na literatura, foi elaborado um instrumento para consulta de admissão. O conteúdo foi validado, no mês de agosto de 2021, por nove especialistas, mediante revisões independentes. Resultados: Após a avaliação realizada, algumas modificações foram necessárias para melhor adequação e apresentação final do instrumento desenvolvido. Na análise de conteúdo, foram identificados 62 itens com razão de validade de conteúdo médio abaixo de 0,78, sendo estes excluídos do instrumento, que ficou na sua versão final com 160 itens, organizados em três partes. Conclusão: O instrumento representa um norteador para a consulta de enfermagem e para futuras pesquisas, contribuindo na melhoria da qualidade da assistência, pela sistematização da assistência e por uma abordagem integral de cuidados a essa clientela.