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Previous issue date: 2017-11-28 / O envelhecimento populacional ? uma realidade no Brasil e no mundo, evidenciando al?m de uma transi??o demogr?fica, uma transi??o epidemiol?gica. Novas demandas para o cuidado integral da pessoa idosa se fazem presentes e, para que seja contemplada, a multidimensionalidade da sa?de, seus aspectos sociais tamb?m devem ser considerados na avalia??o em sa?de. Dentre fatores sociais importantes para a avalia??o do idoso, merece destaque o Apoio Social, sobretudo o informal. Assim, os objetivos deste trabalho foram construir e validar um question?rio para avalia??o do apoio social informal para idosos. Trata-se de uma pesquisa descritiva, observacional, do tipo quantitativa. O projeto foi aprovado pelo comit? de ?tica em pesquisa do Hospital Universit?rio Onofre Lopes, sendo executado entre os meses de janeiro a dezembro de 2016 no munic?pio do Natal-RN e em outras localidades do Brasil por entrevistas presenciais com os idosos e question?rio autorrespondido virtualmente com os especialistas. Os crit?rios de inclus?o foram: experi?ncia comprovada na ?rea de apoio social (para especialistas) ou ter 60 anos ou mais e ter capacidade cognitiva preservada (para os idosos). Na etapa de Validade de Conte?do (VC), avaliou-se a relev?ncia dos itens segundo ?ndice de Validade de Conte?do (IVC) geral e por item e montagem de painel com as observa??es feitas pelos especialistas. Na etapa de Validade do Processo de Respostas (VPR), avaliou-se o entendimento referente aos itens pelo p?blico alvo. Para validade fatorial procedeu-se com An?lise Fatorial Explorat?ria (AFE). Para realiza??o da AFE foi usado o programa estat?stico M PLUS Vers?o 7?. Foi realizado agrupamento de vari?veis (tipo R) e extra??o de fatores com an?lise de fatores comuns, a partir de rota??o obl?qua Geomin. Como crit?rio de exclus?o dos itens foi adotado o valor de refer?ncia maior ou igual a 0,35 de carga fatorial e maior ou igual a 0,5 de comunalidade por item. Para determina??o da quantidade de fatores retidos, foram observados os crit?rios de valores pr?prios >1, vari?ncia explicada acumulada m?nima de 60% e an?lise paralela de Horn. Na etapa de VC com especialistas, obteve-se um total de 40 entrevistados, 90% eram Doutores, 7,5% Mestres e 2,5% Especialistas. O IVC geral foi de 0,88 e apenas um item teve IVC considerado pobre. Ap?s avalia??o do painel, dois itens foram inclu?dos e os demais aprimorados. Na etapa de VPR com os idosos, obteve-se um total de 41 entrevistados. Ap?s an?lise do painel de observa??es feitas pelos idosos, as quest?es passaram por modifica??es para seu aperfei?oamento. 259 idosos, das cinco regi?es do Brasil responderam ao question?rio. Ap?s AFE, 4 itens foram exclu?dos devido a pobreza de suas cargas fatoriais e 4 fatores foram identificados: ?composi??o e extens?o da rede social?, ? apoio instrumental e disponibilidade?, ?reciprocidade e longitudinalidade? e ?apoio emocional e participa??o social?. O question?rio demonstrou uma boa relev?ncia dos itens propostos e as observa??es feitas pelos entrevistados permitiram uma aproxima??o da linguagem utilizada no instrumento, ? linguagem usada pelos idosos. O instrumento com 20 itens e 4 fatores retidos, apresentou boas propriedades psicom?tricas, tais como: cargas fatoriais aceit?veis e comunalidades excelentes. Sugere-se 42 como pontua??o geral de corte ?tima. / Population aging is a reality in Brazil and in the world, evidencing, besides a demographic transition, an epidemiological transition. New demands for the integral care of the elderly are present and to be considered, the multidimensionality of health, its social aspects should also be considered in health assessment. Among important social factors for the assessment of the elderly, Social Support, especially the informal one, deserves special mention. Thus, the objectives of this study were to construct and validate a questionnaire to evaluate informal social support for the elderly. It is a descriptive, observational and quantitative research. The project was approved by the research ethics committee of the Onofre Lopes University Hospital, and was performed between January and December 2016 in the city of Natal-RN and other locations in Brazil through face-to-face interviews with the elderly and a questionnaire virtually answered by the specialists. Inclusion criteria were: proven experience in the social support area (for specialists) or 60 years of age or older and have preserved cognitive ability (for the elderly). In the Content Validity (CV) stage, was evaluated by relevance of the items according to the General Content Validity Index (CVI) and per item and panel assembly were evaluated with the observations made by the specialists. In the Validity of Process Responses (VPR) stage, the understanding of the items by the target audience was evaluated. For factorial validity we proceeded with Exploratory Factor Analysis (EFA). Using the statistical program M PLUS Version 7? was used. Variable grouping (type R) and factor extraction were performed with analysis of common factors, using oblique rotation Geomin. As exclusion criterion of the items was adopted a reference value greater than or equal to 0.35 of factorial load and greater or equal to 0.5 of commonality per item. To determine the amount of retained factors, the criteria of own values> 1, minimum cumulative explained variance of 60% and parallel Horn analysis were observed. In the CV stage with specialists, a total of 40 interviewees were obtained, 90% were PhD, 7.5% Masters and 2.5% Specialists. The general CVI was 0.88 and only one item had considered poor. After panel evaluation, two items were included and the others modified. In the VPR stage with the elderly, a total of 41 interviewees were obtained. After analyzing the panel of observations made by the elderly, the issues went through modifications for their improvement. A sample of 259 elderly people from the five regions of Brazil answered the questionnaire. After EFA, 4 items were excluded due to the poverty of their factorial loads and 4 factors were identified: "composition and extension of the social network", "support instrumental and availability", "reciprocity and longitudinality" and "support emotional support and social participation". The questionnaire showed a good relevance of the proposed items and the observations made by the interviewees allowed an approximation of the language used in the instrument, to the language used by the elderly. The instrument with 20 items and 4 retained factors presented good psychometric properties, such as: acceptable factor loads and excellent commonalities. We suggest 42 as the overall optimal cut score.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/24955 |
| Date | 28 November 2017 |
| Creators | Guedes, Marcello Barbosa Otoni Gon?alves |
| Contributors | 50337157472, Oliveira, ?ngelo Giuseppe Roncalli da Costa, 42313384420, Pernambuco, Leandro de Ara?jo, 02862922463, Motta, Luciana Branco da, 73146102749, Gama, Zenewton Andr? da Silva, 01016659466, Lima, Kenio Costa de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/doctoralThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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