Barriers and facilitators for self-harm: development and validation of an instrument for health professionals.

IF 1.3 4区 医学 Q3 NURSING
Revista Latino-Americana De Enfermagem Pub Date : 2025-08-18 eCollection Date: 2025-01-01 DOI:10.1590/1518-8345.7754.4638
Amanda Sarah Vanzela, Aline Conceição Silva, Laysa Fernanda Silva Pedrollo, Isabela Dos Santos Martin, Kelly Graziani Giacchero Vedana
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引用次数: 0

Abstract

to develop and validate an instrument based on the Theoretical Domains Framework (TDF) to identify barriers and facilitators perceived by health professionals in the prevention of self-harm.

methodological study based on Pasquali's theoretical framework and the Theoretical Domains Framework. Face and content validations were performed through expert evaluation (n = 13) and construct validity, with health professionals (n = 91). Participants were selected by non-probabilistic convenience sampling. Data were collected on a virtual form and analyzed using the Content Validity Index (CVI), the First-Order Agreement (AC1) coefficient of concordance, and Horn's exploratory factor analysis.

inter-rater agreement was considered moderate (AC1 = 0.52; SD = 0.04; 95% CI = 0.42 - 0.61; p = ≤ 0.005). After analysis with the target audience, three items were removed (KMO = < 0.6). Factor analysis identified three factors and 11 items, with the internal consistency of the instrument considered high (ω = 0.89). The final version was structured with 11 items on a Likert scale.

the instrument is pioneering and accessible for the Brazilian context, with potential to identify barriers and facilitators self-harm prevention.

Background: (1) The instrument identifies barriers and facilitators for the prevention of self-harm.

Background: (2) The internal consistency of the instrument was considered high.

Background: (3) The analysis identified the following factors: knowledge and capacity, context and institutional support.

Background: (4) The instrument developed is easy to use and adaptable to different contexts in Brazil.

Background: (5) The instrument contributes to studies on the prevention of self-harm.

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自我伤害的障碍和促进因素:卫生专业人员工具的开发和验证。
根据理论领域框架(TDF)开发和验证一种工具,以确定卫生专业人员认为在预防自我伤害方面存在的障碍和促进因素。基于Pasquali的理论框架和理论领域框架的方法论研究。通过专家评价(n = 13)和卫生专业人员(n = 91)的结构效度进行面孔和内容验证。参与者采用非概率方便抽样的方法进行选择。在虚拟表格上收集数据,并使用内容效度指数(CVI)、一阶一致性系数(AC1)和Horn探索性因子分析进行分析,认为评分间一致性为中等(AC1 = 0.52; SD = 0.04; 95% CI = 0.42 - 0.61; p =≤0.005)。与目标受众分析后,删除了3个项目(KMO = < 0.6)。因子分析确定了3个因素和11个项目,认为仪器内部一致性高(ω = 0.89)。最终的版本由11个李克特量表组成。该工具具有开创性,适用于巴西的情况,有可能确定障碍和促进自我伤害预防。背景:(1)该文书确定了预防自残的障碍和促进因素。背景:(2)仪器内部一致性被认为高。背景:(3)分析确定了以下因素:知识和能力、环境和制度支持。背景:(4)开发的仪器易于使用,并适应巴西的不同情况。背景:(5)该工具有助于预防自残的研究。
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来源期刊
自引率
11.10%
发文量
142
期刊介绍: A Revista Latino-Americana de Enfermagem constitui-se no órgão oficial de divulgação científica da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo e do Centro Colaborador da OMS para o Desenvolvimento da Pesquisa em Enfermagem. Foi criada em abril de 1992 sendo sua primeira edição publicada em janeiro de 1993. No período de 1993 a 1997 tinha periodicidade semestral, de 1997 a 2000 trimestral e, a partir de janeiro de 2001, tem periodicidade bimestral. Caracteriza-se como periódico de circulação internacional, abrangendo predominantemente os países da América Latina e Caribe, embora seja também divulgado para assinantes dos Estados Unidos, Portugal e Espanha.
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