Amanda Sarah Vanzela, Aline Conceição Silva, Laysa Fernanda Silva Pedrollo, Isabela Dos Santos Martin, Kelly Graziani Giacchero Vedana
{"title":"Barriers and facilitators for self-harm: development and validation of an instrument for health professionals.","authors":"Amanda Sarah Vanzela, Aline Conceição Silva, Laysa Fernanda Silva Pedrollo, Isabela Dos Santos Martin, Kelly Graziani Giacchero Vedana","doi":"10.1590/1518-8345.7754.4638","DOIUrl":null,"url":null,"abstract":"<p><p>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.</p><p><p>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.</p><p><p>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.</p><p><p>the instrument is pioneering and accessible for the Brazilian context, with potential to identify barriers and facilitators self-harm prevention.</p><p><strong>Background: </strong>(1) The instrument identifies barriers and facilitators for the prevention of self-harm.</p><p><strong>Background: </strong>(2) The internal consistency of the instrument was considered high.</p><p><strong>Background: </strong>(3) The analysis identified the following factors: knowledge and capacity, context and institutional support.</p><p><strong>Background: </strong>(4) The instrument developed is easy to use and adaptable to different contexts in Brazil.</p><p><strong>Background: </strong>(5) The instrument contributes to studies on the prevention of self-harm.</p>","PeriodicalId":48692,"journal":{"name":"Revista Latino-Americana De Enfermagem","volume":"33 ","pages":"e4638"},"PeriodicalIF":1.3000,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12364452/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Latino-Americana De Enfermagem","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1590/1518-8345.7754.4638","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
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.
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.