Banca de DEFESA: Camila Leal Cardoso

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : Camila Leal Cardoso
DATE: 16/12/2024
TIME: 09:00
LOCAL: Plataforma Teams
TITLE:

Multifactorial scale of adherence to heart failure treatment: Elaboration and Content validation.

KEY WORDS:

Heart Failure; Treatment Adherence; Validation Study; Patient Care Team; selfcare

PAGES: 58
BIG AREA: Outra
AREA: Multidisciplinar
SUMMARY:

Introduction: Heart failure (HF) is characterized by the inability of the heart to pump blood efficiently to supply tissue metabolic demands or to do so at high filling pressures. It is estimated that there are 23 million people with HF worldwide. Due to the high rates of hospitalizations and mortality, this condition is seen as a serious public health problem. Considering that one of the main causes of readmissions is poor adherence to treatment, that adherence to treatment is a multidimensional specificity and that there is a clear need for a multidisciplinary approach for these patients, we realized the need to develop an instrument to comprehensively assess adherence to treatment in patients with heart failure. Objective: To develop and validate a multidimensional scale for assessment treatment adherence in patients with heart failure. Method: A methodological study conducted at a reference cardiology hospital in the Federal District, involving 9 specialists and 36 patients. The process followed 5 stages: establishment of the conceptual framework, definition of objectives and target population; 1st stage - Construction of domains, items, and response scale; 2nd stage - Selection and organization of items, and structuring the questionnaire; 3rd stage - Content validity; 4th stage - Pre-testing; 5th stage – Post pre-test content validity. For analysis, the content validity was calculated using the agreement rate (TC > 90%) and content validity index (CVI > 0.9). Results: The instrument was developed based on literature review, clinical practices, and content validation by specialists and patients. The final scale included 32 items distributed across four dimensions, allowing for the stratification of adherence as high, medium, or low. Content validation showed a concordance rate above 90% and a content validity index of 1.0. Conclusion: This study contributes with a new instrument to identify adherence barriers and adherence to the therapeutic plan. With this scale, it is possible to promote personalized interventions, improving treatment adherence and clinical outcomes for patients with heart failure.

COMMITTEE MEMBERS:
Externa à Instituição - LILIANA CRISTINA DE CASTRO - ICTDF
Externo à Instituição - GUILHERME AUGUSTO SANTOS BUENO - UNIRV
Externa ao Programa - 1705420 - JULIANA DE FARIA FRACON E ROMAO - nullPresidente - 1191281 - VERA REGINA FERNANDES DA SILVA MARAES