Quiroz Mora CA1, Suaza Casañas DM1, Peña Salas M1
1Escuela Nacional del Deporte, School of Health and Rehabilitation, Cali, Colombia
Background: The different instruments that have been created until today to measure the physical activity (PA) in people with non-communicable chronic diseases (NCCD), don't recognize the factors that could influence in the adherence to the PA.
Purpose: Determine the content validity of a questionnaire designed to evaluate adherence to PA in patients enrolled in the program for the control of NCCD of the Ladera E.S.E health care network of the municipality of Santiago de Cali - Colombia.
Methods: A descriptive cross-sectional study was carried out for the content validation phase, based on theoretical referents of; WHO, Kelli Allen and Miriam C. Morey.
Because of their experience and knowledge on the topic, 30 experts in the area were selected to perform the content validation process and determine the relevance and importance of the factors contained in the evaluation instrument, product of this research.
After the theoretical review described above, a list of 30 possible variables was prepared to measure, creating an instrument for expert judgment that had practically all or most of the components of adherence to physical activity.
The content validity rate of each item was determined with the purpose of assessing the pertinence and relevance of each of them.
Pertinence: Assesses whether the item is the most adequate or appropriate for inclusion in the evaluation instrument.
Relevance: Assesses whether the item is relevant, outstanding or highlighted with regard to the other items or reagents that are found in the factor. The experts rated each item according to the properties of pertinence and relevance on a scale of 1 to 5.
For the interpretation and analysis of data which led to the modification and/or removal of items, the following criteria were set:
Results: The instrument presented a general content validity rate of 0.64, greater than the minimum required value of 0.62, according to Lawshe, for the test with 30 experts, which guarantees content validity from the scientific literature related to adherence to physical activity, ensuring general content validity.
The next items were rated with the value greater than 0,69 of relevance. They are: Low socio-economic level (0.70), Schooling (0.80), Occupation (0.70), Marital status (0.73), Chronic Diseases (1.00), Lack of enjoyment of physical activity (0.70), Low self efficacy for physical activity (0.77), Low self-motivation for physical activity (0.80), Poor level of physical condition (0.77), History of physical activity (0.70), Smoking (0.70), Lack of cohesion in the exercise group (0.73).
Conclusion(s): Ten aspects must be considered to measure the adherence to the PA in patients with NCCD: socio-economical level, education, occupation, marital status, chronic diseases, enjoyment of PA, self-effectiveness, self-motivation to PA, level and background of good PA, old age, female gender, ethnic group, social security and the doctor's knowledge about PA.
Implications: The authors declare that there is no conflict of interest in the present manuscript.
Keywords: Treatment Adherence and Compliance, Validation Studies, Physical Activity
Funding acknowledgements: The present research was funded by the University Escuela Nacional del Deporte
Purpose: Determine the content validity of a questionnaire designed to evaluate adherence to PA in patients enrolled in the program for the control of NCCD of the Ladera E.S.E health care network of the municipality of Santiago de Cali - Colombia.
Methods: A descriptive cross-sectional study was carried out for the content validation phase, based on theoretical referents of; WHO, Kelli Allen and Miriam C. Morey.
Because of their experience and knowledge on the topic, 30 experts in the area were selected to perform the content validation process and determine the relevance and importance of the factors contained in the evaluation instrument, product of this research.
After the theoretical review described above, a list of 30 possible variables was prepared to measure, creating an instrument for expert judgment that had practically all or most of the components of adherence to physical activity.
The content validity rate of each item was determined with the purpose of assessing the pertinence and relevance of each of them.
Pertinence: Assesses whether the item is the most adequate or appropriate for inclusion in the evaluation instrument.
Relevance: Assesses whether the item is relevant, outstanding or highlighted with regard to the other items or reagents that are found in the factor. The experts rated each item according to the properties of pertinence and relevance on a scale of 1 to 5.
For the interpretation and analysis of data which led to the modification and/or removal of items, the following criteria were set:
- Content Validity Rate (CVR)
- General Content Validity Rate (GCVR)
- Content Validity Rate of Each Item (CVREI)
Results: The instrument presented a general content validity rate of 0.64, greater than the minimum required value of 0.62, according to Lawshe, for the test with 30 experts, which guarantees content validity from the scientific literature related to adherence to physical activity, ensuring general content validity.
The next items were rated with the value greater than 0,69 of relevance. They are: Low socio-economic level (0.70), Schooling (0.80), Occupation (0.70), Marital status (0.73), Chronic Diseases (1.00), Lack of enjoyment of physical activity (0.70), Low self efficacy for physical activity (0.77), Low self-motivation for physical activity (0.80), Poor level of physical condition (0.77), History of physical activity (0.70), Smoking (0.70), Lack of cohesion in the exercise group (0.73).
Conclusion(s): Ten aspects must be considered to measure the adherence to the PA in patients with NCCD: socio-economical level, education, occupation, marital status, chronic diseases, enjoyment of PA, self-effectiveness, self-motivation to PA, level and background of good PA, old age, female gender, ethnic group, social security and the doctor's knowledge about PA.
Implications: The authors declare that there is no conflict of interest in the present manuscript.
Keywords: Treatment Adherence and Compliance, Validation Studies, Physical Activity
Funding acknowledgements: The present research was funded by the University Escuela Nacional del Deporte
Topic: Non-communicable diseases (NCDs) & risk factors; Outcome measurement; Primary health care
Ethics approval required: No
Institution: Escuela Nacional del Deporte
Ethics committee: Ethics committee of the Escuela Nacional del Deporte
Reason not required: This investigation was considered without risk
All authors, affiliations and abstracts have been published as submitted.
