Women's Health Assessment Instrument in Primary Health Care: validity
evidence based on the test content and the response process (part I
Women's Health. Primary Health Care. Health Assessment. Validation Studies.
Psychometric Properties.
Objective: to build and obtain validity evidence based on the test content and
the response process to the Women's Health Assessment Instrument in
Primary Health Care.
Methods: Validation study, with quantitative approach, complying with the
recommendations by the Standards for Educational and Psychological Testing
(SEPT). A multidisciplinary team of 27 judges composed the panel of experts
who evaluated the items as “appropriate” and “not appropriate”, and 40
women were interviewed to evaluate the items as to the intelligibility and make
suggestions. The Item Content Validity Index (I-CVI) was used to analyze the
concordance between the judges in relation to each item, and the Content
Validity Index (IVC) to assess the agreement between the judges and the
instrument as a whole (domain representation).
Findings: It was observed that most of the items were considered adequate
and presented I-CVI ≥ 0.78 and CVI = 0.84. Therefore, the researchers decided
to follow the judges' suggestions and thus change some of the items to
facilitate understanding, preserving the semantic and contextual aspects of
the instrument, from which a second version was generated. The analysis of
the interviews, verbal and nonverbal responses and the suggestions of the
participants contributed to the adjustments on the items and resulted in the
third version of the instrument.
Conclusion: The Instrument for the Evaluation of Women's
and response process, which evidences its theoretical quality.