Construção e validação de instrumento para avaliação de autopercepção de competências de agentes comunitários de saúde sobre violência doméstica contra a mulher

Abstract

Domestic violence against women is a worldwide public health problem, constituting one of the main causes of female morbidity and mortality. The Family Health Strategy professionals, including the community health agent, are responsible for identifying groups, families or individuals exposed to risk or situations of domestic violence. The study aimed to develop and validate an instrument for assessing the self-perceived competence of community health workers to assist women in situations of domestic violence. This is an exploratory, methodological study, with a qualitative and quantitative approach that covered the construction of the instrument and the content validation by the Delphi technique in two cycles. 30 judges and 22 judges participated in the first cycle. The instrument was developed from the results of an integrative literature review carried out previously by the researcher and from documents adopted as a theoretical basis for its construction. For the content validation, a selfadministered questionnaire was used, which included an assessment of comprehensiveness, relevance and clarity with questions of the Likert type, in increasing graduation from the lowest to the highest level of evaluation, complemented by questions of free speech about suggestions and comments. For quantitative analysis, the content validity index (CVI) was used with an agreement level equal to or greater than 0.80. For free speech questions, the thematic content analysis method was adopted. The proposed instrument, after the two Delphi phases, was added in 17 questions, had two questions excluded and 18 reformulated. In the questions evaluated in the two cycles, there was an evolution in the consensus of the judges regarding the clarity of all questions and the scope of the domains. In the second cycle, there was a consensus IVC = 0.95 for relevance in all questions, average IVC = 0.99 for clarity and IVC = 1 for the scope of the domains. The added questions, assessed only in the second cycle, showed an average CVI = 0.94 for relevance and CVI = 0.99 for clarity. It is concluded that the instrument, in its final version, has substantially improved in terms of scope, clarity and relevance of content, and it can be inferred that the changes made contributed to this outcome