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ISSN-e: 1518-8345 | ISSN Print 0104-1169

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Number V23N5

From 25 to 26 of 26 item(s).

Original Articles

Validation of the Adherence Determinants Questionnaire scale among women with breast and cervical cancer

Validação da escala Adherence Determinants Questionnaire entre mulheres com câncer de mama e cervical

Paula Renata Amorim Lessa, Samila Gomes Ribeiro, Priscila de Souza Aquino, Paulo Cesar de Almeida, A...

Objectives: the aim was to translate and culturally adapt the Adherence Determinants Questionnaire scale for the Portuguese language in the Brazilian context, and to check its reliability and validity to analyze the elements of the adherence of patients to the clinical treatment for breast and cervical cancer. Method: this was a methodological study, carried out in two oncology reference centers. The sample consisted of 198 participants, with 152 being treated for breast cancer and 46 being treated for cervical cancer. The content validation was performed by a committee of experts. The construct validation was demonstrated through factor analysis and the reliability was analyzed using Cronbach’s alpha. Results: the committee of experts made the necessary adjustments so that the scale was adapted to the Brazilian context. The factor analysis suggested a reduction from seven to five factors and the maintenance of 38 items similar to those of the original scale. The reliability, investigated through Cronbach’s alpha, was .829, showing high internal consistency. Conclusion: it was concluded that the Brazilian version of the Adherence Determinants Questionnaire scale is a valid and reliable instrument that is able to measure the elements of adherence to the treatment for breast and cervical cancer.

Primary Health Care Evaluation: the view of clients and professionals about the Family Health Strategy

Avaliação da Atenção Primária à Saúde: a visão de usuários e profissionais sobre a Estratégia de Saúde da Família

Simone Albino da Silva, Tamara Cristina Baitelo, Lislaine Aparecida Fracolli

Objective: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process. Method: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1. Results: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services. Conclusions: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.