Technology validity process: instrument for assessing the feet of people with Diabetes Mellitus

Keywords: Diabetes Mellitus, Diabetic Foot, Technology, Validation Study

Abstract

Objective: to validate the content of amode of conduct technology called InstrumentoPara AvaliaçãoDos Pés De Pessoas Com Diabetes Mellitus (Instrument for Assessing the feet of people with Diabetes Mellitus). Method: methodological research carried out with expertnurses in diabetic foot selected on the Lattes/CNPq Platform using advanced search, resulting in 51 curricula that met established criteria. Invitations were sent by email with a link to answers and access to technology on Google Forms. Data were obtained between December 2020 and March 2021. Analysis included the pertinence of each item and the clarity and relevance of each sub-item on a Likert scale. Data were analyzed using descriptive statistics in relation to the committee agreement rate greater than or equal to 80% and in relation to the minimum Content Validity Index of 0.90. Results: there was feedback from 27 judges who considered that all items and sub-items reached the rates established with experts agreeing on the assessed content greater than 96%. The Content Validity Index was greater than 0.92. Conclusion: the technology content was validated and considered an adequate instrument for use by nurses in the care of people with diabetes, which not only indicates the items to be assessed, but also guides how to carry out assessment and also allows recording to monitor the evolution.

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Author Biographies

Bianca Jardim Vilhena, University of the State of Amazonas

Nurse, Master's in nursing, professor at the University of the State of Amazonas.

Denise Maria Guerreiro Vieira da Silva, University of the State of Amazonas

Enfermeira, Doutora em Enfermagem, Professora titular aposentada da Universidade Federal de Santa Catarina (UFSC) e professora visitante da University of the State of Amazonas.

Flavia Regina Souza Ramos, University of the State of Amazonas

Nurse, PhD in nursing, retired full professor at the Federal University of Santa Catarina and visiting professor at the University of the State of Amazonas.

Julia Estela Willrich Boell, Federal University of Santa Catarina

Nurse, PhD in nursing, associate professor at the Federal University of Santa Catarina. 

Elizabeth Teixeira , Federal University of Pará

Nurse, PhD in nursing, professor at the Federal University of Pará.

References

Aldana PC, KhachemouneA. Diabetic Foot Ulcers: Appraising Standard of Care and Reviewing New Trends in Management. American Journal of Clinical Dermatology, 2020; 21:255–264 https://doi.org/10.1007/s40257-019-00495-x.

Abedini MR, Bijari B, Miri Z, EmampourSF, Abbasi A. The quality of life of the patients with diabetes type 2 using EQ-5D-5 L in Birjand. HRQOL,2020; 18:18 https://doi.org/10.1186/s12955-020-1277-8.

Bus SA, Lavery LA, Monteiro-Soares M, Rasmussen A, Raspovic A, Sacco ICN. Guideline on the prevention of foot ulcers in persons with diabetes. DiabetesMetab Res Rev.2020;36(S1):e3269. https://doi.org/10.1002/dmrr.3269

Van Netten JJ, Bus SA, Apelqvist J, Lipsky BA, Hinchliffe RJ, Game F, et al. Definitions and criteria for diabetic foot disease. Diabetes Metab Res Rev. 2020;36(1):e3268. DOI: 10.1002/dmrr.3268.

Fernández-Torres R, Ruiz-Muñoz M, Pérez-Panero AJ, García-Romero J, Gónzalez-Sánchez M. Instruments of choice for assessment and monitoring diabetic foot: A systematic review. J Clin Med. 2020;9(2):602. DOI: 10.3390/jcm9020602.

Wang A, LvG, Cheng X, Ma X, Wang W, Gui Jet al. Guidelines on multidisciplinary approaches for the prevention and management of diabetic foot disease (2020 edition). Burns & Trauma, 2020, 8, tkaa017 doi: 10.1093/burnst/tkaa017.

Pérez-Panero AJ, Ruiz-Muñoz M, Cuesta-Vargas AI, Gónzalez-Sánchez M. Prevention, assessment, diagnosis and management of diabetic foot based on clinical practice guidelines A systematic review. Medicine. 2019, 98:35. DOI: 10.1097/MD.0000000000016877.

Van Netten JJ, Sacco ICN, Lavery L, Monteiro-Soares M, Rasmussen A, Raspovic A et al.Treatment of modifiable risk factors for foot ulceration in persons with diabetes: a systematic review. Diabetes Metab Res Rev. 2020;36(S1):e3271. https://doi.org/10.1002/dmrr.327

Ferraz SCS, Rocha PK, Tomazoni A, Waterkemper R, Schoeller SD, Echevarría- -Guanilo MEC. Uso das tecnologias de enfermagem para uma assistência segura no perioperatório pediátrico. Rev Gaúcha Enferm. 2020;41:e20190251. doi: https://doi.org/10.1590/1983- 1447.2020.20190251

Niestsche, EA. Tecnologia Emancipatória: possibilidade ou impossibilidade para a práxis de enfermagem. 1ª ed. Ijuí (RS): Unijuí, 2000.

Alexandre NMC, Coluci MZO. Content validity in the development and adaptation processes of measurement instruments. CienSaude Colet. 2011;16(7):3061–8. DOI: 10.1590/s1413-81232011000800006.

Fehring RJ. Methods to validate nursing diagnoses. Heart Lung. 1987;16(6):625-9. Available from: https://core.ac.uk/download/pdf/213076462.pdf

Pasquali, L. Psicometria: teoria dos testes na psicologia e na educação. 5ª ed. Rio de Janeiro: Vozes, 2017.

Schaper NC, van Netten JJ, Apelqvist J, Bus SA, Hinchliffe RJ, Lipsky BA, et al. Practical Guidelines on the prevention and management of diabetic foot disease. Diabetes Metab Res Rev. 2020;36(1):e3266. DOI: 10.1002/dmrr.3266.

American Diabetes Association (ADA). Comprehensive medical evaluation and assessment of comorbidities: Standards of Medical Care in diabetes-2019. Diabetes Care. 2019;42(1):S34–45. Available from::http://dx.doi.org/10.2337/dc19-S004.

Woody J. Overview of Diabetic foot care for the nurse practitioner. The Journal for Nurse practitioner. 16(2020)28-33. http://doi.org/101016/j.nurpra2019.08.011.

Brasil. Ministério da Saúde. Secretária de Atenção Primária a Saúde (SAPS) Manual do pé diabético: estratégias para o cuidado da pessoa com doença crônica Brasília: Ministério da Saúde [Internet]. 2016 [acesso em 27 de nov. 2022]. Availablefrom::https://aps.saude.gov.br/biblioteca/visualizar/MTMzNQ==

Couppé C, Svensson RB, Kongsgaard M, Kovanen V, Grosset J-F, Snorgaard O, et al. Human Achilles tendon glycation and function in diabetes. J Appl Physiol. 2016;120(2):130–7. DOI: 10.1152/japplphysiol.00547.2015.

Amin N, Doupis J. Diabetic foot disease: From the evaluation of the “foot at risk” to the novel diabetic ulcer treatment modalities. World J Diabetes. 2016;7(7):153–64. DOI: 10.4239/wjd.v7.i7.153

Formosa C, Gatt A, Chockalingam N. A critical evaluation of existing diabetic Foot Screening guidelines. Rev Diabet Stud. 2016;13(2–3):158–86. DOI: 10.1900/RDS.2016.13.158

Lauterte P, Silva DMVG da, Salci MA, Heidemann ITSB, Romanoski PJ. Protocolo de enfermagem para o cuidado da pessoa com diabetes mellitus na atenção primária. RevEnferm UFSM. 2020;10:e72. DOI: 10.5902/2179769240638.

Galdino Félix L, Oliveira de Mendonça AE, Alves da Silva M, De Oliveira Soares SH, De Almeida AM, Guimarães Oliveira Soares MJ. Validation of an instrument to investigate nurses’ knowledge on diabetic foot. CiêncCuid Saúde. 2021;20. DOI: 10.4025/ciencuidsaude.v20i0.55475.

Arruda C, Boell JEW, Silva DMGV, Lopes SGR, Lauterte P, Junke C. Tecnologia educativa para cuidados e prevenção do pé diabético. CiencCuidSaude. 2021;20:e50115. DOI: 10.4025/cienccuidsaude.v20i0.50115.

Almaqhawi A, Highton P, Narasimhan M,Davies MJ, KhuntiK,Seidu S. Evaluation of quality of diabetic foot examination on YouTube. Diabetic Medicine. 2023;40:e14936. https://doi.org/10.1111/dme.14936.

Published
2023-08-23
How to Cite
Vilhena, B. J., Silva, D. M. G. V. da, Ramos, F. R. S., Boell, J. E. W., & Teixeira , E. (2023). Technology validity process: instrument for assessing the feet of people with Diabetes Mellitus. Ciência, Cuidado E Saúde, 22. https://doi.org/10.4025/ciencuidsaude.v22i0.65993
Section
Original articles