Palavras-chave
Adesão ao tratamento
Antirreumático
Estudo de validação
Como Citar
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Resumo
Objetivo: Realizar a validação de construto e confiabilidade de uma versão em português do Compliance Questionnaire Rheumatology (bCQR). Métodos: Estudo metodológico de adaptação transcultural, que consistiu nos estágios de tradução, síntese, retrotradução, avaliação por comitê multiprofissional e pré-teste em 52 pacientes ambulatoriais com artrite reumatoide (RA). As propriedades psicométricas foram avaliadas por meio da validação estrutural - análises fatoriais exploratória e confirmatória, com uso da técnica Robust Diagonally Weighted Least Squares (RDWLS) – e consistência interna, com uso do alfa de Cronbach. A fidedignidade composta também foi avaliada. Resultados: A análise fatorial identificou uma estrutura unidimensional, com bom ajuste dos dados após análise fatorial confirmatória (x2 não significativo; p=0.788), resultados adequados quando testados em diferentes modelos de ajuste e manutenção dos 19 itens, conforme as cargas. O coeficiente alfa de Cronbach (0,75) e a fidedignidade composta (0,84) indicaram uma forte estrutura fatorial e a confiabilidade do bCQR. Conclusão: Este estudo valida a adaptação transcultural do bCQR, sendo confiável para avaliar a adesão em pacientes com AR, que pode ser útil na pesquisa e prática clínica, como instrumento de triagem ou orientar intervenções educativas.
Referências
ALJOHANI R, et al. Saudi cultural adaptation of the "compliance questionnaire of Rheumatology" for Rheumatoid arthritis patients on disease modifying anti-rheumatic drugs (DMARDs). Saudi Pharmaceutical Journal, 2021; 29 (5): 377-383.
BACELAR S, et al. Expressões médicas: glossário de dificuldades em terminologia médica. Brasília: Conselho Federal de Medicina, 2018; 412p.
BEATON DE, et al. Guidelines for the process of cross-cultural adaptation of self-report measures. Spine, 2000; 25(24): 3186-3191.
BRASIL. Política Nacional de Medicamentos. 2001. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/politica_medicamentos.pdf Acessado em: 15 de julho de 2021.
BRASIL. Protocolo Clínico e Diretrizes Terapêuticas da Artrite Reumatoide e da Artrite Idiopática Juvenil. 2021. Disponível em: https://www.gov.br/conitec/pt-br/midias/protocolos/20211112_portaria_conjunta_16_pcdt_ar.pdf Acessado em: 17 de dezembro de 2021.
BRASIL. Resolução n. 466, de 12 de dezembro de 2012. Disponível em: https://conselho.saude.gov.br/resolucoes/2012/Reso466.pdf Acessado em: 11 de dezembro de 2020.
BROWN TA. Confirmatory factor analysis for applied research. 2nd ed. New York: Guilford Publications, 2015; 462p.
CINAR F, et al. Cross-cultural adaptation, reliability, and validity of the turkish version of the compliance questionnaire on rheumatology in patients with Behçet's disease. Journal of Transcultural Nursing, 2016; 27(5):480-6.
CURTIS JR, et al. Adherence and persistence with methotrexate in rheumatoid arthritis: A Systematic Review. The Journal of Rheumatology, 2016; 43 (11):1997-2009.
de KLERK E, et al. Development of a questionnaire to investigate patient compliance with antirheumatic drug therapy. Journal of Rheumatology, 1999; 26 (12): 2635-2641.
de KLERK E, et al. The Compliance-Questionnaire-Rheumatology compared with electronic medication event monitoring: a validation study. Journal of Rheumatology, 2003; 30 (11): 2469 – 2475.
DESCRITORES EM CIÊNCIAS DA SAÚDE: DeCS. São Paulo (SP): BIREME/OPAS/OMS. 2017. Disponível em: https://decs.bvsalud.org/ Acessado em: 13 de maio de 2022.
DISTEFANO C e MORGAN GB. A comparison of diagonal weighted least squares robust estimation techniques for ordinal data. Structural Equation Modeling: a multidisciplinary journal, 2014; 21(3): 425-438.
GAUD-LISTRAT V, et al. Adherence to and patient's knowledge of self-management of subcutaneous biologic therapy in chronic inflammatory rheumatic diseases: results of a multicentre cross-sectional study. Clinical and Experimental Rheumatology, 2022; 40(5): 928-935.
GOSSEC L, et al. Recommendations for the assessment and optimization of adherence to disease-modifying drugs in chronic inflammatory rheumatic diseases: A process based on literature reviews and expert consensus. Joint Bone Spine, 2019; 86 (1):13-19.
HUGUES LD, et al. A 5 item version of the Compliance Questionnaire for Rheumatology (CQR5) successfully identifies low adherence to DMARDs. BMC Musculoskeletal Disorders, 2013; 14.
JOPLIN S, et al. Medication adherence in patients with rheumatoid arthritis: the effect of patient education, health literacy, and musculoskeletal ultrasound. BioMed Research International, 2015.
KWAN YH, et al. Measurement Properties of Existing Patient-Reported Outcome Measures on Medication Adherence: Systematic Review. Journal of Medical Internet Research, 2020; 22 (10): e19179.
LAVIELLE M, et al. Methods to improve medication adherence in patients with chronic inflammatory rheumatic diseases: a systematic literature review. Rheumatic and Musculoskeletal Diseases Open, 2018; 4: e000684.
LEE JY, et al. Cultural Adaptation of a Compliance Questionnaire for Patients with Rheumatoid Arthritis to a Korean Version. The Korean Journal of Internal Medicine, 2011; 26 (1).
LI CH. Confirmatory factor analysis with ordinal data: Comparing robust maximum likelihood and diagonally weighted least squares. Behavior Research Methods, 2016; 48(3): 936-949.
LIMA RM e DUARTE KP. Non-steroidal anti-inflammatory (NSAID) and self-medication. Research, Society and Development, 2022; 11(5): e13211527872.
MOKKINK LB, et al. The COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN) and how to select an outcome measurement instrument. Brazilian Journal of Physical Therapy, 2016; 20(2): 105-113.
MOKKINK LB, et al. The COSMIN checklist for assessing the methodological quality of studies on measurement properties of health status measurement instruments: an international Delphi study. Quality of Life Research, 2010; 19(4): 539-549.
NAGY G, et al. EULAR points to consider for the management of difficult-to-treat rheumatoid arthritis. Annals of Rheumatic Diseases, 2022; 81(1): 20-33.
PASMA A, et al. Does non-adherence to DMARDs influence hospital-related healthcare costs for early arthritis in the first year of treatment? PLoS One, 2017; 12(2): e0171070.
PASQUALI, L. Psicometria: teoria dos testes na psicologia e na educação. Rio de Janeiro: Vozes, 2017; 400p.
POLIT DF. Getting serious about test-retest reliability: a critique of retest research and some recommendations. Quality of Life Research, 2014; 23(6): 1713-1720.
RAYKOV T. Estimation of composite reliability for congeneric measures. Applied Psychological Measurement, 1997; 21(2): 173-184.
RITSCHL V, et al. 2020 EULAR points to consider for the prevention, screening, assessment and management of non-adherence to treatment in people with rheumatic and musculoskeletal diseases for use in clinical practice. Annals of Rheumatic Diseases, 2021; 80(6): 707-713.
RITSCHL V, et al. Prevention, screening, assessing and managing of non-adherent behaviour in people with rheumatic and musculoskeletal diseases: systematic reviews informing the 2020 EULAR points to consider. Rheumatic and Musculoskeletal Diseases Open, 2020; 6(3): e001432.
SALGADO E, et al. Spanish transcultural adaptation and validation of the English version of the compliance questionnaire in rheumatology. Rheumatology International, 2018; 38(3): 467-472.
SALT E, et al. Psychometric properties of three medication adherence scales in patients with rheumatoid arthritis. Journal of Nursing Measurement, 2012; 20 (1): 59–72.
SILVA GD, et al. Perfil de gastos com o tratamento da artrite reumatoide para pacientes do Sistema Único de Saúde em Minas Gerais, Brasil, de 2008 a 2013. Ciência e Saúde Coletiva, 2018; 23(4): 1241-1253.
SMOLEN JS, et al. EULAR recommendations for the management of rheumatoid arthritis with synthetic and biological disease-modifying antirheumatic drugs: 2019 update. Annals of Rheumatic Diseases, 2020; 79(6): 685-699.
STREINER DL. Starting at the beginning: an introduction to coefficient alpha and internal consistency. Journal of Personality Assessment, 2003; 80(1): 99-103.
VAN DEN BEMT BJF, et al. Medication adherence in patients with rheumatoid arthritis: a critical appraisal of the existing literature. Expert Review of Clinical Immunology, 2012; 8(4): 337-351.
VOSHAAR MJ, et al. Patient-centred care in established rheumatoid arthritis. Best Practice and Research Clinical Rheumatology, 2015; 29(4-5): 643-63.
WHO. Adherence to long-term therapies: evidence for action. World Health Organization. 2003. Disponível em: https://apps.who.int/iris/handle/10665/42682 Acessado em: 25 de janeiro de 2021.
ZENUK C. Clearing up potential misconceptions about the treatment of rheumatoid arthritis and the use of methotrexate in combination therapy. Canadian Pharmacists Journal, 2018; 151(2): 94-97.