Validação do The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) em Estudantes Universitários

Mostardinha, António Ramalho; Bártolo, Ana; Bonifacio, José Alberto; Pereira, Anabela

doi:10.20344/amp.10650

Cited by 14 publications

(8 citation statements)

References 36 publications

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“…Para desenvolver a escala reduzida, os itens com parâmetro de discriminação ≥ 1 foram mantidos. Conforme Baker (Mostardinha et al, 2019) quanto maior for a discriminação do item, maior será a informação que ele traz para o traço latente (Gomes et al, 2018).…”

Section: Discussionunclassified

“…O ponto de corte foi analisado segundo Baker (Mostardinha et al, 2019) que apresenta a classificação do parâmetro por faixa de valores: nenhuma discriminação (0,0); discriminação muito baixa (0,01a 0,34); discriminação baixa (0,35 a 0,64); discriminação moderada (0,65 a 1,34); discriminação alta (1,35 a1,69); discriminação muito alta (> 1,70). O parâmetro de dificuldade (b) varia de -3 a +3, em que -3 são itens mais fáceis, e +3 os itens mais difíceis (Pasquali & Primi, 2003).…”

Section: Metodologiaunclassified

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Avaliação do conhecimento sobre o HIV: uma escala reduzida com base na Teoria de Resposta ao Item

Echevenguá

Minasi

Teixeira

et al. 2022

RSD

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Objetivo: Baseado na Teoria de Resposta ao Item, elaborar escala reduzida, a partir do Questionário sobre Conhecimento do Vírus da Imunodeficiência Humana, na População Privada de Liberdade. Metodologia: Estudo de validação com 571 homens e mulheres privados de liberdade, regime fechado, da 5ª Delegacia Penitenciária Regional Sul. Por Questionário sobre Conhecimento do Vírus da Imunodeficiência Humana Auto Aplicado. Analisada pela Teoria de Resposta ao Item, dimensionalidade pela análise fatorial exploratória e confirmatória. Consistência interna avaliada pela alfa de Crombach e a relevância de cada item calculada pela correlação ponto bisserial. O Modelo logístico de dois parâmetros e identificação dos itens âncora, segundo o nível do conhecimento theta, permitiram organizar a escala reduzida. Resultados: 571 respondentes, 90% homens, idade média 32 anos, 63% pele branca, 61%, sem companheiro e escolaridade média 7 anos. Os itens da escala original (n=43) com o melhor ajuste psicométrico foram mantidos. Excluídos 4 itens. Escala final constou 39 itens, quatro níveis de conhecimento sobre Vírus da Imunodeficiência Humana, posicionados no intervalo do percentil 45 a 60. Destes, obteve-se maior número de itens no nível 50 (média), sugerindo que o instrumento é adequado para avaliar indivíduos com conhecimento médio sobre o tema. Conclusão: Escala reduzida do questionário sobre Conhecimento do Vírus da Imunodeficiência Humana, com modelo unidimensional, manteve-se com 39 itens dicotômicos, com qual idades discriminativas e com dificuldade mediano para a população estudada.

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Section: Discussionunclassified

Section: Metodologiaunclassified

Avaliação do conhecimento sobre o HIV: uma escala reduzida com base na Teoria de Resposta ao Item

Echevenguá

Minasi

Teixeira

et al. 2022

RSD

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“…To measure substance use and abuse, WOICE includes Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) [ 15 , 16 ]. For sexual satisfaction and sexual and domestic violence, parts of some scores already validated are within the WOICE, such as the Brief Sexual Symptom Checklist for Women (BSSC-W) and some questions from a questionnaire used in the Multi-country Study on Women’s Health and Domestic Violence against Women of the WHO [ 17 ].…”

Section: Methodsmentioning

confidence: 99%

Giving women WOICE postpartum: prevalence of maternal morbidity in high-risk pregnancies using the WHO-WOICE instrument

Lamus

Pabon

MPoca

et al. 2021

BMC Pregnancy Childbirth

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Background There are no accurate estimates of the prevalence of non-severe maternal morbidities. Given the lack of instruments to fully assess these morbidities, the World Health Organization (WHO) developed an instrument called WOICE. We aimed to evaluate the prevalence of non-severe maternal morbidities in puerperal women and factors associated to impaired clinical, social and mental health conditions. Method A cross-sectional study with postpartum women at a high-risk outpatient clinic in southeast Brazil, from November 2017 to December 2018. The WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; the second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. Data collection was supported by Tablets with REDCAP software. Initially, a descriptive analysis was performed, with general prevalence of all variables contained in the WOICE, including scales on anxiety and depression (GAD-7 and PHQ-9- impaired if ≥10), functionality (WHODAS- high disability scores when ≥37.4) and data on violence and substance use. Subsequently, an evaluation of cases with positive findings was performed, with a Poisson regression to investigate factors associated to impaired non-clinical and clinical conditions. Results Five hundred seventeen women were included, majority (54.3%) multiparous, between 20 and 34 years (65.4%) and with a partner (75,6%). Over a quarter had (26.2%) preterm birth. Around a third (30.2%) reported health problems informed by the physician, although more than 80% considered having good or very good health. About 10% reported any substance use and 5.9% reported exposure to violence. Anxiety was identified in 19.8% of cases, depression in 36.9% and impaired functioning in 4.4% of women. Poisson regression identified that poor overall health rating was associated to increased anxiety/depression and impaired functioning. Having a partner reduced perception of women on the presence of clinical morbidities. Conclusion During postpartum care of a high-risk population, over one third of the considered women presented anxiety and depression; 10% reported substance use and around 6% exposure to violence. These aspects of women’s health need further evaluation and specific interventions to improve quality of care.

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“…To measure substance use and abuse, WOICE includes Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) (17). For sexual satisfaction and sexual and domestic violence, parts of some scores already validated are within the WOICE, such as the Brief Sexual Symptom Checklist for Women (BSSC-W) and some questions from a questionnaire used in the Multi-country Study on Women's Health and Domestic Violence against Women of the WHO (18,19).…”

Section: Methodsmentioning

confidence: 99%

Giving women WOICE postpartum: Prevalence of maternal morbidity using the WHO-WOICE instrument

Lamus

Lozano

MPoca

et al. 2020

Preprint

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BackgroundThere are no accurate estimates of the prevalence of non-severe maternal morbidities. Given the lack of instruments to fully assess these morbidities, the World Health Organization (WHO) developed an instrument called WOICE.ObjectiveTo evaluate the prevalence of non-severe maternal morbidities in puerperal women and analyses factors associated to impaired clinical, social and mental health conditions.MethodA cross-sectional study with 519 postpartum women in a single encounter 6 to 12 weeks postpartum. The WOICE questionnaire included three sections: the first with maternal and obstetric history, sociodemographic data, risk and environment factors, violence and sexual health; The second considers functionality and disability, general symptoms and mental health; and the third includes data on physical and laboratory tests. Data collection was supported by Tablets with REDCAP software. Initially, a descriptive analysis was performed, with general prevalence of all variables contained in the WOICE, including scales on anxiety and depression (GAD-7 and PHQ-9- altered if ≥ 10), functionality (WHODAS- altered when ≥ 37.4) and data on violence and substance use. Subsequently, an evaluation of cases with alterations was performed, with a logistic regression to investigate factors associated to impaired non-clinical and clinical conditions.Results517 women were included, majority (54.3%) multiparous, ages between 20 and 34 years (65.4%) and with partner (75,6%). Over a quarter had (26.2%) preterm birth, however good perinatal outcomes. Around a third (30.2%) reported health problems informed by the physician, although more than 80% considered having good or very good health. About 10% reported any substance and 5.9% suffered violence. Anxiety was identified in 19.8% of cases, depression in 36.9% and altered functioning in 4.4% of women. Logistic regression identified that poor overall health rating was associated to increased anxiety/depression and impaired functioning. Having a partner reduces the perception of women on the presence of clinical morbidities.ConclusionDuring postpartum care, women presented high frequency of anxiety and depression and relevant frequency of substance use and violence. These aspects of women´s health need further evaluation and specific interventions to improve quality of care.

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Validação do The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST) em Estudantes Universitários

Cited by 14 publications

References 36 publications

Avaliação do conhecimento sobre o HIV: uma escala reduzida com base na Teoria de Resposta ao Item

Avaliação do conhecimento sobre o HIV: uma escala reduzida com base na Teoria de Resposta ao Item

Giving women WOICE postpartum: prevalence of maternal morbidity in high-risk pregnancies using the WHO-WOICE instrument

Giving women WOICE postpartum: Prevalence of maternal morbidity using the WHO-WOICE instrument

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