Validation of the american quality assessment model and performance improvement to the brazilian transplant

Abstract

Objective: To validate the quality assessment and performance improvement instrument of US transplant programs to the Brazilian reality. Method: Methodological study developed for semantic validation and cultural adaptation of the Quality assessment and Performance Improvement instrument in the following steps: 1) translation; 2) synthesis; 3) back translation; 4) review by expert committee; 5) pretest and 6) content validation. To evaluate the agreement between the five judges, the Kappa coefficient was used and for content validation, the content validation index. Results: Kappa coefficient showed the agreement of the judges for semantic, idiomatic, cultural and conceptual equivalences. Content validation index values for relevance and item sequence of at least 0.80 for all blocks. Conclusion: The instrument of Quality Evaluation and Performance Improvement of Transplantation Programs proved to be valid and reliable. This instrument will contribute to the development of quality assurance programs for transplant teams in Brazil.

Construction and validation of an instrument for classifying nipple and areola complex lesions resulting from breastfeeding

“…Current studies on the development of measurement instruments demonstrate that a widely used approach to assess content and/or appearance validity is Content Validity Index (CVI) by item, by dimension or globally, adopting a value minimum to reach agreement, which can range from 0.70 to 0.80 (30)(31)(32)(33)(34)(35)(37)(38)(39)(40)(41)(42)(43)(44) .…”

“…CVI was calculated by adding the items marked as "3" or "4" and divided by the total number of responses. A minimum value of 0.80 was adopted to reach agreement and items that presented indexes below the minimum would be reformulated according to judges' opinion (30)(31)(32)(33)(34)(35)38,(43)(44) .…”

“…As it is an important supplement for CVI, as it provides information on the degree of agreement beyond chance (31,38,42) , The Kappa coefficient was also calculated with the help of a statistic, using the statistical software STATA 12 (Stata#Corp, USA), which considered a significance level of 5% and an acceptance level of moderate to perfect agreement. Their values can range from 0 to 1, with perfect agreement from 1 to 0.81, substantial, from 0.61 to 0.80, moderate, from 0.41 to 0.60, weak, from 0.21 to 0.40, mild, from 0.0 to 0.20 and absent agreement less than 0 (45) .…”

“…Content and appearance validation took place through the Delphi technique, which consisted of sending the data collection instrument in rounds, which could extend up to 3 and/or end with the achievement of the determined minimum agreement (32)(33) . This strategy has been widely used in the field of health (32)(33)(37)(38) to obtain a maximum consensus from a group of experts on a given topic, especially when unanimity of opinion does not exist due to the lack of scientific evidence (20) . For this assessment, a Likert-type scale was adopted with a score of 1 to 4, and, in the case of non-agreement, a space for comments and suggestions was reserved.…”

Validating potential organ and tissue donors in the middle of the COVID-19 pandemic: Scoping review and recommendations construction

“… Solid organ transplantation programs facing lack of empiric evidence in the COVID-19 pandemic: A By-proxy Society Recommendation Consensus approach. 34 Perform Reverse-Transcriptase Polymerase Chain Reaction Test, watch for fever, cough, shortness of breath and gastrointestinal symptoms, and conduct research on community transmission. Strategies for prevention and control of the 2019 novel coronavirus disease in the department of kidney transplantation.…”