Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas / Validation of the knowledge and attitudes of health professionals in the Living Will Declaration process

OBJETIVO: Evaluar la validez y la fiabilidad del cuestionario de «Conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas» (VVA). DISEÑO: Estudio transversal en 3 fases: a) pilotaje con cuestionario administrado en papel para valorar pérdidas y problemas de ajuste del cuestionario; b) valoración de la validez y fiabilidad interna del cuestionario, y c) evaluación de la estabilidad (test-retest) del cuestionario filtrado de la fase previa. Emplazamiento: Área Sanitaria Costa del Sol (Málaga). Enero de 2014 a abril de 2015. PARTICIPANTES: Profesionales sanitarios del Distrito de Atención Primaria Costa del Sol y la Agencia Sanitaria Costa del Sol. Contestaron 391 (23,6%). Cien participaron en la evaluación de la estabilidad (83 respuestas). Mediciones principales: El cuestionario constaba de 2 bloques: a) Conocimientos (5 dimensiones y 41 ítems), y b) Actitudes (2 dimensiones y 17 ítems). RESULTADOS: En el estudio piloto, en ningún ítem las perdidas superaron el 10%. En la fase de evaluación de la validez y la fiabilidad, el cuestionario se redujo a 41 ítems (29 de conocimientos y 12 de actitudes). En la fase de evaluación de la estabilidad, todos los ítems evaluados, bien cumplieron criterio de kappa superior a 0,2, o tenían un porcentaje de acuerdo absoluto superior al 75%. CONCLUSIONES: El cuestionario permitirá identificar el estado y las áreas de mejora en el entorno sanitario, y posibilitar posteriormente una mejora de la cultura de las VVA en la población general

OBJECTIVE: Evaluate the validity and reliability of the knowledge and attitudes of health professionals questionnaire on the Living Will Declaration (LWD) process. DESIGN: Cross-sectional study structured into 3 phases: (I) pilot questionnaire administered with paper to assess losses and adjustment problems; (II) assessment of the validity and internal reliability, and (III) assessment of the pre-filtering questionnaire stability (test-retest). LOCATION: Costa del Sol (Malaga) Health Area. January 2014 to April 2015. PARTICIPANTS: Healthcare professionals of the Costa del Sol Primary Care District and the Costa del Sol Health Agency. There were 391 (23.6%) responses, and 100 participated in the stability assessment (83 responses). MAIN MEASUREMENTS: The questionnaire consisted of 2 parts: (I) Knowledge (5 dimensions and 41 items), and (II) Attitudes (2 dimensions and 17 items). RESULTS: In the pilot study, none of the items lost over 10%. In the evaluation phase of validity and reliability, the questionnaire was reduced to 41 items (29 of knowledge, and 12 of attitudes). In the stability evaluation phase, all items evaluated met the requirement of a kappa higher than 0.2, or had a percentage of absolute agreement exceeding 75%. CONCLUSIONS: The questionnaire will identify the status and areas for improvement in the health care setting, and then will allow an improved culture of LWD process in general population

[Validation of the knowledge and attitudes of health professionals in the Living Will Declaration process]. / Validación del cuestionario de conocimientos y actitudes de los profesionales sanitarios en el proceso de declaración de voluntades vitales anticipadas.

OBJECTIVE: Evaluate the validity and reliability of the knowledge and attitudes of health professionals questionnaire on the Living Will Declaration (LWD) process. DESIGN: Cross-sectional study structured into 3 phases: (i)pilot questionnaire administered with paper to assess losses and adjustment problems; (ii)assessment of the validity and internal reliability, and (iii)assessment of the pre-filtering questionnaire stability (test-retest). LOCATION: Costa del Sol (Malaga) Health Area. January 2014 to April 2015. PARTICIPANTS: Healthcare professionals of the Costa del Sol Primary Care District and the Costa del Sol Health Agency. There were 391 (23.6%) responses, and 100 participated in the stability assessment (83 responses). MAIN MEASUREMENTS: The questionnaire consisted of 2 parts: (i)Knowledge (5 dimensions and 41 items), and (ii)Attitudes (2 dimensions and 17 items). RESULTS: In the pilot study, none of the items lost over 10%. In the evaluation phase of validity and reliability, the questionnaire was reduced to 41 items (29 of knowledge, and 12 of attitudes). In the stability evaluation phase, all items evaluated met the requirement of a kappa higher than 0.2, or had a percentage of absolute agreement exceeding 75%. CONCLUSIONS: The questionnaire will identify the status and areas for improvement in the health care setting, and then will allow an improved culture of LWD process in general population.