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      Validez de contenido de un protocolo de Buenas Prácticas en la evaluación del desarrollo psicomotor Translated title: Content validity of a guide of Good-Practices in the psychomotor development assessment

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          Abstract

          Resumen Introducción: Las pruebas para evaluar el desarrollo de un niño tienen la finalidad de monitorear sus logros de acuerdo a su edad, y para asegurar su efectiva evaluación se debe contar con un adecuado entrenamiento al personal de salud. Objetivos: Obtener evidencias de validez de contenido del protocolo de aplicación de pruebas de desarrollo psicomotor, respecto a la relevancia y claridad de los indicadores. Métodos: Se construyó el protocolo luego de la revisión de la literatura, la sistematización de experiencias y entrevistas a enfermeras dedicadas a la evaluación del desarrollo infantil. Luego de cumplir con criterios de competencia profesional y pragmáticos, fueron seleccionadas 10 enfermeras. Se cuantificaron los resultados mediante el coeficiente de validez de contenido V e intervalos de confianza asimétricos; previamente, se verificó la homogeneidad de las calificaciones de los jueces. Resultados: Los jueces mostraron predominantemente calificaciones homogéneas. Los indicadores fueron evaluados favorablemente por los jueces, respecto a la relevancia y claridad de su contenido; los coeficientes fueron generalmente altos (> 0.70). Un par de ítems tuvieron validez marginal, pero fue asociado al modo en que los enfermeros aplican las evaluaciones. Conclusiones: El protocolo desarrollado obtuvo evidencias satisfactorias de la relevancia y la claridad de sus indicadores, cumpliendo el criterio de evidencia de validez de contenido.

          Translated abstract

          Abstract Introduction: The tests to evaluate the development of a child have the purpose of monitoring their achievements according to their age, and to ensure their effective evaluation, adequate training must be provided to health personnel. Objectives: Obtain evidence of validity of content of the protocol of application of psychomotor development tests, regarding the relevance and clarity of the indicators. Methods: The protocol was constructed after reviewing the literature, systematizing experiences and interviews with nurses dedicated to the evaluation of child development. After fulfilling professional and pragmatic competence criteria, 10 nurses were selected. The results were quantified using the content validity coefficient V and asymmetric confidence intervals; Previously, the homogeneity of the judges' grades was verified. Results: The judges showed predominantly homogeneous grades. The indicators were evaluated favourably by the judges, regarding the relevance and clarity of their content; The coefficients were generally high (> 0.70). A couple of items had marginal validity, but it was associated with the way nurses apply the assessments. Conclusions: The developed protocol obtained satisfactory evidence of the relevance and clarity of its indicators, fulfilling the criterion of evidence of content validity.

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          Is the CVI an acceptable indicator of content validity? Appraisal and recommendations.

          Nurse researchers typically provide evidence of content validity for instruments by computing a content validity index (CVI), based on experts' ratings of item relevance. We compared the CVI to alternative indexes and concluded that the widely-used CVI has advantages with regard to ease of computation, understandability, focus on agreement of relevance rather than agreement per se, focus on consensus rather than consistency, and provision of both item and scale information. One weakness is its failure to adjust for chance agreement. We solved this by translating item-level CVIs (I-CVIs) into values of a modified kappa statistic. Our translation suggests that items with an I-CVI of .78 or higher for three or more experts could be considered evidence of good content validity.
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            Identifying infants and young children with developmental disorders in the medical home: an algorithm for developmental surveillance and screening.

            , , (2006)
            Early identification of developmental disorders is critical to the well-being of children and their families. It is an integral function of the primary care medical home and an appropriate responsibility of all pediatric health care professionals. This statement provides an algorithm as a strategy to support health care professionals in developing a pattern and practice for addressing developmental concerns in children from birth through 3 years of age. The authors recommend that developmental surveillance be incorporated at every well-child preventive care visit. Any concerns raised during surveillance should be promptly addressed with standardized developmental screening tests. In addition, screening tests should be administered regularly at the 9-, 18-, and 30-month visits. (Because the 30-month visit is not yet a part of the preventive care system and is often not reimbursable by third-party payers at this time, developmental screening can be performed at 24 months of age. In addition, because the frequency of regular pediatric visits decreases after 24 months of age, a pediatrician who expects that his or her patients will have difficulty attending a 30-month visit should conduct screening during the 24-month visit.) The early identification of developmental problems should lead to further developmental and medical evaluation, diagnosis, and treatment, including early developmental intervention. Children diagnosed with developmental disorders should be identified as children with special health care needs, and chronic-condition management should be initiated. Identification of a developmental disorder and its underlying etiology may also drive a range of treatment planning, from medical treatment of the child to family planning for his or her parents.
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              Recalculation of the Critical Values for Lawshe's Content Validity Ratio

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                Author and article information

                Journal
                index
                Index de Enfermería
                Index Enferm
                Fundación Index (Granada, Granada, Spain )
                1132-1296
                1699-5988
                June 2021
                : 30
                : 1-2
                : 100-104
                Affiliations
                [1] Chimbote orgnameUniversidad Católica los Ángeles de Chimbote orgdiv1Instituto de Investigación Perú
                [2] Ica Ica orgnameUniversidad Nacional San Luis Gonzaga orgdiv1Facultad de Enfermería Peru
                [3] Lima orgnameUniversidad de San Martín de Porres orgdiv1Instituto de Investigación de Psicología Peru
                Article
                S1132-12962021000100022 S1132-1296(21)03000100022
                ba90e78a-96d6-4d3d-9199-ab6e8a6218ff

                This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

                History
                : 25 July 2020
                : 13 May 2020
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 43, Pages: 5
                Product

                SciELO Spain

                Categories
                Instrumentos

                Evaluación,Desarrollo psicomotor,Rol de enfermería,Validez,Assessment,Psychomotor development,Nursing role,Validity

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