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      Instrumentos de evaluación del conocimiento sobre enfermedades cardiovasculares: revisión integradora Translated title: Instrumentos de avaliação do conhecimento sobre doenças cardiovasculares: Revisão Integrativa Translated title: Knowledge assessment instruments on cardiovascular diseases: Integrative Review

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          Abstract

          RESUMEN: Objetivo: Identificar y describir los instrumentos para evaluar el conocimiento sobre factores de riesgo y prevención de enfermedades cardiovasculares. Métodos: Se trata de una revisión integradora de la literatura realizada en los meses de mayo de 2019 y junio de 2020, mediante búsquedas en las bases de datos LILACS, MEDLINE y SciELo, utilizando los descriptores conocimiento, enfermedades cardiovasculares, factores de riesgo, prevención de enfermedades y estudios de validación. Se incluyeron estudios de validación de instrumentos, publicados en los años 2005 a 2019, disponible en portugués, inglés y españo, y para responder a la pregunta orientadora. Resultados: Se encontraron 12 instrumentos. La mayoría eran cuestionarios y abordaban factores de riesgo cardiovascular y estilo de vida dirigidos a personas diagnosticadas con una enfermedad cardiovascular (ECV) y a individuos sanos. Se desarrollaron y validaron nueve instrumentos en términos de contenido y construcción. Diez estudios desarrollaron y validaron cuestionarios y los otros estudios construyeron y validaron escalas. La ECV más evaluada fue la enfermedad arterial coronaria. Conclusión: Los instrumentos son estrategias indispensables para medir el nivel de conocimiento, contribuir a apoyar el tratamiento clínico de los pacientes, planificar y evaluar programas y prácticas educativas en salud.

          Translated abstract

          RESUMO: Objetivo: Identificar e descrever os instrumentos de avaliação do conhecimento sobre fatores de risco e prevenção de doenças cardiovasculares. Métodos: Trata-se de uma revisão integrativa da literatura realizada nos meses de maio de 2019 e junho de 2020, por meio de buscas nas bases de dados LILACS, MEDLINE e SciELo, utilizando os descritores knowledge, cardiovascular diseases, risk factors, prevention of diseases e validation studies. Foram incluídos estudos de validação de instrumentos, publicados nos anos de 2005 a 2019; disponíveis em português, inglês e espanhol; e que respondessem à questão norteadora. Resultados: Foram encontrados 12 instrumentos. A maioria eram questionários e abordaram fatores de risco cardiovasculares e estilo de vida sendo direcionados a pessoas com diagnóstico de alguma Doença Cardiovascular (DCV) e a indivíduos sadios. Nove instrumentos foram desenvolvidos e validados quanto ao conteúdo e construto. Dez estudos desenvolveram e validaram questionários e os demais estudos construiram e validaram escalas. A DCV mais avaliada foi a doença arterial coronariana. Conclusão: Os instrumentos são estratégias indispensáveis para mensurar o nível de conhecimento, contribuir no apoio ao tratamento clínico dos pacientes, planejar e avaliar os programas e práticas educacionais em saúde.

          Translated abstract

          ABSTRACT: Objective: To identify and describe the instruments for assessing knowledge about risk factors and prevention of cardiovascular diseases. Methods: This is an integrative literature review conducted in the months of May 2019 and June 2020, through searches at the LILACS, MEDLINE and SciELo databases, using the descriptors knowledge, cardiovascular diseases, risk factors, prevention of diseases and validation studies. The sample included instrument validation studies, published in the years 2005 through 2019, available in Portuguese, English and Spanish, which answered the guiding question. Results: 12 instruments were found. Most were questionnaires and addressed cardiovascular risk factors and lifestyle, directed to people diagnosed with a Cardiovascular Disease (CVD) and to healthy individuals. Nine instruments were developed and validated in terms of content and construct. Ten studies developed and validated questionnaires and the other studies built and validated scales. The most evaluated CVD was coronary artery disease. Conclusion: Instruments are indispensable strategies for measuring the level of knowledge, contributing to supporting the clinical treatment of patients, planning and evaluating educational health programs and practices.

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          Prevalence of childhood and adult obesity in the United States, 2011-2012.

          More than one-third of adults and 17% of youth in the United States are obese, although the prevalence remained stable between 2003-2004 and 2009-2010. To provide the most recent national estimates of childhood obesity, analyze trends in childhood obesity between 2003 and 2012, and provide detailed obesity trend analyses among adults. Weight and height or recumbent length were measured in 9120 participants in the 2011-2012 nationally representative National Health and Nutrition Examination Survey. In infants and toddlers from birth to 2 years, high weight for recumbent length was defined as weight for length at or above the 95th percentile of the sex-specific Centers for Disease Control and Prevention (CDC) growth charts. In children and adolescents aged 2 to 19 years, obesity was defined as a body mass index (BMI) at or above the 95th percentile of the sex-specific CDC BMI-for-age growth charts. In adults, obesity was defined as a BMI greater than or equal to 30. Analyses of trends in high weight for recumbent length or obesity prevalence were conducted overall and separately by age across 5 periods (2003-2004, 2005-2006, 2007-2008, 2009-2010, and 2011-2012). In 2011-2012, 8.1% (95% CI, 5.8%-11.1%) of infants and toddlers had high weight for recumbent length, and 16.9% (95% CI, 14.9%-19.2%) of 2- to 19-year-olds and 34.9% (95% CI, 32.0%-37.9%) of adults (age-adjusted) aged 20 years or older were obese. Overall, there was no significant change from 2003-2004 through 2011-2012 in high weight for recumbent length among infants and toddlers, obesity in 2- to 19-year-olds, or obesity in adults. Tests for an interaction between survey period and age found an interaction in children (P = .03) and women (P = .02). There was a significant decrease in obesity among 2- to 5-year-old children (from 13.9% to 8.4%; P = .03) and a significant increase in obesity among women aged 60 years and older (from 31.5% to 38.1%; P = .006). Overall, there have been no significant changes in obesity prevalence in youth or adults between 2003-2004 and 2011-2012. Obesity prevalence remains high and thus it is important to continue surveillance.
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            7ª Diretriz Brasileira de Hipertensão Arterial

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              Development of a questionnaire to evaluate patients’ awareness of cardiovascular disease risk in England’s National Health Service Health Check preventive cardiovascular programme

              Background The National Health Service (NHS) Health Check is a cardiovascular disease (CVD) risk assessment and management programme in England aiming to increase CVD risk awareness among people at increased risk of CVD. There is no tool to assess the effectiveness of the programme in communicating CVD risk to patients. Aims The aim of this paper was to develop a questionnaire examining patients’ CVD risk awareness for use in health service research evaluations of the NHS Health Check programme. Methods We developed an 85-item questionnaire to determine patients’ views of their risk of CVD. The questionnaire was based on a review of the relevant literature. After review by an expert panel and focus group discussion, 22 items were dropped and 2 new items were added. The resulting 65-item questionnaire with satisfactory content validity (content validity indices≥0.80) and face validity was tested on 110 NHS Health Check attendees in primary care in a cross-sectional study between 21 May 2014 and 28 July 2014. Results Following analyses of data, we reduced the questionnaire from 65 to 26 items. The 26-item questionnaire constitutes four scales: Knowledge of CVD Risk and Prevention, Perceived Risk of Heart Attack/Stroke, Perceived Benefits and Intention to Change Behaviour and Healthy Eating Intentions. Perceived Risk (Cronbach’s α=0.85) and Perceived Benefits and Intention to Change Behaviour (Cronbach’s α=0.82) have satisfactory reliability (Cronbach’s α≥0.70). Healthy Eating Intentions (Cronbach’s α=0.56) is below minimum threshold for reliability but acceptable for a three-item scale. Conclusions The resulting questionnaire, with satisfactory reliability and validity, may be used in assessing patients’ awareness of CVD risk among NHS Health Check attendees.
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                Author and article information

                Journal
                eg
                Enfermería Global
                Enferm. glob.
                Universidad de Murcia (Murcia, Murcia, Spain )
                1695-6141
                2021
                : 20
                : 64
                : 629-672
                Affiliations
                [1] orgnameUniversidad Federal de Piauí Brasil mariana_rodrigues.rr@ 123456hotmail.com
                [2] orgnameUniversidad Estadual de Maranhão Brasil
                Article
                S1695-61412021000400629 S1695-6141(21)02006400629
                10.6018/eglobal.442251
                c2dca51d-da3d-4024-8871-72dcd5daa0d3

                This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 International License.

                History
                : 04 September 2020
                : 10 January 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 30, Pages: 44
                Product

                SciELO Spain

                Categories
                Revisiones

                Validation studies,Factores de Riesgo,Enfermedades Cardiovasculares,Conocimiento,Estudos de validação,Prevenção de doenças,Fatores de risco,Doenças cardiovasculares,Conhecimento,Disease prevention,Risk factors,Cardiovascular diseases,Knowledge,Estudio de Validación,Prevención de Enfermedades

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