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Validity evidence of the Hospital Consumer Assessment of Healthcare Providers and Systems instrument: Brazilian
Gislene Aparecida Xavier Reis1, Laura Misue Matsuda1, Flavio Rebustini2
1Universidade Estadual de Maringá. Maringá, Paraná, Brazil.
Objectives:
to adapt and validate the Hospital Consumer Assessment of Healthcare Providers and Systems instrument for Brazilian culture.
Methods:
a methodological study involving translation, cross-cultural adaptation, content validity, response process, and evaluation of the internal structure of the instrument across six dimensions. Data were collected remotely by sending a link via WhatsApp to access the adapted instrument.
Results:
during the cross-cultural adaptation, some terms required adjustment; in the content validity phase, certain items were excluded and grammatical modifications were made. No changes were indicated in the response process. In the exploratory factor analysis, 13 items (59%) were excluded, and evidence suggested structural issues in the instrument, indicating it was composed of a single dimension. The confirmatory factor analysis confirmed that the instrument is unidimensional and lacks precision.
Conclusions:
the use of this adapted version for Brazilian culture is not recommended.
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