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We used the questionnaire "Mosaic of Opinions on Induced Abortion" to conduct a multi-centered study to evaluate the perspectives of physicians, nurses, social workers, psychologists and pharmacists on the morality of abortion. In all, 254 participants constituted the sample. The inadequate knowledge on Brazilian abortion laws was the only determinant negatively associated with the construct "Sexual and Reproductive Rights", corroborating the hypothesis that a better understanding of abortion legislation could mitigate the opposition of some professionals to the ethical perspective that access to safe abortion should be seen as a sexual and reproductive right.

Objective: evaluate the practicality, acceptability and the floor and ceiling effects, estimate the reliability and verify the convergent construct's validity with the instrument called the Heart Valve Disease Impact on daily life (IDCV) of the valve disease in patients with mitral and or aortic heart valve disease. Method: data was obtained from 86 heart valve disease patients through 3 phases: a face to face interview for a socio-demographic and clinic characterization and then other two done through phone calls of the interviewed patients for application of the instrument (test and repeat test). Results: as for the practicality and acceptability, the instrument was applied with an average time of 9,9 minutes and with 110% of responses, respectively. Ceiling and floor effects observed for all domains, especially floor effect. Reliability was tested using the test - repeating pattern to give evidence of temporal stability of the measurement. Significant negative correlations with moderate to strong magnitude were found between the score of the generic question about the impact of the disease and the scores of IDCV, which points to the validity of the instrument convergent construct. Conclusion: the instrument to measure the impact of valve heart disease on the patient's daily life showed evidence of reliability and validity when applied to patients with heart valve disease. RESUMO Objetivos: avaliar a praticabilidade, aceitabilidade e os efeitos teto e chão, estimar a confiabilidade e verificar a validade de construto convergente do Instrumento para Mensuração do Impacto da Doença no Cotidiano do Valvopata em pacientes com valvopatia mitral e/ou aórtica. Método: dados foram obtidos junto a 86 pacientes valvopatas por meio de três etapas: uma entrevista presencial para caracterização sociodemográfica e clínica e as duas outras realizadas por meio de contato telefônico para as aplicações do instrumento (Teste e teste de repetição). Resultados: quanto à praticabilidade e aceitabilidade, o instrumento foi aplicado com tempo médio de 9,9 minutos e com 110% de respostas, respectivamente. Constatados efeitos teto e chão para todos os domínios, principalmente efeito chão. A confiabilidade foi testada por meio do teste-teste de repetição, obtendo-se evidências de estabilidade temporal da medida. Foram constatadas correlações negativas significantes de moderada a forte magnitude entre o escore da questão genérica sobre o impacto da doença e os escores do IDCV, o que aponta para validade de construto convergente do instrumento. Conclusão: o Instrumento para Mensuração do Impacto da Doença no Cotidiano do Valvopata apresentou evidências de confiabilidade e validade quando aplicado em pacientes com valvopatia. RESUMEN Objetivos: evaluar la viabilidad, aceptabilidad y los efectos techo y suelo, estimar la confiabilidad y verificar la validez de constructo convergente del Instrumento para Medir el Impacto en lo Cotidiano (IDCV) del sujeto con valvulopatías mitral y/o aórtica. Método: los datos fueron obtenidos de 86 pacientes con valvulopatías por medio de tres etapas: una entrevista presencial para caracterización sociodemográfica y clínica y las otras dos realizadas por medio de contacto telefónico para las aplicaciones del instrumento (test y test de repetición). Resultados: en cuanto a la viabilidad y aceptabilidad, el instrumento fue aplicado con un tiempo promedio de 9,9 minutos y con 110% de respuestas, respectivamente. Fueron constatados los efectos techo y suelo para todos los dominios, principalmente el efecto suelo. La confiabilidad fue comprobada por medio del test de repetición, obteniéndose evidencias de estabilidad temporal de la medida. Fueron constatadas correlaciones negativas significativas de moderada a fuerte magnitud entre el puntaje de la pregunta genérica sobre el impacto de la enfermedad y los puntajes del IDCV, lo que apunta para la validez de constructo convergente del instrumento. Conclusión: el instrumento para medir el impacto de la valvulopatía en lo cotidiano del sujeto, presentó evidencias de confiabilidad y validez cuando aplicado en pacientes con esa enfermedad.

Aim. This study was to verify the psychometric properties of the Heart Valve Disease Impact on daily life, an instrument for measuring the impact of illness in the daily life of the heart valve disease patient, related to its construct validity, criterion-related validity and reliability. Methods. One hundred and twenty heart valve disease outpatients were enrolled. Data were submitted to descriptive analysis, factor analysis, Pearson's correlation coefficient and Cronbach's alpha coefficient. Results. The factor analysis generated four factors that explained 58% of the variance in response to the Heart Valve Disease Impact on daily life. Weak to moderate correlation was measured between the Heart Valve Disease Impact on daily life total score and two of its factors and the General Measure of Impact of illness, indicating criterion-related validity. A Cronbach's alpha of 0·74 was measured. Conclusion. The results of the current study confirm both the construct and criterion validity and the internal consistency of the Heart Valve Disease Impact on daily life. Future studies are necessary to confirm its reliability and provide a better understanding of the meaning of the Heart Valve Disease Impact on daily life dimensions, as well as to evaluate its response to health interventions. Relevance to clinical practice. The Heart Valve Disease Impact on daily life could be a useful instrument to measure the impact of heart valve disease and to evaluate the response to health interventions.

to analyze the sociodemographic and clinical characteristics of patients with valvular heart disease and to verify the influence of these variables on the impact of valve disease in daily life.the study involved 86 outpatients. Data collection was performed in two stages - face-to-face interview for sociodemographic and clinical characterization and through telephone contact for the application of the Instrument to Measure the Impact of Valvular Heart Disease on Patient's Everyday Life (IDCV). Data were analyzed through descriptive statistics and multiple regression analysis.it was noticed that the total score of IDCV and its domains were influenced by age, schooling, presence or absence of symptoms, use or not of diuretic.The impact of the disease was influenced by sociodemographic and clinical variables. The results provide subsidies for the design of nursing interventions aimed at reducing the impact of the disease on the patient's daily life with valve disease.

to verify the structure of factors of an instrument to measure the Heart Valve Disease Impact on Daily Life (IDCV) when applied to coronary artery disease patients.the study included 153 coronary artery disease patients undergoing outpatient follow-up care. The IDCV structure of factors was initially assessed by means of confirmatory factor analysis and, subsequently, by exploratory factor analysis. The Varimax rotation method was used to estimate the main components of analysis, eigenvalues greater than one for extraction of factors, and factor loading greater than 0.40 for selection of items. Internal consistency was estimated using Cronbach's alpha coefficient.confirmatory factor analysis did not confirm the original structure of factors of the IDCV. Exploratory factor analysis showed three dimensions, which together explained 78% of the measurement variance.future studies with expansion of case selection are necessary to confirm the IDCV new structure of factors.

This study evaluated the acceptability, ceiling/floor effects, and the reliability of the instrument for measuring the Impact of the Disease on the Daily Life of Patients with Valvular Disease (IDCV) when applied to 135 patients with heart failure (HF). Acceptability was evaluated by the percentage of unanswered items and by the proportion of patients who responded to all items; the ceiling/floor effects by the percentage of patients who scored in the top of 10% best and worst results of the scale, respectively. Reliability was estimated by internal consistency (Cronbach's alpha coefficient) and stability of the measure (intraclass correlation coefficient - ICC). All patients responded to all items. Ceiling/floor effects evidenced were of moderate magnitude. The Cronbach's alpha was satisfactory for the majority of the domains and ICC> 0.90 in all the domains. The IDCV proved to be an easy to understand questionnaire, with evidence of reliability in patients with HF. Este estudio evaluó la aceptabilidad, los efectos pico/tierra y la confiabilidad del instrumento para medir el impacto de la enfermedad en la vida diaria de pacientes con valvulopatía – (IDCV) aplicado a 135 pacientes con insuficiencia cardíaca. La aceptabilidad fue evaluada por el porcentaje de ítems no respondidos y por la proporción de pacientes que respondieron a todas los ítems; los efectos pico/tierra se calcularon como el porcentaje de pacientes que marcaron en los 10% mejores y en los peores resultados de la escala, respectivamente. La confiabilidad fue estimada por medio de la consistencia interna (coeficiente alfa de Cronbach) y de la estabilidad de la medida (coeficiente de correlación intra-clase - CCI). Todos los pacientes respondieron a todos los ítems. Se evidenció efectos pico/tierra de moderada magnitud. Se constató alfa de Cronbach satisfactorio para la mayoría de los dominios y CCI> 0,90 en todos los dominios. El IDCV demostró ser un cuestionario de fácil comprensión, con evidencias de confiabilidad en pacientes con IC. Este estudo avaliou a aceitabilidade, os efeitos teto/chão e a confiabilidade do instrumento para mensuração do impacto da doença no cotidiano do valvopata (IDCV) quando aplicado a 135 pacientes com insuficiência cardíaca. A aceitabilidade foi avaliada pelo percentual de itens não respondidos e pela proporção de pacientes que responderam a todos os itens; os efeitos teto/chão pela percentagem de pacientes que pontuaram nos 10% melhores e nos piores resultados da escala, respectivamente. A confiabilidade foi estimada por meio da consistência interna (coeficiente alfa de Cronbach) e da estabilidade da medida (coeficiente de correlação intraclasse - ICC). Todos os pacientes responderam a todos os itens. Foram evidenciados efeitos teto/chão de moderada magnitude. Constatou-se alfa de Cronbach satisfatório para a maioria dos domínios e ICC > 0,90 em todos os domínios. O IDCV demonstrou ser um questionário de fácil compreensão, com evidências de confiabilidade em pacientes com IC.

This study estimated the known groups construct validity for the Instrument to Measure the Impact of Coronary Disease on Patient's Everyday Life (IDCV) related to signs and symptoms, ventricular systolic function, left ventricular ejection fraction (LVEF) and health-related quality of life (HRQoL) in 153 outpatients with coronary artery disease. Data was obtained through application of IDCV and Brazilian versions of the instruments The Medical Study 36-item Short Form Health Survey - SF-36 and the MacNew Heart Disease Health-related Quality of Life Questionnaire . Mann-Whitney test was used to verify the ability of IDCV in discriminating impact of signs and symptoms, LVEF and ventricular systolic dysfunction. Also, the Kruskal-Wallis test was used to verify the discrimination power of the IDCV in relation to HRQoL. It was observed that the IDCV discriminated the impact between variables scored in HRQOL quartiles (≤Q1, Q1-Q3, ≥Q3). The study findings contribute for improvement of IDCV in measurement of disease impact in coronary artery disease patients.

OBJECTIVE: to evaluate the feasibility, acceptability, the ceiling and floor effects and the reliability of the Instrument to Measure the Impact of Coronary Disease on Patient's Daily Life (IDCV) when applied to hypertensive patients. METHOD: one hundred and thirty seven hypertensive outpatients were interviewed, using questionnaires to collect sociodemographic and clinical data, followed by the IDCV. Reliability was assessed according to the temporal stability and internal consistency criteria. RESULTS: the IDCV was applied in 8.0 (±3.0) minutes with 100% of the items answered. A ceiling effect of 31.4% was observed in the domain Adjustment to the Disease. The stability measure was observed for the total score and for all domains. There was evidence of internal consistency of the total IDCV (α=0.83) and the domains Physical Impact of the Disease - Symptoms (α=0.78) and Social and Emotional Impact of the Disease (α=0.74). CONCLUSION: the IDCV is an instrument of easy use and its reliability among hypertensive patients is evidenced. The domain Adjustment to the Disease, however, should be reviewed in further studies. OBJETIVO: evaluar la practicidad, la aceptabilidad, los efectos techo y suelo y la confiabilidad del Instrumento para Medir el Impacto de la Enfermedad en lo Cotidiano del paciente con Valvulopatía (IDCV) portador de hipertensión arterial. MÉTODO: fueron entrevistados 137 pacientes hipertensos acompañados en ambulatorio, con aplicación de los cuestionarios de caracterización sociodemográfica y clínica e del IDCV, secuencialmente. La confiabilidad fue evaluada según los criterios de la estabilidad temporal y de la consistencia interna. RESULTADOS: el IDCV fue aplicado en 8,0 (±3,0) minutos con 100% de los ítems respondidos. Fue evidenciado efecto techo de 31,4% en el dominio Adaptación a la Enfermedad. La estabilidad de la medida fue evidenciada para el puntaje total y para todos los dominios. Hubo evidencias de consistencia interna del IDCV total (α=0,83) y para los dominios Impacto Físico de la Enfermedad-Síntomas (α=0,78) e Impacto Social y Emocional de la Enfermedad (α=0,74). CONCLUSIÓN: el IDCV es un instrumento de fácil aplicación, con evidencias de confiabilidad en pacientes hipertensos. El dominio de Adaptación a la Enfermedad, entretanto debe ser revisado en estudios futuros. OBJETIVO: avaliar a praticabilidade, a aceitabilidade, os efeitos-teto e chão e a confiabilidade do instrumento para mensuração do impacto da doença no cotidiano do valvopata em pacientes hipertensos. MÉTODO: foram entrevistados 137 pacientes hipertensos em seguimento ambulatorial, com aplicação dos questionários de caracterização sociodemográfica e clínica e impacto da doença no cotidiano do valvopata, sequencialmente. A confiabilidade foi avaliada segundo os critérios da estabilidade temporal e de consistência interna. RESULTADOS: o impacto da doença no cotidiano do valvopata foi aplicado em 8,0 (±3,0) minutos com 100% dos itens respondidos. Foi evidenciado efeito-teto de 31,4% no domínio adaptação à doença. A estabilidade da medida foi evidenciada para o escore total e para todos os domínios. Houve evidências de consistência interna do impacto da doença no cotidiano do valvopata total (α=0,83) e para os domínios impacto físico da doença - sintomas (α=0,78) e impacto social e emocional da doença (α=0,74). CONCLUSÃO: Conclusão: o impacto da doença no cotidiano do valvopata é instrumento de fácil aplicação, com evidências de confiabilidade em pacientes hipertensos. O domínio adaptação à doença, entretanto, deve ser revisto em estudos futuros.

SUMMARY In Brasil, abortion is legal in cases of rape, when there is a risk of maternal death, and in cases of fetal anencephaly. However, the literature reports that some doctors refuse to care for women with such demands or come to perform it in a discriminatory manner. OBJECTIVE: Pretest, test and evaluate the measurement properties of the “Mosaic of Opinions on Induced Abortion,” a questionnaire developed to investigate the perspectives of Brazilian healthcare professionals about the morality of abortion. METHODS: Firstly, the questionnaire was pretested in an intentional sample of specialists. Secondly, it was tested in a randomized sample of 32 healthcare professionals. Finally, we conducted a multi-center study in seven university hospitals to evaluate the measurement properties of the questionnaire. RESULTS: Combined samples of the three phases totalized 430 individuals. In pretest and test, all the evaluated aspects obtained satisfactory results. In the multicenter phase, confirmatory factorial analysis led to an important reduction of the questionnaire, which also obtained good indicators of reliability, beyond the validation of construct and criteria. CONCLUSION: Questionnaire has been validated and is suitable for use in other surveys in Brasil.