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Objectives: To verify the content validity of questions of an insulin adherence questionnaire based on the Theory Planned Behavior in outpatients with type 2 diabetes mellitus., Methods: The instrument was derived from a tool created to evaluate psychosocial determinants of adherence to oral antidiabetics medications in the Brazilian context, and was submitted for evaluation by a committee of experts and members of the target population. The item-level content validity index, the scale-level content validity index averaging calculation method, and the modified kappa coefficient were used to evaluate agreement among specialists. The comprehensibility of the instrument by members of the target population was qualitatively analyzed., Results: The item-level content validity index was found to be lower than desired in 6 of the 20 items analyzed. Of these, one item was modified and 5 were excluded after the comprehensibility evaluation by members of the target population; one item from the perceived control scale was excluded. Content validation resulted in an instrument with 14 items, distributed in the domains intention (4 items), attitude (3 items), perceived norm (4 items), and perceived control (4 items) scales., Conclusions: The findings support good evidence of the content validity of the instrument for use among people with type 2 diabetes mellitus receiving insulin therapy., (Copyright © 2021 ISPOR--The professional society for health economics and outcomes research. Published by Elsevier Inc. All rights reserved.)

This study aimed to evaluate the effect of strategies of a lifestyle orientation programme on patients with venous ulcer in elastic compression therapy. This was a single-blind, 2-arm, randomised clinical controlled trial. The primary outcome included the reduction of the wound surface area. The secondary outcomes included the perception of pain, questionnaire of ulcer status, and quality of life. Seventy-one patients with ulcers of venous aetiology were randomised into 2 arms: control group (CG) and intervention group (IG), with a 12-week follow up. The CG was provided with the routine guidelines of the health services. Meanwhile, the IG was provided with lifestyle guidelines regarding the physiopathology of a venous ulcer, importance of compression therapy, physical exercises and rest in 4 face-to-face and 2 telephone interviews. The IG had significant improvement on the wound healing on 30, 60, and 90 days of follow up when compared with the CG (P = .0197; P = .0472; P = .0116). There were no statistical differences between groups; both had improvement in the quality of life and pain perception. Our results demonstrated that elastic compression therapy along with guidelines on lifestyle is effective adjunctive treatment to promote wound healing in patients with leg ulcers., (© 2018 Medicalhelplines.com Inc and John Wiley & Sons Ltd.)

Background and Purpose: Psychometric performance of quality of life (QoL) instruments must be evaluated prior to use. The Freiburg Life Quality Assessment for wounds (FLQA-w) emerged as one possible tool for burned patients. The purpose of this study was to assess the performance of FLQA-w in this population., Methods: Composite reliability (CR) coefficients were estimated; convergent validity was assessed by Burns Specific Health Scale-Revised (BSHS-R), abbreviated QoL instrument (WHOQOL-BREF), and the visual analog scale; and responsiveness by comparing with the three visual analog scales., Results: CR coefficients of FLQA-w domains were suitable (0.72-0.88). Correlations were strong and negative (r = -.51 to -.76). Responsiveness was adequate-statistically significant changes were observed., Conclusions: The results indicate reliable, valid, and responsive psychometric performance of the FLQA-w among burned patients.