Questionário de Motivação ao Estilo de Vida Saudável: quadro teórico e evidências de validade

Irialda Saboia Carvalho; Thereza Maria Magalhães Moreira; Luana Savana Nascimento de Sousa Arruda; Gabriela de Sousa Lima; Aline Maria Oliveira Loureiro; Emiliana Bezerra Gomes; José Wicto Pereira Borges

doi:10.15253/2175-6783.20232493456

Authors

Irialda Saboia Carvalho Universidade Estadual do Ceará https://orcid.org/0000-0003-1283-8479
Thereza Maria Magalhães Moreira Universidade Estadual do Ceará, Fundação Cearense de Apoio ao Desenvolvimento Científico e Tecnológico https://orcid.org/0000-0003-1424-0649
Luana Savana Nascimento de Sousa Arruda Universidade Federal do Piauí https://orcid.org/0000-0002-1388-2335
Gabriela de Sousa Lima Universidade Estadual do Ceará https://orcid.org/0000-0003-0598-3395
Aline Maria Oliveira Loureiro Universidade Estadual do Ceará https://orcid.org/0000-0003-3370-4031
Emiliana Bezerra Gomes Universidade Regional do Cariri https://orcid.org/0000-0002-7135-512X
José Wicto Pereira Borges Universidade Federal do Piauí https://orcid.org/0000-0002-3292-1942

DOI:

https://doi.org/10.15253/2175-6783.20232493456

Keywords:

Motivation; Validation Study; Healthy Lifestyle; Psychometrics; Technology.

Abstract

Objective: to develop and verify evidence of the validity of the Healthy Lifestyle Motivation Questionnaire. Methods: methodological study anchored in Psychometrics. The construct was structured on the theory of self-determination and the constitutive elements of a healthy lifestyle. A total of 29 items were developed, evaluated by eight specialists and 30 users, and applied to a sample of 972 adults in nine Primary Health Care Units. Results: a questionnaire was developed containing 29 items with answers according to the quality of motivation. Evidence of content validity showed indices (0.75 to 1.0, p<0.05), with good theoretical formulation, while the response process allowed for adjustments to its items. The internal structure revealed a final model of 22 items distributed in four dimensions with an explained variance of 66.58%, factor loadings (0.349 to 0.911), adequate communality (0.20 ≤ h2 ≤ 0.98), and good accuracy indicators. Conclusion: the questionnaire, with 22 items in four dimensions, showed good evidence of construct validity, content validity, response process, and internal structure for measuring the construct. Contributions to practice: the application of the questionnaire can enhance health promotion actions related to lifestyle changes for the effective prevention of morbidities.

References

Çetinkaya S, Sert H. Healthy lifestyle behaviors of university students and related factors. Acta Paul Enferm. 2021;34:eAPE02942. doi: https://doi.org/10.37689/acta-ape/2021AO02942

Ryan RM, Deci EL. Self-Determination theory: basic psychological needs in motivation, development, and wellness. New York, NY, USA: Guilford Publications; 2017.

Lima MA, Cunha GH, Lopes MV, Fontenele MS, Siqueira LR, Ramalho AK, et al. Booklet for healthy lifestyle in people with HIV: a clinical trial. Acta Paul Enferm. 2023;36:eAPE03101. doi: https://doi.org/10.37689/acta-ape/2023AO031011

Rodrigues-Pires F, Festas C, Amado J, Neves-Amado J, Almeida S. The FANTASTIC questionnaire: translation, adaptation, and validation of the lifestyle assessment instrument in Portuguese preadolescents. Rev Enferm Ref. 2023;6(2):e22108. doi: https://doi.org/10.12707/RVI22108

Hershey MS, Sotos-Prieto M, Ruiz-Canela M, Christophi CA, Moffatt S, Martínez-González MÁ, et al. The Mediterranean lifestyle (MEDLIFE) index and metabolic syndrome in a non-Mediterranean working population. Clin Nutr. 2021;40(5):2494-503. doi: http://doi.org/10.1016/j.clnu.2021.03.026

Wójcik E, Reszke R, Krajewski PK, Matusiak Ł, Madziarska K, Ali FM, et al. Major life changing decision profile: creation of the polish language version. Dermatol Ther. 2021;34(1):e14568. doi: https://doi.org/10.1111/dth.14568

Oliveira D, Aubeeluck A, Stupple E, Kim S, Orrell M. Factor and reliability analysis of a brief scale to measure motivation to change lifestyle for dementia risk reduction in the UK: the MOCHAD-10. Health Qual Life Outocomes. 2019;17(1):75. doi: https://doi.org/10.1186/s12955-019-1143-8

Thabrew H, Goodyear-Smith F. Youth version, Case-finding and Help Assessment Tool (YouthCHAT): An electronic, psychosocial screener for young people with long-term physical conditions. J Paediatr Child Health. 2020;56(1):102-6. doi: https://doi.org/10.1111/jpc.14503

American Educational Research Association (AERA), American Psychological Association (APA), & National Council on Measurement in Education (NCME). Standards for educational and psychological testing. Washington: AERA; 2014.

Carvalho IS, Borges JWP, Moreira TMM, Salles DL. Elementos constituintes e validade dos instrumentos avaliativos do estilo de vida em adultos: revisão integrativa. Gestão Amp Cuid Saúde [Internet]. 2023 [cited Apr 13, 2024];1(1):e11132. Available from: https://revistas.uece.br/index.php/gestaoecuidado/article/view/11132

Cestari VRF, Borges JWP, Florêncio RS, Garces TS, Pessoa VLMDP, Moreira TMM. Structure internal of the dimension Human Person of the Questionnaire of Health Vulnerability in Heart Failure. Rev Esc Enferm USP. 2022;56:e20220117. doi: https://doi.org/10.1590/1980-220X-REEUSP-2022-0117en

Lorenzo-Seva U. SOLOMON: a method for splitting a sample into equivalent subsamples in factor analysis. Behav Res Methods. 2022;54(6):2665-77. doi: https://dx.doi.org/10.3758/s13428-021-01750-y

Hair FJ, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. Essex: Pearson Education Limited; 2013.

Bandalos DL. Measurement theory and applications for the social sciences. Series: Methodology in the social sciences [Internet]. 2018 [cited Apr 13, 2024]. Available from: https://www.soc.univ.kiev.ua/sites/default/files/library/elopen/methodology_in_the_social_sciences_deborah_l._bandalos_-_measurement_theory_and_applications_for_the_social_sciences-the_guilford_press_2018.pdf

Barbosa ALA, Azoni CAS. Validity evidence based on response processes of the TRILHAR – screening tool for infant vocabulary. CoDAS. 2021;33(1):e20190285. doi: https://dx.doi.org/10.1590/2317-1782/20202019285

Cestari VRF, Florêncio RS, Pessoa VLMP, Moreira TMM. Health vulnerability assessment questionnaire for people with heart failure: construction and validation. Rev Eletr Enferm. 2021;23:67807. doi: http://doi.org/10.5216/ree.v23.67807

Farooq R. Heywood cases: Possible causes and solutions. Int J Data Anal Tech Strategies. 2022;14(1):79-88. doi: https://doi.org/10.1504/IJDATS.2022.121506

Mialhe FL, Moraes KL, Bado FMR, Brasil VV, Sampaio HADC, Rebustini F. Psychometric properties of the adapted instrument European Health Literacy Survey Questionnaire short-short form. Rev Latino-Am Enfermagem. 2021;29:e3436. doi: https://doi.org/10.1590/1518-8345.4362.3436

Grohmann M, Sica CD. Conhecimento sobre alimentação saudável, hábitos alimentares e estilo de vida em escolares com excesso de peso e seus responsáveis. RBONE [Internet]. 2020 [cited Apr 13, 2024];13(80):576-87. Available from: http://www.rbone.com.br/index.php/rbone/article/view/1019

Hirschle ANT, Gondim SMG. Stress and well-being at work: a literature review. Ciênc Saúde Colet. 2020;25(7):2721-36. doi: https://dx.doi.org/10.1590/1413-81232020257.27902017

Kunugi H. Depression and lifestyle: Focusing on nutrition, exercise, and their possible relevance to molecular mechanisms. Psychiatry Clin Neurosci. 2023;77(8):420-33. doi: http://doi.org/10.1111/pcn.13551

Guo X, Gong S, Chen Y, Hou X, Sun T, Wen J, et al. Lifestyle behaviors and stress are risk factors for overweight and obesity in healthcare workers: a cross-sectional survey. BMC Public Health. 2023;23(1):1791. doi: https://doi.org/10.1186/s12889-023-16673-w

Santos LA, Uzeda AL, Garcia LR, Goulart MCL, Góes FGB, Santos JL. Nursing work during the COVID-19 pandemic: (dis)satisfaction and (de)motivation. Rev Rene. 2023;24:e85209. doi: https://doi.org/10.15253/2175-6783.20232485209

Marcino LF, Giacon-Arruda BCC, Teston EF, Souza ASD, Marcheti PM, Lima HDP, et al. Leisure practice in adolescents and associated factors: implications for care. Acta Paul Enferm. 2022;35:eAPE02041. doi: https://dx.doi.org/10.37689/acta-ape/2022AO02041