Health Education for children/ adolescents/ family: construction and validation of a scale
DOI: 10.15343/0104-7809.202044486497
Keywords:
Health Promotion. Health Education. Scales. Nurses.Abstract
Health Education allows the development of behaviors capable of influencing the factors of a healthy life, namely the
maintenance and improvement of the health status of the child/ adolescent/ family. Therefore, the perception of the
importance of this practice by those who experience it (nurses and parents/family) can contribute strongly to its efficacy.
Thus, this study aimed to build and validate an instrument for evaluating Health Education, carried out by nurses focused
on children, adolescents, and/or family units. This was a descriptive, cross-sectional study developed in two phases:
elaboration of items and their associations with the scale’s dimensions based upon a bibliographical review, exploratory
interviews with nurses and parents/family members, analysis by experts (nurses), and subsequent validation using an
exploratory factor analysis. The psychometric qualities of the scale were assessed by a sample of 603 individuals (nurses
and parents/family), and studies of reliability, validity and internal consistency were also carried out. The results of the
exploratory factor analysis identified three factors: “partnership of care with the child/ adolescent/ family”; “Health
literacy”; “Promotion of healthy environments and health behaviors” with 48 items. Analyses included high item-factor
correlation (≥0.70); Cronbach's alpha=0.987; Kaiser-Meyer-Olkin=0.987; statistical significance within Bartlett's sphericity
test (p<0.001). The total explained variance was 65.7%. We can conclude that the Health Education assessment tool for
the child/ adolescent/ family contexts, in addition to meeting the validity requirements, presents positive results for its use
in the Health Education assessments carried out for the child/ adolescent/ family members.
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action-across-government-and-society-for-health-and-well-being. Acesso em Feb 2020.
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24 - Araujo Filho ACA, Silva AN, Ribeiro MGC, Rocha SS, Andrade EMLR, Nogueira LT. Evaluation of Primary Healthcare from the
perspective of child caregivers: an integrative review. Rev Esc Enferm USP. 2019; 53:e03527. Disponível em: http://dx.doi.org/10.1590/
S1980-220X2018030003527. Acesso em Feb 2020.
Contexto Enferm. 2020; 29:20180250. Disponível em https://dx.doi.org/10.1590/1980-265X-TCE-2018-0250. Acesso em Feb 2020.
2 - Santos MP, Farre AGMC, Bispo MS, Sousa LB, Marinho DDT. Promoting adolescent sexual and reproductive health: peer education.
Rev Baiana Enferm. 2017; 31(3):e21505. Disponível em: http://dx.doi.org/10.18471/rbe.v31i3.21505. Acesso em Feb 2020.
3 - Silva FB, Gondim EC, Henrique NCP, Fonseca LMM, Mello DF. Educational intervention involving young mothers: gaining knowledge
on childcare. Acta Paul Enferm. 2018; 31(1):32-38. Disponível em: http://dx.doi.org/10.1590/1982-0194201800006. Acesso em Mar
2020.
4 - Figueira ALG, Gomes-Villas Boas LC, Coelho ACM, Foss-Freitas MC, Pace AE. Educational interventions for knowledge on the
disease, treatment adherence and control of diabetes mellitus. Rev Latino-Am Enfermagem. 2017; 25:e2863. Disponível em: http://
dx.doi.org/10.1590/1518-8345.1648.2863. Acesso em Abr 2020.
5 - Palmeira CS, Mussi FC, Ramos GA, Jesus NV, Macedo TTS, Dal Sasso GTM. Nursing protocol for remote monitoring of women with
excessive weight. Texto Contexto Enferm. 2019; 28:e20170400. Disponível em: http://dx.doi.org/10.1590/1980-265X-TCE-2017-0400.
Acesso em Feb 2020.
6 - International Council of Nurses. International council of nurses joins CEPPs global initiative to improve early childhood development.
2018. Disponível em: https://www.icn.ch/news/international-council-nurses-joins-cepps-global-initiative-improve-early-childhooddevelopment.
Acesso em Feb 2020.
7 - Silva EM, Silva D, Aparício G, Bica I, Albuquerque C, Cunha M. Promotion of children’s mental health: nurses’ contributions. ActaPaul Enferm. 2020; eAPE20180254. Disponível em: http://dx.doi.org/10.37689/acta-ape/2020AO0254. Acesso em Set 2020.
7 - Barreto ACO, Rebouças CBA, Aguiar MIF, Barbosa RB, Rocha SR, Cordeiro LM, Melo KM, Freitas RWJF. Perception of the Primary Care
multiprofessional team on health education. Rev Bras Enferm. 2018; 72(1):278-285. Disponível em: http://dx.doi.org/10.1590/0034-
7167-2017-0702. Acesso em Feb 2020.
8 - Durand MK, Heidemann ITSB. Social determinants of a Quilombola Community and its interface with Health Promotion. Rev Esc
Enferm USP. 2019; 53:e03451. Disponível em: http://dx.doi.org/10.1590/s1980-220x2018007703451. Acesso em Feb 2020.
9 - Netto L, Silva KL. Reflective practice and the development of competencies for health promotion in nurses’ training. Rev Esc Enferm
USP, 2018; 52:e03383. Disponível em: http://dx.doi.org/10.1590/S1980-220X2017034303383. Acesso em Feb 2020.
10 - Moura TNB, Moreira TMM, Sousa AD, Santos Neto AC, Sousa RX, Lima LHO. Development and validation of a smartphone
educational game regarding healthy lifestyle habits for adolescents. Texto Contexto Enferm. 2019; 28:e20180252. Disponível em:
http://dx.doi.org/10.1590/1980-265X-TCE-2018-0252. Acesso em Feb 2020.
11 - De Bortoli PS, Jacob E, Castral TC, Santos CB, Fernandes AM, Nascimento LC. Cross-cultural adaptation of the adolescente
pediatric pain tool for brazilian children and adolescents with cancer. Texto Contexto Enferm. 2019; 28:e20160108. Disponível em:
http://dx.doi.org/10.1590/1980-265X-TCE-2016-0108. Acesso em Feb 2020.
12 - Miranda FBG, Mazzo A, Pereira-Junior GA. Construction and validation of competency frameworks for the training of nurses in
emergencies. Rev Latino-Am Enferm. 2018; 26:e3061. Disponível em: http://dx.doi.org/10.1590/1518-8345.2631-3061. Acesso em
Feb 2020.
13 - Fabri RP, Mazzo A, Martins JCA, Fonseca AS, Pedersoli CE, Miranda FBG, et al. Development of a theoretical-practical script for
clinical simulation. Rev Esc Enferm USP. 2017; 51:e03218. Disponível em: http://dx.doi.org/10.1590/S1980-220X2016016403218.
Acesso em Feb 2020.
14 - Pires SMP, Monteiro SOM, Pereira AMS, Stocker JNM, Chaló DM, Melo EMOP. Non-technical skills assessment scale in nursing:
construction, development and validation. Rev Latino-Am Enferm. 2018; 26:e3042. Disponível em: http://dx.doi.org/10.1590/1518-
8345.2383.3042. Acesso em Feb 2020.
15 - Neves T, Rodrigues V, Graveto J, Parreira P. Scale of adverse events associated to nursing practices: a psychometric study in
Portuguese hospital context. Rev Latino-Am Enferm. 2018; 26:e3093. Disponível em: http:dx.doi.org/10.1590/1518-8345.2595.3093.
Acesso em Feb 2020.16 - Echevarria-Guanilo ME, Gonçalves N, Romaniski PJ. Psychometric properties of measurement instruments: conceptual basis and
evaluation methods - part II. Texto Contexto Enferm. 2019; 28:e20170311. Disponível em: http://dx.doi.org/10.1590/1980-265Xtce-
2017-0311. Acesso em Feb 2020.
17 - Morais SCRV, Nunes JGP, Lasater K, Barros ALBL, Carvalho EC. Reliability and validity of the Lasater Clinical Judgment Rubric -
Brazilian Version. Acta Paul Enferm. 2018; 31(3):265-271. Disponível em: http://dx.doi.org/10.1590/1982-0194201800038. Acesso
em Feb 2020.
18 - Montejano-Lozoya R, Gea-Caballero V, Miguel-Montoya I, Juárez-Vela R, Sanjuán-Quiles A, Ferrer-Ferrandiz E. Validation of
a questionnaire designed to measure nursing student satisfaction with practical training. Rev Latino-Am Enferm. 2019; 27:e3206.
Disponível em: http://dx.doi.org/10.1590/1518-8345.3102.3206. Acesso em Feb 2020.
19 - Ferreira, Lorena et al. Validation of the logical model of implementation of the ongoing education in Health Policy in Primary Health
Care. Trabalho, Educação Saúde. 2020; 18(2):e0026294. Disponível em: http://dx.doi.org/10.1590/1981-7746-sol00262. Acesso em
Set 2020.
20 - World Health Organization. Health 2020: a European policy framework supporting action across government and society for health
and well-being. 2013. Disponível em: http://www.euro.who.int/en/publications/abstracts/health-2020-a-european-policy-frameworksupporting-
action-across-government-and-society-for-health-and-well-being. Acesso em Feb 2020.
21 - D’Agostini MM, Aredes NDA, Campbell SH, Fonseca LMM. Serious Game e-Baby Família: an educational technology for premature
infant care. Rev Bras Enferm. 2020; 73(4): e20190116. Disponível em: http://dx.doi.org/10.1590/0034-7167-2019-0116. Acesso em
Set 2020.
22 - Yakuwa MS, Neill S, Mello DF. Nursing strategies for child health surveillance. Rev Latino-Am Enferm. 2018; 26e3007. Disponível
em: http:dx.doi.org/10.1590/1518-8345.2434.3007. Acesso em Feb 2020.
23 - Usero-Pérez C, Jiménez-Rodríguez ML, González-Aguña A, González-Alonso V, Orbañanos-Peiro L, Santamaría-García JM, Gómez-
González JL. Validation of an evaluation instrument for responders in tactical casualty care simulations. Rev Latino-Am. Enferm. 2020;
28:e3251. Disponível em: http://dx.doi.org/10.1590/1518-8345.3052.3251. Acesso em Set 2020.
24 - Araujo Filho ACA, Silva AN, Ribeiro MGC, Rocha SS, Andrade EMLR, Nogueira LT. Evaluation of Primary Healthcare from the
perspective of child caregivers: an integrative review. Rev Esc Enferm USP. 2019; 53:e03527. Disponível em: http://dx.doi.org/10.1590/
S1980-220X2018030003527. Acesso em Feb 2020.
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Published
2020-10-01
How to Cite
Fonseca Pereira, A. ., Manuel Torres Almeida, C. ., Manuel Torres Almeida, C. ., Manuel Costa Pereira Rodrigues, V., & José Jacinto Escola, J. (2020). Health Education for children/ adolescents/ family: construction and validation of a scale: DOI: 10.15343/0104-7809.202044486497. O Mundo Da Saúde, 44, 486–497. Retrieved from https://revistamundodasaude.emnuvens.com.br/mundodasaude/article/view/986
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