Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda
Main Author: | |
---|---|
Publication Date: | 2022 |
Format: | Master thesis |
Language: | por |
Source: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Download full: | https://tede2.pucrs.br/tede2/handle/tede/10477 |
Summary: | Eating Disorders (EDs) are characterized by disturbances in eating behavior that can cause complications in physical and emotional health, quality of life and economic disadvantage for both the individual and society. In recent years, EDs have become a major public health problem due to the increase in prevalence. In low- and middle-income countries, data on the prevalence of EDs are scarce. A possible justification for this may be the lower availability of validated tools for the assessment of EDs.The Eating Attitudes Test (EAT), Eating Disorder Inventory (EDI), Eating Disorder Examination (EDE) and Eating Disorder Examination Questionnaire (EDE-Q), and for children the Children?s Eating Attitudes Test (ChEAT), Children?s Eating Disorder Examination (ChEDE), Children?s Eating Disorder Examination Questionnaire (ChEDE-Q), are the most recommended tools in the assessment of eating disorders. The objective of this study was to systematically review the validity evidence of the instruments commonly used to assess EDs in low- and middle-income countries. Methods: MEDLINE (VIA PUBMED), EMBASE, LILACS, SCOPUS, WEB OF SCIENCE, PSYCOINFO, and CABI databases, in addition to the gray literature, were searched. The search was first carried out on MEDLINE, and was adapted to the other databases, without any date or language restriction. Articles that describe the process of validating the questionnaires frequently used for tracking EDs were selected. Quality criteria were assessed using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). Two researchers independently reviewed the studies and assessed the quality of the included studies. Results: A total of 28 studies were identified. The identified studies were carried out in 13 countries (10 middle-income and 3 low-income). Only 5 instruments (EDE, EDE-Q, EDI, EAT and ChEAT) were evaluated out of the 7 that were eligible for this review. According to the COSMIN quality rating, 17 studies performed the translation process (41% was adequate); 2 studies assessed content validity (100% was very good); 15 studies evaluated hypothesis testing (53% was adequate); 20 studies assessed structural validity (60% was adequate); 8 studies assessed criterion validity (87% was very good); 27 studies evaluated internal consistency (100% was very good), 12 studies evaluated test-retest (50% was very good), 3 studies evaluated measurement invariance (66% was very good). Twelve studies assessed minimal psychometric assessment. Conclusion: This review evaluated the psychometric properties of instruments commonly used to assess symptoms of eating disorders and recommended by the main guidelines. Although these instruments are being validated in different countries, with the results found we could see that there is still a lack of evidence from psychometric studies in low- and middle-income countries. Of the 135 countries in this income bracket, only 13 performed some type of validation on the included instruments. According to the COSMIN quality tool, most of the psychometric properties evaluated were very good. |
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Mattiello, Ritahttp://lattes.cnpq.br/4920515067971772http://lattes.cnpq.br/8468720289065830Ayala, Camila Ospina2022-09-16T17:45:19Z2022-03-04https://tede2.pucrs.br/tede2/handle/tede/10477Eating Disorders (EDs) are characterized by disturbances in eating behavior that can cause complications in physical and emotional health, quality of life and economic disadvantage for both the individual and society. In recent years, EDs have become a major public health problem due to the increase in prevalence. In low- and middle-income countries, data on the prevalence of EDs are scarce. A possible justification for this may be the lower availability of validated tools for the assessment of EDs.The Eating Attitudes Test (EAT), Eating Disorder Inventory (EDI), Eating Disorder Examination (EDE) and Eating Disorder Examination Questionnaire (EDE-Q), and for children the Children?s Eating Attitudes Test (ChEAT), Children?s Eating Disorder Examination (ChEDE), Children?s Eating Disorder Examination Questionnaire (ChEDE-Q), are the most recommended tools in the assessment of eating disorders. The objective of this study was to systematically review the validity evidence of the instruments commonly used to assess EDs in low- and middle-income countries. Methods: MEDLINE (VIA PUBMED), EMBASE, LILACS, SCOPUS, WEB OF SCIENCE, PSYCOINFO, and CABI databases, in addition to the gray literature, were searched. The search was first carried out on MEDLINE, and was adapted to the other databases, without any date or language restriction. Articles that describe the process of validating the questionnaires frequently used for tracking EDs were selected. Quality criteria were assessed using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). Two researchers independently reviewed the studies and assessed the quality of the included studies. Results: A total of 28 studies were identified. The identified studies were carried out in 13 countries (10 middle-income and 3 low-income). Only 5 instruments (EDE, EDE-Q, EDI, EAT and ChEAT) were evaluated out of the 7 that were eligible for this review. According to the COSMIN quality rating, 17 studies performed the translation process (41% was adequate); 2 studies assessed content validity (100% was very good); 15 studies evaluated hypothesis testing (53% was adequate); 20 studies assessed structural validity (60% was adequate); 8 studies assessed criterion validity (87% was very good); 27 studies evaluated internal consistency (100% was very good), 12 studies evaluated test-retest (50% was very good), 3 studies evaluated measurement invariance (66% was very good). Twelve studies assessed minimal psychometric assessment. Conclusion: This review evaluated the psychometric properties of instruments commonly used to assess symptoms of eating disorders and recommended by the main guidelines. Although these instruments are being validated in different countries, with the results found we could see that there is still a lack of evidence from psychometric studies in low- and middle-income countries. Of the 135 countries in this income bracket, only 13 performed some type of validation on the included instruments. According to the COSMIN quality tool, most of the psychometric properties evaluated were very good.Os Transtornos Alimentares (TAs) s?o caracterizados por dist?rbios no comportamento alimentar que podem causar complica??es na sa?de f?sica e emocional. Nos ?ltimos anos, os TAs tornaram-se um importante problema de sa?de p?blica devido ao aumento na preval?ncia. Nos pa?ses de baixa e m?dia renda os dados sobre preval?ncia de TAs s?o mais escassos. Uma poss?vel justificativa para isso pode ser a menor disponibilidade de ferramentas validadas para sua avalia??o. Os question?rios Eating Attitudes Test (EAT), Eating Disorder Inventory (EDI), Eating Disorder Examination (EDE), Eating Disorder Examination Questionnaire (EDE-Q) e, para crian?as, o Children?s Eating Attitudes Test (ChEAT), Children?s Eating Disorder Examination (ChEDE), Children?s Eating Disorder Examination Questionnaire (ChEDE-Q), s?o as ferramentas mais recomendadas e comumente utilizadas na avalia??o dos TAs. Dessa forma, o objetivo deste estudo foi revisar sistematicamente as evid?ncias de validade dos instrumentos comumente usados para avalia??o dos TAs em pa?ses de baixa e m?dia renda. M?todos: Foram pesquisadas as seguintes bases de dados: MEDLINE (via PUBMED), EMBASE, LILACS, SCOPUS, WEB OF SCIENCE, PSYCOINFO e CABI, al?m da literatura cinzenta. A busca inicial foi realizada no MEDLINE e adaptada ?s demais bases de dados, sem restri??o de data ou de idioma. Foram selecionados estudos psicom?tricos com os instrumentos comumente utilizados e recomendados para avalia??o dos sintomas de transtornos alimentares, conduzidos em pa?ses de baixa e m?dia renda. Os crit?rios de qualidade dos estudos e instrumentos foram avaliados mediante o uso do COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN). Dois pesquisadores de forma independente selecionaram e avaliaram a qualidade dos estudos. Resultados: Foram identificados no total 28 estudos, realizados em 13 pa?ses (10 de renda m?dia). Dos 7 instrumentos eleg?veis para esta revis?o, apenas 5 foram avaliados pelos estudos selecionados: EDE, EDE-Q, EDI, EAT e ChEAT. De acordo com a classifica??o de qualidade do COSMIN, 17 estudos fizeram o processo de tradu??o (41% foi adequado); 2 estudos avaliaram a validade de conte?do (100% foi muito boa); 15 estudos avaliaram teste de hip?teses (53% foi adequado); 20 estudos avaliaram a validade estrutural (60% foi adequada); 8 estudos avaliaram a validade de crit?rio (87% foi muito boa); 27 estudos avaliaram a consist?ncia interna (100% foi muito boa); 12 estudos avaliaram o teste-reteste (50% foi muito bom); 3 estudos avaliaram invari?ncia de medi??o (66% muito bom); e 12 estudos avaliaram a avalia??o psicom?trica m?nima. Conclus?o: Esta revis?o avaliou as propriedades psicom?tricas dos instrumentos comumente utilizados para avalia??o de sintomas de transtornos alimentares e recomendados pelas principais diretrizes. Embora esses instrumentos estejam sendo validados em diferentes pa?ses, com os resultados encontrados pudemos constatar que h? ainda h? escassez de evid?ncias de estudos psicom?tricos em pa?ses de baixa e m?dia renda. Dos 135 pa?ses nessa faixa de renda, apenas 13 realizaram algum tipo de valida??o nos instrumentos inclu?dos. De acordo com a ferramenta de qualidade COSMIN, a maioria das propriedades psicom?tricas avaliadas foi muito boa.Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2022-09-09T13:22:54Z No. of bitstreams: 1 Disserta??o Camila Ospina Ayala final.pdf: 1914626 bytes, checksum: 5962bb2f13e1b7dd1824f2ffa17df34e (MD5)Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2022-09-16T17:39:38Z (GMT) No. of bitstreams: 1 Disserta??o Camila Ospina Ayala final.pdf: 1914626 bytes, checksum: 5962bb2f13e1b7dd1824f2ffa17df34e (MD5)Made available in DSpace on 2022-09-16T17:45:19Z (GMT). No. of bitstreams: 1 Disserta??o Camila Ospina Ayala final.pdf: 1914626 bytes, checksum: 5962bb2f13e1b7dd1824f2ffa17df34e (MD5) Previous issue date: 2022-03-04Conselho Nacional de Pesquisa e Desenvolvimento Cient?fico e Tecnol?gico - CNPqapplication/pdfhttps://tede2.pucrs.br/tede2/retrieve/185495/DIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?aPUCRSBrasilEscola de MedicinaTranstornos AlimentaresValida??oInstrumentosEating DisordersValidationQuestionnairesCIENCIAS DA SAUDE::MEDICINACLINICA MEDICA::PEDIATRIAEvid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia rendainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisTrabalho ser? publicado como artigo ou livro60 meses16/09/2027557290555552975733500500500600600-224747486637135387-969369452308786627-70271217037790659551802873727776104890info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILDIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.jpgDIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.jpgimage/jpeg4120https://tede2.pucrs.br/tede2/bitstream/tede/10477/4/DIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.jpgaa36ae3e5595aee51eb748bdd08071c8MD54TEXTDIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.txtDIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.txttext/plain1789https://tede2.pucrs.br/tede2/bitstream/tede/10477/3/DIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdf.txt38ccf1971cd959bda3b2061d95653ef8MD53ORIGINALDIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdfDIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdfapplication/pdf286800https://tede2.pucrs.br/tede2/bitstream/tede/10477/2/DIS_CAMILA_OSPINA_AYALA_CONFIDENCIAL.pdff993f4890a32a4a89cb75da7c9cd7abaMD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590https://tede2.pucrs.br/tede2/bitstream/tede/10477/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/104772022-09-16 20:00:18.587oai:tede2.pucrs.br:tede/10477QXV0b3JpemE/P28gcGFyYSBQdWJsaWNhPz9vIEVsZXRyP25pY2E6IENvbSBiYXNlIG5vIGRpc3Bvc3RvIG5hIExlaSBGZWRlcmFsIG4/OS42MTAsIGRlIDE5IGRlIGZldmVyZWlybyBkZSAxOTk4LCBvIGF1dG9yIEFVVE9SSVpBIGEgcHVibGljYT8/byBlbGV0cj9uaWNhIGRhIHByZXNlbnRlIG9icmEgbm8gYWNlcnZvIGRhIEJpYmxpb3RlY2EgRGlnaXRhbCBkYSBQb250aWY/Y2lhIFVuaXZlcnNpZGFkZSBDYXQ/bGljYSBkbyBSaW8gR3JhbmRlIGRvIFN1bCwgc2VkaWFkYSBhIEF2LiBJcGlyYW5nYSA2NjgxLCBQb3J0byBBbGVncmUsIFJpbyBHcmFuZGUgZG8gU3VsLCBjb20gcmVnaXN0cm8gZGUgQ05QSiA4ODYzMDQxMzAwMDItODEgYmVtIGNvbW8gZW0gb3V0cmFzIGJpYmxpb3RlY2FzIGRpZ2l0YWlzLCBuYWNpb25haXMgZSBpbnRlcm5hY2lvbmFpcywgY29ucz9yY2lvcyBlIHJlZGVzID9zIHF1YWlzIGEgYmlibGlvdGVjYSBkYSBQVUNSUyBwb3NzYSBhIHZpciBwYXJ0aWNpcGFyLCBzZW0gP251cyBhbHVzaXZvIGFvcyBkaXJlaXRvcyBhdXRvcmFpcywgYSB0P3R1bG8gZGUgZGl2dWxnYT8/byBkYSBwcm9kdT8/byBjaWVudD9maWNhLgo=Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2022-09-16T23:00:18Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
title |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
spellingShingle |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda Ayala, Camila Ospina Transtornos Alimentares Valida??o Instrumentos Eating Disorders Validation Questionnaires CIENCIAS DA SAUDE::MEDICINA CLINICA MEDICA::PEDIATRIA |
title_short |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
title_full |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
title_fullStr |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
title_full_unstemmed |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
title_sort |
Evid?ncias de validade dos instrumentos comumente usados para avalia??o dos transtornos alimentares em pa?ses de baixa e m?dia renda |
author |
Ayala, Camila Ospina |
author_facet |
Ayala, Camila Ospina |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mattiello, Rita |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4920515067971772 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/8468720289065830 |
dc.contributor.author.fl_str_mv |
Ayala, Camila Ospina |
contributor_str_mv |
Mattiello, Rita |
dc.subject.por.fl_str_mv |
Transtornos Alimentares Valida??o Instrumentos |
topic |
Transtornos Alimentares Valida??o Instrumentos Eating Disorders Validation Questionnaires CIENCIAS DA SAUDE::MEDICINA CLINICA MEDICA::PEDIATRIA |
dc.subject.eng.fl_str_mv |
Eating Disorders Validation Questionnaires |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA CLINICA MEDICA::PEDIATRIA |
description |
Eating Disorders (EDs) are characterized by disturbances in eating behavior that can cause complications in physical and emotional health, quality of life and economic disadvantage for both the individual and society. In recent years, EDs have become a major public health problem due to the increase in prevalence. In low- and middle-income countries, data on the prevalence of EDs are scarce. A possible justification for this may be the lower availability of validated tools for the assessment of EDs.The Eating Attitudes Test (EAT), Eating Disorder Inventory (EDI), Eating Disorder Examination (EDE) and Eating Disorder Examination Questionnaire (EDE-Q), and for children the Children?s Eating Attitudes Test (ChEAT), Children?s Eating Disorder Examination (ChEDE), Children?s Eating Disorder Examination Questionnaire (ChEDE-Q), are the most recommended tools in the assessment of eating disorders. The objective of this study was to systematically review the validity evidence of the instruments commonly used to assess EDs in low- and middle-income countries. Methods: MEDLINE (VIA PUBMED), EMBASE, LILACS, SCOPUS, WEB OF SCIENCE, PSYCOINFO, and CABI databases, in addition to the gray literature, were searched. The search was first carried out on MEDLINE, and was adapted to the other databases, without any date or language restriction. Articles that describe the process of validating the questionnaires frequently used for tracking EDs were selected. Quality criteria were assessed using the Consensus-based Standards for the Selection of Health Measurement Instruments (COSMIN). Two researchers independently reviewed the studies and assessed the quality of the included studies. Results: A total of 28 studies were identified. The identified studies were carried out in 13 countries (10 middle-income and 3 low-income). Only 5 instruments (EDE, EDE-Q, EDI, EAT and ChEAT) were evaluated out of the 7 that were eligible for this review. According to the COSMIN quality rating, 17 studies performed the translation process (41% was adequate); 2 studies assessed content validity (100% was very good); 15 studies evaluated hypothesis testing (53% was adequate); 20 studies assessed structural validity (60% was adequate); 8 studies assessed criterion validity (87% was very good); 27 studies evaluated internal consistency (100% was very good), 12 studies evaluated test-retest (50% was very good), 3 studies evaluated measurement invariance (66% was very good). Twelve studies assessed minimal psychometric assessment. Conclusion: This review evaluated the psychometric properties of instruments commonly used to assess symptoms of eating disorders and recommended by the main guidelines. Although these instruments are being validated in different countries, with the results found we could see that there is still a lack of evidence from psychometric studies in low- and middle-income countries. Of the 135 countries in this income bracket, only 13 performed some type of validation on the included instruments. According to the COSMIN quality tool, most of the psychometric properties evaluated were very good. |
publishDate |
2022 |
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2022-09-16T17:45:19Z |
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2022-03-04 |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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Brasil |
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Escola de Medicina |
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Pontif?cia Universidade Cat?lica do Rio Grande do Sul |
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