Measuring the quality of life in hypertension according to Item Response Theory

• Published in: Revista de saúde pública 2017-01, Vol.51, p.45-45
• Main Authors: Borges, José Wicto Pereira, Moreira, Thereza Maria Magalhães, Schmitt, Jeovani, Andrade, Dalton Francisco de, Barbetta, Pedro Alberto, Souza, Ana Célia Caetano de, Lima, Daniele Braz da Silva, Carvalho, Irialda Saboia
• Format: Article
• Language: English
• Subjects: Brazil; Estudos de Validação; Factor Analysis, Statistical; Health Policy & Services; Hipertensão; Humans; Hypertension - psychology; Inquéritos e Questionários, utilização; Original; Perfil de Impacto da Doença; Qualidade de Vida; Quality of Life - psychology; Self Concept; Surveys and Questionnaires
• ISSN: 0034-8910; 1518-8787; 1518-8787; 0034-8910
• DOI: 10.1590/S1518-8787.2017051006845

To analyze the Miniquestionário de Qualidade de Vida em Hipertensão Arterial (MINICHAL - Mini-questionnaire of Quality of Life in Hypertension) using the Item Response Theory. This is an analytical study conducted with 712 persons with hypertension treated in thirteen primary health care units of Fortaleza, State of Ceará, Brazil, in 2015. The steps of the analysis by the Item Response Theory were: evaluation of dimensionality, estimation of parameters of items, and construction of scale. The study of dimensionality was carried out on the polychoric correlation matrix and confirmatory factor analysis. To estimate the item parameters, we used the Gradual Response Model of Samejima. The analyses were conducted using the free software R with the aid of psych and mirt. The analysis has allowed the visualization of item parameters and their individual contributions in the measurement of the latent trait, generating more information and allowing the construction of a scale with an interpretative model that demonstrates the evolution of the worsening of the quality of life in five levels. Regarding the item parameters, the items related to the somatic state have had a good performance, as they have presented better power to discriminate individuals with worse quality of life. The items related to mental state have been those which contributed with less psychometric data in the MINICHAL. We conclude that the instrument is suitable for the identification of the worsening of the quality of life in hypertension. The analysis of the MINICHAL using the Item Response Theory has allowed us to identify new sides of this instrument that have not yet been addressed in previous studies. Analisar o Miniquestionário de Qualidade de Vida em Hipertensão Arterial (MINICHAL) por meio da Teoria da Resposta ao Item. Estudo analítico realizado com 712 pessoas com hipertensão arterial atendidas em 13 unidades de atenção primária em saúde de Fortaleza, CE, em 2015. As etapas da análise pela Teoria da Resposta ao Item foram: avaliação da dimensionalidade, estimação dos parâmetros dos itens e construção da escala. O estudo da dimensionalidade foi realizado sobre a matriz de correlação policórica e análise fatorial confirmatória. Para a estimação dos parâmetros dos itens, foi utilizado o Modelo de Resposta Gradual de Samejima. As análises foram conduzidas no software livre R com o auxílio dos pacotes psych e mirt. A análise permitiu a visualização dos parâmetros dos itens e suas contribui