# Validation of an Instrument for Individuals with Diabetes Mellitus and Hypertension in Primary Health Care

## TL;DR

This paper describes the development and validation of a tool for community health agents to monitor diabetes and hypertension patients during home visits in primary healthcare.

## Contribution

The study introduces a validated instrument with six domains for home monitoring of diabetes and hypertension by community health agents.

## Key findings

- The instrument achieved a content validity index above 88% and an overall score of 96%.
- It is described as accurate and applicable for use in primary healthcare settings.
- The tool has potential for replication in other primary healthcare contexts.

## Abstract

to describe the development process and content validity evidence of an instrument designed for use by Community Health Agents during home visits to monitor individuals with Diabetes Mellitus and Hypertension in Primary Health Care.

this methodological study was based on the Double Diamond model and included a literature review, the administration of questionnaires to community health agents and nurses, and content validity assessment by expert nurses. The study was conducted between September 2022 and October 2023 across ten Primary Health Care Units in a municipality in southern Brazil.

a total of 60 professionals participated in the study. The final instrument comprised six domains and achieved a content validity index above 88%, with an overall of 96%.

the proposed instrument demonstrated satisfactory content validity, establishing itself as an accurate and applicable tool for practice, with strong potential for replication in other Primary Health Care contexts.

descrever o processo de construção e evidência de validade de conteúdo de um instrumento para a visita domiciliar do Agente Comunitário de Saúde, no acompanhamento de pessoas com Diabetes Mellitus e Hipertensão Arterial, na Atenção Primária à Saúde.

estudo metodológico baseado no modelo do Duplo Diamante, que incluiu revisão da literatura, aplicação de questionário com agentes comunitários de saúde e enfermeiros, além da evidência de validade de conteúdo com enfermeiros experts. A pesquisa foi realizada entre setembro de 2022 e outubro de 2023, em dez Unidades Básicas de Saúde de um município do Sul do Brasil.

participaram do estudo 60 profissionais. O instrumento final foi composto por seis domínios e obteve índice de validade de conteúdo superior a 88%, com índice global de 96%.

o instrumento proposto apresentou índice de validade de conteúdo satisfatório, configurando-se como uma ferramenta acurada e aplicável à prática, com potencial de replicação em outras realidades da Atenção Primária à Saúde.