Validation of an instrument for assessing vaccination status in life cycles
DOI:
https://doi.org/10.59464/2359-4632.2025.3721Keywords:
Validation study, Health Evaluation, ImmunizationAbstract
Objective: To evaluate the semantic and content validity of the Vaccination Status Assessment in Life Cycles instrument. Methods: This is a methodological instrument validation study. Data collection took place in 2021 and was divided into two stages: the first focused on content validity and the second on semantic validity. Data analysis consisted of calculating the Content Validity Index and the inter-judge agreement index in the first stage, followed by descriptive analysis using the brainstorming technique in the second stage. The study was submitted to the Research Ethics Committee and received a favorable opinion. Results: The required content validity criteria achieved a satisfactory score, as did inter-judge agreement, with only the language criterion receiving a lower score. Regarding the semantic validity evidence, all professionals reported no difficulty understanding the instrument, emphasizing its potential to minimize the challenges faced by professionals during the vaccination process. Conclusion: The instrument has content and semantic validity, which lends credibility to its use in public health services linked to the Unified Health System that provide immunization.
References
García-Toledano E, et al. Design and validation of an instrument for evaluating training and education for health and proper use of vaccines “VACUNASEDUCA”. Vaccines (Basel). 2021;9(8):830. doi:10.3390/vaccines9080830.
Ferreira AV, Freitas PHB, Viegas SMF, Oliveira VC. Acesso à sala de vacinas da estratégia saúde da família: aspectos organizacionais. Rev Enferm UFPE On Line. 2017;11(10):3869–77. doi:10.5205/1981-8963-v11i10a69709p3869-3877-2017.
Silva AG, et al. Cobertura vacinal no Brasil e fatores associados: análise de séries temporais, 2015–2021. Rev Bras Epidemiol. 2024;27(Suppl 2):e20231124.
Domingues CMAS, Teixeira AMS. Vacinação no Brasil: desafios e perspectivas pós-pandemia. Epidemiol Serv Saude. 2023;33(Suppl 2):e20231206.
Silveira MF, et al. Vaccination coverage, inequalities, and social determinants of COVID-19 in Brazil: an ecological study. Lancet Reg Health Am. 2022;9:100193. doi:10.1016/j.lana.2022.100193.
MacDonald NE, et al. Vaccine hesitancy: definition, scope, and determinants – an updated review. Vaccine. 2023;41(1):8–18. doi:10.1016/j.vaccine.2022.10.001.
Sistema de Informações do Programa Nacional de Imunizações (SIPNI/DATASUS). 2023. Disponível em: http://sipni.datasus.gov.br/si-pniweb/faces/inicio.jsf.
Costa P, Meneses NFA, Carmo CJ, Solis-Cordero K, Palombo CNT. Completude e atraso vacinal das crianças antes e após intervenção educativa com as famílias. Cogitare Enferm. 2020;25:e67497. doi:10.5380/ce.v25i0.67497.
Santos CJ, Ferreira AV, Oliveira VC, Viegas SMF. Cross-cultural adaptation and psychometric properties of the Brazilian version of the Parent Attitudes about Childhood Vaccines (PACV-BR). Rev Paul Pediatr. 2023;41:e2022147. doi:10.1590/1984-0462/2023/41/2022147.
Pasquali L. Instrumentação psicológica. 1ª ed. Porto Alegre: Artmed; 2009.
Bhatia O, Singh R, Gupta N, Arora S, Kumar A. Development and validation of a structured knowledge, attitude, and practice (KAP) questionnaire to assess adult immunization. Vaccine. 2024;42(12):1578–85. doi:10.1016/j.vaccine.2024.01.034.
Kumari A, Ranjan P, Chopra S, Kaur D, Kaur T, Kalanidhi KB, et al. Development and validation of a questionnaire to assess knowledge, attitude, practices, and concerns regarding COVID-19 vaccination. Diabetes Metab Syndr. 2021;15(3):919–25. doi:10.1016/j.dsx.2021.04.001.
Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Cien Saude Colet. 2011;16(7):3061–8. doi:10.1590/S1413-81232011000800006.
Rodrigues LBB, Leite AC, Yamamura M, Deon KC, Arcêncio RA. Coordenação das redes de atenção à saúde pela atenção primária: validação semântica de um instrumento adaptado. Cad Saude Publica. 2014;30(7):1385–90. doi:10.1590/0102-311X00137613.
Amaral GG, et al. Perfil sociodemográfico e laboral dos vacinadores das unidades de atenção primária à saúde do Brasil. Enferm Foco. 2025;16: [no prelo].
Fernández-Gómez E, et al. Content validation through expert judgement of an instrument on the nutritional knowledge, beliefs, and habits of pregnant women. Nutrients. 2020;12(4):1136.
Luque-Vara T, et al. Content validation of an instrument for the assessment of school teachers’ levels of knowledge of diabetes through expert judgment. Int J Environ Res Public Health. 2020;17(22):8605.
Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382–5.
Polit DF, Beck CT. The content validity index: are you sure you know what’s being reported? Critique and recommendations. Res Nurs Health. 2006;29(5):489–97.
Khalid MN, et al. Development and evaluation of content validity and acceptance of a multidomain intervention module for reversal of cognitive frailty among older adults. Clin Interv Aging. 2024;19:1189–1202.
Poiraud C, et al. Understanding and preventing vaccination errors. Infect Dis Now. 2023;53(2):104641.
Oliveira SH, et al. Prevalence and underreporting of immunization errors in childhood vaccination: results of a household survey. Rev Esc Enferm USP. 2023;57:e20230253.
Silva LLT, et al. Patient safety in Primary Health Care: perception of the nursing team. Esc Anna Nery. 2021;26:e20210130.
Kaboré L, et al. Quality and reliability of vaccination documentation in the routine childhood immunization program in Burkina Faso: results from a cross-sectional survey. Vaccine. 2020;38(13):2808–15.
Kibeti DM, et al. Quality and usability of home-based record photos to assess vaccine coverage: a case study from the 2022 Democratic Republic of the Congo Vaccine Coverage Survey. Vaccine. 2025;59:127248.
Higgins-Steele A, et al. Recording vaccine doses administered: a global analysis of tally sheet design for infant and child immunizations. PLOS Glob Public Health. 2025;5(10):e0004973.
World Health Organization (WHO). Leave no one behind: guidance for planning and implementing booster vaccination. Geneva: WHO; 2021. Available from: https://www.who.int/publications/i/item/9789240016514.
Pavia G, et al. Integrating digital health solutions with immunization strategies: improving immunization coverage and monitoring in the post-COVID-19 era. Vaccines (Basel). 2024;12(8):847.
Ngo-Bebe D, et al. Reasons for over-reporting of routine immunization administrative data in the Democratic Republic of Congo: a mixed cross-sectional study to determine explanatory factors for poor data quality. BMC Public Health. 2025;25(1):3272.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Revista Científica Integrada
This work is licensed under a Creative Commons Attribution 4.0 International License.
