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Propiedades psicométricas del Índice de Bienestar General en mujeres gestantes colombianas
Psychometric properties of the General Well-being Index in Colombian pregnant women
Propriedades psicométricas do Índice de Bem-Estar Geral em gestantes colombianas
DOI:
https://doi.org/10.15446/av.enferm.v41n2.105068Keywords:
Depresión, Mujeres Embarazadas, Estudio de Validación, Reproducibilidad de los Resultados (es)Depression, Pregnant Women, Validation Study, Reproducibility of Results (en)
Depressão, Gestantes, Estudo de Validação, Reprodutibilidade dos Testes (pt)
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Objetivo: explorar la estructura y consistencia interna del Índice de Bienestar General de la Organización Mundial de la Salud (WHO-5) en mujeres gestantes del departamento del Magdalena, Colombia.
Materiales y métodos: participaron 200 mujeres entre 14 y 44 años (M = 23,52; DE = 5,93) y período de gestación entre 5 y 39 semanas (M = 21,71; DE =1 0,44); 75,5 % vivía en zona urbana, 91,5 % tenía bajos ingresos económicos, 81 % tenía pareja, 34,5 % había alcanzado el nivel de educación superior y 77,5 % se encontraba sin empleo. Los procedimientos estadísticos se realizaron con el software Jamovi. La consistencia interna se calculó mediante los coeficientes alfa de Cronbach y omega de McDonald, y se aplicó un análisis factorial confirmatorio (AFC) para corroborar la dimensionalidad de la escala.
Resultados: el WHO-5 mostró valores alfa de Cronbach y omega de McDonald de 0,81. El AFC evidenció una estructura de un solo factor con indicadores adecuados de bondad de ajuste (X2 = 17,40, gl = 5, p < 0,004; RMSEA = 0,111 [IC 95 % = 0,057-0,171]; SRMR = 0,037; CFI = 0,961; TLI = 0,921).
Conclusiones: el WHO-5 presenta estructura unifactorial y adecuada consistencia interna para evaluar los síntomas depresivos en mujeres gestantes de Colombia. Es recomendable explorar el desempeño psicométrico del WHO-5 en otros contextos.
Objective: to explore the structure and internal consistency of the General Well-Being Index (WHO-5) in pregnant women in the department of Magdalena, Colombia.
Materials and methods: Two hundred women aged 14-44 (M = 23.52; SD = 5.93) with a gestation period between 5 and 39 weeks (M = 21.71; SD = 10.44) participated of this study; 75.5% lived in urban areas, 91.5% reported low income, 81% had a partner, 34.5% had attained higher education, and 77.5% were unemployed at the time of the study. Statistical procedures were performed using Jamovi software. Internal consistency was calculated using Cronbach’s alpha and McDonald’s Omega coefficients, and a confirmatory factor analysis (CFA) was applied to corroborate the dimensionality of the scale.
Results: The WHO-5 showed Cronbach’s alpha and McDonald’s omega values of 0.81. The CFA reported a single factor structure with adequate goodness-of-fit indicators (X2 = 17.40, gl = 5, p < 0.004; RMSEA = 0.111 [95% CI = 0.057-0.171]; SRMR = 0.037; CFI = 0.961; TLI = 0.921).
Conclusions: The WHO-5 presents a unifactorial structure and adequate internal consistency to assess depressive symptoms among pregnant women in Colombia. It is suggested to explore the psychometric performance of the WBI in other contexts.
Objetivo: explorar a estrutura e a consistência interna do Índice de Bem-Estar Geral da Organização Mundial da Saúde (OMS-5) em gestantes do departamento de Magdalena, Colômbia.
Materiais e métodos: participaram 200 mulheres entre 14 e 44 anos (M = 23,52; DP = 5,93) e gestação entre 5 e 39 semanas (M = 21,71; DP = 10,44); 75,5% residiam na zona urbana, 91,5% tinham baixa renda, 81% tinham um companheiro, 34,5% tinham nível superior completo e 77,5% estavam desempregadas. Os procedimentos estatísticos foram realizados com o software Jamovi. A consistência interna foi calculada por meio dos coeficientes alfa de Cronbach e ômega de McDonald, e uma análise fatorial confirmatória (AFC) foi aplicada para corroborar a dimensionalidade da escala.
Resultados: O OMS-5 apresentou valores de alfa de Cronbach e ômega de McDonald de 0,81. A AFC mostrou uma estrutura de fator único com indicadores adequados de bondade de ajuste (X2 = 17,40, gl = 5, p < 0,004; RMSEA = 0,111 [95% CI = 0,057-0,171]; SRMR = 0,037; CFI = 0,961; TLI = 0,921).
Conclusões: o OMS-5 apresenta uma estrutura unifatorial e consistência interna adequada para avaliar os sintomas depressivos em mulheres grávidas na Colômbia. É recomendável explorar o desempenho psicométrico do OMS-5 em outros contextos.
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Copyright (c) 2023 Yeison David Gallo-Barrera , Laura Vanessa Fuentes Vanegas, Ediltrudis Ramos-De La Cruz
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