Evidencias de Validez en Estudios de Conocimientos, Actitudes y Prácticas (CAP) en Salud: Revisión de Alcance
DOI:
https://doi.org/10.36489/nursing.2026v31i333p13108-13140Palabras clave:
Estudios de validación, Conocimientos, actitudes y prácticas en salud, Encuestas y cuestionariosResumen
Objetivo: Mapear las producciones científicas sobre la validez de las pruebas en estudios de conocimientos, actitudes y prácticas (CAP) en salud. Método: Revisión de alcance siguiendo la metodología del Joanna Briggs Institute con protocolo registrado en el Open Science Framework. Se realizó una búsqueda en ocho fuentes de información, sin restricciones lingüísticas ni temporales.
La síntesis y clasificación de las evidencias siguieron las cinco fuentes previstas en los Estándares para Pruebas Educativas y Psicológicas, empleando también el software VOSviewer para el análisis de la coocurrencia de palabras clave. Resultados: Se incluyeron 110 estudios, la mayoría publicados a partir de 2020, predominando los instrumentos dirigidos a profesionales de la salud, con escalas Likert y validez de contenido. Las evidencias de estructura interna, procesos de respuesta y consecuencias de la evaluación fueron menos frecuentes. Hubo una disociación recurrente entre conocimiento, actitud y práctica, influenciada por factores contextuales. Conclusión: El avance metodológico de los CAP exige la integración de las cinco fuentes de evidencia psicométrica y la sensibilidad cultural.
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Al-Marshoudi S, Al-Balushi H, Al-Wahaibi A, Al-Khalili S, Al-Maani A, Al-Farsi N, et al. Knowledge, Attitudes, and Practices (KAP) toward the COVID-19 Vaccine in Oman: A Pre-Campaign Cross-Sectional Study. Vaccines. 4 de junho de 2021;9(6):602. doi: 10.3390/vaccines9060602
Wong FMF. First Data in the Process of Validating a Tool to Evaluate Knowledge, Attitude, and Practice of Healthcare Providers in Oral Care of Institutionalized Elderly Residents: Content Validity, Reliability and Pilot Study. Int J Environ Res Public Health. 14 de abril de 2021;18(8):4145. doi: 10.3390/ijerph18084145
Chariglione IPFS. Conhecimento, atitude e prática: conceitos e desafios na área de educação e saúde. Rev Educ Em Saúde. 13 de julho de 2020;8(1):190–8. doi: 10.29237/2358-9868.2020v8i1.p190-198
Fontes MB, Crivelaro RC, Scartezini AM, Lima DD, Garcia ADA, Fujioka RT. Fatores determinantes de conhecimentos, atitudes e práticas em DST/Aids e hepatites virais, entre jovens de 18 a 29 anos, no Brasil. Ciênc Saúde Coletiva. abril de 2017;22(4):1343–52. doi: 10.1590/1413-81232017224.12852015
Robledo DAR, Zara CG, Montalbo SM, Gayeta NE, Gonzales AL, Escarez MGA, et al. Development and Validation of a Survey Instrument on Knowledge, Attitude, and Practices (KAP) Regarding the Educational Use of ChatGPT among Preservice Teachers in the Philippines. Int J Inf Educ Technol. 2023;13(10):1582–90. doi: 10.18178/ijiet.2023.13.10.1965
Li D, Guo H, Sun Y, Zhang Z, Liu H. Knowledge, attitude, and practice of stroke patients’ family members towards stroke rehabilitation: A cross-sectional study. J Stroke Cerebrovasc Dis. fevereiro de 2025;34(2):108177. doi: 10.1016/j.jstrokecerebrovasdis.2024.108177
Hawary NUM, Warif NMA, Ishak I, Ludin AFM, Muttiah B, Kumari P N, et al. Knowledge, attitude and practices associated with COVID-19 among undergraduate students from Malaysian public universities during the endemic phase: a cross-sectional study. BMC Public Health. 9 de janeiro de 2025;25(1):119. doi: 10.1186/s12889-024-19834-7
Lee M, Kang BA, You M. Knowledge, attitudes, and practices (KAP) toward COVID-19: a cross-sectional study in South Korea. BMC Public Health. 5 de fevereiro de 2021;21(1):295. doi: 10.1186/s12889-021-10285-y
Wen X, Wang F, Li X, Gu H. Study on the Knowledge, Attitude, and Practice (KAP) of Nursing Staff and Influencing Factors on COVID-19. Front Public Health. 18 de janeiro de 2021;8:560606. doi: 10.3389/fpubh.2020.560606
Mohammed AH, Ying LH, Boon Hong ML, Sze Nee AW, Ying LS, Ramachandram DS, et al. Development and validation of a knowledge, attitude, and practice (KAP) questionnaire for skin cancer in the general public: KAP-SC-Q. Res Soc Adm Pharm. fevereiro de 2024;20(2):124–36. doi: 10.1016/j.sapharm.2023.10.009
Moitra P, Verma P, Madan J. Development and validation of a questionnaire measuring knowledge, attitudes, and practices (KAP) to healthy eating and activity patterns in school children (HEAPS). Nutr Health. junho de 2021;27(2):199–209. doi: 10.1177/0260106020982356
Tariq MH, Sulaiman SAS, Farrukh MJ, Goh KW, Ming LC. Development and validation of Chronic Kidney Disease Knowledge, Attitude, and Practices (CKD-KAP) questionnaire. Front Med. 11 de outubro de 2022;9:956449. doi: 10.3389/fmed.2022.956449
American Educational Research Association, American Psychological Association, National Council on Measurement in Education, organizadores. Report and recommendations for the reauthorization of the institute of education sciences. Washington, D.C: American Educational Research Association; 2014. 241 p.
Peters M, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. 10. Scoping reviews [Internet]. Joanna Briggs Institute; 2024. doi: 10.46658/JBIMES-24-09
Arksey H, O’Malley L. Scoping studies: towards a methodological framework. Int J Soc Res Methodol. fevereiro de 2005;8(1):19–32. doi: 10.1080/1364557032000119616
Araújo WCO. Recuperação da informação em saúde: construção, modelos e estratégias. ConCI Convergências Em Ciênc Informação. 10 de julho de 2020;3(2):100–34. doi: 10.33467/conci.v3i2.13447
Siddaway AP, Wood AM, Hedges LV. How to Do a Systematic Review: A Best Practice Guide for Conducting and Reporting Narrative Reviews, Meta-Analyses, and Meta-Syntheses. Annu Rev Psychol. 4 de janeiro de 2019;70:747–70. doi: 10.1146/annurev-psych-010418-102803
Mendes KDS, Silveira RC de CP, Galvão CM. Use of the Bibliographic Reference Manager in the Selection of Primary Studies in Integrative Reviews. Texto Contexto - Enferm [Internet]. 2019;28. doi: 10.1590/1980-265X-TCE-2017-0204
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 5 de dezembro de 2016;5(1):210. doi: 10.1186/s13643-016-0384-4
Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 29 de março de 2021;372:n71. doi: 10.1136/bmj.n71
Tricco AC, Lillie E, Zarin W, O’Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation. Ann Intern Med. 2 de outubro de 2018;169(7):467–73. doi: 10.7326/M18-0850
Van Eck NJ, Waltman L. Software survey: VOSviewer, a computer program for bibliometric mapping. Scientometrics. agosto de 2010;84(2):523–38. doi: 10.1007/s11192-009-0146-3
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Derechos de autor 2026 Francisco Lucas de Lima Fontes, Ermelinda do Carmo Valente Caldeira, Erisonval Saraiva da Silva, Angélica Jesus Rodrigues Campos, Djanes Costa Lima, Leonardo da Conceição Pereira, Maria Del Pilar Serrano Gallardo, José Wicto Pereira Borges

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