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Psychometric properties of the Brazilian Portuguese versions of the 29- and 13-item scales of the Antonovsky's Sense of Coherence (SOC-29 and SOC-13) evaluated in Brazilian cardiac patients

Authors

  • Rosana A Spadoti Dantas PhD, RN,

    Associate Professor, Corresponding author
    1. World Health Organization (WHO) Collaborating Centre for Nursing Research Development, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
    • Correspondence: Rosana A Spadoti Dantas, Associate Professor, World Health Organization (WHO) Collaborating Centre for Nursing Research Development, University of São Paulo at Ribeirão Preto College of Nursing, Avenida Bandeirantes, 3900 Ribeirão Preto, São Paulo, Brazil. Telephone: +55 16 3602 3402.

      E-mail: rsdantas@eerp.usp.br

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  • Fernanda S e Silva RN,

    PhD Candidate
    1. World Health Organization (WHO) Collaborating Centre for Nursing Research Development, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
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  • Márcia A Ciol PhD

    Research Associate Professor
    1. Department of Rehabilitation Medicine, School of Medicine, University of Washington, Seattle, WA, USA
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Abstract

Aim and objectives

To assess the construct validity and reliability of the Brazilian Portuguese versions of the 29- and 13-item scales of the Antonovsky's Sense of Coherence Scale (SOC-29 and SOC-13).

Background

Antonovsky's Sense of Coherence Questionnaire was developed to measure the main construct of the salutogenic theory, the sense of coherence. The use of the sense of coherence by health professionals might help identifying specific coping strategies used by person with chronic illness.

Design

Cross-sectional study.

Methods

The SOC-29 has been culturally adapted to Brazilian Portuguese language. In this study, we assessed its psychometric properties (construct validity and internal reliability) tested on 203 cardiac patients. The SOC-13 was tested on another 100 cardiac patients hospitalised in the same hospital. The construct validity of both versions was investigated through Pearson correlation between the measures of sense of coherence and of correlated constructs (self-esteem, depression and age), analysis of the principal components and comparison of distinct groups (male vs. female). The internal reliability for both versions was evaluated by Cronbach's alpha.

Results

For both versions, the construct validity assessments showed strong positive correlations between sense of coherence and self-esteem and strong negative correlations between sense of coherence and depression (convergent validity), and weak correlation between sense of coherence and age (divergent validity). Principal component analysis supported in part the presence of a single component (unidimensionality). Differences in sense of coherence were found by sex with SOC-29, but not with SOC-13. Cronbach's alpha coefficients showed satisfactory internal consistency in both versions.

Conclusions

The Brazilian Portuguese versions of SOC-29 and SOC-13 can be considered valid and reliable for the populations studied. More studies need to be performed to assess these proprieties in other Brazilian populations.

Relevance to clinical practice

This scale can be used in research and clinical practice in Brazil to assess nursing interventions aimed at decreasing stress during cardiac rehabilitation.

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