Assertiveness, Clarity, Positivity Model

Domains assessed: Prose: Comprehension, Information seeking: Interactive media navigation, Information seeking: Document, Conceptual Knowledge, Comprehension, Communication: Speaker, Communication: Listener, Appraisal, Application/function

Specific context: General

Validation sample population age: Adults: 18 to 64 years

Modes of administration in validation study: Paper and pencil, Mailed survey, Face-to-face, Computer-based

Number of items: 50

Sample size in validation study: 387

Administration Time (minutes): 10 minutes

Language of validated version: Portuguese

Categorical scoring: Yes

Scoring categories: The Q-COM-LIT consists of 50 questions: sociodemographic characterization (n=7), scripts (n=3); assertiveness (n=13); clarity (n=13); positivity (n=13); open final question (n=1). The ACP group of questions comprises those numbered from 9 to 11, totaling 39 items. A Likert scale (1. It's terrible; 2. Bad; 3. Sufficient; 4. Good; 5. Excellent) for individual evaluation of the professional, based on Bryman (2012, p. 166). To improve the enunciation and order of the questions, a pre-test was made, which gathered, between September 22 and November 10, 2019, 21 participants. Due to the prestige of EUROPEP (1996, 2017), a user satisfaction questionnaire in Portugal (Annex 1), and because they were the researchers responsible for its translation, dissemination and evaluation, it was considered useful to submit the Q-COM-LIT to the appreciation of Professors Pedro Ferreira and Victor Raposo, who evaluated it very positively. The age group from 35 to 44 years represents 35.7% of respondents, followed by the 45 to 54 years age group with 23.9%, 25 to 34 years with 22.9% of respondents, 3.9% of professionals aged 18 to 24 years and only 1.5% over 65 years. A total of 59.1% are married or living in a marital life, while 27% of respondents are single and 13% divorced or widowed. It is in the municipality of Lisbon that the majority resides (31.9%). Also 60.7% work in chulc, reflecting the result of dissemination in this hospital center, after the authorization of the EC (process 704/2019).

Country where validated: Portugal

Content validity: The INE (2017; 2018) indicates, for the metropolitan area of Lisbon, the total of 12 913 nurses in the hospital context and that of 1,836 FGM physicians in office. Therefore, a total of 14 749 health professionals. In an attempt to optimize the quality of the sample as much as possible, the calculation was applied to finite populations and, through quotas, proportions of reality were inserted. The total sample to be computed, applying the calculation for finite populations –

Reliability (Cronbach Alpha): 0.961

Reliability notes: Considering the reliability indexes, which are between 0.75 and 1 and, given the result for Cronbach's alpha of the Q-COM-LIT of 0.788 (for the 50 items), the values confirm the reliability of the instrument. Although the sociodemographic questions of the survey were not in the values that could be considered low (Marôco & Garcia-Marques, 2006), excluding them the result rose to a reliability index of 0.959 . The results of the Q-COM-LIT reinforce those of the FG, through the evaluation attributed by health professionals to their communicative competencies, combined with the ACP model – in the variables Assertiveness, Clarity and Positivity. By evaluating the measures of central trend, such as the Median, Moda and Quartiles, it is possible to obtain a confirmation of its appreciation of health communication skills.