Revista da Associação Médica Brasileira (English Edition) Revista da Associação Médica Brasileira (English Edition)
Rev Assoc Med Bras. 2013;59:576-82 - Vol. 59 Num.06

Content validation of the 'Mosaic of Opinions on Abortion' (Mosai)

Denis Barbosa Cacique a, Renato Passini Junior b, Maria José Martins Duarte Osis c

a Center for Statistics and Information Hospital, Hospital da Mulher Professor Doutor José Aristodemo Pinotti, Center for Integral Attention to Women''s Health, Universidade Estadual de Campinas, Campinas, SP, Brazil
b Departament of Gynecology-Obstetrics, Faculty of Medical Sciences, Universidade Estadual de Campinas, Campinas, SP, Brazil
c Center for Research in Reproductive Health of Campinas, Campinas, SP, Brazil


Abortion. Validation studies. Healthcare providers. Health knowledge, attitudes and practice. Ethical analysis


Objective: This study is aimed to develop and validate the contents of the Mosaic of Opinions on Induced Abortion (Mosai), a structured questionnaire intended to be used as a tool to collect information about the views of health professionals about the morality of abortion.

Methods: The contents of the first version of the questionnaire was developed based on the technique of thematic content analysis of books, articles, films, websites and newspapers reporting cases of abortion and arguing about their practice. The Mosai was composed of 6  moral dilemmas (vignettes) related to induced abortion, of which outcomes should be chosen by the respondents and could be justified by the classification of 15  patterns of arguments about the morality of abortion. In order to validate its contents, the questionnaire was submitted to the scrutiny of a panel of 12 experts, an intentional sample consisted of doctors, lawyers, ethicists, sociologists, nurses and statisticians, who evaluated the criteria of clarity of writing, relevance, appropriateness to sample and suitability to the fields. These scores were analyzed by the method of concordance rate, while the free comments were analyzed using the analysis technique content.

Results: All the moral dilemmas and arguments were considered valid according to the rate of agreement, however, some comments led to the exclusion of a dilemma about emergency contraception, among other changes.

Conclusion: The content of Mosai was considered valid to serve as a tool to collect the opinions of healthcare professionals regarding the morality of abortion.

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