Content validity of the questionnaire 'Technology Acceptance in Health Systems' (ACEPTESS) in two latin american countries

Introduction: Some studies conducted in Latin America have evaluated the access and use of Information and Communication Technologies (ICT) by healthcare personnel in health services. However, the instruments that were used focused on specific technologies and had limited evidence regarding validity and reliability. Objective: To develop a questionnaire to assess the availability, acceptance, and use of ICT as mechanisms for care coordination and the factors influencing public health services, and to analyze its content validity. Methods: The questionnaire 'Technology Acceptance in Health Systems' (ACEPTESS) was designed and adapted for Mexico and Colombia. Content validity was analyzed using Delphi method in three phases: 1) preparatory phase, 2) consultation phase, and 3) consensus phase. Nineteen judges, experts in Health Technologies and Health Systems Management participated (8 in Mexico and 11 in Colombia). A digital validation format was used to evaluate the questionnaire items based on four categories: sufficiency, clarity, coherence, and relevance. Consultation phase included two rounds; and degree of agreement among experts was determined using the content validity coefficient. Results: The ACEPTESS questionnaire obtained an overall "excellent" level of agreement in both countries (Mexico: 0.9541; Colombia: 0.9644). The final version of the ACEPTESS questionnaire included 65 items divided into four sections. Conclusions: The results suggest that the ACEPTESS questionnaire has evidence of content validity for assessing ICT as mechanisms for care coordination and the factors influencing public health services in Mexico and Colombia.