Elaboration and validation of a reader on childhood diarrhea prevention

Methodological study, developed based on the elaboration, validation and evaluation of educational material by 30 content judges and three technicians. For the validation, the clarity of the language, practical pertinence and theoretical relevance were considered, calculating the Content Validity Index for each item; and the tool Suitability Assessment of Materials (SAM) was applied to evaluate the reader.

Results

The reader was titled “You can prevent diarrhea in you child” was elaborated in the framework of Self-Efficacy Theory. The content judges attributed a global Content Validity Index (CVI) of 0.88 for language clarity, 0.91 for practical pertinence and 0.92 for theoretical relevance; and the technical judges attributed CVI of 0.96, 1.00 and 1.00 for the same items assessed, respectively. The assessment of the content and technical judges based on the SAM tool classified the material as “superior”, with average coefficients of 88.7% and 90.1%, respectively.

Conclusion

The reader was considered appropriate in terms of face and content validation to promote maternal self-efficacy in the prevention of childhood diarrhea.

Diarrhea, infantile; Self efficacy; Health promotion; Validation studies; Mother-child relations

Page/Theme	Clear language		Practical relevance		Theoretical relevance
	Judges
	C*	T**	C*	T**	C*	T**
Cover	0.9	1	0.93	1	0.9	1
Presentation	0.9	1	0.93	1	0.93	1
Page 7/ Definition of childhood diarrhea	0.76	1	0.93	1	0.93	1
Page 8/ Care with child hygiene	0.86	1	0.9	1	0.93	1
Page 9/ Care with child hygiene	0.83	1	0.9	1	0.9	1
Page 10/ Care with child hygiene	0.83	1	0.9	1	0.9	1
Page 11/ Care with maternal hygiene	0.8	1	0.9	1	0.9	1
Page 12/ Environmental cleaning	0.96	1	0.96	1	0.93	1
Page 13/ Environmental cleaning	0.93	1	0.86	1	0.93	1
Page 14/ Environmental cleaning	0.96	1	0.96	1	0.96	1
Page 15/ Environmental cleaning	0.86	1	0.9	1	0.86	1
Page 16/ Washing fruit and vegetables	0.93	1	0.93	1	0.96	1
Page 17/ Washing fruit and vegetables	0.86	1	0.9	1	0.93	1
Page 18/ Food	0.9	1	0.9	1	0.96	1
Page 19/ Food	0.83	1	0.93	1	0.9	1
Page 20/ Food	0.8	1	0.86	1	0.83	1
Page 21/ Food	0.9	0.66	0.9	1	0.9	1
Page 22/ Food	0.86	1	0.86	1	0.9	1
Page 23/ Vaccination	0.96	0.66	1	1	1	1
Page 24/ Diarrhea management conducts	0.96	1	0.96	1	0.96	1
Page 25/ Diarrhea management conducts	0.93	1	0.83	1	0.9	1
Page 26/ Closure	0.96	1	1	1	1	1
Global CVI	0.88	0.96	0.91	1.00	0.92	1.00

Domains	Higher		Appropriate		Inappropriate		Total – Mean agreement (%)
	C*	T**	C*	T**	C*	T**	C*	T**
1.Content
a) Clear objective	23	3	7	-	-	-	88.3	100
b) Content discusses behavior	28	3	2	-	-	-	96.7	100
c) The proposal is limited	24	3	6	-	-	-	90	100
d) Abstract or review	16	-	5	2	9	1	61.7	33.3
2. Language fit for the population
a) Level of reading	22	3	8	-	-	-	86.7	100
b) Active voice style	25	2	5	1	-	-	91.6	83.3
c) Vocabulary uses common words	23	3	7	-	-	-	88.3	100
d) Context first	26	2	4	1	-	-	93.3	83.3
e) Learning mediated by advanced signs	27	3	3	-	-	-	95	100
3. Graphical illustrations, lists, tables and graphs
a) Cover	24	2	6	1	-	-	90	83.3
b) Type of illustrations	28	3	2	-	-	-	96.7	100
c) Relevance of illustrations	28	3	1	-	1	-	95	100
d) Lists, tables, graphs and forms	26	3	1	-	3	-	88.3	100
e) Captions are used	23	3	4	-	3	-	88.3	100
4. Layout and type
a) Layout factors	24	2	6	1	-	-	90	83.3
b) Type	26	3	4	-	-	-	93.3	100
c) Subtitles are used	23	3	7	-	-	-	83.3	100
5. Stimulation for learning and motivation
a) Interaction is included in the text and/or figures	15	-	13	3	2	-	71.7	50
b) Desired behavioral standards are modeled or shown in specific terms	26	2	4	1	-	-	93.3	83.3
c) Motivation/self-efficacy	23	3	7	-	-	-	88.3	100
6. Cultural Appropriateness
a) Cultural game – logic, language and experience (LLE)	22	3	8	-	-	-	86.7	100
b) Cultural Image and Examples	27	2	2	1	1	-	93.3	83.3
Total							88.7	90.1

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[1] Corresponding author. Leidiane Minervina Moraes de Sabino. http://orcid.org/0000-0003-2938-870X. E-mail: leidinhamoraes@hotmail.com