Educational video for families about choking prevention and management in newborns: development, validity, and assessment

Nunes, Nátale Gabriele Ferreira; Góes, Fernanda Garcia Bezerra; Silva, Liliane Faria da; Silva, Aline Cerqueira Santos Santana da; Goulart, Maithê de Carvalho e Lemos; Santos, Leticia de Assis

doi:10.1590/2177-9465-EAN-2025-0004pt

person Nátale Gabriele Ferreira Nunes

study design · data acquisition · data analysis and interpretation of results · manuscript writing and critical review · approval of the final version of the article · responsibility for all aspects of the content and integrity of the published article

schoolUniversidade Federal Fluminense. Rio das Ostras, RJ, Brasil.

0000-0001-5335-7140

person Fernanda Garcia Bezerra Góes

study design · data acquisition · data analysis and interpretation of results · manuscript writing and critical review · approval of the final version of the article · responsibility for all aspects of the content and integrity of the published article

schoolUniversidade Federal Fluminense. Rio das Ostras, RJ, Brasil.

0000-0003-3894-3998

person Liliane Faria da Silva

data analysis and interpretation of results · manuscript writing and critical review · approval of the final version of the article · responsibility for all aspects of the content and integrity of the published article

schoolUniversidade Federal Fluminense. Niterói, RJ, Brasil.

0000-0002-9125-1053

person Aline Cerqueira Santos Santana da Silva

data analysis and interpretation of results · manuscript writing and critical review · approval of the final version of the article · responsibility for all aspects of the content and integrity of the published article

schoolUniversidade Federal Fluminense. Rio das Ostras, RJ, Brasil.

0000-0002-8119-3945

person Maithê de Carvalho e Lemos Goulart

data analysis and interpretation of results · manuscript writing and critical review · approval of the final version of the article · responsibility for all aspects of the content and integrity of the published article

schoolUniversidade Federal Fluminense. Rio das Ostras, RJ, Brasil.

0000-0003-2764-5290

person Leticia de Assis Santos

data analysis and interpretation of results · manuscript writing and critical review · approval of the final version of the article · responsibility for all aspects of the content and integrity of the published article

schoolUniversidade Federal Fluminense. Rio das Ostras, RJ, Brasil.

0000-0002-4669-8059

Corresponding author: Nátale Gabriele Ferreira Nunes. E-mail:
nataleferreiraa@gmail.com

CONFLICTS OF INTEREST

None.

ASSOCIATED EDITOR

Aline Okido https://orcid.org/0000-0003-4309-5612

SCIENTIFIC EDITOR

Marcelle Miranda da Silva https://orcid.org/0000-0003-4872-7252

FUNCTIONALITY
Item	Inadequate/partially inadequate	Adequate/partially adequate	Item CI
1.0 Is the video an appropriate tool for its intended purpose?	0	20	1
1.1 Does the video enable positive results to be generated in the teaching-learning process of preventing and managing choking in newborns?	0	20	1
USABILITY
2.0 Is the video easy to use?	0	20	1
2.1 Is it easy to learn the theoretical concepts used and their applications in the video?	0	20	1
2.2 Does the video allow customers/users to easily apply the concepts covered in everyday life?	1	19	0.95
EFFICIENCY
3.0 Is the duration (video length) adequate for the user to learn the content?	2	18	0.90
3.1 Is the scene length consistent with the proposed video length?	1	19	0.95
AUDIOVISUAL TECHNIQUE
4.0 Is the video image quality adequate for viewing the scenes?	0	20	1
4.1 Are the narrator’s tone and voice appropriate?	1	19	0.95
4.2 Is the video narration used effectively and understandably by the target audience?	1	19	0.95
4.3 Is it possible to return to previous scenes whenever desired?	0	20	1
ENVIRONMENT
5.0 Does the video reflect families’ daily lives?	1	19	0.95
5.1 Did the environment reproduced in animation not interfere with the accuracy of choking prevention and management in newborns?	0	20	1
PROCEDURE
6.0 Are the objectives of the educational video clear and well-structured?	0	20	1
6.1 Were the functionality and techniques for preventing and managing choking in newborns explained correctly?	0	20	1
6.2 Was the purpose of preventing and managing choking in full-term newborns presented?	0	20	1
6.3 Are the objectives related to preventing and managing choking in newborns clear and accurate?	0	20	1
6.4 Was the step-by-step process for preventing and managing choking in newborns presented?	0	20	1
6.5 Were the procedural stages identified and appropriate?	0	20	1
OVERALL CI: 0.98

Experts’ suggestions	Modification met	Justification
[...] in the first scene of the video that shows a “floppy body,” the baby’s movements are strange and don’t demonstrate the situation adequately.	Yes	The newborn’s expression was modified in order to facilitate understanding for the target audience and make the animation more in line with reality.
[...] I suggest that the nurse in the video move her mouth while speaking, as this makes it seem like it’s just a static illustration.	Yes	The healthcare professional’s lip movements were altered to make the video more interactive, engaging, and engaging with the viewer.
[...] in the video, when she talks about choking on liquids, the baby appears to be smiling.	Yes	The newborn’s expression was modified to make the images and scenes more appropriate and relevant to the emergency.
[...] the narration is slow; you could consider reducing the video’s length, perhaps speeding up the narration slightly. The content is quite clear, with a well-structured explanation and excellent diction, but the current pace seems a bit slow, which could make it difficult to maintain the target audience’s interest.	Yes	Although the topic involves several specificities and requires adequate synthesis to present the key points clearly, to avoid distractions and disinterest from the target audience, a slight change was made to the video speed, resulting in a shorter running time.
[...] you could consider reducing the video’s length, perhaps speeding up the narration slightly.	Yes	The video was sped up slightly to make it more dynamic.
[...] the transition from screen 7:11 to 7:12 is overlapping, with the family appearing behind the speech bubble. Also in this part, when it says that cardiopulmonary resuscitation is needed, the choking maneuvers continue to appear in the thought bubble. I think it would be interesting to show the nurse performing compressions on the baby in the thought bubble to avoid confusion.	Yes	Scene error adjusted with the responsible professional, as well as added scene of the healthcare professional performing compressions on the thought bubble.
[...] I think it’s important to explain cardiopulmonary resuscitation maneuvers.	No	This topic was not included in the video to avoid making it too long.
[...] I think the technique of displaying the letters interferes with the audio and reading! I suggest removing the animation on the letters.	No	The animation was maintained to make the video more engaging, as leaving the letters still would have made the video monotonous.
[...] it doesn’t mention the appropriate time to perform the maneuvers.	No	The literature suggests that the maneuver can be performed as many times as necessary.
[...] the video is long; I suggest removing the introduction and focusing more on the choking maneuvers.	No	Removing these initial scenes would have decontextualized the video and fragmented the storytelling. Furthermore, this introduction allows families to feel represented.
[...] if you turn the baby over onto her back, apply compressions, and she still doesn’t choke? Add it to the video.	No	Throughout the video, the video covers the step-by-step process of how to expel a newborn’s breath and, if this fails, call emergency services or the fire department.

FUNCTIONALITY
Item	Inadequate/partially inadequate	Adequate/partially adequate	Item CI
1.0 Is the video an appropriate tool for its intended purpose?	0	32	1
1.1 Does the video enable positive results to be generated in the teaching-learning process of preventing and managing choking in newborns?	0	32	1
USABILITY
2.0 Is the video easy to use?	0	32	1
2.1 Is it easy to learn the theoretical concepts used and their applications in the video?	0	32	1
2.2 Does the video allow customers/users to easily apply the concepts covered in everyday life?	0	32	1
EFFICIENCY
3.0 Is the duration (video length) adequate for the user to learn the content?	0	32	1
3.1 Is the scene length consistent with the proposed video length?	0	32	1
AUDIOVISUAL TECHNIQUE
4.0 Is the video image quality adequate for watching the scenes?	0	32	1
4.1 Is the narrator’s tone and voice appropriate?	0	32	1
4.2 Is the video narration used efficiently and understandably by the target audience?	0	32	1
4.3 Is it possible to return to previous scenes whenever desired?	0	32	1
ENVIRONMENT
5.0 Does the video reflect families’ daily lives?	1	31	0.96
5.1 Did the environment reproduced in animation not interfere with the accuracy of choking prevention and management in newborns?	0	32	1
PROCEDURE
6.0 Are the objectives of the educational video clear and well-structured?	0	32	1
6.1 Were the functionality and techniques for preventing and managing newborn choking correctly explained?	0	32	1
6.2 Were the purposes of preventing and managing newborn choking presented?	0	32	1
6.3 Are the objectives related to preventing and managing newborn choking clear and accurate?	0	32	1
6.4 Was the step-by-step presentation related to preventing and managing newborn choking presented?	0	32	1
6.5 Were the procedural stages identified and appropriate?	0	32	1
OVERALL CI: 0.99

[1] Note: CI - Concordance Index.

Educational video for families about choking prevention and management in newborns: development, validity, and assessment^a

Abstract

Educational video for families about choking prevention and management in newborns: development, validity, and assessmenta

Abstract

Educational video for families about choking prevention and management in newborns: development, validity, and assessment^a