Validation of educational material for the care of people with intestinal stoma

a methodological research for the construction and validation of an educational booklet by nine expert judges and 25 people with stomas. The agreement index of at least 80% was considered to guarantee the validation of the material.

Results:

regarding the objectives of the booklet, all the judges evaluated the items as “adequate” or “totally adequate”, with a content validity index of 1.00. Regarding the structure and presentation of the booklet, the total index was 0.84. Regarding relevance, the total was 0.97 and the general index of the educational booklet was 0.89, confirming the validation with the judges. All items of the organization, writing style, appearance and motivation of the material were considered as validated by the target audience, reaching a total agreement index of 0.99.

Conclusion:

in the context of health education, the booklet was considered valid and suitable for the care of people with intestinal stoma, and can be used in teaching, research, extension and care for people with intestinal stoma.

Descriptors:
Ostomy; Self-Care; Educational Technology; Health education; Nursing Care; Validation Studies

Objectives	Adequate	Totally suitable	CVI^* * CVI = Content Validity Index
It is consistent with the needs of people with stomas in relation to self-care	1	8	1.0
Promotes change in behavior and attitudes	4	5	1.0
Can circulate in the scientific community in the stoma area	2	7	1.0

Structure and Presentation	Partially Adequate	Adequate	Totally Suitable	CVI^* * CVI = Content Validity Index
The educational material is appropriate for guiding people with stoma in relation to self-care.	0	2	7	1.0
The messages are presented in a clear and objective way.	2	3	4	0.77
The information presented is scientifically correct.	1	2	6	0.88
There is a logical sequence of the proposed content.	2	1	6	0.77
The material is appropriate to the socio-cultural level of the proposed target audience.	1	3	5	0.88
The information is well structured in agreement and spelling.	2	4	3	0.77
The writing style corresponds to the level of knowledge of the target audience.	2	3	4	0.77
The information on the cover, back cover, acknowledgments and/or presentation is consistent.	1	1	7	0.88
The illustrations are expressive and sufficient.	2	4	3	0.77
The number of pages is adequate.	1	1	7	0.88
The sizes of the title and topics are appropriate.	1	2	6	0.88

Relevance	Partially Adequate	Adequate	Totally Suitable	CVI^* * CVI = Content Validity Index
The themes portray the key aspects that must be reinforced.	0	1	8	1.00
The material proposes to the person with a stoma to acquire knowledge regarding the management of self-care.	1	3	5	0.88
The material addresses the issues necessary to prevent complications.	0	1	8	1.00
It is suitable for use by any health professional in their educational activities.	0	1	8	1.00

Items	Positive Answers	Impartial Answers	Agreement Index
Organization
Did the cover catch your attention?	24	1	0.96
Is the content sequence appropriate?	25	0	1
Is the structure of the educational booklet organized?	25	0	1
Writing style
As for the understanding of the phrases, they are: (Easy to understand/Difficult/Do not know)	25	0	1
The written content is: (Clear/Confused/Do not know)	25	0	1
The text is: (Interesting/Uninteresting/Do not know)	25	0	1
Appearance
The illustrations are: (Simple/Complicated/Do not know)	25	0	1
Do the illustrations complement the text?	25	0	1
Do the pages or sections appear organized?	25	0	1
Motivation
In your opinion, anyone with a stoma who reads this booklet will understand what it is about?	25	0	1
Did you feel motivated to read the booklet until the end?	24	1	0.96
Does the educational material address the issues necessary for people with a stoma to perform appropriate care?	25	0	1
Did the educational booklet suggest you act or think about self-care with your stoma?	25	0	1
Overall mean of the agreement index	0.99

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding author: Julliana Fernandes de Sena E-mail: jullianafsena@yahoo.com.br https://orcid.org/0000-0002-8968-1521