Validation of educational booklet for HIV/Aids prevention in older adults

Methodological study developed in two phases - manufacturing of the booklet and validation of the educational material by judges. The manufacturing process involved a situational diagnosis with older adults, and its result indicated gaps in the knowledge with respect to HIV/Aids. The validation process was performed by nine judges, selected by convenience. It was considered an agreement index of at least 0.80, analyzed through the content validity index.

Results:

We opted for a dialogue between two older adults divided into three categories: myths and taboos; ignorance; and prevention and importance of diagnosis. The average of the items was 0.90. The suggestions made by the judges were observed and modified for the final version.

Conclusion:

The material had relevant content for the judges, in addition to being able to be used by health professionals in the education and clarification of issues on the subject.

Descriptors:
Older People; Teaching Materials; Sexually Transmitted Diseases; Geriatric Nursing; HIV

Domains	Suggestion of the judges
Aims	To reinforce the use of condoms in all sexual relations and for protection against STIs, in addition to addressing the homosexual bias.
Content	In relation to the method of transmission, there is a need for reformulation of the phrase "tattoo with blood-contaminated material", because it might seem that the tattoo is only made with contaminated blood; further explore the difficulty that older adults have in using a condom correctly and the stigma of erection due to the condom.
Language	Replace the term "vessel" by "tip" or "end"; change the expression "male" by another more used among older adults; replace the terms "not getting up" for "failing" and "nonsense" for "rubbish".
Illustration	The order of the characters changes in only one slide; diversification of the images to make the material more attractive; put the figures of orientation on the use of condoms next to each corresponding orientation.
Layout and design	Increase font size; white colors are very present, making the reading less attractive; I suggest changing the color of Zé's pants and darkening the illustration's backgrounds a little; change the main background, because having only one makes reading boring.

Domains	Items	I-CVI^* * I-CVI - Content Validity of Individual Items;
Aim	1.1 To generate reflections on the care which needs to be taken by older adults in their sexual relations	1
	1.2 To promote a change in behavior and attitude before the dangers of lack of prevention	0.89
	1.3 To promote the demystification of the HIV/Aids issue among older adults	1
	1.4 To clarify the information on the forms of HIV contamination	0.78
	1.5 To mitigate the biased ideas on the subject of HIV	0.89
CVI^ CVI - Content Validity Index - Total		0.91
Content	2.1 Appropriate for the orientation of older adults in the prevention of STD/HIV/Aids	1
	2.2 Able to clarify doubts about the forms of contamination	1
	2.3 The messages are presented in a clear and objective manner	1
	2.4 The information presented are scientifically correct	0.89
	2.5 The contents are varied and sufficient to achieve the objectives of the booklet	0.89
	2.6 There is a logical sequence of the content proposed	1
CVI^ CVI - Content Validity Index - Total		0.96

Domains	Items	I-CVI^* * I-CVI - Content Validity of Individual Items;
Relevance	4.1 Opportunity of acquiring knowledge about the HIV/Aids issue	1
	4.2 Adequacy of the booklet for use by health professionals with their patients	1
	4.3 Adequacy of the booklet as a health education tool	1
	4.4 Elucidation of the issue addressed to the population	1
	4.5 Focus on the key aspect that should be reinforced.	1
CVI^ CVI - Content Validity Index - Total		1
Illustrations	5.1 Emphasis on important points and ideas of the text	0.89
	5.2 Relevant to the material's contents	1
	5.3 The number of illustrations is enough to express the contents satisfactorily	0.89
	5.4 The subtitles are appropriate and help the reader to understand the image	0.89
CVI^ CVI - Content Validity Index - Total		0.92
Language	3.1 Comprehensibility of the content by the way it is presented in the form of a conversation	1
	3.2 Comprehensibility of the content by the use of objective and short texts	0.89
	3.3 Comprehensibility of the content by the use of the active voice with familiar words that have simple definitions	1
	3.4 Comprehensibility of the content by the good structuring of the discourse with the use of correct spelling and good grammatical concord	0.89
CVI^ CVI - Content Validity Index - Total		0.95
Layout and design	6.1 The presentation of the booklet is attractive and well organized	1
Layout and design	6.2 The typographic font used was suitable to the target audience	1
	6.3 The typographic fonts of the text are adequate and easy to read	1
	6.4 The number of pages is appropriate	1
	6.5 The most important information are arranged in the text correctly for a better understanding	1
	6.6 The use of matte printing improved the readability of the text	1
CVI^ CVI - Content Validity Index - Total		1

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR Luana Ibiapina Cordeiro Email: luanaibiapina1@hotmail.com