Construction and validation of educational booklet content for fall prevention in hospitals

Ximenes, Maria Aline Moreira; Fontenele, Natália Ângela Oliveira; Bastos, Ismael Brioso; Macêdo, Thamires Sales; Galindo, Nelson Miguel; Caetano, Joselany Áfio; Barros, Lívia Moreira

doi:10.1590/1982-0194201900059

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Acta Paulista de Enfermagem

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Sumário

Original Articles • Acta Paul Enferm 32 (4) • Jul-Aug 2019 • https://doi.org/10.1590/1982-0194201900059 copy

Construction and validation of educational booklet content for fall prevention in hospitals

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

To construct and validate an educational booklet for fall prevention in hospitals.

Methods

A methodological study developed from the construction, validation and assessment of the booklet by 22 nurses and 22 patients hospitalized in a medical clinic. For the validation with judges, objective, structure/presentation and relevance of the material were assessed and, in assessment with patients, the Suitability Assessment of Materials (SAM) tool. Content Validity Index (CVI) was used to analyze each validation step, considering valid values equal to or greater than 0.80.

Results

The booklet titled “Careful not to fall for this” consists of 20 pages. In content validation, practitioners assigned the overall CVI of 1.0 for purpose, structure/presentation, and material relevance. In the assessment of patients, the overall CVI of the booklet was 0.98.

Conclusion

The educational booklet is considered valid regarding the content and understandable by patients in a way that has a viable use in health education for fall prevention in hospitals.

Health education; Accidental falls; Accident prevention; Validation studies

Variables	n(%)*	I-CVI	p-value †
1. Objectives
1.2 Contemplates the proposed theme	22(100)	1	1
1.3 Information/contents are adequate to the process and teaching-learning	22(100)	1	1
1.4 Clarifies possible doubts about the topic addressed	22(100)	1	1
1.5 Provides reflection on the theme	22(100)	1	1
1.6 Encourages behavior change	22(100)	1	1
2. Structure and Presentation
2.1 Messages are presented in language appropriate to the target audience	22(100)	1	1
2.2 Language appropriate to educational material	22(100)	1	1
2.3 Interactive language, allowing active involvement in the educational process	22(100)	1	1
2.4 Information is correct	22(100)	1	1
2.5 Information is objective	22(100)	1	1
2.6 Information is clarifying	22(100)	1	1
2.7 Information is necessary	22(100)	1	1
2.8 Ideas are in logical sequence	22(100)	1	1
2.9 Current theme	22(100)	1	1
2.10 Text sixe is adequate	22(100)	1	1
3. Relevance
3.1 The booklet encourages learning	22(100)	1	1
3.2 Contributes to the knowledge in the area	22(100)	1	1
3.3 Awakens interest in the subject	22(100)	1	1

Variables	n(%)*	I-CVI	p-value †
1. Objectives
1.1 Meets the goals of inpatients and helps them understand fall risks.	21(95.4)	0.95	0.972
1.2 Promotes reflection on the necessary precautions in fall prevention.	22(100)	1	1
1.3 Adequate for use by any healthcare professional.	22(100)	1	1
2.Organization
2.1 The booklet’s cover is attractive.	22(100)	1	1
2.2 The booklet’s cover contemplates material information.	22(100)	1	1
2.3 Title size and topic content is suitable.	22(100)	1	1
2.4 Themes address important key aspects.	20(90.9)	0.90	0.863
2.5 There is consistency between information on the cover, presentation, summary and contents of the booklet.	22(100)	1	1
2.6 Paper of the printed material is appropriate.	22(100)	1	1
2.7 The number of pages is adequate.	20(90.9)	0.90	0.863
2.8 Material is of adequate size, that is, it is neither extensive nor tiring.	21(95.4)	0.95	0.972
3. Language
3.1 Writing is in proper style.	22(100)	1	1
3.2 Text is vivid and interesting.	22(100)	1	1
3.3 Vocabulary is accessible in simple and common words.	22(100)	1	1
3.4 All important concepts are addressed clearly and objectively.	22(100)	1	1
3.5 There is an association between the theme of each session and the corresponding text.	22(100)	1	1
3.6 Text presents interaction with guidance between professional and target audience.	22(100)	1	1
3.7 Text is written in such a way that the target audience is the center of attention, that is, the patient is more important.	21(95.4)	0.95	0.972
4. Appearance
4.1 Visual composition is attractive.	22(100)	1	1
4.2 Pages or sessions appear organized.	22(100)	1	1
4.3 The number of figures is sufficient.	21(95.4)	0.95	0.972
4.4 Figures are presented in an appropriate size.	22(100)	1	1
4.5 Figures are simple, appropriate and easily understood.	22(100)	1	1
4.6 Figures are self-explanatory.	21(95.4)	0.95	0.972
4.7 Figures are familiar to readers.	22(100)	1	1
4.8 Figures are integrated with the text (well located).	22(100)	1	1
5. Motivation
5.1 The booklet is appropriate for your age, gender, and culture.	21(95.4)	0.95	0.972
5.2 The booklet presents a logical sequence on care to prevent falls.	22(100)	1	1
5.3 The booklet arouses interest and curiosity.	22(100)	1	1
5.4 The booklet promotes behavior change and attitude.	22(100)	1	1
5.5 The content of the booklet maintains the dynamics of reading.	22(100)	1	1
5.6 The content of the booklet motivates the reading to the end.	21(95.4)	0.95	0.972
5.7 The use of the booklet becomes relevant.	22(100)	1	1

Escola Paulista de Enfermagem, Universidade Federal de São Paulo R. Napoleão de Barros, 754, 04024-002 São Paulo - SP/Brasil, Tel./Fax: (55 11) 5576 4430 - São Paulo - SP - Brazil
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[1] Corresponding author. Maria Aline Moreira Ximenes E-mail: aline.ximenes11@hotmail.com