Validation of a protocol for nursing consultations with children with autism in Primary Health Care

Nascimento, Rogênia Rocha; Sousa, Kaline Oliveira de; Maia, Evanira Rodrigues; Oliveira, Joseph Dimas de; Silva, Kely Vanessa Leite Gomes da; Alves, Bruna Silva de Oliveira

doi:10.1590/2177-9465-EAN-2025-0176pt

person Rogênia Rocha Nascimento

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

schoolUniversidade Regional do Cariri, Programa de Pós-graduação Stricto Sensu de Mestrado Acadêmico em Enfermagem. Crato, Ceará, Brasil.

0000-0001-7422-8348

person Kaline Oliveira de Sousa

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

schoolUniversidade Regional do Cariri, Programa de Pós-graduação Stricto Sensu de Mestrado Acadêmico em Enfermagem. Crato, Ceará, Brasil.

0000-0002-7193-4033

person Evanira Rodrigues Maia

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

schoolUniversidade Regional do Cariri, Programa de Pós-graduação Stricto Sensu de Mestrado Acadêmico em Enfermagem. Crato, Ceará, Brasil.

0000-0001-9377-7430

person Joseph Dimas de Oliveira

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

schoolUniversidade Regional do Cariri, Programa de Pós-graduação Stricto Sensu de Mestrado Acadêmico em Enfermagem. Crato, Ceará, Brasil.

0000-0001-8105-4286

person Kely Vanessa Leite Gomes da Silva

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

schoolUniversidade Regional do Cariri. Crato, Ceará, Brasil.

0000-0001-5179-8962

person Bruna Silva de Oliveira Alves

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

schoolUniversidade Regional do Cariri, Programa de Pós-graduação Stricto Sensu de Mestrado Acadêmico em Enfermagem. Crato, Ceará, Brasil.

0000-0003-1591-1635

personCorresponding author: Rogênia Rocha Nascimento E-mail:
rogenia.rocha@urca.br

CONFLICT OF INTEREST

No conflict of interest.

ASSOCIATED EDITOR

Pedro Ricardo Martins Bernardes Lucas https://orcid.org/0000-0002-2560-7306

SCIENTIFIC EDITOR

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

Item	Description	Number of experts	%	CVI
1	As for scope: the protocol outlines the essential steps required to complete the task, without omitting any important steps.	8	100.00	0.90
2	As for clarity: the protocol is understandable to the least educated segment of the target population, using short sentences and simple, unambiguous expressions.	8	100.00	1.00
3	As for consistency: the protocol was drafted in such a way that it does not seem ridiculous, pointless, or childish.	8	100.00	1.00
4	Regarding the urgency of the items: the protocol outlines important/essential steps for the success of the task.	8	100.00	1.00
5	As for objectivity: the protocol provides guidance on desirable behaviors, not abstract concepts. It allows for only one idea or attitude.	8	100.00	0.90
6	As for the scientific writing: the protocol contains phrasing appropriate to the context and the educational background of the professional who will be using the instrument.	8	100.00	1.00
7	Regarding relevance: the protocol has a clearly defined attribute that is consistent with the other sentences covering the same attribute. The item does not imply any attribute other than the one defined.	8	100.00	1.00
8	As for the sequence: the protocol has a defined position on the attribute continuum, presenting a logical sequence.	8	100.00	1.00
9	As for uniqueness: the protocol is distinct, unique in its presentation.	8	100.00	1.00
10	Regarding the update: the guidelines are based on the most current evidence.	8	100.00	1.00
	Sum of CVI.			9.8
	Overall CVI.			0.98

Evaluated items	Experts recommendations	Adapted instrument
Item 10 - Regarding the update.	Expert 4: suggested incorporating the Social Stories tool to assist with activities of daily living.	Recommendation not considered
Item 2 - Regarding clarity.	Expert 6: noted that, although the protocol is intended for healthcare professionals, the texts are long, with large flowcharts and small print.	Recommendation considered in part
Item 1 - Regarding scope.	Expert 7: In Flowchart 1, they suggested including steps to address the risk of accidents involving airway obstruction caused by foreign objects. They also suggested that, to prevent poisoning, products should be kept in their original packaging.	Recommendation not considered

Evaluated items	Superior	Adequate	Not adequate	N/A
1. Contents
The purpose is clear	4	2	-	-
The content addresses behaviors	2	4	-	-
The content is purpose-driven	4	2	-	-
The content highlights the main points	5	1	-	-
2. Literacy requirement
Reading level	3	-	-
Use the active voice	3	-	-
Use vocabulary with common words found in the text	2	1	-
Context comes before new information	3	-	-
Learning is facilitated by topics	5	-	-
3. Illustrations
The purpose of the illustration relating to the text is clear	4	-	-	-
Types of illustrations	4	-	-	-
The figures/illustrations are relevant	4	-	-	-
The lists, tables, and other items are explained	3	-	-	-
The illustrations are captioned	2	-	-	-
4. Layout and presentation
Layout Feature	3	-	-	-
Font size and type	3	1	-	-
Subtitles are used	2	-	-	-
5. Learning encouragement and motivation
Use interaction	3	-	-	-
The guidelines are specific and provide examples	3	-	-	-
Motivation and self-efficacy	3	-	-	-
6. Cultural adaptation
It is similar to its logic, language, and experience	4	-	-	-
Cultural imagery and examples	4	-	-	-

Expert	Individual SAM (%)
1	100
2	75
3	65
4	95
5	65
6	63
Total SAM	77

[1] CVI: Content Validity Index.

Validation of a protocol for nursing consultations with children with autism in Primary Health Carea

Validation of a protocol for nursing consultations with children with autism in Primary Health Care^a