Validación de cartilla sobre autocuidado con pies de personas con Diabetes Mellitus

Galdino, Yara Lanne Santiago; Moreira, Thereza Maria Magalhães; Marques, Antonio Dean Barbosa; Silva, Francisca Alexandra Araújo da

doi:10.1590/0034-7167-2017-0900

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 72 (3) • May-Jun 2019 • https://doi.org/10.1590/0034-7167-2017-0900 linkcopiar

Validación de cartilla sobre autocuidado con pies de personas con Diabetes Mellitus

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo: describir la validación de cartilla sobre el autocuidado con pies de personas con diabetes.

Método: estudio metodológico, con foco en la validación de cartilla impresa. El contenido y apariencia de la cartilla fue validado por 23 jueces divididos en tres grupos: 11 de contenido y aspecto, siete técnicos y cinco del área de diseño y marketing. La apariencia fue validada por 30 personas con Diabetes Mellitus tipo 2.

Resultados: los jueces en el área de enfermería posibilitaron la validación del material con Índice de Validez del Contenido (IVC) total de 0,99, jueces del área de diseño y marketing con Suitability Assessment of Materials (SAM): 99,2% y el público objetivo con índice de concordancia: 99,4%.

Conclusión: la cartilla educativa se mostró material educativo válido y confiable para ser utilizada, a fin de promover la adhesión al autocuidado con los pies de personas con Diabetes Mellitus.

Descriptores:
Diabetes Mellitus Tipo 2; Tecnología Educacional; Pie Diabético; Estudios de Validación; Materiales de Enseñanza

Judges	Objectives	2*	3**	4***	CVI****
Content judges	1.1 They are consistent with the needs of patients with DM2 in relation to self-care with the feet.	01	02	08	0.9
	1.2 Promote behavior change and attitudes.	00	06	05	1.0
	1.3 It can circulate in the scientific environment in the area of diabetes.	00	04	07	1.0
	Structure and presentation	2*	3**	4***	CVI****
	2.1 The educational material is suitable for the guidance of patients with DM2 in relation to self-care with the feet.	01	01	09	0.9
	2.2 The messages are presented in a clear and objective manner.	00	05	06	1.0
Content judges	2.3 The information presented is scientifically correct.	00	02	09	1.0
	2.4 There is a logical sequence of proposed content.	00	02	09	1.0
	2.5 The material is suitable at the sociocultural level of the proposed target audience.	01	04	06	0.9
	2.6 The information is well structured in agreement and spelling.	01	05	05	0.9
	2.7 The style of writing corresponds to the level of knowledge of the target audience.	03	03	05	0.73
	2.8 Information on the cover, back cover, acknowledgments and / or presentation is consistent.	00	00	11	1.0
	2.9 The illustrations are expressive and sufficient.	01	01	09	0.9
	2.10 The number of pages is suitable.	00	01	10	1.0
	2.11 The size of the title and topics is suitable.	02	02	07	0.8
	Relevance	2*	3**	4***	CVI****
	3.1 The themes portray the key aspects that should be reinforced.	00	02	09	1.0
	3.2 The material proposes to the patient to acquire knowledge about the management of self-care with the feet.	00	01	10	1.0
	3.3 The material addresses the issues necessary for the prevention of complications.	00	00	11	1.0
	3.4 It is suitable for use by any healthcare professional in its educational activities.	01	00	10	0.9
Technical judges	Objectives	2*	3**	4***	CVI****
	1.1 They are consistent with the needs of patients with DM2 in relation to self-care with the feet.	00	00	07	1.0
	1.2 Promotes behavior change and attitudes.	00	00	07	1.0
	1.3 It can circulate in the scientific environment in the area of diabetes.	01	00	06	0.85
	Structure and presentation		3**	4***	CVI****
	2.1 The educational material is suitable for the guidance of patients with DM2 in relation to self-care with the feet.		00	07	1.0
	2.2 The messages are presented in a clear and objective manner.		00	07	1.0
	2.3 The information presented is scientifically correct.		00	07	1.0
	2.4 There is a logical sequence of the proposed content.		00	07	1.0
	2.5 The material is suitable at the sociocultural level of the proposed target audience.		01	06	1.0
	2.6 The information is well structured in agreement and spelling.		00	07	1.0
	2.7 The style of writing corresponds to the level of knowledge of the target audience.		00	07	1.0
	2.8 Information on the cover, back cover, acknowledgments and/or presentation is consistent.		01	06	1.0
	2.9 The illustrations are expressive and sufficient.		01	06	1.0
	2.10 The number of pages is suitable.		00	07	1.0
	2.11 The size of the title and topics is suitable.		00	07	1.0
	Relevance		3**	4***	CVI****
	3.1 The themes portray the key aspects that should be reinforced.		00	07	1.0
	3.2 The material proposes to the patient to acquire knowledge about the management of self-care with the feet.		00	07	1.0
	3.3 The material addresses the issues necessary for the prevention of complications.		02	05	1.0
	3.4 It is suitable for use by any health professional in its educational activities.		00	07	1.0

Judge	1.1	1.2	1.3	2.1	2.2	2.3	3.1	3.2	4.1	4.2	4.3	5.1	5.2	SAM* Score
1	2	2	2	2	2	2	2	2	2	2	2	2	2	26
2	2	2	2	2	2	2	2	2	2	2	2	2	2	26
3	2	2	2	2	2	2	2	2	2	2	2	2	2	26
4	2	2	2	2	2	2	1	2	2	2	2	2	2	25
5	2	2	2	2	2	2	1	2	2	2	2	2	2	25

Variables	Positive Answers		Negative Answers		Impartial Answers
Variables	n	%	n	%	n	%
1 Organization (yes/ no/ I do not know)
1.1 Did the cover catch your eye?	29	96.7	00	-	01	3.3
1.2 Is the content sequence suitable?	30	100	00	-	00	-
1.3 Is the structure of the educational booklet organized?	30	100	00	-	00	-
2 Writing style
2.1 Regarding the understanding of the sentences, they are: easy to understand / hard to understand / I do not know	30	100	00	-	00	-
2.2 The content is: clear / confusing / I do not know	30	100	00	-	00	-
2.3 The text is: interesting / uninteresting / I do not know	30	100	00	-	00	-
3 Appearance
3.1 The illustrations are: simple / complicated / I do not know	30	100	00	-	00	-
3.2 Do the illustrations complement the text? yes/ no/ I do not know	30	100	00	-	00	-
3.3 Do the pages or sections seem organized? yes/ no/ I do not know	30	100	00	-	00	-
4 Motivation (yes/ no/ I do not know)
4.1 In your opinion, any patient with DM who read this booklet will understand what it is about?	29	96.7	00	-	01	3.3
4.2 Did you feel motivated to read the booklet until the end?	29	96.7	01	3.3	00	-
4.3 Does the educational material address the issues necessary for patients with DM to take proper care of their feet?	30	100	00	-	00	-
4.4 Has the educational booklet suggested you to act or think about caring for your feet?	30	100	00	-	00	-

Unit of Meaning	Speeches
Explanatory	The sentences are very easy to understand. (P. 1, 2, 5, 12, 29) Spelling is easy to understand. (P. 16) The topic is clear. (P. 19, 27) It's very interesting and explanatory. A person who is reading will understand quickly. (P. 20) The content is in an easy and accessible language, with no complications of interpretation. (P. 25) I liked the pictures, the well explained and well readable words. (P. 28) Even those who cannot read, if they look at it, they can understand. (P. 30)
Important	There were things in the book that I never imagined I needed to know. (P. 3) Very useful and easy to understand, it helped a lot about the care we should take with our feet. (P. 8) The subject that the booklet brings is important both for the patient and for the relatives who are close to him. (P. 11) It is an incentive for the person to take better care of himself. (P. 17) It induces people to do things they would not to. (P. 18) I think it is an interesting material for all those who live with this disease. (P. 22)
Suitable	It is well developed. Paper is great and easy to read. (P. 4) Very good. The booklet is great.. (P. 6, 9, 13, 21, 23) Interesting ... the letters are a good size so that we can see well. (P. 7) I found it wonderful. (P. 10) The material has good quality and a very good visualization. (P. 14) It is suitable for what is determined to clarify. (P. 15) The illustrative part is great. (P. 24, 26) It is very complete. (P. 29)

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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
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[TFN1] Notas: Escala Likert: 2- Parcialmente Adequado*, 3- Adequado**, 4- Totalmente Adequado; IVC= Índice de Validade de Conteúdo.

Judge	1.1	1.2	1.3	2.1	2.2	2.3	3.1	3.2	4.1	4.2	4.3	5.1	5.2	SAM* Score
1	2	2	2	2	2	2	2	2	2	2	2	2	2	26
2	2	2	2	2	2	2	2	2	2	2	2	2	2	26
3	2	2	2	2	2	2	2	2	2	2	2	2	2	26
4	2	2	2	2	2	2	1	2	2	2	2	2	2	25
5	2	2	2	2	2	2	1	2	2	2	2	2	2	25

Judge	1.1	1.2	1.3	2.1	2.2	2.3	3.1	3.2	4.1	4.2	4.3	5.1	5.2	SAM* Score
1	2	2	2	2	2	2	2	2	2	2	2	2	2	26
2	2	2	2	2	2	2	2	2	2	2	2	2	2	26
3	2	2	2	2	2	2	2	2	2	2	2	2	2	26
4	2	2	2	2	2	2	1	2	2	2	2	2	2	25
5	2	2	2	2	2	2	1	2	2	2	2	2	2	25

Judge	1.1	1.2	1.3	2.1	2.2	2.3	3.1	3.2	4.1	4.2	4.3	5.1	5.2	SAM* Score
1	2	2	2	2	2	2	2	2	2	2	2	2	2	26
2	2	2	2	2	2	2	2	2	2	2	2	2	2	26
3	2	2	2	2	2	2	2	2	2	2	2	2	2	26
4	2	2	2	2	2	2	1	2	2	2	2	2	2	25
5	2	2	2	2	2	2	1	2	2	2	2	2	2	25