CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL BOOKLET TO PROMOTE ADHERENCE TO ORAL ANTIDIABETICS

Danilo Donizetti Trevisan Corresponding authorDanilo Donizetti Trevisan Universidade Federal de São João del Rei – Divinópolis, MG, Brasil E-mail: ddtrevisan@gmail.com

Universidade Federal de São João del Rei. Divinópolis, MG, Brasil.

https://orcid.org/0000-0002-6998-9166

Corresponding author
Danilo Donizetti Trevisan Universidade Federal de São João del Rei – Divinópolis, MG, Brasil E-mail: ddtrevisan@gmail.com

Role of Authors

Substantial contributions to the conception or design of the work; or the acquisition, analysis, or interpretation of data for the work - Roquini GR, Avelar NRN, Santos TR, Oliveira MRA de C, Trevisan DD; Drafting the work or revising it critically for important intellectual content - Roquini GR, Avelar NRN, Santos TR, Oliveira MRA de C, Galindo Neto NM, Sousa MRMGC de, Trevisan DD. All authors approved the final version of the text.

Associate editor: Gilberto Tadeu Reis da Silva

Characterization of the judges (n=25)		n (%)
Age (years), mean (SD)		37,4 (5,3)
Education time (years), mean (SD)		13,7 (5,8)
Publication involving the theme		20 (80)
Professional categories
	Nurse	20 (80)
	Physician	3 (12)
	Pharmacist	2 (8)
Titration
	Doctorate degree	13 (53)
	Master's Degree	9 (36)
	Specialization	3 (12)
Current occupation
	Professor - nursing undergraduate	11 (44)
	Professor - medicine undergraduate	3 (12)
	Professor - Pharmacy undergraduate	2 (8)
	Professional assistants in ambulatory/primary care	9 (36)
Region of operation
	Southeast	19 (76)
	Northeast	3 (12)
	North	1 (4)
	Abroad (Portugal)	2 (8)

Variables		n (%) ^* * Percent item agreement;	I-CVI ^ Item-Level Content Validity Index;
1. Content
	1.1 Content covers care for adherence to OADs ^& & Oral Antidiabetics;	24 (96)	0,96
	1.2 Headings and subheadings are coherently divided	24 (96)	0,96
	1.3 Highlighted excerpts are worth highlighting	24 (96)	0,96
	1.4 Content meets the needs of the target audience	21 (84)	0,84
	1.5 Text sequence is logical	23 (92)	0,92
	1.6 Content is relevant to inform people with DM2 ^§ § Type 2 Diabetes Mellitus.	25 (100)	1
	1.7 Content is correct from a scientific point of view	23 (92)	0,92
2. Language
	2.1 Language is compatible with the target audience	21 (84)	0,84
	2.2 Sentence formation is attractive and not tiresome	25 (100)	1
	2.3 There is clarity and objectivity in the text	23 (92)	0,92
3. Illustrations
	3.1 Illustrations match the content	22 (88)	0,88
	3.2 Illustrations are understandable	25 (100)	1
	3.3 Captions help the reader understand the image	21 (84)	0,84
	3.4 Number of images is sufficient to address the content	23 (92)	0,92
4. Layout
	4.1 Font size and font favor reading	22 (88)	0,88
	4.2 Colors used in the text make it easy to read	25 (100)	1
	4.3 The arrangement of items on the page is organized	22 (88)	0,88
	4.4 Number of pages and size of the material are coherent	23 (92)	0,92
5. Motivation
	5.1 Reader is encouraged to continue reading by the content	23 (92)	0,92
	5.2 Primer is enlightening	24 (96)	0,96
6. Cultural fit
	6.1 It meets the profiles of people with DM2 ^§ § Type 2 Diabetes Mellitus. taking ODAs ^& & Oral Antidiabetics;	22 (88)	0,88

Suggestions from the judges	Modifications made
Content
Reformulation of the title	Reformulated to: “Planning for taking medications in the treatment of Type 2 Diabetes Mellitus. “Let´s go?”.
Simplification of sentences	Sentences modified to: “Drink small sips of water during the day or as recommended by the health care team”, “Seek the health care team to try to replace the medicine”, “Eat every three hours in small amounts”.
Insertion of information	Inserted the following information: “Remember that your medication should not be kept in hot (such as the kitchen) or humid places (such as bathrooms), and should also be kept away from the height of children (above 1.5 meters)”; “If you are going to carry your medication, do not leave it in hot places, such as inside a bag exposed to the sun, or inside a car parked in the sun. This can compromise the quality of the medicine”; “It is very important that you attend your appointments at the health service and perform the requested tests”.
Language
Replacement, exclusion, or definition of technical terms	Substituted “medicines” and “pharmaceuticals” for “ medicines”.
	Substituted "your adherence is not good" for "your blood glucose is outside the recommended parameter for you".
	Defined the terms "adverse events" and "hypoglycemia" to "unwanted complications from the drug" and "drop in blood sugar", respectively.
	Defined the term "medication adherence" to "participation and involvement in the appropriate use of medicines".
	Defined the term "glycemic control" to "(...) when we say glycemic control it is the same as saying blood sugar (glucose) control".
	Replaced the phrase "reasons leading to non-engagement" with "reasons leading to non-engagement".
Illustrations
Cover image redesign	Redesigned the picture of pills on the homepage, showing only medications inside the primary package and glucometer.
Layout
Enlarge font	Increased the font size to make it easier to read, especially in the “main difficulties” and “possible solutions” boxes.
Motivation
Add motivation message	Inserted the following message: “We understand that it is really complicated to organize the new routine. But it is possible that it will become more comfortable and that you will be able to have a full life even though you take medication every day.”
Culture
No notes at all.

[1] Corresponding author
Danilo Donizetti Trevisan Universidade Federal de São João del Rei – Divinópolis, MG, Brasil E-mail: ddtrevisan@gmail.com

Brasil

Brasil

CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL BOOKLET TO PROMOTE ADHERENCE TO ORAL ANTIDIABETICS

ABSTRACT

Objective

Method

Results

Conclusion