Development and evaluation of a booklet to promote ealthy lifestyle in people with HIV

Fontenele, Marina Soares Monteiro; Cunha, Gilmara Holanda da; Lopes, Marcos Venícios de Oliveira; Siqueira, Larissa Rodrigues; Lima, Maria Amanda Correia; Moreira, Lavna Albuquerque

doi:10.1590/0034-7167-2020-0113

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. bras. enferm. 74 (Suppl 5) • 2021 • https://doi.org/10.1590/0034-7167-2020-0113 copy

Development and evaluation of a booklet to promote ealthy lifestyle in people with HIV

Desarrollo y evaluación de cartilla para promover estilo de vida saludable en personas con VIH

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

To develop and evaluate an educational primer to promote healthy lifestyles in people with HIV.

Methods:

Study of technological development in three stages: Development of the booklet, with bibliographical review, illustrations, layout, diagramming, adopting as reference the trans-theoretical model of behavior change; Analysis of content and appearance by 22 judges; Semantic analysis by 22 people with HIV. The proportion of positive evaluations of the items was measured, considering a percentage equal to or greater than 85%.

Results:

My motivational booklet for change! Practices for promoting a healthy lifestyle" had six areas: Body weight control; Healthy eating; Exercise practice; Smoking, alcohol and other drugs; Stress control; and Drug treatment. Most of the items evaluated agreed with an overall average of 92.4% by the judges and 98.9% by the target audience.

Conclusion:

The booklet had evidence of adequate validity to be used by people with HIV.

Descriptors:
Educational Technology; HIV; Chronic Disease; Health Promotion; Nursing

Aspects and items in the booklet	n	%	CI 95%
1 Objectives
1.1 Is the booklet suitable to be used in consultations and health education strategies for PLWHA?	20	90.9	69.37-98.40
1.2 Are they consistent with the needs of PLWHA in terms of health education for lifestyle changes and prevention of other diseases?	21	95.5	75.11-99.76
1.3 Does it contribute to adequate care for PLWHA?	20	90.9	69.37-98.40
1.4 Is it suitable as scientific material for infectology?	19	86.4	64.03-96.41
2 Structure, presentation, clarity and understanding of texts and illustrations
2.1 Are the items in the booklet presented in a clear and objective way?	20	90.9	69.37-98.40
2.2 Are the items presented scientifically correct?	21	95.5	75.11-99.76
2.3 Is the booklet suitable for the socio-cultural level of the target audience?	17	77.3	54.17-91.31
2.4 Is the logical sequence of the proposed content adequate?	18	81.8	58.99-94.00
2.5 Are the items well-structured in concordance and spelling?	20	90.9	69.37-98.40
2.6 Is the size of the title and topics appropriate?	20	90.9	69.37-98.40
2.7 Are the illustrations expressive and sufficient?	19	86.4	64.03-96.41
2.8 Is the number of pages adequate?	22	100	81.50-100
2.9 Is the structure adequate and does it draw the attention of who will use it?	21	95.5	75.11-99.76
2.10 Is the reading pleasant, being a convenient material?	21	95.5	75.11-99.76
2.11 Is it suitable for use in hospitals, Primary Health Care units, among other places?	21	95.5	75.11-99.76
3 Relevance
3.1 Do the items portray key aspects that should be observed?	21	95.5	75.11-99.76
3.2 Is the booklet suitable to enable PLWHA to acquire information about the prevention and control of other chronic diseases?	21	95.5	75.11-99.76
3.3 Is the booklet suitable for use by any nurse or other health professional attending PLWHA?	21	95.5	75.11-99.76

Aspects	%
1 Objectives	90.9
2 Structure, presentation, clarity and understanding of texts and illustrations	90.9
3 Relevance	95.5
Overall average of the booklet	92.4

Aspects and items in the booklet	n	%	CI 95%
1 Understanding texts and illustrations
1.1 Can you understand everything the booklet presents?	22	100	81.50-100
1.2 Are the illustrations expressive and sufficient, serving as a complement to the text?	22	100	81.50-100
1.3 Is the number of pages adequate?	22	100	81.50-100
1.4 Is reading pleasant and educational material convenient?	22	100	81.50-100
1.5 Is the booklet suitable for any literate PLWHA to read and understand?	20	90.9	69.37-98.40
1.6 Did the cover get your attention?	20	90.9	69.37-98.40
2 Reading motivation
2.1 Did you feel motivated to read the booklet to the end?	22	100	81.50-100
2.2 Did the educational booklet suggest thinking or acting on lifestyle changes to prevent/control other chronic diseases?	22	100	81.50-100
2.3 Does the booklet address issues necessary for patients to feel motivated to follow health recommendations?	22	100	81.50-100
2.4 Is the booklet suitable to enable PLWHA to follow health guidelines and have safety on the topic?	22	100	81.50-100
3 Relevance
3.1 Do the items in the booklet portray key aspects that should be observed by PLWHA?	22	100	81.50-100
3.2 Is the booklet suitable to enable people living with HIV to obtain information about the prevention and control of other chronic diseases?	22	100	81.50-100
3.3 Is the booklet suitable for use by any nurse or other health professional attending PLWHA?	22	100	81.50-100

Aspects	%
1 Understanding texts and illustrations	96.9
2 Reading motivation	100
3 Relevance	100
Overall average of the booklet	98.9

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[1] Corresponding author: Gilmara Holanda da Cunha E-mail: gilmaraholandaufc@yahoo.com.br