Producción y validación de video educativo para el fomento de la lactancia materna

Dantas, Daniella Canejo; Góes, Fernanda Garcia Bezerra; Santos, Andressa Silva Torres dos; Silva, Aline Cerqueira Santos Santana da; Silva, Maria da Anunciação; Silva, Liliane Faria da

Daniella Canejo Dantas

Universidade Federal Fluminense (UFF), Instituto de Humanidades e Saúde, Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil.

https://orcid.org/0000-0003-4063-8159

Fernanda Garcia Bezerra Góes

Universidade Federal Fluminense (UFF), Instituto de Humanidades e Saúde, Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil.

https://orcid.org/0000-0003-3894-3998

Andressa Silva Torres dos Santos

Universidade de São Paulo (USP), Escola de Enfermagem de Ribeirão Preto. Ribeirão Preto, São Paulo, Brasil.

https://orcid.org/0000-0001-7142-911X

Aline Cerqueira Santos Santana da Silva

Universidade Federal Fluminense (UFF), Instituto de Humanidades e Saúde, Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-8119-3945

Maria da Anunciação Silva

Universidade Federal Fluminense (UFF), Instituto de Humanidades e Saúde, Departamento de Enfermagem. Rio das Ostras, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-0069-5100

Liliane Faria da Silva

Universidade Federal Fluminense (UFF), Escola de Enfermagem Aurora de Afonso Costa, Departamento de Enfermagem Materno-infantil e Psiquiátrica. Niterói, Rio de Janeiro, Brasil.

https://orcid.org/0000-0002-9125-1053

Corresponding author:
Daniella Canejo Dantas E-mail: daniellacanejo@gmail.com

Associate editor:

Helga Geremias Gouveia

Editor-in-chief:

Maria da Graça Oliveira Crossetti

Authorship contribution:

Conceptualization: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes. Data curation: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes. Formal analysis: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes. Investigation: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes; Andressa Silva Torres dos Santos; Aline Cerqueira Santos Santana da Silva; Maria da Anunciação Silva; Liliane Faria da Silva. Methodology: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes; Andressa Silva Torres dos Santos; Aline Cerqueira Santos Santana da Silva; Maria da Anunciação Silva; Liliane Faria da Silva. Project administration: Fernanda Garcia Bezerra Góes. Resources: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes. Software: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes. Supervision: Fernanda Garcia Bezerra Góes. Validation: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes; Andressa Silva Torres dos Santos; Aline Cerqueira Santos Santana da Silva; Maria da Anunciação Silva; Liliane Faria da Silva. Visualization: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes; Andressa Silva Torres dos Santos; Aline Cerqueira Santos Santana da Silva; Maria da Anunciação Silva; Liliane Faria da Silva. Writing-original draft: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes. Writing-review & editing: Daniella Canejo Dantas; Fernanda Garcia Bezerra Góes; Andressa Silva Torres dos Santos; Aline Cerqueira Santos Santana da Silva; Maria da Anunciação Silva; Liliane Faria da Silva.

The authors declare that there is no conflict of interest.

Item	Inadequate and Partially Inadequate	Partially Adequate and Totally Adequate	Item CVI
As for functionality
The video presents itself as an adequate tool for the purpose for which it is intended	1	19	0.95
The video allows to generate positive results regarding the teaching-learning process of the act of breastfeeding	1	19	0.95
As for usability
Video is easy to use	0	20	1.00
In the video, it is easy to learn the theoretical concepts used and their applications	0	20	1.00
The video allows clients/users to easily apply the concepts addressed in the video in the daily life of breastfeeding	1	19	0.95
As for efficiency
The duration (time of the video) is adequate for the user to learn the content	1	19	0.95
The scene time is consistent with the time proposed for the video	1	19	0.95
As for the audiovisual technique
Video image quality is adequate for watching scenes	0	20	1.00
The narrator’s tone and voice are adequate	0	20	1.00
Video voiceover is used efficiently and understandably to the target audience	0	20	1.00
It is possible to return to previous scenes as soon as desired	0	20	1.00
As for the environment
The video reflects the daily lives of families	0	20	1.00
The environment reproduced in animation did not interfere with the fidelity of the breastfeeding process	0	20	1.00
As for the procedure
The objectives of the educational video are clear and well structured	0	20	1.00
Breastfeeding techniques and guidance were explained correctly	0	20	1.00
The purpose of encouraging breastfeeding was presented	0	20	1.00
The objectives of encouraging breastfeeding are clear and correct	1	19	0.95
The stages of breastfeeding were identified and adequate	0	20	1.00
Overall mean CVI = 0.97

Judges’ suggestions	Changes attended
Cite being an introductory video and change encouraging to “promotion, protection and support” and include more the role of the father and/or family in the breastfeeding process.	NO
Establish a greater approximation between the nurse and the baby's mother at the initial moment of the orientations and in the postpartum period and a greater interaction of the father in the family environment.	YES
Mention the importance of not having obstacles between the baby's body and the mother's body, such as cloths, the baby's arm and/or the mother's hand.	NO
Mention the importance of alternating breasts, emptying one completely before offering the other and that the intermediate use of silicone, like other artificial nipples, is not recommended.	YES
Improve the family's language, as it seems technical and review the nurse's orientations and speeches so that it does not become imposed.	YES
Show closely the baby breastfeeding, so that it is possible to observe the correct handle and all the details mentioned, show the sucking scene in more detail, and include images that illustrate the inadequate/correct handle, as it is more efficient than just speech of the nurse.	NO
Review the stimulation of hydration as a way to meet the needs of the nursing mother, but not as a factor to stimulate the production of breast milk.	YES
Put an enhanced, quiet sound and change the color of the water filling the glass to transparent.	YES
Include illustrations about BF on the walls of the environments, rethink the structure of the nurse behind the table and improve spontaneity.	NO
Should the characters not wear masks, since we are in a COVID-19 pandemic, or bring information about breastfeeding and the use of mask and hand hygiene by the puerperal woman?	NO
Improve the educational process so that it is less vertical.	YES
Include, at the end, HMB contacts or breastfeeding room for mothers who need help, or the e-mail address of the HMB Global Network.	YES
Change the answer when the father asks, “And how do we know if our baby is breastfeeding properly?” to “attentive to the signs indicating that the baby is not breastfeeding properly”, respecting the father’s question.	NO
Explore the difficulties of breastfeeding and guide positioning to the breast, if “flattened or whitish areas” are observed on the breasts or nipples and evaluate the term “red stretch marks”.	NO
The green color over the blue was difficult to visualize.	YES
Divide the video into two parts: one referring to the prenatal consultation, and the other to the immediate postpartum period, due to the length of the video.	NO
Speed up the scenes so that the lines are not so slow, especially of the mother, reduce the video time and highlight in writing the other benefits of breastfeeding.	NO
When returning to the previous scene, the video is shown, temporarily muted, and it is also difficult to stop at the desired scene.	NO
Women who breastfeed, and do not have a support network, sometimes not even a partner, may not feel represented.	NO
Include that alcohol is bad for the baby and the mother as well.	YES
Correct the speech “you can leave nurse, I will follow all the “tips””.	YES
Vary the tone of voice that represents the baby's father; in some moments it is difficult to understand and leave it only in one of the situations.	NO
Put the mother of the pregnant woman or mother-in-law in the prenatal consultation, keeping everyone in the breastfeeding scenario. The super special armchairs in the office do not reflect the reality of the general population.	NO
Mention that the mother undergoing surgery should also breastfeed as soon as possible and that the desire to breastfeed in the first hour of life can be included in the birth plan and remember that the team will respect the mother’s choice to breastfeed or not, being a learned experience.	NO
State the objectives of the material at the beginning and cite the child's notebook.	NO
When talking about colostrum, it should be highlighted that the “descent of milk”, the abundance of milk can last from 3 to 5 days, depending on the type of childbirth delivery.	NO
Include orientation for the different positions for breastfeeding, the importance of using a bra (comfortable, without cups and with wide straps) and mention the importance of not having obstacles between the baby’s body and the mother’s body, such as cloths, the baby's arm and /or mother's hand.	NO

Item	Inadequate and Partially Inadequate	Partially Adequate and Totally Adequate	Item CVI
As for the objectives
The information/content is consistent with the needs of the families	0	20	1.00
Meets the objectives of providing guidance on breastfeeding	0	20	1.00
It is adequate to be used by the families	0	20	1.00
As for the organization
The technology is adequate for the families	0	20	1.00
Messages are presented in clear and objective forms	0	20	1.00
The video has a logical sequence	0	20	1.00
There is consistency between the information in the video	0	20	1.00
The video is adequate	0	20	1.00
Video length is adequate	0	20	1.00
The themes portray important aspects	0	20	1.00
As for the video style
The writing is in an adequate style	0	20	1.00
The text is interesting. The tone is friendly	0	20	1.00
Vocabulary is accessible	0	20	1.00
There is association of the theme of each scene with the corresponding text	0	20	1.00
The video text is clear	0	20	1.00
The writing style corresponds to the level of knowledge of the families	0	20	1.00
As for the appearance
The video scenes seem organized	0	20	1.00
The illustrations are simple, preferably the drawings	0	20	1.00
The images serve to complement the texts	0	20	1.00
The images are expressive and sufficient	0	20	1.00
As for the motivation
The video is adequate for the families	0	20	1.00
Video contents are presented logically	0	20	1.00
The interaction is invited by the texts, actions are suggested	0	20	1.00
The video addresses the issues for the daily lives of families	0	20	1.00
Invites/instigates changes in behavior and attitude	0	20	1.00
The video proposes knowledge for families	0	20	1.00
Overall mean CVI = 1.00

[1] Corresponding author:
Daniella Canejo Dantas E-mail: daniellacanejo@gmail.com

Brasil

Brasil

Producción y validación de video educativo para el fomento de la lactancia materna

RESUMEN

Objetivo:

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Resultados:

Conclusiones: