Prevention of non-suicidal self-injury: construction and validation of educational material

Silva, Aline Conceição; Miasso, Adriana Inocenti; Araújo, Alisson; Barroso, Teresa Maria Mendes Dinis de Andrade; Santos, José Carlos Pereira dos; Vedana, Kelly Graziani Giacchero

doi:10.1590/1518-8345.6265.3735

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Revista Latino-Americana de Enfermagem

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Original Article • Rev. Latino-Am. Enfermagem 30 (spe) • 2022 • https://doi.org/10.1590/1518-8345.6265.3735 copy

Prevention of non-suicidal self-injury: construction and validation of educational material^* * *This article refers to the call “Adolescent health and the role of nurses”. Edited by Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. Publication of this supplement was supported by the Pan American Health Organization (PAHO/WHO). Articles have undergone the journal’s standard peer-review process for supplements. The views expressed in this supplement are those of the authors alone and do not represent the views of PAHO/WHO. Paper extracted from doctoral dissertation “Desenvolvimento e validação de material educativo sobre autolesão não suicida para profissionais de saúde”, presented to Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil. This study was financed in part by the Comissão de Cultura e Extensão Universitária da Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, 4º Edital CCEx-EERP-USP de Fomento às Iniciativas de Cultura e Extensão nº 02/2020, Grant # 20.1.00496.22.9, Brazil.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

to develop and validate educational material to strengthen adolescent health care on non-suicidal self-injury.

Method:

methodological research designed in three stages: (1) construction of the material based on a mixed study on needs related to the theme through social networks and an umbrella review on health care related to non-suicidal self-injury; (2) validation with 10 experts in mental health and/or self-inflicted violence selected through the Lattes Platform; (3) evaluation by the target public, with health professionals being invited, without restriction of training. Validation and evaluation data were collected by using a sociodemographic questionnaire and the Suitability Assessment of Materials for evaluation of health-related information for adults. We used descriptive statistics, content validity index, and Gwet’s AC1 test.

Results:

the material obtained good general acceptance and reliability in the validation by the experts (AC1= 0.633; p=0.0000) and in the evaluation by the target public (AC1=0.716; p=0.0000). All professionals pointed out the personal contribution and educational potential of the material.

Conclusion:

we highlight the construction of science-based educational material to strengthen the health care for adolescents with non-suicidal self-injury.

Descriptors:
Self-Injurious Behavior; Mental Health Assistance; Adolescent; Psychiatric Nursing; Nursing Methodology Research; Health Human Resource Training

Highlights:

(1) Scientific data-based construction of educational material for prevention of non-suicidal self-injury (NSSI). (2) General acceptance and reliability in the validation of the material by experts. (3) Acceptance and reliability in the evaluation of the material by health professionals. (4) Dissemination of material for health education initiatives to prevent NSSI.

Item	Agreement		CVI^†
Item	Yes n(%)	No n(%)	CVI^†
Evidence of purpose	100	0	1.0
Content deals with behaviors	100	0	1.0
Purpose-Focused Content	100	0	1.0
Content highlights key points	100	0	1.0
Reading level requirement	80*	0	1.0
Writing in the active voice	100	0	1.0
Common vocabularies in the text	80	20	0.8
Context before information	90	10	0.9
Facilitation of learning by topics	100	0	1.0
Purpose of the illustration is clear	100	0	1.0
Types of the illustrations	100	0	1.0
Illustrations are relevant	100	00	1.0
Lists and tables have explanations	90	10	0.9
Captions in the illustrations	80*	0	1.0
Layout characteristic	100	0	1.0
Font size and type	100	0	1.0
Use of subtitles	100	0	1.0
Specific instructions with examples	90	10	0.9
Motivation and self-efficacy	100	0	1.0
Uses interaction	100	0	1.0
Consistent with logic, language and experience	90	10	0.9
Cultural image and examples	100	0	1.0

	AC1*	SD^†	95%CI^‡	P-value
General	0.633	0.082	(0.448,0.819)	0.0000
Content	1.000	0.000	(1,1)	0.0000
Language	0.587	0.153	(0.242,0.933)	0.0039
Illustrations	0.778	0.094	(0.566,0.99)	0.0000
Layout	0.672	0.205	(0.207,1)	0.0097
Motivation	0.819	0.124	(0.538,1)	0.0001
Culture	0.615	0.265	(0.016,1)	0.0452

Item	Agreement		CVI^†
Item	Yes n(%)	No n(%)	CVI^†
Evidence of purpose	96.7	3.3	0.97
Content deals with behaviors	93.3	6.7	0.93
Content focused on the purpose	96.7	3.3	0.97
Content highlights key points	96.7	3.3	0.97
Reading level requirement	90.0*	3.3	0.96
Writing in the active voice	100	0	1.0
Common vocabularies in the text	96.7	3.3	0.97
Context before information	100	0	1.0
Facilitation of learning by topics	100	0	1.0
Purpose of the illustration is clear	96.7	3.3	0.97
Types of the illustrations	100	0	1.0
Illustrations are relevant	96.7*	0	1.0
Lists and tables have explanations	100	0	1.0
Captions in the illustrations	90*	10	1.0
Layout characteristic	100	0	1.0
Font size and type	100	0	1.0
Use of subtitles	100	0	1.0
Specific instructions with examples	100	100	1.0
Uses interaction	90*	6.7	0.93
Motivation and self-efficacy	96.7	3.3	0.93
Consistent with logic, language and experience	100	0	1.0
Cultural image and examples	100	0	1.0

	AC1*	SD ^†	95%CI ^‡
General	0.716	0.053	(0.609,0.824)
Content	0.881	0.054	(0.771,0.991)
Language	0.754	0.068	(0.615,0.892)
Illustrations	0.769	0.063	(0.641,0.898)
Layout	0.879	0.063	(0.751,1)
Motivation	0.705	0.086	(0.529,0.881)
Culture	0.891	0.079	(0.729,1)

Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo Av. Bandeirantes, 3900, 14040-902 Ribeirão Preto SP Brazil, Tel.: +55 (16) 3315-3451 / 3315-4407 - Ribeirão Preto - SP - Brazil
E-mail: rlae@eerp.usp.br

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[1] Corresponding author: Aline Conceição Silva E-mail: csilvaaline@hotmail.com https://orcid.org/0000-0001-5843-2517