CONSTRUCTION AND VALIDATION OF EDUCATIONAL TECHNOLOGY ON POST-LIVER TRANSPLANT FOR FAMILY CAREGIVERS

Lima, Manuella Coelho; Lopes, Caroline Araujo; Cestari, Virna Ribeiro Feitosa; Pinheiro, Aurenice Lopes; Pessoa, Vera Lúcia Mendes de Paula

doi:10.1590/1980-265X-TCE-2023-0280en

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Special Section • Texto contexto - enferm. 33 • 2024 • https://doi.org/10.1590/1980-265X-TCE-2023-0280en copy

CONSTRUCTION AND VALIDATION OF EDUCATIONAL TECHNOLOGY ON POST-LIVER TRANSPLANT FOR FAMILY CAREGIVERS

CONSTRUCCIÓN Y VALIDACIÓN DE TECNOLOGÍA EDUCATIVA SOBRE EL PERÍODO POSTERIOR A TRASPLANTES HEPÁTICOS DESTINADA A CUIDADORES FAMILIARES

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to construct and validate an educational booklet on post-liver transplant for family caregivers.

Method:

a methodological study carried out in two stages from August 2021 to July 2023: 1) Construction of the educational booklet aimed at liver transplant patient's family caregivers; and 2) Content and face validation by expert judges and semantic validity with the target audience. For the experts to analyze the validity data, the Content Validity Index was used (≥0.78 per item and ≥0.80 in total), as well as the Exact Binomial Distribution test (p>0.05 and 0.80) and the Intraclass Correlation Coefficient (95%) for greater reliability. In the semantic evaluation, the IRaMuTeQ software was used to guide the analysis of the interviews, using Descending Hierarchical Classification and Word Cloud.

Results:

after the bibliographic survey, four axes guided the construction of the booklet. The total Content Validity Index was 0.99 (p>0.05), with excellent reliability (ICC=0.946). The total Face Validity Index was 0.93 (p>0.05), with good reliability (ICC=0.766). In terms of semantics, the analytical categories pointed to a satisfactory level of perception and understanding of the booklet by the target audience.

Conclusion:

the technology is innovative, including caregivers in the education process, and is relevant to post-transplant care. The validation process shows the feasibility of understanding the booklet and the need to use it to improve home care.

DESCRIPTORS:
Liver transplant; Educational technology; Family; Caregivers; Validation study

Domains	Agreement			CVI^§	p-value^\|\|
Domains	D* f (%)	PA^† f (%)	TA^‡ f (%)	CVI^§	p-value^\|\|
Objective	-	-	-	1.00	-
1. It contemplates the topic of care risk management indicators in Pediatrics	-	01 (20.0)	04 (80.0)	1.00	0.672ª
2. It is suitable for the teaching-learning process	-	01 (20.0)	04 (80.0)	1.00	0.672ª
3. It clarifies doubts about the topic proposed	-	02 (40.0)	03 (60.0)	1.00	0.263ª
4. It provides a reflection on the topic proposed	-	02 (40.0)	03 (60.0)	1.00	0.263ª
5. It encourages behavioral change in care risk management	-	01 (20.0)	04 (80.0)	1.00	0.672ª
Structure and presentation	-	-	-	0.98	-
6. Suitable language for the target audience	-	03 (60.0)	02 (40.0)	1.00	0.058ª
7. Suitable language for the digital manual	-	02 (40.0)	03 (60.0)	1.00	0.263ª
8. Interactive language, allowing active involvement in the educational process	01 (20.0)	-	04 (80.0)	0.83	0.672ª
9. Correct information	-	03 (60.0)	02 (40.0)	1.00	0.058ª
10. Objective information	-	03 (60.0)	02 (40.0)	1.00	0.058ª
11. Clarifying information	-	03 (60.0)	02 (40.0)	1.00	0.058ª
12. Necessary information	-	02 (40.0)	03 (60.0)	1.00	0.672ª
13. Logical sequence of ideas	-	03 (60.0)	02 (40.0)	1.00	0.058ª
14. The topic of care risk management covered in the manual is up to date	-	01 (20.0)	04 (80.0)	1.00	0.672ª
15. Appropriate text size	-	03 (60.0)	02 (40.0)	1.00	0.058ª
Relevance	-	-	-	1.00	-
16. The digital manual stimulates learning in care risk management	-	01 (20.0)	04 (80.0)	1.00	0.672ª
17. It contributes to knowledge in the area of care risk indicators in Pediatrics	-	01 (20.0)	04 (80.0)	1.00	0.672ª
18. It sparks interest in the topic	-	01 (20.0)	04 (80.0)	1.00	0.672ª
Total CVI	-	-	-	0.99	-
ICC (95%CI)¶	0.946 (0.840 - 0.994)

Items	Agreement			FVI^§	p-value^\|\|
Items	PD* f (%)	PA^† f (%)	TA^‡ f (%)	FVI^§	p-value^\|\|
1. The illustrations are suitable for health managers and professionals.	-	02 (33.3)	04 (66.7)	1.00	0.345ª
2. The illustrations are clear and easy to understand.	-	02 (33.3)	04 (66.7)	1.00	0.345ª
3. The illustrations are relevant for health managers and professionals to understand the content.	-	01 (16.7)	05 (83.3)	1.00	0.655
4. The colors of the illustrations are appropriate for the type of material.	-	01 (16.7)	05 (83.3)	1.00	0.202ª
5. The shapes of the illustrations are appropriate for the type of material.	-	02 (33.3)	04 (66.7)	1.00	0.417ª
6. The illustrations depict the routine of health managers and professionals.	01 (16.7)	04 (66.7)	01 (16.7)	0.83	0.655
7. The layout of the pictures is in harmony with the text.	-	05 (83.3)	01 (16.7)	1.00	0.655ª
8. The figures used clarify the content of the manual.	01 (16.7)	04 (66.7)	01 (16.7)	0.83	0.655
9. The illustrations help to explain the topic of risk management indicators and are in a logical sequence.	-	05 (83.3)	01 (16.7)	1.00	0.655ª
10. The illustrations in the manual are adequate.	01 (16.7)	03 (50.0)	02 (33.3)	0.83	0.655
11. The size of illustrations is appropriate in the manual.	01 (16.7)	02 (33.3)	03 (50.0)	0.83	0.655
12. The illustrations help to change the behavior and attitudes of the target audience.	01 (16.7)	04 (66.7)	01 (16.7)	0.83	0.655
Total FVI	-	-	-	0.93	-
ICC (95%CI)¶	0.766 (0.649 - 0.945)

Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem Campus Universitário Trindade, 88040-970 Florianópolis - Santa Catarina - Brasil, Tel.: (55 48) 3721-4915 / (55 48) 3721-9043 - Florianópolis - SC - Brazil
E-mail: textoecontexto@contato.ufsc.br

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[1] CORRESPONDING AUTHOR
Caroline Araujo Lopes. caroline.lopes1630@gmail.com