CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL BOOKLET ON SEXUAL AND REPRODUCTIVE HEALTH FOR SERODISCORDANT COUPLES

Frazão, Luisa Rayane Silva Bezerra; Gusmão, Tarcila Lima Alcântara de; Guedes, Tatiane Gomes

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ORIGINAL ARTICLE • Cogitare Enferm. 27 • 2022 • https://doi.org/10.5380/ce.v27i0.79155 copy

CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL BOOKLET ON SEXUAL AND REPRODUCTIVE HEALTH FOR SERODISCORDANT COUPLES

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to describe the process of construction and validation of an educational booklet on sexual and reproductive health of serodiscordant couples.

Method:

methodological study, developed in three stages: construction of the booklet, content validation and appearance evaluation, conducted in Recife-PE, Brazil in 2018. The content was validated by 22 judges and the appearance by six serodiscordant couples. The relevance of the items was proven in the Item-Level Content Validity Index value and the cut-off point equal or higher than 0.80 was considered for agreement and pertinence of the booklet, according to purpose, structure, presentation, and relevance.

Results:

all items obtained a percentage of agreement above 80%, as well as an overall average (91%). In content analysis, a significance value (p>0.05) was verified in all items, and the evaluation of appearance obtained 100% agreement.

Conclusion:

the use of technologies as an educational resource promotes individual empowerment and directs self-care.

DESCRIPTORS
Health Education; Sexual and Reproductive Health; HIV Infections; Nursing; Sexual Behavior

EVALUATED ITEMS		SCORE (N=22)					I-CVI	P^† † Binomial test;	P^* * p-value; I-CVI = Item-Level Content Validity Index; S-CVI/UA global=0.91; SCVI/AVE global=0.89.
EVALUATED ITEMS		^CT CT = strongly agree;	^C C = agree;	^NCND NCND = Neither agree nor disagree;	^D D = disagree;	^DT DT = strongly disagree;
OBJECTIVE
1.1	Consistency of information/content with sexual and reproductive health promotion among serodiscordant couples	20	1	1	0	0	0,95	0,95	0,97
1.2	Scientifically correct information	18	4	0	0	0	1	1	1
1.3	Information instigates changes in behavior and attitude	11	9	2	0	0	0,9	0,91	0,86
1.4	It meets the information needs of serodiscordant couples.	18	2	1	1	0	0,9	0,81	0,86
1.5	It caters to the different socio-cultural levels.	11	6	2	2	1	0,77	0,45	0,22
Percent agreement (S-CVI/Ave) 90,90% (0,90)
STRUCTURE AND PRESENTATION
2.1	Clarity and objectivity of the language	17	3	2	0	0	0,9	0,91	0,86
2.2	Proposed Content Logic	17	3	1	1	0	0,9	0,81	0,86
2.3	Concordance and Spelling	18	3	1	0	0	0,95	0,95	0,97
2.4	Font size and typeface are conducive to reading	15	3	2	2	0	0,81	0,72	0,42
2.5	Layout	14	5	2	1	0	0,86	0,87	0,66
2.6	Consistency of illustrations with the content	13	3	2	3	1	0,72	0,64	0,09
2.7	Quantity of illustrations	11	6	1	2	2	0,77	0,77	0,22
2.8	Encourages the reader to continue reading	16	4	2	0	0	0,9	0,9	0,86
2.9	Number of pages	20	2	0	0	0	1	1	1
Percent agreement (S-CVI/Ave) 87,37% (0,87)
RELEVANCE
3.1	Relevance for circulation in the scientific community	18	2	2	0	0	0,9	0,9	0,86
3.2	Proposes the construction of knowledge	18	4	0	0	0	1	1	1
3.3	Meets the basic sexual and reproductive health care needs of serodiscordant couples.	18	2	1	1	0	0,9	0,81	0,86
Percent agreement (S-CVI/Ave) 93,93% (0,93)

Primer Mastery	Suggestion from the judges	Change performed
Cover	Title Change	Title changed to: "Sexual and reproductive health guidelines for serodiscordant couples".
Defining serodiscordance	Modify the formation of couples	Added bisexual.
Defining serodiscordance	Remove the term virus carrier	Changed to Person Living with HIV/AIDS.
Combined Prevention	Spelling mistake in the name HIV	Changed
	Better define the use of lubricant gel	Added that it must be water-based
	Add where the condom and lubricant gel are distributed	Oriented that distribution is free at health care facilities;
Condom use	Defining when to use a condom	Added information about using condoms during oral, vaginal, and anal sex
Condom use	Define the specific advantages of the female and male condom	After defining the advantages of condom use, added specific advantages
Post-Exposure Prophylaxis (PEP)	Define unprotected relationship	Defined as sexual intercourse without the use of a condom or with condom breakage
	Define occupational accident	Defined as accidents with sharp objects or direct contact with biological material
	Modify the time of use of PEP	Modified the term preferably to start as soon as possible after exposure
HIV Pre- Exposure Prophylaxis (PrEP)	Change in its definition	Rewritten: "the use of antiretroviral prevents HIV from infecting the body, reducing the likelihood of the person becoming infected."
	Defining the vulnerable groups	Identified the vulnerable groups that can use PrEP, after multi-professional evaluation
	Remove that it is a lifestyle	Changed
	Define the treatment time	Added that the treatment lasts 28 days and the person must be followed up by the health team
Family Planning	Change the name	Changed to reproductive planning
Family Planning	Clarify the term	Described the definition

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br

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[1] Corresponding author:
Tarcila Lima Alcântara de Gusmão Universidade Federal de Pernambuco - Recife, PE, Brasil E-mail: tarcilagusmao@hotmail.com