Construction and validation of an educational video for patients in the perioperative period of robotic surgery

Guimarães, Elisângela Maria Ribeiro; Barbosa, Islene Victor; Carmo, Thalita Gomes do; Probo, Débora Rodrigues Guerra; Rolim, Karla Maria Carneiro

doi:10.1590/0034-7167-2021-0952

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Revista Brasileira de Enfermagem

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 75 (05) • 2022 • https://doi.org/10.1590/0034-7167-2021-0952 copy

Construction and validation of an educational video for patients in the perioperative period of robotic surgery

Construcción y validación de vídeo educativo para pacientes en el perioperatorio de cirugía robótica

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objectives:

to build and validate educational technology, of the video type, aimed at teaching about the perioperative period of robotic surgery.

Methods:

methodological development study, following the integrative review phases: pre-production, production, post-production, and validation. The video was evaluated for content and appearance by 14 judges. Content validity (CVI) and appearance (AVI) and agreement (CI) indices were calculated, and the exact binomial test was applied, considering p>0.05 and a proportion of 0.80 of agreement.

Results:

the video included 13 themes, with a duration of seven minutes and 33 seconds. The items of the three dimensions evaluated presented excellent CVI, ranging between 0.86 and 1.00 (p>0.05), with a total CVI of 0.95, VAT of 0.94 and CI equal to 61.5%.

Conclusions:

Descriptors:
Instructional Film and Video; Preoperative Period; Robotics; Nursing; Validation Study.

Items	CVI	p value
1 Objectives	0.92
1.1 The text is compatible with the target audience, to meet the needs of patients.	0.86	0.648
1.2 Video information is patient-appropriate in the preoperative period of robotic surgery.	0.93	0.357
1.3 Causes change in behavior and attitudes.	0.93	0.357
1.4 The content is motivating and encourages you to continue browsing the video.	0.86	0.448
1.5 The content answers questions, clarifies patients about practices and information regarding the preoperative period of robotic surgery.	0.93	0.357
1.6 The video is relevant to the scientific environment in the area that addresses the preoperative period of robotic surgeries.	1.00	0.104
2 Structure and presentation	0.92
2.1 Video-type educational technology is appropriate for teaching patients in the preoperative period of robotic surgery.	1.00	0.103
2.2 The information grouped in the video is scientifically correct.	0.86	0.648
2.3 The material is appropriate to the sociocultural level of the patients.	0.86	0.648
2.4 The video script textually informs the reader about what the viewer will see and hear in the video.	1.00	0.103
2.5 The font size and color of titles, subtitles and text are adequate.	0.86	0.648
2.6 The storyline proposed in the video translates the domains related to information for patients in the preoperative period of robotic surgery.	0.93	0.357
2.7 The information addressed to the object of interest is sufficient and adequate.	0.93	0.357
2.8 The illustrations (figures and photos) are relevant to the content of the material and elucidate the content.	0.93	0.357
2.9 The quantities of illustrations (figures and photos) are clear, convey ease of understanding and are suitable for the content of the educational material.	0.93	0.357
2.10 Total video display time is adequate.	0.93	0.357
3 Relevance	1.00
3.1 The educational video proposes to patients to acquire knowledge that helps to maintain favorable and supportive attitudes achieved in the preoperative period of robotic surgery.	1.00	0.103
3.2 The material contained in the educational video addresses the issues necessary to inform patients about the care provided in the robotic surgery phases.	1.00	0.103
3.3 The material is suitable for use by patients.	1.00	0.103
tCVI	0.95	-

Items	iAVI	p value
1 Idea concept	1.00
1.1 Is the script suitable for the purpose it proposes, which is to inform patients in the preoperative period of robotic surgery?	1.00	0.103
1.2 Does the idea help learning?	1.00	0.103
1.3 Is the idea accessible?	1.00	0.103
1.4 Is the script attractive?	1.00	0.103
2 Dramatic construction: opening, conflict, development, climax and ending	0.94
2.1 Does the starting point of the script have an impact?	0.93	0.357
2.2 As the script develops, does interest grow?	1.00	0.103
2. 3 Is the number of scenes sufficient?	0.93	0.357
2.4 Is the duration enough?	0.93	0.357
2.5 Does the script have a pleasant presentation?	0.93	0.357
3 Rhythm: evolution of scene types	0.89
3.1 Is there increasing attention, with a dramatic upward curve?	1.00	0.103
3.2 Is the pace tiring?	0.64	0.047
3.3 Is there dynamism in the environments?	0.93	0.357
3.4 Is the presentation of the scenes adequate?	1.00	0.103
4 Characters: motivation, credibility, interaction	1.00
4.1 Is the character profile original?	1.00	0.103
4.2 Are the character's values/credibility consistent?	1.00	0.103
5 Visual style: aesthetics	0.93
5.1 Are there many scenario/environment repetitions?	0.86	0.648
5.2 Are the images adequate?	0.93	0.103
5.3 Is the overall structure creative?	1.00	0.103
6 Functionality	0.96
6.1 Does the video propose to increase patient confidence in the preoperative period of robotic surgery?	0.93	0.357
6.2 Is the video capable of generating positive results in what it proposes to do?	1.00	0.103
7 Usability	0.88
7.1 Is it easy for the patient to learn the concepts used and their guidelines?	0.93	0.357
7.2 Does it allow the patient to have control of the guidelines presented?	0.93	0.357
7.3 Does it provide information clearly?	0.86	0.648
7.4 Does it provide complete information?	0.93	0.357
7.5 Does it provide information without being tiring?	0.79	0.352
8 Efficiency	0.96
8.1 Is the proposed time adequate for the user to learn the content?	1.00	0.103
8.2 Is the proposed time adequate for the user to feel more confident in the preoperative period?	0.93	0.357
8.3 Is the number of scenes consistent with the time proposed for the video?	1.00	0.103
8.4 Does the number of characterizations of the character meet the proposed objective?	1.00	0.103
8.5 Is the character's speech used efficiently and understandably to the clientele?	0.86	0.648
8.6 Does the content of interest (preoperative information for robotic surgery) have a direct relationship with the target audience?	1.00	0.103
tAVI	0.94	-

Items	Adequate		dAI (%)		p value
Items	Partially f (%)	Totally f (%)	dAI (%)		p value
1 Concept of the idea
1.1 Is the script suitable for the purpose it proposes, which is to inform patients in the preoperative period about robotic surgery?	01 (10)	03 (30)	57.5		0.001
1.2 Does the idea help learning?	02 (20)	05 (50)			0.180
1.3 Is the idea accessible?	03 (30)	04 (40)			0.180
1.4 Is the script attractive?	02 (20)	03 (30)			0.010
2 Dramatic construction: opening, conflict, development, climax and ending
2.1 Does the starting point of the script have an impact?	03 (30)	04 (40)	54.0		0.180
2.2 As the script develops, does interest grow?	01 (10)	03 (30)			0.001
2.3 Is the number of scenes sufficient?	03 (30)	02 (20)			0.010
2.4 Is the duration sufficient?	03 (30)	02 (20)			0.010
2.5 Does the script have a pleasant presentation?	02 (20)	04 (40)			0.001
3 Rhythm: evolution of scene types
3.1 Is the pace tiring?	04 (40)	04 (40)	63.6		0.456
3.2 Is there dynamism in the environments?	03 (30)	02 (20)			0.010
3.3 Is the presentation of the scenes adequate?	03 (30)	03 (30)			0.050
4 Characters: motivation, credibility, interaction
4.1 Is the character profile original?	04 (40)	04 (40)			0.456
4.2 Are the character's values/credibility consistent?	04 (40)	04 (40)	80.0		0.456
5 Visual style: aesthetics
5.1 Are there many scenario/environment repetitions?	03 (30)	04 (40)			0.180
5.2 Are the images adequate?	06 (60)	02 (20)	70.0		0.456
5.3 Is the overall structure creative?	05 (50)	01 (10)			0.001
6 Usability
6.1 Is it easy for the patient to learn the concepts used and their information?	02 (20)	03 (30)	58.8		0.010
6.2 Does it allow the patient to have control over the information presented?	02 (20)	04 (40)			0.050
6.3 Does it provide information clearly?	02 (20)	04 (40)			0.050
6.4 Does it provide complete information?	02 (20)	05 (50)			0.180
6.5 Does it provide information without being tiring?	02 (20)	03 (30)			0.010
7 Efficiency
7.1 Is the time proposed in the video adequate?	02 (20)	02 (20)	46.7		0.001
7.2 Is the number of scenes consistent with the time proposed for the video?	03 (30)	03 (30)			0.050
7.3 Is the character's speech used efficiently and understandably to the clientele?	01 (10)	03 (30)			0.001
tAI (± SD)				61.5 ± 10.9

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[1] Corresponding author: Elisângela Maria Ribeiro Guimarães E-mail: eli.mariaribeiro@yahoo.com.br