CONSTRUCTION AND VALIDATION OF A BOOKLET FOR SELF-EFFICACY OF ZIKA VIRUS PREVENTION

Dias, Ítala Keane Rodrigues; Lopes, Maria do Socorro Vieira; Melo, Emanuella Silva Joventino; Maia, Evanira Rodrigues; Martins, Rosa Maria Grangeiro

doi:10.1590/1980-265X-TCE-2020-0182

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Original Article • Texto contexto - enferm. 30 • 2021 • https://doi.org/10.1590/1980-265X-TCE-2020-0182 copy

CONSTRUCTION AND VALIDATION OF A BOOKLET FOR SELF-EFFICACY OF ZIKA VIRUS PREVENTION

CONSTRUCCIÓN Y VALIDACIÓN DE UN FOLLETO PARA LA AUTOEFICACIA DE LA PREVENCIÓN DEL VIRUS ZIKA

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective:

to describe the construction and validation of a booklet for the Zika virus prevention.

Method:

this is a methodological research, carried out in four stages. In the first, the research project was elaborated. In the second stage, data were collected from an integrative review and a qualitative research using three focus groups. In the third stage, the booklet’s content and script were developed. In the fourth stage, there was validation by expert judges and by the target audience, Unified Health System users.

Results:

an illustrated, colorful booklet was built, containing comic books and informative texts. Twenty-three expert judges and 31 people participated in validation, Unified Health System users. In the first cycle of validation by judges, an overall Content Validity Index of 0.79 was obtained, and in the second, the index increased to 0.85. The average percentage of agreement of the target audience corresponded to 99%. In the final version, the booklet has 28 pages.

Conclusion:

the validated booklet presents potential elements to improve Zika prevention and other arboviruses that have similar forms of prevention.

DESCRIPTORS:
Zika virus; Educational technology; Validation studies; Nursing; Technology; Health education

Booklet pages S-CVI/UA*	First validation cycle			Second validation cycle
Booklet pages S-CVI/UA*	Language clarity	Practical pertinence	Theorical relevance	Language clarity	Practical pertinence	Theorical relevance
Cover	0.92	0.92	0.83	0.89	0.95	0.89
Summary	1	0.91	1	0.95	1	0.89
6	0.83	0.68	0.68	0.95	0.89	0.95
7	0.92	0.83	0.75	0.79	0.79	0.74
8	0.83	0.83	0.83	0.69	0.84	0.69
9	0.75	0.83	0.66	0.63	0.84	0.58
10	0.83	0.75	0.75	0.84	0.95	0.95
11	0.92	0.92	0.92	0.63	0.84	0.98
12	0.75	0.83	0.83	0.84	0.89	0.84
13	0.67	0.58	0.68	0.74	0.74	0.79
14	0.58	0.58	0.50	0.74	0.95	0.95
15	0.92	0.83	0.83	0.79	0.89	0.95
16	0.67	0.67	0.58	0.84	0.84	0.89
17	0.83	0.83	0.75	0.53	0.74	0.63
18	0.92	0.83	0.83	0.89	0.95	0.95
19	0.83	0.83	0.75	0.89	0.95	0.84
20	0.83	0.75	0.75	0.95	0.89	0.95
21	0.67	0.67	0.58	0.89	0.95	0.89
22	0.67	0.67	0.67	0.98	0.84	0.95
23	0.91	0.91	0.83	0.95	0.95	0.95
I- CVI†	0.81	0.78	0.75	0.82	0.88	0.86
S-VCI/Ave‡		0.78			0.85

Page	Judges’ suggestions	Analysis
Summary	Do not use the word dangerous (J2); modify the tarpaulin over the tire and the loose bottle (J13)	Accepted
Summary	Remove topic “How did Zika arrive in Brazil?” (J5)	Rejected
6	Include a conversation wheel (J3, J12); replace the blonde nurse with someone with dark skin and hair (J7); contemplate the diversity of the Brazilian population, including blacks (J16)	Accepted
7	Do not put numbers, as it outdates (J11); put the cycle on monkeys and human hosts (J16)	Accepted
7	Remove the hypothesis of how the virus arrived (J14, J15, J20)	Rejected
8	Emphasis should be placed on breeding sites (J5); change the item title (J15, J13, J17)	Accepted
9	Modify the figure of patients (J5, J7); include extrinsic incubation period (J16, J17)	Accepted
9	Change the title of “You are able to avoid Zika” (J13)	Rejected
10	Remove transmission through saliva (J2, J3, J8, J11, J5); reviewing the blood donation figure, is confused (J5); modify the title (J8, J14)	Accepted
11	Inform that usually the symptoms of Zika are mild (J3); modify “is more lenient”, for better understanding (J1, J3, J15)	Accepted
11	I suggest creating a new topic (J20)	Rejected
12	Highlight the expression “that itch” (J10)	Accepted
12	Only laboratory and not Lacen should appear (J13)	Rejected
13	Emphasize the search for FHS not only when sick (J4); modify the nurse’s countenance, she is very happy for gravity (J15)	Accepted
13	Reinforce the search for services only in complications (J18)	Rejected
14	Put other changes on the baby’s face with microcephaly (J4); I suggest putting a family image (J8)	Accepted
15	I suggest putting something in the script that refers to prevention (J3); I suggest adding “specialized clinics” in the text (J13, J18)	Accepted
16	I suggest removing Guillain-Barré Syndrome and rare complications (J2); describe signs of worsening and the need to seek health services (J5); specify “cut your nails” (J13, J15)	Accepted
17	Encourage society to monitor manholes (J1); hold health and government authorities accountable (J1, J2); I suggest an image aimed at cleaning and avoiding water accumulation (J3)	Accepted
18	Clarify the need to control outbreaks in neighboring houses (J5); specify that the reservoir is from the refrigerator (J12)	Accepted
19	Deconstruct the culture of seeking unity only in the face of health problems (J4)	Accepted
20	Review page approach (J1)	Accepted
21	Remember the most important thing: avoid mosquito proliferation (J3)	Accepted
22	Bring a figure of the whole body of pregnant women (J12); cover care for all people (J18)	Accepted
23	Remove travel information (J3, J7); leaving the decision not to donate blood to the population (J3)	Accepted

Booklet page	Clarity		Relevance		Relevance degree
Booklet page	N	%*	N	%*	N	%*
Cover	31	100	31	100	31	100
Summary	31	100	31	100	31	96.8
6	31	100	31	96.8	31	93.6
7	31	96.8	31	93.5	31	90.3
8	31	100	31	100	31	100
9	31	100	31	100	31	96.8
10	31	100	31	100	31	96.8
11	31	100	31	100	31	93.6
12	31	100	31	96.8	31	96.8
13	31	100	31	100	31	100
14	31	100	31	100	31	100
15	31	100	31	100	31	100
16	31	100	31	100	31	96.8
17	31	100	31	100	31	96.8
18	31	100	31	100	31	100
19	31	100	31	100	31	100
20	31	100	31	100	31	100
21	31	100	31	96.8	31	96.8
22	31	96.8	31	96.8	31	96.8
23	31	100	31	100	31	100
Total †	100%		99%		98%
Mean of variables			99%

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
Ítala Keane Rodrigues Dias Itala_keany@hotmail.com