Estudio de validación de tecnología educativa sobre braquiterapia ginecológica de alta tasa de dosis (HDR)

Ximenes, Meiriane Lopes; Firmeza, Mariana Alves; Rodrigues, Andrea Bezerra; Aguiar, Maria Isis Freire de; Souza, Gabriela Lacerda; Serpa, Georgia de Sousa; Oliveira, Patrícia Peres de

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ORIGINAL ARTICLE • Rev. Bras. Enferm. 76 (Suppl 4) • 2023 • https://doi.org/10.1590/0034-7167-2022-0232 copiar

Estudio de validación de tecnología educativa sobre braquiterapia ginecológica de alta tasa de dosis (HDR)

Autoría SCIMAGO INSTITUTIONS RANKINGS

RESUMEN

Objetivo:

construir y validar un folleto educativo sobre braquiterapia ginecológica de alta tasa de dosis (radiación de alta dosis-HDR) para mujeres con cáncer ginecológico.

Métodos:

estudio metodológico, con la construcción y validación de un cuadernillo basado en el marco teórico-metodológico de Doak, Doak y Root. La validación de contenido y apariencia fue guiada por la técnica Delphi, por 11 jueces, seleccionados según los criterios de Jasper. Posteriormente se realizó la validación clínica con la población diana.

Resultados:

la cartilla, construida a partir de evidencias de revisión integradora, validada con jueces, obtuvo un IVC global de 0,98. Después de la validación clínica con 27 mujeres, presenta 24 fichas, con ilustraciones realizadas por un diseñador gráfico, subdivididas en temas: anatomía del sistema ginecológico y epidemiología de los cánceres ginecológicos, definición de braquiterapia ginecológica, pasos terapéuticos, abordaje de los efectos secundarios y manejo, y dos páginas para notas.

Conclusiones:

la cartilla tiene validación para su uso en el tratamiento de braquiterapia ginecológica de la HDR.

Descriptores:
Braquiterapia; Tecnología Educacional; Estudio de Validación; Oncología Médica; Neoplasias de los Genitales Femeninos

Suggestions regarding content	Situation
Replace the phrase “Putting radiation inside the body” with “The applicator is placed very close to the tumor through the vagina. Thus, radiation is directed towards the tumor, killing the malignant cells and reaching a few healthy cells.”	Accepted
Differentiate information for hysterectomized and non-hysterectomized patients and emphasize the importance of treatment attendance.	Accepted
Add as guidance the use of vaginal showers with chamomile tea.	Not accepted, because no evidence was identified in the scientific literature for the use of such practice. It is noteworthy that this suggestion was given by only one judge.
Suggestions regarding presentation and structure	Situation
Remove table of contents on page 2 of the booklet.	Accepted
Remove dialog bubbles in illustrations.	Accepted
Remove upper case from the body of the text.	Accepted
Standardize the illustration representing the health professional from beginning to end of the booklet.	Accepted
Place an illustration of the applicator, and use softer background tones.	Accepted
Add a page to the end of the annotation booklet.	Accepted

Items	CVI per item Round I	CVI per item Round I
As for the objectives	0.72	1.00
1) Does the educational booklet address the needs of women with cancer undergoing high dose rate gynecological radiotherapy (HDR)?	0.73	1.00
2) Does it provide relevant information and guidance, contributing to the health education process for women undergoing high dose rate gynecological radiotherapy?	0.90	1.00
3) Is it effective for maintaining self-care at home by women undergoing high dose rate gynecological radiotherapy?	0.82	1.00
4) Does it have the ability to promote changes in behavior and attitude in women undergoing high dose rate gynecological radiotherapy?	0.90	1.00
5) Can this booklet circulate in the scientific field in oncology?	0.36	1.00
6) Can this booklet be implemented in the daily clinical practice of nurses working in radiotherapy outpatient clinics?	0.64	1.00
As for structure and presentation	0.72	0.95
1) Is the information presented clearly and objectively?	0.73	1.00
2) Is the information presented scientifically correct?	0.55	1.00
3) Does the booklet present a logical sequence?	0.73	1.00
4) Is the language used understandable at all sociocultural levels?	0.45	0.88
5) Is the information written in the booklet well structured in terms of grammar and spelling?	1.00	0.77
6) Is the type and font size shown on the booklet suitable?	0.82	1.00
7) Is the size of the graphic elements (caption letters and photos) that appear in the booklet suitable?	0.73	1.00
8) Are the esthetic elements of the image (color, space, proportion) of the booklet suitable and understandable?	0.73	0.88
9) Is the written language present in the booklet engaging?	0.82	1.00
10) Does the booklet include elements that reinforce the most relevant information for the guidance of women undergoing high dose rate gynecological radiotherapy?	0.64	0.88
11) Do the images portray what you really want to convey in terms of information?	0.64	1.00
12) Is the booklet original?	0.82	1.00
13) Is the number of pages suitable?	0.73	1.00
As for relevance	0.84	1.00
1) Is the booklet effective when it is proposed that women undergoing high dose rate gynecological radiotherapy acquire knowledge about this treatment modality?	0.73	1.00
2) Is the booklet effective when it is proposed that women undergoing high dose rate gynecological radiotherapy acquire knowledge about the management of side effects of this treatment modality?	0.73	1.00
3) Is the booklet effective when it proposes to promote the attendance of women undergoing high dose rate gynecological radiotherapy with this treatment modality?	0.82	1.00
4) Is the instrument relevant for the guidance of women undergoing high dose rate gynecological radiotherapy?	0.90	1.00
5) Is the instrument relevant to the care provided by nurses to women undergoing high dose rate gynecological radiotherapy?	0.90	1.00
6) Does this booklet allow the transfer of relevant information about high dose rate gynecological brachytherapy between the nurse and the woman undergoing this treatment modality?	1.00	1.00
Overall CVI	0.76	0.98

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
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[1] Corresponding author: Meiriane Lopes Ximenes. , E-mail: Meirianex@gmail.com