Suitability Assessment Of Materials Research Articles

Development of 'OXIS Classification' calibration website for dental researchers.

The variations in interproximal contact areas have been categorised open (O), point (X), straight (I), and curved contact (S). This is based on their shapes and termed as OXIS classification. The interactive OXIS calibration website was developed to assist researchers seeking appropriate knowledge, minimise the overload of material, optimise efficiency in calibration and, to provide repositories for clinicians, healthcare workers, and policymakers. The website was developed in two phases. The first phase of development included expert group discussion, Focus Group Discussion (FGD), and the implementation of FGD recommendations. The second phase emphasised registration and development of the interactive web portal on OXIS classification. The developed website was subjected to user experience testing, functional testing, performance testing, security testing, device, platform testing, and then hosted. Calibrated students and faculties evaluated it with the help of Suitability Assessment of Materials (SAM) and System Usability Scale (SUS). Finally, after amendments, the website was evaluated by non-calibrated researchers and multidisciplinary experts. The total agreement was 74% for overall SAM category. Pooled mean total score of SUS was 52.7 (SD 7.17; range 45-67.5), indicating an average score. The content of the developed website has been evaluated as "satisfactory" and its technical quality as "of higher standards".

Developing a Multiprofessional Mobile App to Enhance Health Habits in Older Adults: User-Centered Approach.

Although comprehensive lifestyle habits are crucial for healthy aging, their adherence tends to decline as individuals grow older. Sustaining a healthy life over time poses a motivational challenge. Some digital tools, such as smartphone apps aimed at promoting healthy habits, have been used to counteract this decline. However, a more profound investigation is necessary into the diverse experiences of users, particularly when it concerns older adults or those who are unfamiliar with information and communications technologies. We aimed to develop a mobile app focused on promoting the health of older adults based on the principles of software engineering and a user-centered design. The project respected all ethical guidelines and involved the participation of older adults at various stages of the development of the app. This study used a mixed methods approach, combining both quantitative and qualitative methodologies for data collection. The study was conducted in Ribeirão Prêto, São Paulo, Brazil, and involved 20 older adults of both genders who were aged ≥60 years and enrolled in the Physical Education Program for the Elderly at the University of São Paulo. The research unfolded in multiple phases, encompassing the development and refinement of the app with active engagement from the participants. A total of 20 participants used a mobile health app with an average age of 64.8 (SD 2.7) years. Most participants had a high school education, middle-class status, and varying health literacy (mean score 73.55, SD 26.70). Overall, 90% (18/20) of the participants owned smartphones. However, 20% (4/20) of the participants faced installation challenges and 30% (6/20) struggled with web-based searches. The focus groups assessed app usability and satisfaction. Adjustments increased satisfaction scores significantly (Suitability Assessment of Materials: 34.89% to 70.65%; System Usability Scale: 71.23 to 87.14). Participant feedback emphasized font size, navigation, visual feedback, and personalization, and suggestions included health device integration, social interaction, and in-app communication support. This study contributes to the development of health care technologies tailored to the older adult population, considering their specific needs. It is anticipated that the resulting app will serve as a valuable tool for promoting healthy habits and enhancing the quality of life for older adults.

Dietary Phosphate Educational Materials for Pediatric Chronic Kidney Disease: Are Confused Messages Reducing Their Impact?

ObjectiveThis study aimed to review the quality and content of phosphate educational materials used in pediatric chronic kidney disease. MethodsThe quality of text-based pediatric phosphate educational materials was assessed using validated instruments for health literacy demands (Suitability Assessment of Materials [SAM] and Patient Education Material Assessment Tool [PEMAT-P]) and readability (Flesch Reading Ease [FRE] and Flesch-Kincaid [FK] Grade Level). Codes were inductively derived to analyse format, appearance, target audience, resource type and content, aiming for an intercoder reliability (ICR) >80%. The content was compared to Paediatric Renal Nutrition Taskforce (PRNT) recommendations. ResultsSixty-five phosphate educational materials were obtained, 37 were pediatric-focused including 28 text-based. Thirty-two percent of text-based materials were directed at caregivers, 25% children and 43% unspecified. Most (75%) included a production date with 75% produced >2 years ago. The median FRE test-score was 68.2 (interquartile range [IQR] 61.1-75.3) and FK Grade Level 5.6 (IQR 4.5-7.7). Using SAM, 54% rated “superior” (≥70), 38% “adequate” (40-69) and 8% “not suitable” (≤39). Low scoring materials lacked a summary (12%), cover graphics (35%) or included irrelevant illustrations (50%). PEMAT-P scores were 70% (IQR 50-82) for understandability and 50% (IQR 33-67) for actionability. An ICR of 87% was achieved. Over half limited foods in agreement with PRNT (including 89% suggesting avoiding phosphate additives). Recommendations conflicting with PRNT included reducing legumes and wholegrains. Over a third contained inaccuracies and over two thirds included no practical advice. ConclusionsText-based pediatric phosphate educational materials are pitched at an appropriate level for caregivers, but this may be too high for children under 10 years. The inclusion of relevant illustrations may improve this. Three quarters of materials scored low for actionability. The advice does not always align with the PRNT, which (together with the inaccuracies reported) could result in conflicting messages to patients and their families.

Preventing sexual violence in adolescence: digital booklet construction and validity

Objective: To develop and analyze a digital booklet for preventing sexual violence in adolescence as proof of content validity. Methods: This is a methodological study developed in three stages: digital booklet construction based on the Falkembach model; material validity by a committee of experts using the Index of Agreement (IA), considering it greater than 80%; and assessment by the target audience (adolescents), based on the application of the Suitability Assessment of Materials (SAM), considering it “Superior” between 70% and 100%; “Suitable”, between 40 and 69%; “Unsuitable”, between 0 and 39%. Results: The digital booklet was considered valid by experts, with an agreement rate between 86% and 100%, and qualified as “Superior” by adolescents with a score percentage of 97% on the SAM. Conclusion: The booklet was considered valid by experts and target audience, being able to be used as a technological resource to identify situations of sexual violence in adolescence and enable the adoption of preventive behaviors.

Assessment of electronic patient education materials for adolescent bariatric surgery candidates: An environment scan.

Adolescents who opt for metabolic and bariatric surgery (MBS) will use the internet to learn about the procedure. The objective of this study is to assess the suitability of electronic patient education materials (ePEM) of North American centers that perform adolescent bariatric surgery. Canadian and American bariatric centers that perform adolescent MBS were identified from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program and Google web-based searches. Suitability of ePEM for the adolescent readership was evaluated using the Suitability Assessment of Materials (SAM). Sixty-five centers were evaluated from June to July 2020 with 41% citing adolescent specific material. Six percent of the ePEM were evaluated as 'not suitable', 69% were evaluated as 'adequate', and 25% were evaluated as 'superior'. Adequate ePEM scoring was obtained, but centers had little resources tailored to adolescent patients. Further research is needed to evaluate all the resources provided to adolescents (i.e., resources provided by the health team) to ensure the tools are appropriate for the adolescent readership. This environmental scan provided insights to ePEM available for adolescents considering MBS.

Application to prevent pressure injury in elderly caregivers

Objective To develop and validate the content of a mobile application prototype on Pressure Injury (PI) Prevention for elderly caregivers. Methods Methodological study of prototype-type technological production in mobile application. The application development was guided by the Contextualized Instructional Design (CID) model. The content validation stage was carried out by seven teaching nurses of a technical course for elderly caregivers in a federal educational institution with the application of the Suitability Assessment of Materials (SAM) instrument. Data were analyzed using descriptive statistics. Results The prototype, which was named LPPrev, contains information about the concept, staging, causes of LP, and main affecting sites, in addition to reminders to reposition the elderly in bed; registration of nutritional information, oral hydration, body and intimate hygiene, and guidance on preventive care is also possible. The content evaluation obtained 96.6% of agreement between professors, being considered a material of superior quality. Conclusion LPPrev is an application prototype properly structured according to the categories evaluated by the SAM, with relevant information for caregivers of bedridden and dependent elderly, contributing to theoretical knowledge and fundamental care in the prevention of injury by pressure, being prepared to move on to the other stages of the DIC model.

Spontaneous coronary artery dissection (SCAD) websites: systematic appraisal of content, quality, readability and suitability of websites for SCAD survivors

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): Solve CHD NHMRC Synergy Grant Background Spontaneous coronary artery dissection (SCAD) is estimated to account for 4% of acute coronary syndrome presentations but is a distinctly different disease and demographic from typical atherosclerotic heart attacks. Survivors of SCAD typically turn to the internet for information. However, websites are not subject to stringent quality regulation. Purpose This study identified and appraised websites containing SCAD information using a variation of a systematic review study design. Quality, suitability, readability and content accuracy and scope were assessed. Methods Keywords related to SCAD definition, rarity, treatment, support and life after SCAD were searched in Google. Results were screened and evaluated systematically. Information content was assessed using a point-scoring tool based on current SCAD consensus literature. Quality and suitability of the websites was assessed using the Suitability Assessment of Materials, Quality Component Scoring System (QCSS), the Health-Related Website Evaluation Form (HRWEF), and adherence to the Health on the Net code. Readability was assessed using the Simple Measure of Gobbledygook, Flesch-Kincaid, and a readability generator. Results Of the 600 screened, n=316 duplicates were removed and n=50 eligible websites were included. Websites were most frequently made by hospital groups (34%), independent organisations (20%) and survivors (24%). The most frequent grading of quality was poor (32%) or good (30%) using the QCSS and adequate using the HRWEF (74%). Suitability of materials was overall adequate (64%). Content, scope and depth across websites had a mean score of 47.5 (SD 25.0) and was rated poor. The websites with highest scores for factually accurate content were survivor made (57.9%) and national foundations (56.3%) versus professional associations (34.6%) and hospital groups (35.2%) which had the lowest. The emotional impact of SCAD was addressed in 52% and content regarding family or partners support was given in 40%. Survivors had input in 63% and survivor groups were recommended in 50%. Most websites were rated fairly difficult (46%) or difficult to read (42%), with a mean readability grade of 11.6 (SD 2.3). Conclusions Despite high availability and fair quality, websites for SCAD survivors to access have poor content depth and require higher reading proficiency to understand. Almost half neglect the emotional impact of SCAD on the survivor and their families. Given the generally poor content of information available online, it is essential that SCAD survivors are provided high quality information on discharge from hospital and during cardiac rehabilitation. Health authority website are considered authoritative sources and for SCAD need to be improved. Survivor and national foundation websites may be the most appropriate to recommend for SCAD information currently due to higher factually correct content scores, broader scope of information, and demographically contextual material.

P-433 Male infertility information on Swedish fertility clinics’ websites: An evaluation of readability, suitability, and quality

Abstract Study question The aim of the study was to examine online information regarding male infertility on private clinics or university infertility clinics’ websites in Sweden. Summary answer The results of the present study indicate that there is a lack of fertility information directed at men on the Swedish fertility clinics’ websites. What is known already Previous research has shown that male infertility can be perceived as a threat to the masculinity and identity. Therefore, online forums are perceived as highly valuable by men seeking health-related information on the Internet, however, there is always a risk of obtaining information that is not evidence-based. For individuals seeking fertility-related information, studies have shown that the quality of Internet websites varies; online information seldom meets standards of truthfulness, reliability, and navigability. There is also a suboptimal quality across medical websites regarding evidence-based information and they have reading levels most appropriate for individuals with at least a high school education. Study design, size, duration A cross-sectional design was used to evaluate 22 fertility clinics’ websites focusing on male infertility. Participants/materials, setting, methods By using standardized methods for evaluating printed and electronic resources, with established reliability and validity, we evaluate how suitable the text on the fertility clinics’ websites is for patient purposes that affect both readability and comprehension. The Suitability Assessment of Materials (SAM), and the DISCERN instrument was used. Main results and the role of chance Results disclosed that Swedish fertility clinićs websites has focus on information concerning women’s infertility. Information regarding male infertility was scanty. The suitability as established by SAM, was 59% for the private clinics and 66% for the government clinics. The highest suitability scores for the private clinics were items related to the cultural image, layout, subheadings, and chunking. For the governmental clinics, items were related to summary and review and cultural image. Items rated low were content about interactions for the private clinics, and interactions, writing styles, cover graphic, type of illustrations and motivations for the governmental clinics. The mean readability SAM score for the entire sample was 57%, meaning that the content was geared to readers at least 5th grade, demonstrating that the websites scored lower than the recommended 8th grade level readability, which made the information easy to understand for most visitors. For the DISCERN, one website met the criteria for “excellent” quality, nine were “good”, one “fair”, one “poor”, and five “very poor”. Items that scored lowest were clarity of sources, description of risks of treatment, and what would happen without treatment, benefits of each treatment, and affect quality of life. Limitations, reasons for caution The focus was to assess the quality of Swedish online information about male infertility on both private and university clinics’ websites, regulated by Swedish laws regarding fertility treatments. This may affect the information available on the websites and therefore may not be applicable to websites in other countries. Wider implications of the findings Men affected by infertility needs to make various choices from the information published on the fertility clinićs websites. The responsibility of the website’s information lies with health-care staff. Therefore, the information must be reliable, evidence-based, and up to date so that men can base their choices on reliable facts. Trial registration number non applicable

Oncology literacy: Educational book for children, families and health professionals.

e24208 Background: With the progress of technology, not only the range of treatments and procedures increases, but also the amount of information and the complexity of the language. Appropriate materials are needed especially when stakeholders have different specificities, but need to speak the same language to understand each other and facilitate engagement in treatment. The aim of this study was to evaluate Beabook, an educational book designed for children with cancer, their family members and health professionals. Methods: The educational book, which has more than 150 terms from the oncology environment and is in more than 200 hospitals and institutions in Brazil, was scored using SAM - Suitability Assessment of Materials, a grading scale to evaluate suitability of health information materials based on categories: content, literacy demand, graphics, layout and typography, learning stimulation and motivation, and cultural appropriateness. Results: The book was analyzed by 61 participants, including children (n = 12) undergoing cancer treatment, remission, palliative care and cured, validating with a score of 26 (maximum scale score - 100%), family members (n = 20): mothers, fathers, siblings, uncles, with a score of 25.6 (98.4%) and health professionals (n = 29): doctors, nurses, psychologists, nutritionists, physiotherapists among others, with score of 25.4 (97.6%), resulting in a final score of 25.6 (98.6%), which represents material above expectations, fully adequate. Conclusions: An educational book suitable for different groups with different perspectives is of great importance in an environment where information is often omitted with the intention of protecting children, ludic communication is confused with fanciful stories and professionals do not have support materials to learn to communicate with patients and families. Studies prove that a unified, standardized and adequate language between stakeholders increases engagement and empowerment, being important mainly in the health area, where helping in the diagnosis and treatment does not imply only in the provision of clinical resources but in the guidance and sharing of information that demystify and build new representations.

Quality and Readability of Accessible Facial Feminization Literature: Where Can We Improve?

Facial feminization surgery (FFS) consists of multiple, complex procedures. Well-informed patients have been shown to have better outcomes and expectations. However, there is limited data evaluating FFS patient-oriented material online. This study aims to evaluate the quality and readability of FFS literature online. Facial feminization surgery-related terms were queried in Google with location, cookies, and user account information disabled. Websites were analyzed for readability using Flesch Reading Ease and Flesch-Kincaid Reading Grade Level, suitability using the suitability assessment of materials (SAM), and quality using the DISCERN scale. Unpaired t tests and χ2 tests were used to compare the websites of community-based and academic or public institutions. One hundred twenty websites met inclusion criteria (71 community-based and 49 academic). The average reading grade level was 11.68 ± 1.71. The average SAM score was 53.11 ± 11.75, denoting adequate readability. Only 16.67% of websites contained visual aids to assist in explaining procedures and benefits. Overall, 68.33% of websites' DISCERN score was rated very poor or poor, whereas only 8.33% were rated as good. The following DISCERN elements had the lowest scores across all graded websites: "clear source and date of information," "details of additional source of support," "refers to areas of uncertainty," and "describes risks of each treatment." Websites published by community-based institutions were significantly better in describing how FFS works and the benefits of each procedure. Academic sites overall were less biased (4.84 vs 4.62, P = 0.03) and provided additional sources of support (2.35 vs 1.32, P = <0.001). Online FFS patient resources should be written at a more inclusive reading level and should increase the use of pictorial aids to improve patient comprehension. Facial feminization surgery patient resources were significantly above the recommended sixth grade reading level for health literature. Academic and community-based institutions should include more information about procedural risks and limitations in surgical outcomes to ensure a broader scope of understanding.

Readability and Suitability of Online Uveitis Patient Education Materials

ABSTRACT Purpose This study assesses readability, suitability, and accountability of online uveitis patient education materials (PEMs). Methods Two uveitis specialists reviewed the top 10 websites on Google for keyword “uveitis,” with a PubMed review control. Readability was assessed using an online calculator, suitability using the Suitability Assessment of Materials (SAM) tool, and accountability using JAMA benchmarks. Results The mean SAM score was 21.05, indicating that websites were on average adequately suitable to educate patients. WebMD Uveitis website scored the highest at 25.5, while allaboutvision.org scored the lowest at 18.0. The average Flesch Reading Ease (FRE) score was 44.0 (95% CI: 34.2, 53.8). The average reading grade score was 11.0 (95% CI: 9.4, 12.6). WebMD Uveitis page scored highest on readability. The average accountability score among sites was 2.36 out of 4. Conclusions Uveitis websites are only adequately suitable as PEMs, and all are above the recommended reading level. Uveitis specialists should advise patients on quality of online PEMs.

MeTA-Edu: a new methodology for validating educational technologies applied to COVID-19 prevention in adults with cancer

Introduction: validated educational technologies favor access to reliable and adequate information, representing a critical risk communication tool for cancer patients during public health emergencies. Objective: to assess the validity and reliability of an electronic booklet on COVID-19 for adults with cancer. Methods: methodological validation by a panel of 22 experts linked to Brazil’s national curriculum vitae database. Sampling was performed by convenience, snowball, and selection techniques according to Jasper’s criteria. The validity of the booklet was evaluated by an electronic questionnaire using the content validity index (CVI), intraclass correlation coefficient (ICC), the suitability assessment of materials (SAM) instrument, and the metalinguistic thematic analysis for educational technologies (MeTA-Edu) of dissertation proposals. Results: the expert panel consisted of 22 doctors with homogeneous sociodemographic characteristics, high specialization in education (86.4%), and teaching experience (average = 17.8 years). In general, the educational technology was validated by experts for content (overall CVI = 0.953) with a high degree of agreement (ICC = 0.958) and suitability of the content, literacy demand, graphics, layout, and typography, learning stimulation and motivation, and cultural appropriateness (SAM = 90.6%). After thematic analysis, 94 dissertation proposals were identified, mainly of the visual language type (47.9%) and referential/informative function (68.1%). Most expert suggestions were accepted (83.0%), and only 17.0% were rejected. Conclusion: the validity and reliability of the booklet “Uncomplicating COVID-19 for people with cancer” were ratified by experts. These findings can contribute to the methodological optimization of the validation of educational technologies and innovation of health education strategies, subsidizing cancer care in times of crisis.

Educational Technology on Urinary Incontinence during Pregnancy: Development and Validation of an Online Course for the Brazilian Population

Objective: To describe the development and validation process of an online course on urinary incontinence during pregnancy in Brazil. Materials and methods: This methodological study followed an online course’s literature search, development, and validation steps. A total of 22 specialists participated in the validation step, and the content validity index (CVI) was used. Fifty-one Physical Therapy students (target audience) also participated in the Suitability Assessment of Materials. Results: The synthesis reached in the integrative review provided the basis for the course’s theoretical content, which was regarded as suitable by the specialists regarding its content, language, presentation, stimulation/motivation, and cultural adequacy (CVI = 0.99). The target audience considered the course organized, easily understandable, engaging, and motivational, with a positive response index ranging from 84.3 % to 100 %. Conclusions: The Brazilian version of the online course was considered sufficiently adequate in content and interface quality by both specialists and the target audience.

Male Infertility Information on Swedish Fertility Clinics’ Websites: An Evaluation of Readability, Suitability, and Quality

This study was conducted to examine whether online information regarding male infertility on Swedish fertility clinics’ websites was readable, suitable, and of appropriate quality. A cross-sectional design was used to evaluate 22 fertility clinics’ websites focusing on male infertility by using the Suitability Assessment of Materials (SAM), and the DISCERN instrument. Results showed that information focusing on male infertility was scanty but had an “adequate” readability and was easy to comprehend. The conclusion was that the information on the websites must be reliable, so that men can base their choices concerning their fertility issues on reliable facts. It is important that health care professionals develop high quality sources of information regarding male infertility.

Álbum seriado para promoção da autoeficácia na asma infantil: construção e validação

ABSTRACT Objective: To construct and validate the content and appearance of an information booklet to promote self-efficacy of parents and/or caregivers in childhood asthma management and control. Method: This is a methodological study, developed from educational material elaboration, validity and assessment by 25 content judges and three technical judges. Language clarity, practical pertinence and theoretical relevance were used, calculating the Content Validity Coefficient (CVC) for validity, and the Suitability Assessment of Materials (SAM) instrument was applied for assessment. Judges were also able to make suggestions for modifications on each page of the booklet. Pages that reached a CVC ≥ 0.80 for content judges and CVC ≥ 0.70 for technical judges were considered validated. Results: The total CVC of the booklet was 0.96 for content judges and 0.83 for technical judges. The educational material was considered superior according to the SAM, with a total score of 92.67% for content judges and 73.81% for technical judges. Changes were made to the booklet after the validity process, according to judges’ suggestions, resulting in a second version. Conclusion: The information booklet is valid and has a high degree of recommendation for use with parents and/or caregivers in childhood asthma control and management.

Radical Prostatectomy on YouTube: Education or Disinformation?

YouTube is the second most popular website worldwide. It features numerous videos about radical prostatectomy. The aim of this study was to assess the quality of these videos and screen their benefit for patients and doctors. All videos on YouTube about radical prostatectomy were analysed using a specially developed software (python 2.7, numpy). According to a predefined selection process most relevant videos were analyzed for quality and reliability using Suitability Assessment of Materials (SAM)-Score, Global Quality Score and others. Out of 3520 search results, 179 videos were selected and analysed. Videos were watched a median of 5836 times (interquartile range (IQR): 11945.5; 18-721546). The median duration was 7.2 minutes (min). 125 of the videos were about robotic prostatectomy. 69 videos each were directly addressed to patients and doctors. Medical content generally was of low quality, while technical quality and total quality were at a high level. Reliability was good. Videos on radical prostatectomy on YouTube allow for patient information. While technical quality and reliability are classified as acceptable, medical content was low and warranted preselection. In contrast to Loeb et al. we did not observe a negative correlation between number of views and scientific quality in different scores. Our findings support the need for preselection of videos on YouTube as the potential benefit may vary between videos with the significant risk of low medical quality.

Development of Visual Stories Infographics on Dietary and Physical Activity Management for Hypertension

Background: Hypertension is a non-communicable disease that requires lifestyle intervention. Patients need to be educated on dietary and physical activity management for hypertension. Visual stories and infographics are one of the educational tools that can be effective for this purpose. Objective: This study aimed to develop and evaluate visual story infographics based on their level of understandability, actionability, and suitability. Methods: This study employed a cross-sectional study design that came in three phases: (I) content analysis, (II) design and development, and (III) evaluation. Ten healthcare professionals in the fields of medicine and dietetics evaluated the visual story infographics on their understandability, actionability, and suitability using the Patient Education Materials Assessment Tool for printable material (PEMAT-P) and Suitability Assessment of Materials (SAM). Results: The visual story infographics consisted of 25 pages covering dietary and physical activity management to control hypertension. Clinical guidelines for hypertension were used to develop the content of the infographics. The infographics were designed and developed using the Canva application. Bahasa Malaysia was used for the infographics as it is the national language. The infographics received a 98.8% understandability score and a 100% actionability score. Meanwhile, the overall score for the suitability rating was 86.6%. Conclusion: Overall, the newly developed infographic material ranked highly for understandability, actionability, and suitability. This finding indicated that the visual stories and infographics were well received by the healthcare professionals who were responsible for the management of patients with hypertension.

Construção e validação de storyboard sobre câncer de mama para mulheres privadas de liberdade

ABSTRACT Objectives: to build storyboards based on health literacy about breast cancer for women deprived of liberty for later production of videos and e-books. Methods: a methodological study, construction and validity of storyboards with 10 expert judges. The Educational Content Validation Instrument in Health and the Suitability Assessment of Materials were used. For validity, an agreement criterion greater than 80% was considered, verified from the Content Validation Index, with 40-100% for suitability. Results: the storyboards’ overall Content Validity Index was 0.99, combined with the measurement of suitability of 81% and readability percentage of 73.2, categorizing the material as superior and easy to read. Conclusions: the educational technology built proved to be valid and reliable, and can be transformed into an e-book and video to promote self-care for women deprived of liberty.

Development and validity of an educational folder for pulmonary tuberculosis sputum collection.

to develop and validate an educational folder for pulmonary tuberculosis sputum collection. a methodological study, developed in four phases: project design, bibliographic survey, development, and content and appearance validity. For validity, the Content Validity Index greater than or equal to 0.80, the Kappa Coefficient and the Suitability Assessment of Materials were adopted. an educational folder was developed containing the recommended steps for quality sputum collection. It was validated by 19 expert judges in the first validity cycle, obtaining an overall Content Validity Index of 0.90, perfect agreement among judges, with a total Kappa of 0.83 and superior suitability. the material is valid, as it contains suitable, simple and attractive language, illustrations and layout, indicating perfect agreement and reliability. Thus, it has the potential to assist in carrying out the recommended steps for correct sputum collection and enable the correct diagnosis.

TECNOLOGIA EDUCATIVA SOBRE SAÚDE PARA MULHERES PRIVADAS DE LIBERDADE À LUZ DO LETRAMENTO EM SAÚDE

ABSTRACT Objective: to validate the content of educational videos for incarcerated women, in the light of health literacy. Method: methodological study with development of three videos for incarcerated women with themes chosen by them (Menstrual Cycle, Arterial Hypertension and Epilepsy), developed in four stages: construction of storyboards, validation by expert judges, construction of videos and validation by the public. The validation process was performed by seven judges with the Health Educational Content Validation Instrument, the Suitability Assessment of Materials and readability analysis. For approval, it was established that the agreement between judges should be higher than 80%, and the adequacy, according to the SAM, should be 40-100%. The incarcerated women evaluated the videos in August 2022, in a women's public prison in Ceará, using the Assistive Technology Assessment Instrument, considering the level of agreement of the positive responses above 70%. Results: the validation instrument result of the storyboards ranged from 0.92 to 1.0. In the Suitability Assessment, a percentage of 85.2% to 88.8% was reached, categorizing the materials as superior. As for readability, the values obtained (70.9 to 78.1) place the texts as easy or very easy to read. The evaluation by the target audience showed that the videos were adequate (97.8-100%). Conclusion: the three videos constructed were suitable for incarcerated women, with evidence of content validity and may be used in health education actions for this public.