Educational technology for fatigue management related to antineoplastic chemotherapy

Abstract

Objective: To construct and validate an educational technology (ET) on fatigue and nonpharmacological strategies for the management of this symptom in people with cancer undergoing outpatient antineoplastic chemotherapy. Method: This is a methodological study composed of three stages: 1) elaboration of the ET using the theoretical-methodological model of Doak, Doak and Root; 2) validation of content and appearance by seven nurses via the content validity index (CVI); and 3) a pilot test with 10 patients. Results: The ET "Knowing and coping with fatigue" contemplates the definition of fatigue, its causes and the interventions of physical exercise practice, sleep hygiene, energy conservation and behavioral intervention. The overall CVI obtained with the judges was 0.95. Conclusion: The ET presented content and appearance validity for health education regarding fatigue related to antineoplastic chemotherapy in outpatient cancer patients. RESUMOObjetivo: Construir e validar tecnologia educativa (TE) sobre fadiga e estratégias não farmacológicas para manejo desse sintoma em pessoas com câncer em tratamento quimioterápico antineoplásico ambulatorial. Método: Estudo metodológico composto por três etapas: 1) elaboração da TE, utilizando o modelo teórico-metodológico de Doak, Doak e Root; 2) validação de conteúdo e aparência por sete juízes enfermeiros, por meio do índice de validade de conteúdo (IVC); e 3) realização de teste piloto com 10 pacientes. Resultados: A TE "Conhecendo e lidando com a fadiga" contempla a definição de fadiga, suas causas e as intervenções de prática de exercícios físicos, higiene do sono, conservação de energia e intervenção comportamental. O IVC global obtido com os juízes foi de 0,95. Conclusão: A TE apresentou validade de conteúdo e aparência para a educação em saúde com relação à fadiga relacionada à quimioterapia antineoplásica em pacientes oncológicos ambulatoriais. Descritores: Pacotes de Assistência ao Paciente; Enfermagem Oncológica; Fadiga; Estudos de Validação; Tecnologia Educacional. RESUMENObjetivo: Construir y validar una tecnología educativa (TE) sobre fatiga y estrategias no farmacológicas para el manejo del síntoma en personas con cáncer en tratamiento quimioterápico antineoplásico ambulatorio. Método: Estudio metodológico que consta de tres etapas: 1) elaboración de la TE utilizando el modelo teórico-metodológico de Doak, Doak y Root; 2) validación de contenido y apariencia por siete jueces enfermeros, por medio del índice de validez de contenido (IVC); y 3) realización de una prueba piloto con 10 pacientes. Resultados: La TE "Conociendo y lidiando con la fatiga" contempla la definición de fatiga, sus causas y las intervenciones con la práctica de ejercicios físicos, la higiene del sueño, la conservación de energía y la intervención comportamental. El IVC total obtenido con los jueces fue de 0,95. Conclusión: La TE presentó validez de contenido y apariencia para la educación en salud con relación a la fatiga relacionada a la quimioterapia antineoplásica en pacientes oncológicos...

Educational technology on COVID-19 for families of children and adolescents with sickle cell disease

“…The first stage, instrument construction, took place from April to May 2020 and was guided by the Doak, Doak and Root theoretical and methodological framework (10) , which indicates certain imperative guidelines for planning the preparation of educational materials (9)(10) , namely: a) determining the target audience -although it appears to be an evident step, it can often be neglected; b) establishing learning objectives, which need to be compatible with behaviors and actions, in addition to aiming writing short sentences and avoid the use of technical terms, as it makes understanding difficult; e) having interactions that can make the orientations simpler to apprehend and be remembered; f ) testing to ensure quality (9)(10) . After this stage, the content and appearance were assessed by nurse judges, experts in the field of hemoglobinopathies, from late May to July 2020.…”

“…The completed instrument for the assessment was built with the Google Docs tool, adapted from Perdigão et al (9) , with initial information on the characterization of participants and items to be assessed (objectives, structure, presentation, relevance and content itself ). The judges were asked to assess the ET as to content and appearance, with the answers given by a Likert-type scale: 1) inadequate (I); 2) partially adequate (PA); 3) adequate (A); 4) totally adequate (TA).…”

“…Although the dissemination and access to information about COVID-19 is happening on a large scale, it is essential to disseminate specific information to this audience. For this, the use of educational technologies (ET) has been shown to be ideal, since it favors the communication of nurses with these families through a clear verbal and visual language that contributes to nursing care (9) .…”

Construção e validação de tecnologia educacional para promoção do aleitamento materno no período neonatal

“…In fact, this limitation had been pointed out by some participating judges and also finds support in other studies of educational material validation, which in turn found similar results. 31,48,49 This suggests that this dimension of the instrument needs to be re-evaluated as to its relevance for content validation.…”

“…49 Similarly, judges have reflected on the complexity involving behavioral changes and the possible limitations of the TFMP which, in isolation, would not be able to promote change without proper individual accompaniment. 48 However, it should be noted that the protocol of this research foresees a quasiexperimental study that will have as its target public nutritionists in the process of BF in the neonatal period, corresponding to the second stage of this work, in which the effectiveness of the educational technology evaluated in this study will be investigated.…”