Validation of Health Education Material for Youth: A Step to Ensure Implementation Fidelity in Community-Based Interventions

Health education materials such as flipbooks enhance learning and deliver key messages in a captivating mode. Validation of such materials is crucial to ensuring implementation fidelity. We conducted a study to achieve two objectives: (a) to develop two flipbooks, one each for adolescents and young married women (YMW); (b) to validate the flipbooks using five parameters, namely, content validity, construct validity, concurrent validity, relevance, and face validity. The study was a part of a community-based peer-led intervention on health, nutrition, and hygiene. The content validity and relevance were assessed by interviewing outreach workers (ORWs, n = 42) using self-administered five-point Likert scale-based tools. A pre- and post-intervention assessment of knowledge among adolescents (n = 100) and YMW (n = 50) across six out of 13 intervention sites was done to evaluate the construct validity. The two flipbooks contained 12 structured sessions with five key messages per session, in addition to illustrations, discussion points, and theme-based stories at the end of each session. The content and relevancy indices were ranked above 80% by ORW. There was a statistically significant increase in the knowledge scores of adolescents (p < 0.001) and YMW (p < 0.001) post intervention. The validation process helps in assessing the relevance and appropriateness of the education content for greater acceptance and responsiveness by the users.

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Validity and Reliability of the Scale, Role Taking in Caregivers of People with Chronic Disease, ROL

International Archives of Medicine ◽

10.3823/2575 ◽

2018 ◽

Vol 11 ◽

Author(s):

Mauricio Arias ◽

Sonia Carreño ◽

Lorena Chaparro

Keyword(s):

Factor Analysis ◽

Chronic Disease ◽

Construct Validity ◽

Internal Consistency ◽

Content Validity ◽

Three Dimensions ◽

Face Validity ◽

Validity And Reliability ◽

Role Taking ◽

Phase Study

Objective: To determine face, content, and construct validity, and internal consistency of ROL scale. Methods and Findings: A three-phase study was conducted. First, content analysis of the scale was carried out consulting 10 professional experts. Then, face validity was analyzed with 60 caregivers. Finally, construct validity was evaluated by performing an exploratory factor analysis (EFA) with 110 participants. Internal consistency of ROL scale was also assessed. Face validity of ROL scale reached a high acceptance index in three dimensions: role performance (0.97), role organization (0.98), and response to the role (0.98). Content validity showed coherence, clarity, and relevance of the scale. From factor analysis, three components emerged and were grouped in the same manner for varimax, quartimax, and equimax rotations. Cronbach's alpha was 0.816, which is an acceptable overall value. Conclusion: ROL scale makes objective the concept of role taking in family caregivers of people with chronic disease. It demonstrated to have acceptable reliability, and construct, face, and content validity to be used in the Colombian context. Keywords: Validation Study, Caregivers, Health Transitions, Chronic Disease.

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Worker Produced Health Education Material for the Construction Trades

International Quarterly of Community Health Education ◽

10.2190/fjpl-n1rh-829q-pqrj ◽

1986 ◽

Vol 7 (2) ◽

pp. 109-121 ◽

Cited By ~ 9

Author(s):

Debra L. Roter ◽

Rima E. Rudd ◽

James Keogh ◽

Betty Robinson

Keyword(s):

Health Education ◽

Health And Safety ◽

Health Programs ◽

Building Trades ◽

Safety Issues ◽

Education Material ◽

Safety And Health ◽

Health Education Materials ◽

Construction Trades ◽

Factual Recall

There is broad acceptance of the philosophic foundations of health education as grounded in the collaborative model of client and professional partnership. In practice, however, this partnership is largely dominated by the professional side. Workers may be particularly sensitive to professional domination as issues associated with health promotion vs. safety and health programs at the workplace are often politicized. This polarization is particularly evident in the area of asbestos-related hazard prevention, reduction, and education. Using asbestos hazards as the unifying theme, we participated in a program to facilitate active participation of workers in the production of their own occupational health education materials through the use of the photonovel. Representatives from some seven building trade locals worked with a staff to produce a twenty-four-page photonovel for their co-workers. A random sample of 500 members of building trades locals received either a copy of the photonovel or a popular NCI asbestos pamphlet with an evaluation questionnaire. Differences between the groups were evident in favor of the photonovel in readability, factual recall, general credibility, and attitudes toward future involvement in health and safety issues.

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Development and validation of a nutrition knowledge questionnaire for a Canadian population

Public Health Nutrition ◽

10.1017/s1368980016003372 ◽

2016 ◽

Vol 20 (7) ◽

pp. 1184-1192 ◽

Cited By ~ 16

Author(s):

Maude Bradette-Laplante ◽

Élise Carbonneau ◽

Véronique Provencher ◽

Catherine Bégin ◽

Julie Robitaille ◽

...

Keyword(s):

Factor Analysis ◽

Construct Validity ◽

Content Validity ◽

Covariance Structure ◽

Nutrition Knowledge ◽

Face Validity ◽

Covariance Structure Analysis ◽

Knowledge Questionnaire ◽

Canadian Population ◽

Test Retest Reliability

AbstractObjectiveThe present study aimed to develop and validate a nutrition knowledge questionnaire in a sample of French Canadians from the province of Quebec, taking into account dietary guidelines.DesignA thirty-eight-item questionnaire was developed by the research team and evaluated for content validity by an expert panel, and then administered to respondents. Face validity and construct validity were measured in a pre-test. Exploratory factor analysis and covariance structure analysis were performed to verify the structure of the questionnaire and identify problematic items. Internal consistency and test–retest reliability were evaluated through a validation study.SettingOnline survey.SubjectsSix nutrition and psychology experts, fifteen registered dietitians (RD) and 180 lay people participated.ResultsContent validity evaluation resulted in the removal of two items and reformulation of one item. Following face validity, one item was reformulated. Construct validity was found to be adequate, with higher scores for RDv. non-RD (21·5 (sd2·1)v. 15·7 (sd3·0) out of 24,P<0·001). Exploratory factor analysis revealed that the questionnaire contained only one factor. Covariance structure analysis led to removal of sixteen items. Internal consistency for the overall questionnaire was adequate (Cronbach’sα=0·73). Assessment of test–retest reliability resulted in significant associations for the total knowledge score (r=0·59,P<0·001).ConclusionsThis nutrition knowledge questionnaire was found to be a suitable instrument which can be used to measure levels of nutrition knowledge in a Canadian population. It could also serve as a model for the development of similar instruments in other populations.

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Impact of Health Education on Mothers' Knowledge of Preventive Health Practices

Tropical Doctor ◽

10.1177/004947559702700405 ◽

1997 ◽

Vol 27 (4) ◽

pp. 199-202 ◽

Cited By ~ 5

Author(s):

Mubina Agboatwalla ◽

Dure Samin Akram

Keyword(s):

Health Education ◽

Breast Feeding ◽

Intervention Study ◽

Intervention Group ◽

Preventive Health ◽

Slum Area ◽

Post Intervention ◽

Community Based ◽

Significant Difference ◽

The Impact

A prospective community-based intervention study was conducted in a slum area of Karachi, Pakistan, with the objective of evaluating the impact of health education on the knowledge of mothers. One hundred and fifty households were studied in the intervention and the same in the non-intervention group. The post intervention knowledge scores of the mothers showed a significant difference of P < 0.05. Nearly 50.7% mothers in the intervention group knew of at least four diseases against which vaccination is given as compared to the non-intervention group ( P < 0.05). Similarly, mothers in the intervention group were more aware about the advantages of breast feeding, signs of dehydration, measures for prevention of measles and tuberculosis as compared to the non-intervention group ( P < 0.05). Finally, a comparison was made between the pre- and post-intervention scores between the two groups. The score in the non-intervention group changed from 11.5 to 16.1 ( P > 0.05) as compared to the intervention group in which it changed from 10.2 to 32.2 ( P < 0.05).

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A Study on the Status of Error Reporting Cultures among Nurses in Medical Sciences Hospitals of Islamic Azad University

Internal Medicine And Medical Investigation Journal ◽

10.24200/imminv.v2i4.193 ◽

2018 ◽

Vol 4 (1) ◽

Author(s):

Abasat Mirzaei ◽

Zeinab Abbasi ◽

Sima Safarzadeh

Keyword(s):

Construct Validity ◽

Content Validity ◽

Work Experience ◽

Pearson Correlation ◽

Face Validity ◽

Error Reporting ◽

Cronbach’S Alpha ◽

Cross Sectional ◽

Cronbach's Alpha ◽

The Status

Background:One of the goals of nursing is to provide safe patient care and medical errors are one of the most important threats in this field.Therefore, the purpose of this study is to assess the status of error reporting culture and determine its relationship with demographic characteristics.Methods:This descriptive,analytical and cross-sectional study was carried out among 239 nurses of amiralmomenin and bouali hospitals. First,face validity and then content validity were performed by 15 nursing experts and the questionnaire was distributed and collected. The normal distribution of data was confirmed by Kolmogorov-Smirnov test. The reliability and construct validity were performed with Cronbach’s Alpha test and exploratory factor analysis by PCM.The status of reporting culture was determined by computing descriptive statistics and its relation with demographic variables with Pearson correlation test and logistic regression test with SPSS software version 16.Results:The content validity with CVR &CVI of 0.820 and 0.920 were confirmed. The reporting culture was favorable with a mean and standard deviation of 2.674 and 0.475.The reliability with Cronbach's alpha of 0.747 and the construct validity with a KMO of 0.727 and Significance of the Bartlett test were confirmed and 3 subscales were extracted. The relationship between age and work experience with the reporting culture with a correlation of 0.009 and 0.013 with a significant < 0.05 were rejected But with the variable of gender(=female) with a chance of 2.536 and the significant of 0.006 was confirmed.Conclusion:Developing a safety culture in hospitals by implementing various health programs improves the reporting culture,but the mental climate is undesirable and requires major steps to reduce worries and negative outcomes after reporting.The presence of female nurses in comparison with men improves the error reporting culture.Perhaps the main reason is patriarchy in Iranian culture.

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Evaluation of a community-based intervention for health and economic empowerment of marginalized women in India

10.21203/rs.2.16129/v1 ◽

2019 ◽

Author(s):

Shantanu Sharma ◽

Devika Mehra ◽

Faiyaz Akhtar ◽

Sunil Mehra

Keyword(s):

Health Services ◽

Qualitative Interviews ◽

Economic Empowerment ◽

Successful Implementation ◽

Access To Health Services ◽

Community Based Interventions ◽

Post Intervention ◽

Community Based ◽

Access To Health ◽

Four Blocks

Abstract Background Empowered women have improved decision-making capacity and can demand equal access to health services. Community-based interventions (CBI) based on building women’s groups for awareness generation on maternal and child health (MCH) are the best and cost-effective approach in improving their access to health services. The present endeavor evaluates a community-based intervention aimed at improving marginalized women’s health and economic status using the peer-led approach from two districts of India. Methods We used peer educators as mediators of knowledge transfer among women and for creating a supportive environment at the household and community-level. The intervention was implemented in two socially backward districts of Uttar Pradesh, namely Kaushambi and Banda. Two development blocks in each of the two districts were selected randomly, and twenty-four villages in each of the four blocks were selected based on the high percentage of a marginalized population. The evaluation of the intervention involved a non-experimental, pre- and post-research design, using a mixed-method approach. Data were collected at three points in time, including a rapid assessment (quantitative and qualitative interviews) at baseline, qualitative interviews at the end line and tracking data of the intervention population (n=37,324) through an online management information system. Results Most of the women in Banda (90%) and Kaushambi (85%) attended at least 60% of the education sessions. Around 39% of women in Banda and 35% of women in Kaushambi registered for livelihood scheme, and 94% and 80% of them had worked under the scheme. Women during group discussions informed that their awareness about MCH increased post-intervention. The money earned after getting work under livelihood scheme or from daily savings was deposited in the bank account by the women. These savings had helped women investing money at the times of need, such as starting their work, in emergencies for the medical treatment of their family members, education of their children, etc. Conclusion Considering the interlinked plexus of literacy, social status, economic empowerment, and health status of women, interventions targeting anyone of them in silos may not achieve the desired results. The study provides scientific evidence of the successful implementation of peer-led community-based intervention model..

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Influence of Community-Based Interventions on Routine Immunization Uptake among Children Under Five Years in Ntungamo District-Uganda

TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH ◽

10.21522/tijph.2013.09.04.art006 ◽

2021 ◽

Vol 9 (4) ◽

pp. 62-83

Author(s):

Byamukama Topher

Keyword(s):

Immunization Coverage ◽

Control Groups ◽

Community Based Interventions ◽

Post Intervention ◽

Community Based ◽

Significant Difference ◽

Immunization Services ◽

Level Of Knowledge ◽

The Difference ◽

And Control

Evidence of the effectiveness of community-based interventions in improving immunization coverage in populations of low coverage is limited. Vaccine-preventable diseases is a major public health challenge in low-income countries where Uganda lies, and immunization is the only reliable strategy for child survival. The study's objective was to assess the influence of a community-based intervention on the uptake of immunization services to recommend strategies to health stakeholders to improve immunization coverage. A quasi-experimental study was conducted in three phases. Structured and key informant interviews were used as data collection tools. Phase one provided baseline data before the intervention, the second phase was a community-based intervention, and the third phase was post-intervention evaluation. There was no significant difference on the uptake of BCG, POLIO-0, POLIO-1, POLIO-2, DPTHeP-Hib1, DPTHeP-Hib2, PCV1 and PCV2 immunizations between the intervention and control group post-intervention (P= 1.00, α =0.5). The level of knowledge on immunization was 68.8% and 29.6% in the intervention and control groups, respectively. The difference between the two was statistically significant (P=0.00 = α= 0.5). There was a significant association between the level of knowledge of the caregivers on immunization and the uptake of immunization services (P=0.00, α=0.5). There was also a statistically significant difference in immunization coverage between the intervention and control groups (97.5%) and (75.1%) for the intervention and control groups, respectively. The difference was statistically associated with the community-based intervention (P =0.00, α=0.5). Community-based interventions influenced the uptake of routine immunization services.

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A high-fidelity, virtual reality, transurethral resection of bladder tumor simulator: Validation as a tool for training

Canadian Urological Association Journal ◽

10.5489/cuaj.7285 ◽

2021 ◽

Vol 16 (4) ◽

Author(s):

Jonathan Moore ◽

Stewart Whalen ◽

Neal Rowe ◽

Jason Lee ◽

Michael Ordon ◽

...

Keyword(s):

Construct Validity ◽

Transurethral Resection ◽

Content Validity ◽

Bladder Tumor ◽

Strong Support ◽

Face Validity ◽

Video Recordings ◽

The Face ◽

Hands And Feet ◽

Key Steps

Introduction: Simulation-based training is used to help trainees learn surgical procedures in a safe environment. The objective of our study was to test the face, content, and construct validity of the transurethral resection of bladder tumor (TURBT) module built on the Simbionix TURP Mentor simulator. Methods: Participants performed five standardized cases on the simulator. Domains of the simulator were evaluated on a five-point Likert scale to establish face and content validity. Construct validity was assessed through the simulator's built-in scoring metrics, as well as video recordings of the simulator screen and an anonymized view of participants' hands and feet, which were evaluated using an objective structured assessment of technical skills (OSATS) tool. Results: Ten experienced operators and 15 novices participated. Face validity was somewhat acceptable (mean realism 3.8/5±1.03 standard deviation [SD]; mean appearance 4.1/5±0.57), as was content validity, represented by simulation of key steps (mean 3.9±0.57). The simulator failed to achieve construct validity. There was no difference in mean simulator scores or OSATS scoring between experienced operators and novices. Novices significantly improved their mean simulator scores (305.9 vs. 332.4, p=0.006) and OSATS scoring (15.8 vs. 18.1, p=0.001), while 87% felt their confidence to perform TURBT improved. Overall, 92% of participants agreed that the simulator should be incorporated into residency training. Conclusions: Our study suggests a role for the TURBT module of the Simbionix TURP Mentor simulator as an introduction to TURBT for urology trainees. Strong support was found from both experienced operators and novices for its formal inclusion in resident education.

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A Core Outcome Set for Nonpharmacological Community-Based Interventions for People Living With Dementia at Home: A Systematic Review of Outcome Measurement Instruments

The Gerontologist ◽

10.1093/geront/gnaa071 ◽

2020 ◽

Cited By ~ 1

Author(s):

Andrew J E Harding ◽

Hazel Morbey ◽

Faraz Ahmed ◽

Carol Opdebeeck ◽

Ruth Elvish ◽

...

Keyword(s):

Outcome Measurement ◽

Core Outcome Set ◽

Face Validity ◽

Core Outcome ◽

Measurement Instruments ◽

Community Based Interventions ◽

Community Based ◽

Key Stakeholders ◽

Outcome Set ◽

Dementia Research

Abstract Background and Objectives It is questionable whether existing outcome measurement instruments (OMIs) in dementia research reflect what key stakeholders’ value. We attained consensus from more than 300 key stakeholders, including people living with dementia, and identified 13 core outcome items for use in nonpharmacological and community-based interventions for people with dementia living at home. In this systematic review, we review OMIs that have previously been used in dementia care research to determine how, or even if, the 13 core outcome items can be measured. Research Design and Methods We extracted self-reported OMIs from trials, reviews, and reports of instrument development. Searches were undertaken in the ALOIS database, MEDLINE, PsycINFO, CINAHL, SocINDEX, and COSMIN databases. We aimed to assess the psychometric properties of OMI items for face validity with the core outcome items, content validity, internal consistency, and responsiveness. We held a coresearch workshop involving people living with dementia and care partners in order to ratify the findings. Results In total 347 OMIs were located from 354 sources. Of these, 76 OMIs met the inclusion criteria. No OMIs were deemed to have sufficient face validity for the core outcome set (COS) items, and no OMIs proceeded to further assessment. The “best” available OMI is the Engagement and Independence in Dementia Questionnaire. Discussion and Implications This study provides a practical resource for those designing dementia research trials. Being able to measure the COS items would herald a paradigm shift for dementia research, be responsive to what key stakeholders value and enhance the ability to make comparisons.

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Validation of martyn to simulate the keyhole supraorbital subfrontal approach

Bulletin of The Royal College of Surgeons of England ◽

10.1308/rcsbull.2014.96.4.120 ◽

2014 ◽

Vol 96 (4) ◽

pp. 120-121 ◽

Cited By ~ 1

Author(s):

Hani J Marcus ◽

Archie Hughes-Hallett ◽

Philip Pratt ◽

Guang-Zhong Yang ◽

Ara Darzi ◽

...

Keyword(s):

Construct Validity ◽

Royal College ◽

Validation Study ◽

Content Validity ◽

Face Validity ◽

Great Success ◽

Surgical Experience ◽

Vascular Tree ◽

Subfrontal Approach

The Modelled Anatomical Replica for Training Young Neurosurgeons (MARTYN) has been created by the conservation team at The Royal College of Surgeons of England to simulate traumatic pathologies (such as extradural haemorrhage) and has been used with great success at relevant workshops. A modified MARTYN head has recently been developed that incorporates a vascular tree and pathology, allowing for the simulation of the keyhole supraorbital subfrontal approach. 1 Here we present a short validation study assessing its realism (face validity), usefulness (content validity) and ability to differentiate levels of surgical experience (construct validity).

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