Abstract
Objective: To describe the process of building and validating an educational booklet, aimed at the general population, about COVID-19 vaccines available in Brazil. Method: Methodological study, conducted between August 2022 and July 2023, operationalized in three stages, namely: (1) literature review, (2) construction of educational booklet and (3) content validation by expert judges through the online Delphi technique in two rounds. The participants were 56 health professionals, recruited through the Lattes Platform and the snowball technique. Items with Content Validity Index ≥ 0.80 and Kappa Index ≥ 0.70 were considered validated. Mann-Whitney and Cronbach Alpha tests were applied. Results: Verification of the validation of the primer in the Delphi 1 round had a global average of 0.88 and Kappa of 0.91. There were suggestions for improvements in the first version that were accepted and, the booklet was resubmitted to Delphi 2, having indexes in the value of 1. The Mann-Whitney test revealed significant difference and Cronbach's Alpha showed high reliability. Conclusion: The booklet “Vaccination against COVID-19: What do you need to know?” It has adequate content validity for the promotion of immunization against COVID-19.
References
Domingues CMAS. Desafios para a realização da campanha de vacinação contra a COVID-19 no Brasil. Cad Saúde Pública. 2021;37(1):e00344620. https://doi.org/10.1590/0102-311X00344620
Lima EJF, Almeida AM, Kfouri RÁ. Vaccines for COVID-19 - state of the art. Rev Bras Saude Mater Infant. 2021; 21:13–9. https://doi.org/10.1590/1806-9304202100S100002
Ministério da Saúde (BR). Secretaria Extraordinária de Enfrentamento à COVID-19 (Secovid) [Internet]. Plano Nacional de Operacionalização da Vacinação Contra a COVID-19. 13ª edição. Maio/2022. Brasília, DF(BR): Ministério da Saúde; 2022 [citado 18 Nov 2022]. Disponível em: https://sbim.org.br/images/files/notas-tecnicas/pno-13edicao-230522.pdf
Falcão P, Souza AB. Pandemia de desinformação: as fake news no contexto da COVID-19 no Brasil. Rev Eletron Comun Inf Inov Saúde. 2021;15(1). https://doi.org/10.29397/reciis.v15i1.2219
Monteiro D. Conheça 6 'fake news' sobre as vacinas contra a COVID-19. [Internet] 2021. [citado 18 nov 2022]. Disponível em: https://informe.ensp.fiocruz.br/noticias/51261
Garcia LP, Duarte E. Intervenções não farmacológicas para o enfrentamento à epidemia da COVID-19 no Brasil. Epidemiol Serv Saúde. 2020;29(2):e2020222. https://doi.org/10.5123/S1679-49742020000200009
Fontenele MSM, Cunha GH, Lopes MVO, Siqueira LR, Lima MAC, Moreira LA. Development and evaluation of a booklet to promote healthy lifestyle in people with HIV. Rev Bras Enferm. 2021;74(Suppl 5):e20200113. http://dx.doi.org/10.1590/0034-7167-2020-0113
Lemos RA, Veríssimo MLÓR. Methodological strategies for the elaboration of educational material: focus on the promotion of preterm infants’ development. Ciênc saúde coletiva. 2020; 25(2):505–18. https://doi.org/10.1590/1413-81232020252.04052018
Balsells MM, Silveira GE, Aquino PS, Barbosa LP, Damasceno AK, Lima TM. Development of a booklet as an educational technology for birth pain relief. Acta Paul Enferm. 2023;36:eAPE03351. http://dx.doi.org/10.37689/acta-ape/2023AO03351
Barreiro RG, Lopes MVO. Content validity of the nursing diagnosis low self-efficacy in health. Int J Nurs Knowl. 2023 Jul;34(3):216-225. http://dx.doi.org/10.1111/2047-3095.12395
Silva RN, Brandão MAG, Ferreira MA. Integrative Review as a Method to Generate or to Test Nursing Theory. Nurs Sci Q. 2020;33(3):258-263. http://dx.doi.org/10.1177/0894318420920602
Querido DL, Christoffel MM, Almeida VS, Esteves APVS, Menezes HF, Silva HCDA, et al. Construction and validation of nursing diagnoses for premature newborns. Rev Esc Enferm USP. 2023;57:e20230167. https://doi.org/10.1590/1980-220X-REEUSP-2023-0167en
Silva ABP, Menezes HF, Silva HL, Fonseca MC, D'Eça Junior A, Silva RAR. Validation of a booklet for the correct use of personal protective equipment in the context of COVID-19. Texto contexto - enferm. 2021;30:e20200561. https://doi.org/10.1590/1980-265X-TCE-2020-0561
Menezes HF, Camacho ACLF, Monteiro PP, Santos IS, Pereira AB, Prado NCC, et al. Clinical validation of the terminological subset for people with chronic kidney disease undergoing conservative treatment. Rev Esc Enferm USP. 2024;57:e20230280. https://doi.org/10.1590/1980-220X-REEUSP-2023-0280en
Menezes HF, Camacho AC, Sant’Anna RM, Matos TL, Santos IS, Silva AB, et al. ICNP® terminology subset for people with chronic kidney disease under conservative treatment. Acta Paul Enferm. 2023;36:eAPE01403. http://dx.doi.org/10.37689/acta-ape/2023AO014033
Castro VC, Radovanovic CAT, Dellaroza MSG, Pedroso B, Silva ES, Carreira L. Construct validity and internal consistency of the Brazilian version of Leisure Attitude Measurement for the elderly. Rev Esc Enferm USP. 2021;55:e03710. https://doi.org/10.1590/S1980-220X2020000703710
Domingues CMAS, Maranhão AGK, Teixeira AM, Fantinato FFS, Domingues RAS. 46 anos do Programa Nacional de Imunizações: uma história repleta de conquistas e desafios a serem superados. Cad Saúde Pública. 2020;36:e00222919. https://doi.org/10.1590/0102-311X00222919
Silva GM, Sousa AAR, Almeida SMC, Sá IC, Barros FR, Sousa Filho JES, et al. COVID-19 vaccination challenges: from fake news to vaccine hesitancy. Ciênc saúde coletiva. 2023;28(3):739–48. https://doi.org/10.1590/1413-81232023283.09862022
Souza TD, Ferreira FB, Bronze KM, Garcia RV, Rezende DF, Santos PR, et al. Mídias sociais e educação em saúde: o combate às Fake News na pandemia da COVID-19. Enferm Em Foco. 2020;11(1.ESP). https://doi.org/10.21675/2357-707x.2020.v11.n1.esp
Silva FR, Pereira RA, Souza AC, Gimenes FR, Simino GP, Dessote CA, et al. Construction and validation of a booklet for home palliative care after hospital discharge. Acta Paul Enferm. 2022;35:eAPE028112. http://dx.doi.org/10.37689/acta-ape/2022AO02812
Moura JRA, Silva KCB, Rocha AESH, Santos SD, Amorim TRS, Silva ARV. Construção e validação de cartilha para prevenção do excesso ponderal em adolescentes. Acta paul enferm. 2019;32(4):365–73. https://doi.org/10.1590/1982-0194201900051
Zarili TFT, Castanheira ERL, Nunes LO, Sanine PR, Carrapato JFL, Machado DF, et al. Delphi Technique in the validation process of the national application of the Questionnaire for Primary Care Assessment (QualiAB). Saude soc. 2021;30(2):e190505. https://doi.org/10.1590/S0104-12902021190505
Souza FM, Santos WN, Dantas JC, Sousa HR, Moreira OA, Silva RA. Development of a mobile application for prenatal care and content validation. Acta Paul Enferm. 2022;35:eAPE01861. http://dx.doi.org/10.37689/acta-ape/2022AO01861
Agência Nacional de Vigilância Sanitária (ANVISA). Moderna COVID-19 Vaccine [Internet]. Março/2024. Brasília, DF(BR): Ministério da Saúde; 2024 [citado 23 Jun 2024]. Disponível em: https://www.gov.br/anvisa/pt-br/assuntos/medicamentos/novos-medicamentos-e-indicacoes/spikevax-novo-registro
Beladiya J, Kumar A, Vasava Y, Parmar K, Patel D, Patel S, et al. Safety and efficacy of COVID-19 vaccines: A systematic review and meta-analysis of controlled and randomized clinical trials. Rev Med Virol. 2024 Jan;34(1):e2507. https://doi.org/10.1002/rmv.2507
Link-Gelles R, Ciesla AA, Mak J, Miller JD, Silk BJ, Lambrou AS, et al. Early Estimates of Updated 2023-2024 (Monovalent XBB.1.5) COVID-19 Vaccine Effectiveness Against Symptomatic SARS-CoV-2 Infection Attributable to Co-Circulating Omicron Variants Among Immunocompetent Adults - Increasing Community Access to Testing Program, United States, September 2023-January 2024. MMWR Morb Mortal Wkly Rep. 2024 Feb 1;73(4):77-83. https://doi.org/10.15585/mmwr.mm7304a2

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