Content validity of an educational intervention to improve knowledge, attitudes and practices related to malaria in an indigenous community
Published
Jan 19, 2023
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Jorge Luis Herrera Herrera
https://orcid.org/0000-0001-9738-6891
María de los Ángeles Rodríguez Gázquez
Juan Guillermo Rojas
https://orcid.org/0000-0001-9738-6891
María de los Ángeles Rodríguez Gázquez
Juan Guillermo Rojas
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Abstract
Introduction: Health education programs for the indigenous population must be reviewed by experts in order to assess whether their cultural adaptation is appropriate and accurate. Objective: To determine the content validity contemplated in an educational intervention for the improvement of knowledge, attitudes and practices, for the prevention of malaria in the Emberá Katío population in the department of Córdoba, Colombia. Materials and methods: Methodological study for the validation of educational intervention that included four modules, administered in face-to-face sessions, in which educational strategies such as classes, guided discussions and workshops were used. Thirteen experts in work with indigenous communities participated, who evaluated the criteria of clarity, pertinence, relevance and coherence of the content of each module. The content validity index (CVI) of Lawshe modified by Tristán was estimated and the value ≥ 0.58 was assumed to consider the approval of the module criteria. Results: All the modules obtained global CVIs fluctuated between 0.83 and 0.90. The clarity of Module 1, ‘Knowing malaria’, had a value of 0.69 and the rest of the values of the four criteria ranged between 0.77 and 1. Discussion: The evaluated criteria exceeded the cut-off point established by the literature to approve the intervention, and the observations and recommendations of the experts were considered for adjustments in it. Conclusion: According to the experts' judgement, the evaluated educational intervention has high content validity in its modules according to the criteria tested.
Keywords
malaria, indigenous peoples, validation study, health education, Transcultural Nursingmalária, povos indígenas, estudo de validação, educação em saúde, enfermagem transculturalmalaria, pueblos indígenas, estudio de validación, educación en salud, enfermería transcultural
References
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(20) Balami AD, Said SM, Zulkefli NA, Bachok N, Audu B. Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial. Malaria Journal. 2019;18(1):1–14. https://doi.org/10.1186/s12936-019-2676-3
(21) Shimaponda-Mataa NM, Tembo-Mwase E, Gebreslasie M, Mukaratirwa S. Knowledge, attitudes and practices in the control and prevention of malaria in four endemic provinces of Zambia. Southern African Journal of Infectious Diseases. 2017;32(1):29–39. https://doi.org/10.1080/23120053.2016.1205330
(22) Regmi K, Kunwar A, Ortega L. A systematic review of knowledge, attitudes and beliefs about malaria among the South Asian population. Infection Ecology & Epidemiology. 2016;6(1):30822. https://doi.org/10.3402/iee.v6.30822
(23) Cardona-Arias JA, Salas-Zapata W, Carmona-Fonseca J. Systematic review of qualitative studies about malaria in Colombia. Heliyon. 2020;6(5):e03964. https://doi.org/10.1016/j.heliyon.2020.e03964
(24) Amoran O. Impact of health education intervention on malaria prevention practices among nursing mothers in rural communities in Nigeria. Nigerian Medical Journal. 2013;54(2):115–122. https://doi.org/10.4103/0300-1652.110046
(25) Rodriguez Reyes AJ, Roncancio Melgarejo CP, Misnaza Castrillón SP. Estrategias de comunicación para impactar conductas (COMBI) en enfermedades vectoriales en América Latina. Revista Médica de Risaralda. 2020;26(1):78–91. https://doi.org/10.22517/25395203.18721
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(27) Organización Panamericana de la Salud (OPS). Encuesta sobre conocimientos, actitudes y prácticas (CAP): Una herramienta para el abordaje intercultural de la malaria. [Internet]; 2008:44. Disponible en: https://www3.paho.org/pan/index.php?option=com_docman&view=download&alias=73-encuesta-sobre-conocimientos-actitudes-y-practicas-cap-abordaje-intercultural-de-la-malaria&category_slug=publications&Itemid=224
(28) Lawshe CH. A quantitative approach to content validity. Personnel Psychology. 1975;28(4):563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
(29) Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Avances en medición 6.1. 2008:37-48. Disponible en: https://www.humanas.unal.edu.co/lab_psicometria/application/files/9716/0463/3548/VOL_6._Articulo4_Indice_de_validez_de_contenido_37-48.pdf
(30) Organización Panamericana de la Salud (OPS), Organización Mundial de la Salud (OMS). Diversidad cultural y salud. [Internet]; 2020. Disponible en: https://www.paho.org/es/temas/diversidad-cultural-salud
(31) Urrutia EM, Barrios AS, Gutiérrez NM, et al. Métodos óptimos para determinar validez de contenido. Revista Cubana de Educación Médica Superior. 2014;28(3):547-558. Disponible en: https://www.medigraphic.com/pdfs/educacion/cem-2014/cem143n.pdf
(32) Rosero CY, Jaramillo GI, Montenegro FA, García C, Coral AC. Community perception of malaria in a vulnerable municipality in the Colombian Pacific. Malar J. 2020;19(343). https://doi.org/10.1186/s12936-020-03404-4
(33) Alkhaled, T, Rohde G, Lie B, Johannessen B. Beyond challenges and enrichment: a qualitative account of cross-cultural experiences of nursing patients with an ethnic minority background in Norway. BMC Nurs. 2022;21(322). https://doi.org/10.1186/s12912-022-01102-x
(34) Liu TT, Chen MY, Chang YM, Lin MH. A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors. Healthcare (Basel). 2022;10(4):678. https://doi.org/doi:10.3390/healthcare10040678
(2) Organización Mundial de la Salud (OMS). Informe mundial sobre el paludismo 2018. Centro de Prensa: OMS [Internet]; 2018. Disponible en: https://www.who.int/es/news-room/questions-and-answers/item/world-malaria-report-2018
(3) Organización Panamericana de la Salud (OPS). Malaria: Datos clave. [Internet]. Disponible en: https://www.paho.org/es/temas/paludismo
(4) Knudson Ospina RA, Barreto Zorza YM, Castillo CF, Mosquera LY, Apráez Ippolito G, Olaya Másmela LA, et al. Estrategias para la eliminación de malaria: una perspectiva afro-colombiana. Rev Salud Publica. 2019;21(1):9–16. https://doi.org/10.15446/rsap.v21n1.76210
(5) Montiel J, Zuluaga LM, Aguirre DC, Segura C, Tobon-Castaño A, Vásquez AM. Microscopic and submicroscopic Plasmodium infections in indigenous and non-indigenous communities in Colombia. Malar J. 2020;19(1):157. https://doi.org/10.1186/s12936-020-03226-4
(6) Meireles BM, de Souza Sampaio V, Monteiro WM, Gonçalves MJF. Factors associated with malaria in indigenous populations: A retrospective study from 2007 to 2016. PLoS One. 2020;15(10): e0240741. https://doi.org/10.1371/journal.pone.0240741
(7) Organización Panamericana de la Salud (OPS). Diversidad cultural y salud. [Internet]; 2020. Disponible en: https://www.paho.org/es/temas/diversidad-cultural-salud
(8) Kaihlanen AM, Hietapakka L, Heponiemi T. Increasing cultural awareness: qualitative study of nurses’ perceptions about cultural competence training. BMC Nurs. 2019;18(38). https://doi.org/10.1186/s12912-019-0363-x
(9) Li C, Abdulkerim N, Jordan CA, Ga Eun Son C. Overcoming Communication Barriers to Healthcare for Culturally and Linguistically Diverse Patients. N Am J Med Sci. 2017;10(3):103–109. DOI: 10.7156/najms.2017.1003103
(10) Singh S, Ebere U, Singh R, Musa J. Knowledge, attitude and practices on malaria among the rural communities in Aliero, Northern Nigeria. Journal of Family Medicine and Primary Care. 2014;3(1):39–44. https://doi.org/10.4103/2249-4863.130271
(11) Bevilacqua M, Morales LG, Cárdenas L, Domínguez J. Intervención educativa para modificar conocimientos, actitudes y prácticas sobre la malaria en escolares indígenas Ye´kwana. Boletín de Malariología y Salud Ambiental. 2015;55(2):155–164. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S1690-46482015000200003&lng=es
(12) Kilian A, Lawford H, Ujuju CN, Abeku TA, Nwokolo E, Okoh, F, et al. The impact of behaviour change communication on the use of insecticide treated nets: a secondary analysis of ten post-campaign surveys from Nigeria. Malaria Journal. 2016;15(1):422. https://doi.org/10.1186/s12936-016-1463-7
(13) Kumar R, Farzeen M, Hafeez A, Achakzai BK, Vankwani M, Lal M, et al. Effectiveness of a health education intervention on the use of long-lasting insecticidal nets for the prevention of malaria in pregnant women of Pakistan: a quasi-experimental study. Malaria Journal. 2020;19(1):232. https://doi.org/10.1186/s12936-020-03298-2
(14) Forero DA, Chaparro PE, Vallejo AF, Benavides Y, Gutiérrez JB, Arévalo-Herrera M, et al. Knowledge, attitudes and practices of malaria in Colombia. Malaria Journal. 2014;13(1):165. https://doi.org/10.1186/1475-2875-13-165
(15) Alvarado BE, Alzate A, Mateus JC, Carvajal R. Efectos de una intervención educativa y de participación comunitaria en el control de la malaria en Buenaventura, Colombia. Biomédica. 2006;26(3):366–378. https://doi.org/10.7705/biomedica.v26i3.355
(16) Castañeda Porras O, Zuleta Dueñas LP. Conocimientos, actitudes y prácticas para el control de enfermedades transmitidas por vectores en zona rural dispersa, San Luis de Palenque, Casanare-Colombia, 2017. Revista Médica de Risaralda. 2018;24(2):108–114. http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S0122-06672018000200108&lng=es&tlng=es
(17) Molineros-Gallón LF, Hernández-Carrillo M, Castro-Espinosa J, Trujillo de Cisneros E. Conocimientos, actitudes, percepciones y prácticas comunitarias sobre la malaria urbana, Tumaco, Colombia. Revista de Salud Pública. 2018;20(1):82–88. https://doi.org/10.15446/rsap.v20n1.53158
(18) Mbuagbaw L, Lawson DO, Puljak L, Thabane L. A tutorial on methodological studies: the what, when, how and why. BMC Med Res Methodol. 2020;20(226). https://doi.org/10.1186/s12874-020-01107-7
(19) Escobar-Pérez J, Cuervo-Martínez Á. Validez De Contenido Y Juicio De Expertos: Una Aproximación a Su Utilización. Av en Medición. 2008;6:27–36. Disponible en: https://www.researchgate.net/publication/302438451_Validez_de_contenido_y_juicio_de_expertos_Una_aproximacion_a_su_utilizacion
(20) Balami AD, Said SM, Zulkefli NA, Bachok N, Audu B. Effects of a health educational intervention on malaria knowledge, motivation, and behavioural skills: a randomized controlled trial. Malaria Journal. 2019;18(1):1–14. https://doi.org/10.1186/s12936-019-2676-3
(21) Shimaponda-Mataa NM, Tembo-Mwase E, Gebreslasie M, Mukaratirwa S. Knowledge, attitudes and practices in the control and prevention of malaria in four endemic provinces of Zambia. Southern African Journal of Infectious Diseases. 2017;32(1):29–39. https://doi.org/10.1080/23120053.2016.1205330
(22) Regmi K, Kunwar A, Ortega L. A systematic review of knowledge, attitudes and beliefs about malaria among the South Asian population. Infection Ecology & Epidemiology. 2016;6(1):30822. https://doi.org/10.3402/iee.v6.30822
(23) Cardona-Arias JA, Salas-Zapata W, Carmona-Fonseca J. Systematic review of qualitative studies about malaria in Colombia. Heliyon. 2020;6(5):e03964. https://doi.org/10.1016/j.heliyon.2020.e03964
(24) Amoran O. Impact of health education intervention on malaria prevention practices among nursing mothers in rural communities in Nigeria. Nigerian Medical Journal. 2013;54(2):115–122. https://doi.org/10.4103/0300-1652.110046
(25) Rodriguez Reyes AJ, Roncancio Melgarejo CP, Misnaza Castrillón SP. Estrategias de comunicación para impactar conductas (COMBI) en enfermedades vectoriales en América Latina. Revista Médica de Risaralda. 2020;26(1):78–91. https://doi.org/10.22517/25395203.18721
(26) Wangdi K, Furuya-Kanamori L, Clark J, Barendregt JJ, Gatton ML, Banwell C, et al. Comparative effectiveness of malaria prevention measures: a systematic review and network meta-analysis. Parasites & Vectors. 2018;11(1):210. https://doi.org/10.1186/s13071-018-2783-y
(27) Organización Panamericana de la Salud (OPS). Encuesta sobre conocimientos, actitudes y prácticas (CAP): Una herramienta para el abordaje intercultural de la malaria. [Internet]; 2008:44. Disponible en: https://www3.paho.org/pan/index.php?option=com_docman&view=download&alias=73-encuesta-sobre-conocimientos-actitudes-y-practicas-cap-abordaje-intercultural-de-la-malaria&category_slug=publications&Itemid=224
(28) Lawshe CH. A quantitative approach to content validity. Personnel Psychology. 1975;28(4):563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
(29) Tristán-López A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Avances en medición 6.1. 2008:37-48. Disponible en: https://www.humanas.unal.edu.co/lab_psicometria/application/files/9716/0463/3548/VOL_6._Articulo4_Indice_de_validez_de_contenido_37-48.pdf
(30) Organización Panamericana de la Salud (OPS), Organización Mundial de la Salud (OMS). Diversidad cultural y salud. [Internet]; 2020. Disponible en: https://www.paho.org/es/temas/diversidad-cultural-salud
(31) Urrutia EM, Barrios AS, Gutiérrez NM, et al. Métodos óptimos para determinar validez de contenido. Revista Cubana de Educación Médica Superior. 2014;28(3):547-558. Disponible en: https://www.medigraphic.com/pdfs/educacion/cem-2014/cem143n.pdf
(32) Rosero CY, Jaramillo GI, Montenegro FA, García C, Coral AC. Community perception of malaria in a vulnerable municipality in the Colombian Pacific. Malar J. 2020;19(343). https://doi.org/10.1186/s12936-020-03404-4
(33) Alkhaled, T, Rohde G, Lie B, Johannessen B. Beyond challenges and enrichment: a qualitative account of cross-cultural experiences of nursing patients with an ethnic minority background in Norway. BMC Nurs. 2022;21(322). https://doi.org/10.1186/s12912-022-01102-x
(34) Liu TT, Chen MY, Chang YM, Lin MH. A Preliminary Study on the Cultural Competence of Nurse Practitioners and Its Affecting Factors. Healthcare (Basel). 2022;10(4):678. https://doi.org/doi:10.3390/healthcare10040678
How to Cite
Herrera Herrera, J. L., Rodríguez Gázquez , M. de los Ángeles, & Rojas , J. G. (2023). Content validity of an educational intervention to improve knowledge, attitudes and practices related to malaria in an indigenous community. Investigación En Enfermería Imagen Y Desarrollo, 25. https://doi.org/10.11144/Javeriana.ie25.vcie
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