Validação de vídeo instrucional sobre o dispositivo intrauterino comcobre e do conteúdo do protótipo do aplicativo DIU conecta

Abstract

Introduction: Among sexual and reproductive rights, reproductive planning stands out because it implies respect for people’s freedom and autonomy to decide, freely and responsibly, whether or not they want to have children, how many they wish to have, and at what moment in their lives. This is aligned with Sustainable Development Goal (SDG) No. 5 of the 2030 Agenda — to achieve gender equality and empower all women and girls — which highlights the need to ensure universal access to sexual and reproductive health. Unplanned pregnancy is associated with an increased risk of maternal and fetal complications. In this context, the Brazilian Unified Health System (SUS) adopts as a strategy the expansion of women’s access to qualified information on contraceptive methods, encouraging informed choices aligned with individual needs. Among the contraceptive methods available in the SUS, the copper intrauterine device (IUD) is widely used worldwide and stands out for its effectiveness and safety. However, its uptake in Brazil remains low, which is associated with misinformation. This scenario highlights the importance of developing strategies that promote access to clear, accessible, and reliable information about the copper IUD. Objective: To validate the instructional video on the copper IUD and the prototype of the DIU ConecTa application. Method: This is a methodological study aimed at validating instructional technology in video format and the content of a mobile application prototype. The adopted methodology comprised the stages of evaluation, maintenance, and distribution. The previous stages — development; conceptual modeling, navigation, and interface; and implementation — were carried out in a prior research project by another master’s student from the same graduate program. Developed products: Product 1: Original article – Validation of an instructional video on the copper intrauterine device. Objective: To validate the content, appearance, and semantics of the instructional video on the copper IUD. Method: Content validation was conducted by expert judges using a structured and validated instrument, considering objectives, structure/presentation, and relevance. The appearance of the video was evaluated by other judges with training in design, communication, and related fields, who assessed shapes, colors, images, text, quantity, and size of figures, elements that may enhance the efficiency of the technology. Data were analyzed based on the Content Validity Index (CVI) and the Appearance Validity Index (AVI), with items achieving a minimum index of 0.80 considered valid. Semantic validation with the target audience was carried out with 30 pregnant women receiving care at the Maternal and Child Hospital of Brasília between January and April 2025. After signing the informed consent form, the video was presented to the participants, who subsequently completed an instrument assessing clarity, comprehension, and linguistic adequacy of the video. Results: In the first stage of content validation, a panel of judges was formed, selected based on academic background, professional experience, and involvement in the thematic area. Content validation was conducted in two Delphi rounds. Sixteen judges participated in the first round and fifteen in the second. The majority were female in both rounds, accounting for 93.8% in the first round and 93.3% in the second. All judges were nurses, with academic training time ranging from 3 to 29 years, with a mean of 17 and 17.4 years in each stage, respectively. Judges’ ages ranged from 25 to 57 years, with a mean age of 40.2 years in the first round and 40.6 years in the second. Regarding academic qualifications, 80% held a master’s or doctoral degree. Concerning professional practice, most participants — 15 (93.8%) in the first validation stage and 14 (93.3%) in the second — reported working directly in women’s health care. Most judges in both evaluation rounds had training in IUD insertion, totaling 75% (12) and 80% (12), respectively. Regarding undergraduate or graduate teaching/preceptorship, 12 (75%) judges reported experience in the area, ranging from two to twenty years. In the first stage of content validation, a mean CVI of 0.91 was observed. Five judges participated in the appearance validation, with a mean age of 35.4 years and an average of 13.2 years of professional training. At this stage, an AVI of 0.90 was identified. Suggestions from the judges in the first stage of content validation and in the appearance validation led to modifications in the video, resulting in a second version with a duration of five minutes and twenty-four seconds. In the second stage of content validation, a CVI of 0.97 was observed, demonstrating improved agreement among judges after the implemented changes. In the semantic validation, 30 women participated, and a CVI of 0.92 was identified. A one-sided binomial test was used for analysis, and results showed that eight out of ten items presented statistically significant agreement proportions (p < 0.05), particularly those related to language, clarity, and comprehension. This approach ensures the technical quality and pedagogical relevance of the developed material, guaranteeing alignment with the profile and needs of the target audience. Result: Version 2 of the video is available on the YouTube platform on the channel of the Graduate Program in Health Sciences at the following link: https://youtu.be/XawwBtBrmGo?si=G32RRc8MC82_rVWk. The video “Copper IUD – An effective choice to prevent pregnancy” was registered and holds a copyright certificate issued by the Brazilian Book Chamber as an intellectual work. Conclusion: The video presented satisfactory results in all stages of validation. Product 2: Content validation of the “DIU ConecTa” application prototype. Objective: To validate the content of the DIU ConecTa application prototype. Method: This is a methodological study focused on content validation of a mobile application prototype on the copper IUD named “DIU ConecTa.” A panel of judges was formed, selected based on predefined criteria related to academic background, professional experience, and involvement with the technology’s thematic area. Expert selection followed the snowball sampling method. Judges evaluated the technology items using a structured and validated instrument, considering three domains: objectives, structure/presentation, and relevance. Results: Data were analyzed based on the CVI, with items achieving a minimum index of 0.80 considered valid. The analysis demonstrated high agreement among participants, with CVI values ranging from 0.90 to 0.96 and a mean of 0.93, indicating a satisfactory degree of relevance, clarity, and adequacy. Suggestions were incorporated into the prototype content, resulting in a second version of the product. Conclusion: The DIU ConecTa application prototype also demonstrated satisfactory evidence of content validity. These materials are believed to contribute to expanding access to qualified information about the copper IUD, strengthening women’s empowerment in reproductive decision-making, and consequently promoting respect for their autonomy. The adopted methodology proved appropriate to ensure rigor, clarity, and relevance in the developed products and may help reduce informational gaps. This perspective directly aligns with Sustainable Development Goal No. 5, target 5.6, which emphasizes the importance of universal access to information and sexual and reproductive health services as an essential component of gender equality and women’s empowerment. The proposal is innovative in integrating accessible and easy-to-understand digital resources, contributing to expanded access to information on effective contraceptive methods and strengthening women’s autonomy in decision-making. Furthermore, the developed products demonstrate potential for practical application across different levels of health care, and may be incorporated into educational actions, training processes, and public policies related to reproductive planning. This initiative is relevant to Nursing and to the SUS, with real potential for positive impact on care practices and user experience. It is expected that the produced results may engage both the scientific community and public health managers, contributing to improved reproductive health actions and reaffirming Nursing’s role as a social transformation agent committed to rights, equity, and the promotion of autonomy. This project aligns with the research line Quality of Care in Women’s, Children’s, and adolescents’ Health.