Review validates educational video for peritoneal dialysis catheter placement in newly initiating patients.
Photo by Bagoes Ilhamy / Unsplash
Key Takeaway
Consider this validated video tool to improve health literacy for newly initiating PD patients.
This publication is a development and validation study rather than a primary clinical trial. It focuses on a newly initiated educational video designed for patients undergoing peritoneal dialysis (PD) catheter placement. The scope includes validation through expert consultation and assessment by newly initiating PD patients.
The authors report that script content was validated following two rounds of expert consultation. Authority coefficients for all experts were ≥ 0.7, and Kendall’s coefficient of concordance exceeded 0.3 after both rounds. Content validity index (CVI) values exceeded 0.9 for all dimensions and overall content, with p > 0.9 for all dimensions.
Patient validation showed that 19 out of 20 newly initiating PD patients rated the video as excellent, while 1 rated it as qualified. Additionally, patient comprehension of both theoretical knowledge and practical procedures was found to be satisfactory. No adverse events, discontinuations, or tolerability data were reported in this validation context.
The authors note that offering this tool may improve health literacy and optimize healthcare resource use. However, the study does not infer clinical outcomes beyond patient comprehension and content validity. Comparative efficacy against conventional methods is not established beyond the stated educational efficacy and satisfactory comprehension.
View Original Abstract ↓
BackgroundConventional education methods are insufficient to meet the increasing demand for patient health literacy. These methods require repeated explanations by healthcare personnel, and printed materials lack vividness, leading to poor patient comprehension. Consequently, these traditional approaches consume substantial healthcare resources and are inefficient.AimThe objective of this study was to develop and validate an educational video tailored for the patients undergoing peritoneal dialysis (PD) catheter placement.MethodsThis study adopted a methodological design. The research proceeded in five stages: (1) establishment of a multidisciplinary research team; (2) identification of key video topics and script development based on literature review, expert discussions, and patient interviews; (3) content reliability verification of the script via two rounds of Delphi consultation with 10 specialists; (4) production of the video; and (5) assessment of content validity by 20 newly initiating PD patients.ResultsFollowing two rounds of expert consultation, the script content was validated. Subsequent patient validation confirmed the educational efficacy of the video. The final video covered 11 thematic areas: preoperative knowledge; fluid balance and dietary management; pharmacological knowledge; catheter care; exit site care; PD exchange procedures; home-based troubleshooting-related; home-based troubleshooting—daily life; home-based troubleshooting—infection; automated peritoneal dialysis (APD) operation; and rehabilitation guidance. The authority coefficient of all experts was ≥ 0.7, and Kendall’s coefficient of concordance exceeded 0.3 after both rounds (p 0.9 for all dimensions and overall content, with content validity index (CVI) values also > 0.9. Among the 20 feedback questionnaires collected from patients, 1 rated the video as qualified and 19 as excellent. Patients demonstrated satisfactory comprehension of both theoretical knowledge and practical procedures.ConclusionThis study developed and validated an educational video for the perioperative period of PD catheter placement. Through a multidisciplinary approach, expert Delphi consultation, and patient feedback, the video demonstrated high reliability and validity. Results showed it effectively enhanced patients’ understanding of relevant knowledge and procedures, offering a valuable tool to improve health literacy and optimize healthcare resource use.
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