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马来西亚基层医疗环境中高血压患者自我护理实践的基于视频的干预措施的开发与验证

Development and validation of a video-based intervention on self-care practices for patients with hypertension in Malaysian primary care settings.

作者信息

Raja-Ismail Raja Ibrahim, Badlishah-Sham Siti Fatimah, Nik-Nasir Nik Munirah, Isa Mohamad Rodi

机构信息

MBBS, Department of Primary Care Medicine, Faculty of Medicine Universiti Teknologi MARA, Sg Buloh Campus, Jalan Hospital, Sungai Buloh, Selangor, Malaysia.

MBBCh BAO, MMed Fam Med, Department of Primary Care Medicine, Faculty of Medicine, Universiti Teknologi MARA, Sg Buloh Campus, Jalan Hospital, Sungai Buloh, Selangor, Malaysia. Email:

出版信息

Malays Fam Physician. 2024 Jun 25;19:40. doi: 10.51866/oa.480. eCollection 2024.

Abstract

INTRODUCTION

Self-care practices among patients with hypertension have been shown to improve blood pressure control. Video-based interventions (VBIs) are helpful in enhancing patients' selfcare practices. However, validated VBIs in the Malay language for patients in primary care settings are scarce. This study aimed to develop and validate a VBI series in the Malay language to educate patients with hypertension on self-care practices in primary care settings.

METHODS

This study was conducted in three phases: (1) pre-production, (2) production and (3) post-production. The pre-production phase involved designing the storyboard and scripts, which underwent content validation by content experts and subsequently by patients with hypertension. Once the storyboards and scripts achieved acceptable consensus, the videos were recorded (production phase). The post-production phase included video editing and face validation among patients with hypertension. Statistical analysis included the calculation of the item-level content validation index (I-CVI) and item-level face validation index (I-FVI) during content and face validation, respectively.

RESULTS

The storyboards and scripts for five videos were developed. The I-CVI of all videos was 1.0 after two rounds of content validation among six content experts. The I-CVI of all videos was 1.0 among five patients with hypertension. Five videos were recorded and edited, achieving an I-FVI of 1.0 during face validation among 10 patients.

CONCLUSION

A VBI series consisting of five videos was developed and validated for use among patients with hypertension in primary care settings to improve their knowledge of self-care practices.

摘要

引言

高血压患者的自我护理行为已被证明有助于改善血压控制。基于视频的干预措施(VBI)有助于增强患者的自我护理行为。然而,在初级保健环境中,针对患者的马来语有效VBI却很稀缺。本研究旨在开发并验证一套马来语VBI系列,以在初级保健环境中对高血压患者进行自我护理行为教育。

方法

本研究分三个阶段进行:(1)前期制作,(2)制作和(3)后期制作。前期制作阶段包括设计脚本和剧本,先由内容专家进行内容验证,随后由高血压患者进行验证。一旦脚本和剧本达成可接受的共识,即进行视频录制(制作阶段)。后期制作阶段包括视频编辑以及在高血压患者中进行表面效度验证。统计分析分别包括在内容验证和表面效度验证期间计算项目级内容效度指数(I-CVI)和项目级表面效度指数(I-FVI)。

结果

开发了五个视频的脚本和剧本。在六名内容专家进行两轮内容验证后,所有视频的I-CVI均为1.0。在五名高血压患者中,所有视频的I-CVI也均为1.0。录制并编辑了五个视频,在10名患者进行表面效度验证期间,I-FVI达到了1.0。

结论

开发并验证了一套由五个视频组成的VBI系列,供初级保健环境中的高血压患者使用,以提高他们对自我护理行为的认知。

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