Comic book for asthma control in children

Abstract

Purpose

to develop and analyze evidence of validity of a comic book for self-care of children with asthma.

Methods

this is a methodological study carried out in three phases. The first phase consisted of an integrative literature review to map the main guidelines for children with asthma and comic book development. The second phase consisted of analysis of evidence of content validity by 17 experts in the comic book and a questionnaire for children to assess the comic book. The third phase consisted of the comic book analysis by children with asthma using the questionnaire validated in the previous phase. Inter-judge agreement analysis was performed by calculating the Content Validity Ratio (CVR), and the critical value for each phase and round was based on the number of evaluators.

Results

thirty-nine studies were identified in the review and seven topics were addressed in the comic book construction (knowledge of disease; prevention of crises; correct use of medications; physical activity; environmental control; behavior in case of worsening of symptoms; and recognition of symptoms). The comic book script was assessed by experts, requiring four rounds for it to reach the critical CVR determined. It was subsequently assessed by 30 children with asthma, reaching the critical CVR in the first round of assessment.

Conclusions

the comic book achieved adequate evidence of validity after assessment by experts and children, and could be a tool in the health education process for children with asthma.