PTRNOtherRevista brasileira de enfermagem2025

Development and validation of a multidisciplinary educational booklet for kidney transplant recipients.

Juliane Custodio de Andrade, Andressa Santos Ferreira Brito, Kelly Aparecida Vieria Dos Santos and 3 others

PMID 40105530

WHAT IT FOUND

A kidney transplant education booklet was validated by multidisciplinary experts and accepted by 30 recipients, with 99.7% agreement on organization, writing style, appearance, and motivation.

It is not yet evidence that it prevents complications or readmission.

Key findings

01Content validation produced a pre-final booklet of 111 guidance items.

02Thirty kidney transplant recipients evaluated the booklet, and 99.7% agreed with its organization, writing style, appearance, and motivation.

03The authors state that effectiveness, patient empowerment, and impact on reducing complications still need new studies.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for RNs

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What it does not show

The study did not test the booklet's effect on kidney transplant outcomes. It reports content validation and patient agreement, not evidence that it prevents complications, rejection, infection, or readmission. The expert committee was a convenience sample from one hospital. Ten specialists were invited and eight participated, so the validation may reflect local practices and the views of a small group. The reported global relevance score was CVR 0.77, while the paper's stated minimum acceptable value was 0.78. Some items were retained after repeated rounds and consensus discussion rather than meeting every threshold. The target audience evaluation included only 30 adult, first-time, literate kidney transplant recipients from one institution, so it does not address children, non-literate patients, retransplant patients, or people with different literacy needs. The booklet did not use a specific professional design, and the study did not test how it changes clinician behavior, patient knowledge, or self-care.

The easy way to misread this

Do not read the 99.7% agreement as proof that the booklet improves kidney transplant outcomes. The study tested content and patient acceptance, not rejection, infection, complications, or readmission.

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