Flip Chart based on the Interactive Theory of Breastfeeding: development and validation of an educational technology.
Thamires Fontoura Cantalejo, Candida Caniçali Primo, Nayara Christina Barbosa Pereira and 4 others
PMID 42454808WHAT IT FOUND
Pregnant and postpartum women rated a breastfeeding flip chart as clear, engaging, and suitable, with all items acceptable.
Nurses can use it for breastfeeding education, but the study did not test whether it improves breastfeeding.
Key findings
01All 12 face-validation items were rated adequate by 101 pregnant and postpartum women, yielding a total Face Validity Index of 0.94.
02Expert review found more than 95.5% agreement across all evaluation items for the flip chart.
03Participants said the flip chart was engaging, highly illustrative, and suitable for people who cannot read, while some wanted more explanations.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Experts and women were recruited from one public university hospital in Brazil, so results may not apply to other settings or populations. The study evaluated whether the flip chart was acceptable and understandable. It did not test whether using it improves breastfeeding initiation, continuation, or exclusive breastfeeding rates. The target audience was limited to hospitalized pregnant women and postpartum women within 6 to 48 hours after birth, and women with certain mental health or neurologic conditions or breastfeeding contraindications were excluded. The expert sample was a convenience sample of 16 maternal and child health professionals.
Declared interests
The supplied text states that the Espírito Santo Research Foundation funded this research.
The easy way to misread this
Do not read the high validation scores as evidence that the flip chart improves breastfeeding. The study only assessed whether experts and pregnant and postpartum women found the material acceptable and understandable.