Abstract
PURPOSE: The purpose of this quality improvement project was to design and validate a multimedia educational software program for patients with fecal diversions.
PARTICIPANTS AND SETTING: Ten individuals who had fecal diversion surgery and 10 experts including nurses, physicians, nutritionists, and information technologists from Imam Khomeini and Rasule Akram Hospitals, Tehran, Iran, the 2 main centers in which fecal diversion surgery took place, were included in the study.
APPROACH: The multimedia educational software for patients with ostomy was developed in 3 phases including development and creation, validity, and modification of the software. Data for phase 1 were collected using 2 questionnaires, the Multimedia Survey Questionnaire for Clients and the Multimedia Survey Questionnaire for Experts, and several open-ended questions to further determine the content and face validity of the multimedia content for the education prototype.
OUTCOMES: The mean +/- standard deviation [SD] of multimedia evaluation by the 10 patients was 60 +/- 3.27, indicating high user satisfaction. The mean +/- SD of multimedia evaluation by the 10 experts was 171.1 +/- 19.2, suggesting the content was of high quality. Content and face validity were reported to be 0.91 and 0.96, respectively. The program was then created and called "Self-Care of Ostomy," which consisted of 8 computer-based modules with 22 short videos and slide presentations available for viewing by patients with newly created ostomies.
IMPLICATIONS FOR PRACTICE: This multimedia program can provide patients with simple, portable, understandable, objective, user-friendly information about ostomy care. Future studies should address the effectiveness of ostomy management among patients, families, and care providers.