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Development and Validation of a Theory-Based Multimedia Application for Educating Persian Patients on Hemodialysis

FEIZALAHZADEH, HOSSEIN MSc; TAFRESHI, MANSOUREH ZAGHERI PhD; MOGHADDASI, HAMID PhD; FARAHANI, MANSOUREH A. PhD; KHOSROVSHAHI, HAMID TAYEBI MD; ZAREH, ZAHRA BSc; MORTAZAVI, FAKHRSADAT MD

CIN: Computers, Informatics, Nursing: May 2014 - Volume 32 - Issue 5 - p 242–247
doi: 10.1097/CIN.0000000000000052
Feature Article

Although patients on hemodialysis require effective education for self-care, several issues associated with the process raise barriers that make learning difficult. Computer-based education can reduce these problems and improve the quality of education. This study aims to develop and validate a theory-based multimedia application to educate Persian patients on hemodialysis. The study consisted of five phases: (1) content development, (2) prototype development 1, (3) evaluation by users, (4) evaluation by a multidisciplinary group of experts, and (5) prototype development 2. Data were collected through interviews and literature review with open-ended questions and two survey forms that consisted of a five-level scale. In the Results section, patient needs on hemodialysis self-care and related content were categorized into seven sections, including kidney function and failure, hemodialysis, vascular access, nutrition, medication, physical activity, and living with hemodialysis. The application designed includes seven modules consisting of user-controlled small multimedia units. During navigation through this application, the users were provided step-by-step information on self-care. Favorable scores were obtained from evaluations by users and experts. The researchers concluded that this application can facilitate hemodialysis education and learning process for the patients by focusing on their self-care needs using the multimedia design principles.

Author Affiliations: School of Nursing and Midwifery (Mr Feizalahzadeh and Dr Zagheri Tafreshi), and School of Allied Medical Sciences (Dr Moghaddasi), Shahid Beheshti University of Medical Sciences; Faculty of Nursing and Midwifery, Center Nursing Care Research, Iran University of Medical Sciences (Dr Farahani); and Faculty of Medicine (Drs Khosrovshahi and Mortazavi) and Emam Reza Hospital (Ms Zareh), Tabriz University of Medical Sciences, Tabriz, Iran.

This article is based on a nursing PhD dissertation and a research project approved by the Shahid Beheshti University of Medical Sciences, with the registration number 1391-1-86-9148.

The authors have disclosed that they have no significant relationship with, or financial interest in, any commercial companies pertaining to this article.

Corresponding author: Mansoureh Zagheri Tafreshi, PhD, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Vali-Asr Avenue, Cross of Vali-Asr and Neiaiesh Highway, Opposite to Rajaee Heart Hospital, Tehran, Islamic Republic of Iran, Postal Code: 1996835119 (M.z.tafreshi@sbmu.ac.ir).

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