Avaliação e adaptação de hipermídia para surdos sobre autocuidado com a cicatrização de lesões por via de parto

Abstract

The objective was to evaluate the hypermedia “Self-care for postpartum wound healing: care for wound healing after cesarean section and normal delivery” as an assistive technology for deaf people. This is a methodological study, developed between August 2024 and January 2026, structured in three stages. The first consisted of updating the technology's content based on the most recent scientific evidence, followed by a new evaluation by judges using the Educational Content Validation Instrument in Health. In the second stage, the hypermedia was evaluated as assistive technology by deaf people in a pilot test, using the Assistive Technology Assessment Questionnaire with participants from a deaf association. This phase included the evaluation of the sign language window by interpreters and the reapplication of the questionnaire after adjustments derived from the pilot test. The third stage, carried out in Portugal during the researcher's academic mobility, involved adapting the content to European Portuguese. The research was approved by the Research Ethics Committee of the Federal University of Ceará (opinion no. 7,984,034). In the update phase, nine nurse judges participated, obtaining Content Validity Indices (CVI) of 0.96 in the objective domain, 0.91 in structure and presentation, and 1.0 in relevance, with a global CVI of 0.95. The pilot test included nine deaf individuals, whose contributions were relevant to the application of the questionnaire and the adequacy of the interpretation in Brazilian Sign Language. Three interpreters evaluated the accessibility window and identified aspects to be improved, which motivated a new recording with an experienced professional in the health field. After implementing the improvements from the pilot, it was planned to expand the in-person data collection; however, due to limitations, the virtual format was chosen. In this phase, only one deaf person participated, possibly due to the short data collection period. The adaptation for Portuguese (Portugal) involved four translators and three reviewers, who adapted conceptual terms and care aspects to the local context. A notable limitation is the reduced participation of deaf people in the technology evaluation, which restricts the generalizability of the results. Even so, the study highlighted methodological challenges inherent to research with this community. It is concluded that hypermedia is a promising educational technology for postpartum self-care, contributing to equity in access to health information.