Abstract
BACKGROUND: Conventional education methods are insufficient to meet the increasing demand for patient health literacy. These methods require repeated explanations by healthcare personnel, and printed materials lack vividness, leading to poor patient comprehension. Consequently, these traditional approaches consume substantial healthcare resources and are inefficient. AIM: The objective of this study was to develop and validate an educational video tailored for the patients undergoing peritoneal dialysis (PD) catheter placement. METHODS: This study adopted a methodological design. The research proceeded in five stages: (1) establishment of a multidisciplinary research team; (2) identification of key video topics and script development based on literature review, expert discussions, and patient interviews; (3) content reliability verification of the script via two rounds of Delphi consultation with 10 specialists; (4) production of the video; and (5) assessment of content validity by 20 newly initiating PD patients. RESULTS: Following two rounds of expert consultation, the script content was validated. Subsequent patient validation confirmed the educational efficacy of the video. The final video covered 11 thematic areas: preoperative knowledge; fluid balance and dietary management; pharmacological knowledge; catheter care; exit site care; PD exchange procedures; home-based troubleshooting-related; home-based troubleshooting-daily life; home-based troubleshooting-infection; automated peritoneal dialysis (APD) operation; and rehabilitation guidance. The authority coefficient of all experts was ≥ 0.7, and Kendall's coefficient of concordance exceeded 0.3 after both rounds (p < 0.01). Reliability and validity analyses demonstrated Cronbach's α coefficients > 0.9 for all dimensions and overall content, with content validity index (CVI) values also > 0.9. Among the 20 feedback questionnaires collected from patients, 1 rated the video as qualified and 19 as excellent. Patients demonstrated satisfactory comprehension of both theoretical knowledge and practical procedures. CONCLUSION: This study developed and validated an educational video for the perioperative period of PD catheter placement. Through a multidisciplinary approach, expert Delphi consultation, and patient feedback, the video demonstrated high reliability and validity. Results showed it effectively enhanced patients' understanding of relevant knowledge and procedures, offering a valuable tool to improve health literacy and optimize healthcare resource use.