Educational Material For: Development of video-based educational materials for kidney-transplant patients

Introduction Treatment adherence has been evaluated as a major predictor of long-term outcome, and education has been suggested to improve adherence. Considering the characteristics of adult learners, it is necessary to implement educational programs that meet the needs of transplant patients. Multimedia education may be well-suited for this. This study aims to develop video education materials in accordance with transplant patients' self-care needs. Methods This study includes a literature review and patient interviews aimed at developing video education materials for the self-care needs of patients who underwent renal transplant surgery at a university hospital in Seoul. Ten patients were interviewed about the desired educational content, accessibility, and other preferences. After verifying the validity of the data, the video scenarios were produced and satisfaction surveys were conducted. Results Eleven self-care education items were identified through interviews with 10 kidney transplant patients. The expert validation of video-based educational content result was high (mean CVI = 0.94). The mean score of the patients' satisfaction evaluation of the completed 7-minute video instructional materials was also high (4.55 on a 5-point Likert scale). Conclusion Findings indicate that the video education materials will meet the needs of adult learners and mitigate the limitations of the existing education programs by increasing interest and motivation and may contribute to increased treatment adherence and ultimately, positively effect self-care for new transplant patients.

研究背景 治疗依从性（treatment adherence）已被证实为长期预后的核心预测指标，而教育干预被认为可有效改善治疗依从性。鉴于成人学习者的学习特质，亟需开发适配肾移植患者需求的教育项目，多媒体教育或为此类场景的理想方案。本研究旨在针对肾移植患者的自我照护需求，开发视频类教育素材。

研究方法 本研究采用文献综述与患者访谈相结合的方式，为首尔某大学医院接受肾移植手术的患者开发适配其自我照护需求的视频教育材料。研究招募10名患者，就其期望的教育内容、可及性及其他偏好开展访谈。在完成数据效度验证后，制作视频脚本并实施满意度调查。

研究结果 通过对10名肾移植患者的访谈，共梳理出11项自我照护教育条目。视频教育内容的专家效度检验结果优异，内容效度指数（Content Validity Index, CVI）均值为0.94。受试者对最终完成的7分钟视频教学材料的满意度评分较高，在5级李克特量表（Likert scale）中的平均得分为4.55分。

研究结论 本研究结果显示，本次开发的视频教育材料可适配成人学习者的需求，通过提升患者的学习兴趣与动机弥补现有教育项目的局限，或可助力提升治疗依从性，最终对肾移植术后新发患者的自我照护产生积极影响。