Validation of content and appearance of an educational manual to promote children’s mental health




Child; Mental Health; Health Promotion; Expressed Emotion; Nursing Care.


Objective: to validate the content and appearance of an educational manual to promote children’s mental health. Methods: this is a methodological study, in which 16 specialists (health and education professionals) and six of the target audience (nurses) participated. The Content Validity Index and the Agreement Index were calculated according to the response to the instrument, which assessed the objectives, appearance, structure, organization, relevance and didactics of the manual. Results: the Content Validity Index was 0.984 for the target audience, and the Agreement Index was 100.0%. The main changes were in the title, objectives and theoretical framework, excluding workshops and spelling and grammatical revision. Conclusion: the manual presented satisfactory Content Validity and Agreement indexes. It can assist nurses and other health professionals in promoting children’s mental health, promoting the development of emotional intelligence.


World Health Organization (WHO). Mental health: strengthening our response [Internet]. 2016 [cited Jan 6, 2020]. Available from:

Mfidi FH, Thupayagale-Tshweneagae G, Akpor OA. The TEAM model for mental health promotion among school-going adolescents. J Child Adolesc Ment Health. 2018; 30(2):99-110. doi:

Boat TF, Land ML Jr, Leslie LK. Health care workforce development to enhance mental and behavioral health of children and youths. JAMA Pediatr. 2017; 171(11):1031-2. doi:

Bittencourt MN, Marques MI, Barroso TM. Contributions of nursing theories in the practice of the mental health promotion. Rev Enferm Ref. 2018; IV(18):125-32. doi:

Meleis AI. The undeaning transition: toward becoming a former dean. Nurs Outlook. 2016; 64(2):186-96. doi:

Goleman D. Working with emotional intelligence. New York, NY: Bantam Books; 1998.

McAllister M, Knight BA, Withyman C. Merging contemporary learning theory with mental health promotion to produce an effective schools based program. Nurse Educ Pract. 2017; 25:74-9. doi:

Siqueira AF, Ferreira DS, Monteiro WF, Teixeira E, Barbosa IP. Validation of a handbook on suicide prevention among students: talking is the best solution. Rev Rene. 2020; 21:e42241. doi:

Oliveira MS, Fernandes AFC, Sawada NO. Manual educativo para o autocuidado da mulher mastectomizada: um estudo de validação. Texto Contexto Enferm. 2008; 17(1):115-23. doi:

Yoon S, Speyer R, Cordier R, Aunio P, Hakkarainen A. A systematic review evaluating psychometric properties of parent or caregiver report instruments on child maltreatment: part 1: content validity. Trauma Violence Abuse. 2020; 13:1-19. doi:

Andrade IS, Castro RC, Moreira KA, Santos CP, Fernandes AF. Effects of technology on knowledge, attitude and practice of pregnant women for childbirth. Rev Rene. 2019; 20:e41341 doi:

Nascimento MH, Teixeira E. Tecnologia educacional para mediar o acolhimento de “familiares cangurus” em unidade neonatal. Rev Bras Enferm. 2018; 71(Suppl3):1290-7.

Toassa G, Pereira AM. O rio de minha aldeia e os blocos de Sakharov. Formação de conceitos cotidianos e científicos no “pensamento e linguagem” de Vigotski. Butchénie R Didat Psic Pedag. 2017; 1(2):330-55. doi:

Fernandes AD, Cid MF, Speranza M, Copi CG. Intersectoriality in the field of child and adolescent mental health: proposal of occupational therapy in the school context. Cad Bras Ter Ocup. 2019; 27(2):454-61. doi:

Mattos SP, Silva LF, Depianti JR, Cursino EG, Ribeiro CA. Nursing care through the perception of hospitalized children. Rev Bras Enferm. 2016; 69(4):646-53. doi:

Mouw JM, Van Leijenhorst L, Saab N, Danel MS, Van den Broek P. Contributions of emotion understanding to narrative comprehension in children and adults. Eur J Devel Psychol. 2019; 16(1):66-81. doi:



How to Cite

Bittencourt, M. N., Flexa, R. dos S. ., Santos, I. de S. R., Ferreira, L. D., Nemer, C. R. B. ., & Pena, J. L. da C. . (2020). Validation of content and appearance of an educational manual to promote children’s mental health. Rev Rene, 21, e43694.



Research Article

Most read articles by the same author(s)