title: Development and Validation of Educational Leaflet for Caregivers of Preterm Infants.
abstract: BACKGROUND
  Facilitation of child development is usually emphasized in the form of early intervention classes and practical demonstrations. However, non-adherence to home program for such interventions has been reported due to various reasons.
  
  
  OBJECTIVE
  To develop and validate an educational leaflet as a supplement guide for caregivers to promote better development of their child during 4-6 months of age.
  
  
  METHODS
  An in-depth literature review and focus group discussion with the experts was conducted to formulate the content of leaflet. Initial framework consisted of introduction, main text with pictorial representation and instructions about facilitation of various milestones, do's-don'ts and disclaimer. Validation was done through a questionnaire consisting of 9 questions pertaining to completeness, understandability, legibility, clarity and utility of educational material for caregivers and a section for comments. Leaflet with enclosed questionnaire was distributed to 14 validators (2 neonatologists, 4 paediatricians and 8 physiotherapists), along with a covering letter stating the purpose and relevance of this educational material, and the importance of their participation in validation process. Scoring was done on 5 point Likert scale for each item in the material.
  
  
  RESULTS
  Responses from the 14 evaluators were collected and analysed. Item level content validity index (I-CVI) was calculated for individual items which ranged from 0.73 - 1. Scale level Content Validity Index (S-CVI) was calculated for complete nine items and it was found to be 0.91. Validators expressed their views to include a column on normal milestones across 4-6 months of age and also to highlight the significance of performing each activity mentioned in the leaflet. These suggestions were incorporated in consensus with the subject experts and the final draft was made.
  
  
  CONCLUSIONS
  Educational leaflet for caregivers of 4-6 months preterm infants has been developed and validated. It can be provided as a supplement guide to the caregivers to facilitate better development of their child.
authors.affiliation: PhD Scholar, Department of Physiotherapy, School of Allied Health Sciences, Manipal University , Manipal, Karnataka, India .
authors.forename: Sonia
authors.initials: S
authors.lastname: Khurana
authors.affiliation: Professor, Department of Physiotherapy, School of Allied Health Sciences, Manipal University , Manipal, Karnataka, India .
authors.forename: Bhamini Krishna
authors.initials: BK
authors.lastname: Rao
authors.affiliation: Professor and Head, Unit Neonatology, Department of Pediatrics, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
authors.forename: Leslie Edward S
authors.initials: LE
authors.lastname: Lewis
authors.affiliation: Professor, Unit Neonatology, Department of Pediatrics, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
authors.forename: Ramesh
authors.initials: R
authors.lastname: Bhat
authors.affiliation: Associate Professor, Unit Neonatology, Department of Pediatrics, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
authors.forename: Jayashree
authors.initials: J
authors.lastname: Purkayastha
authors.affiliation: Associate Professor, Department of Community Medicine, Kasturba Medical College, Manipal University , Manipal, Karnataka, India .
authors.forename: Asha
authors.initials: A
authors.lastname: Kamath
authors.affiliation: Associate Professor, Department of Physiotherapy, School of Allied Health Sciences, Manipal University , Manipal, Karnataka, India .
authors.forename: Senthil Kumaran
authors.initials: SK
authors.lastname: Dharmaraj
keywords: Handout; Milestones; Pamphlets