USE OF AUDIOVISUAL RESOURCE IN THE ACQUISITION OF KNOWLEDGE AND REDUCTION OF THE LEVEL OF ANXIETY OF HOSPITALIZED PATIENTS NEWLY DIAGNOSED WITH HIV/AIDS: randomized clinical trial.
Acquired Immunodeficiency Syndrome. Hiv. Anxiety. Health Education. Audiovisual Resources.
The acquired immunodeficiency virus (HIV) is capable of developing the Acquired Human
Immunodeficiency Syndrome (AIDS), with severe clinical manifestations, affecting physical
and mental integrity. It is necessary to use technological tools in education, as lack of
knowledge can cause anxiety in newly diagnosed patients. The objective of this study was to
evaluate the effectiveness of an audiovisual resource in acquiring knowledge and reducing
anxiety in patients newly diagnosed with HIV in an infectious disease hospital in the capital
of Rio Grande do Norte. Developed in two phases: methodological and experimental study,
from August to December 2023. The first phase was divided into three stages: stage 01 -
scope review, identified and validated the relevant elements for the composition of the
appeal, using the Fehring criteria, obtaining 22 judges. Step 02 - construction and validation
of script content. And in stage 03 - construction and validation of the resource interface, in
the respective stages the Delphi technique was used, with six judges in both. In the
experimental phase, a randomized controlled and single-blind clinical trial was carried out,
with a quantitative approach, according to the recommendations of the Consolidated
Standards of Reporting Trials, with a size and Cohen effect of 0.50, test power of 0.88 and a
level of 5%, generating a sample of 40 patients among 20 patients, who received the standard
guidelines and 20 patients from the Experimental Group (EG). They received the standard
guidelines and the audiovisual resource, with information about the disease, characteristics of
the virus, forms of transmission and prevention, effectiveness of treatment and daily care. To
evaluate the effectiveness of the resource, two instruments were used for data collection: 1)
State Trait Anxiety Inventory (STAI); and 2) Knowledge Assessment Instrument
(HAI). These were processed in a Microsoft Office Excel 2010 and Statistical Package for the
Social Sciences (SPSS) version 20.0 databases, using descriptive and inferential
statistics. The Chi-square test (χ²) or Fisher's test or Student's t-test and other necessary
statistical tests were used, with p<0.05 for the relationship between the variables. This
research was approved by the Research Ethics Committee of the Federal University of Rio
Grande do Norte, with opinion: 4,619,717. Regarding the results, 30 (76.0%) were male and
10 (24.0%) were female, marital status, 30 (76.0%) were single and 10 (24.0%) were married,
21 (53.0%) lived in the interior of the state and 19 (47.0%) lived in the capital of Rio Grande
do Norte, and 38 (93.0%) lived in urban areas. Regarding the acquisition of knowledge
ascertained by the IAC, positive results were obtained with an average of 29.0% after
application of the resource, regarding the anxiety addressed in the STAI, of the eight sub-
items directly related to anxiety, an average of 28.5% reduction in anxiety was obtained after
intervention. Thus, the data evidenced the effectiveness of the audiovisual resource for the
acquisition of knowledge and reduction of anxiety, as promoting knowledge enables a better
experience of users in the face of the diagnosis.