Development and Validation of an Educational Comic Book for Guidance on the Safe Use of Fluoride Toothpaste by Children


  • Flávia Martão Flório
  • Enzo Abi Rached
  • Gabriela Victorelli
  • Almenara de Souza Fonseca Silva
  • Ynara Bosco de Oliveira Lima Arsati


Health Education, Graphic Novel, Fluorides, Dentifrices


Objective: To describe the elaboration and content validation of a comic book for guidance on the safe use of fluoride toothpaste by children. Material and Methods: Study on the development of educational technology carried out in four phases: 1 – literature review and script; 2 – elaboration of the material (illustrations, layout and design), 3 – validation (Content Validity Index = CVI and Flesch Readability Index = FI), 4 – pilot test to legitimize the material with the target population. Thirty-one individuals participated in the validation, being 07 expert judges and 24 representatives of the lay population, responsible for the daily care of preschool and school-age children. Results: In the validation, CVI= 0.97 (97%), indicating high agreement of the judges' answers; and FI = 92%, which corresponds to “very easy to understand” reading. In the pilot test carried out with the lay population, the 3 assessment blocks had CVI=1.0 (100%). Conclusion: The comic book proved to be valid regarding appearance and content and can be used for health education activities for adults on the use of fluoride toothpaste for oral hygiene in children.


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How to Cite

Flório, F. M., Rached, E. A., Victorelli, G., Silva, A. de S. F., & Arsati, Y. B. de O. L. (2023). Development and Validation of an Educational Comic Book for Guidance on the Safe Use of Fluoride Toothpaste by Children. Pesquisa Brasileira Em Odontopediatria E Clínica Integrada, 23, e220060. Retrieved from



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