The development and validation of three videos designed to psychologically prepare patients for coronary bypass surgery.

Abstract

The purpose of this study was to demonstrate the validation of videotape interventions that were designed to prepare patients for coronary artery bypass graft (CABG) surgery. First, three videotapes were developed. Two of the tapes featured the experiences of three actual CABG patients and were constructed to present either an optimistic portrayal of the recovery period (mastery tape) or a portrayal designed to inoculate patients against potential problems (coping tape). The third videotape contained the more general nurse scenes and narration used in the other two tapes, but did not include the experiences of particular patients. We then conducted a study to establish the convergent and discriminant validity of the three tapes. That is, we sought to demonstrate both that the tapes did differ along the mastery-coping dimension, and that they did not differ in other respects (such as in the degree of information provided or the perceived credibility of the narrator). The validation study, conducted with 42 males who had previously undergone CABG, demonstrated that the intended equivalences and differences between the tapes were achieved. The importance of establishing the validity of health-related interventions is discussed.