An Electronic Health Platform for Monitoring Health Conditions of Patients With Hypertension in the Brazilian Public Health System: Protocol for a Nonrandomized Controlled Trial

Marchi, Ana Carolina Bertoletti De; Alves, Ana Luisa Sant’Anna; Gonçalves, Carla Beatrice Crivellaro; Cervi, Cristiano Roberto; Biduski, Daiana; Bellei, Ericles Andrei; Madalozzo, Guilherme; Cruz, Ivana Beatrice Mânica da; Veiga, Jeangrei Emanoelli; Rodriguez, João Pedro Mazuco; Ferretto, Luciano Rodrigo; Bin, Luiz Carlos Pereira; Rebonatto, Marcelo Trindade; Portella, Marilene Rodrigues; Roman, Mateus Klein; Cechetti, Nathália Pinto; Rieder, Rafael; Debon, Raquel; Volpi, Simiane Salete

doi:10.2196/15299

Cited by 9 publications

(7 citation statements)

References 29 publications

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“…A synthetic database was created to validate HyperRec-SysPA, since the eLifeStyle platform is under development [4]. More than 33% of the profiles presented in the validation of the first version of the synthetic database were considered incompatible with profiles of real patients.…”

Section: Resultsmentioning

confidence: 99%

“…Among a number of systems developed for health management, there is the eLifeStyle platform [4], [5]. The purpose of the solution is to improve communication between health professionals and patients, allowing patients to manage and monitor their health conditions, while the professional tracks the online data remotely.…”

Section: Introductionmentioning

confidence: 99%

“…The data is stored in the cloud for integration with a web panel, which allows a healthcare professional to monitor and track the data of each patient [4].…”

Section: Introductionmentioning

confidence: 99%

“…To answer it, we propose a recommender system that generates recommendations of physical activities for hypertensive patients. The recommender system will be integrated into the eLifeStyle platform, described in the study by De Marchi et al [4].…”

Section: Introductionmentioning

confidence: 99%

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A Physical Activity Recommender System for Patients With Arterial Hypertension

et al. 2020

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Recommender systems have been applied in several areas, including e-Health systems, which refers to information and health services enhanced through technology. However, most studies aim at imposing rules to improve lifestyle, rather than recommending nutrition and physical activities. In this context, this study aims to develop a system for recommending physical activities for hypertensive patients to create opportunities for the patients so they can search for and create a healthy lifestyle. To achieve this goal, we elaborated on a hypertensive user profile model, called HyperModel2PAR, and a physical activity recommender system for hypertensive patients, called HyperRecSysPA. The model resulting from this study is composed of 32 elements divided into three groups, which were used in the modeling of user profiles within the system for generating HyperRecSysPA recommendations. The developed system was validated by physicians who answered a specific questionnaire. As a result, ∼ 75% of the recommendations generated were approved. Therefore, this study has prospective contributions to the literature, since both models obtained conclusive results in the assessments performed.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The data is stored in the cloud for integration with a web panel, which allows a healthcare professional to monitor and track the data of each patient [4].…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A Physical Activity Recommender System for Patients With Arterial Hypertension

et al. 2020

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“…This was a pilot study used to verify the feasibility of the methods and the potential outcomes for the development of an official health innovation project supported by the Ministry of Health of Brazil and the National Council of Scientific and Technological Development of Brazil -CNPq. The results of this study were used to verify the feasibility and specify the characteristics of the definitive clinical trial, already published in its protocol 14 .…”

Section: Methodsmentioning

confidence: 99%

Effects of using a mobile health application on the health conditions of patients with arterial hypertension: A pilot trial in the context of Brazil’s Family Health Strategy

Debon

Bellei

Biduski

et al. 2020

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Brazil's Family Health Strategy (FHS) leads public health policies and actions regarding community health, addressing arterial hypertension (AH) in primary care settings. In this scenario, the use of communication technologies becomes appropriate for the monitoring of patients with AH. To preliminary verify the intervention approach and the effects of using an m-Health application on the health conditions of patients with AH for a future study, we conducted a non-randomized, controlled, non-blind trial (N = 39), comparing the use of a mobile health app (m-Health) with conventional AH monitoring over 3 months. During the study, we promoted health information workshops to engage patients from both intervention and control groups. Pre and post-intervention, we compared measurements of systolic and diastolic blood pressure; food frequency questionnaire; Appraisal of Self-Care Agency Scale; blood tests of hemogram, creatinine, uric acid, sodium, potassium, lipid profile, and glycemia. Improvements were identified in both groups due to the workshops, including the reduction in total and non-HDL cholesterol, healthier consumption of salads and sugary drinks, and increased selfcare scores. Exclusively in the intervention group, which used the m-Health app, there was a change in systolic and diastolic pressure towards more adequate levels. In addition, the intervention group had improved levels of glucose and HDL cholesterol and reduced consumption of ultra-processed foods. In conclusion, the use of an m-Health app had positive effects on the health conditions of patients with AH under treatment within FHS, especially when combined with health information. On the context of FHS, the use of technology is encouraging supporting better health conditions. Arterial hypertension (AH) is one of the main modifiable risk factors for diseases of the circulatory system. With a high prevalence, AH is considered one of the most important public health problems. The World Health Organization estimates that about 600 million people have AH and, annually, 7.1 million individuals die from this disease, substantially burdening health systems 1. Among the AH modifiable factors, either by medication or by altering habits and behavior, there is obesity, sedentary lifestyle, eating habits, and stress. Controlling blood pressure can still be a challenge since, with everyday activities and lack of time, many people do not bother to maintain their normal blood pressure levels 2. Among the main non-medicinal recommendations that should be followed, there are healthy eating, physical activity, reduction of sodium and alcohol consumption, and non-consumption of tobacco 3 .

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