Desenvolvimento e validação de uma tecnologia MHEALTH para a promoção do autocuidado de adolescentes com diabetes

Alves, Larissa de Fátima Pontes Aguiar; Maia, Manoel Miqueias; Araújo, Márcio Flávio Moura de; Damasceno, Marta María Coelho; Freitas, Roberto Wagner Júnior Freire de

doi:10.1590/1413-81232021265.04602021

Cited by 9 publications

(19 citation statements)

References 15 publications

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“…Entretanto, outros estudos utilizaram-se da construção de novos aplicativos para celular como instrumento de avaliação clínica, de orientação para pacientes submetidos a diversas cirurgias, como, ortognáticas, transplante de células-tronco hematopoiética e artroplastia total do joelho, de tecnologia educacional no processo de formação acadêmica, de verificação da realização correta do banho de leito aos pacientes infartados, de promoção da saúde voltada para o autocuidado de adolescentes com diabetes e saúde infantil (Pontes et al, 2021;Duarte & Mandetta, 2022;Araújo et al, 2021, Sousa & Turrini, 2019Mota et al, 2019;Dionizio, 2017;Alves et al, 2021;Barreto et al, 2021).…”

Section: Discussionunclassified

Aplicativos para celular na área da saúde: uma revisão integrativa

Resende

Silva

Soares

et al. 2022

RSD

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Objetivo: descrever os aplicativos para smartphone existentes dentro da área da saúde, discutindo sobre suas contribuições para o setor saúde e qualidade de vida. Método: estudo descritivo realizado por meio de revisão integrativa nas bases eletrônicas Lilacs, Medline, Coleciona SUS, BDenf – enfermagem e SciELO. Os critérios inclusão adotados foram os artigos publicados em português; abordando a temática do uso de aplicativos para celular na área da saúde, dentro do período de 2017 a 2022. Resultados: participaram dessa revisão 38 obras, sendo 29 artigos, 8 dissertações e 1 tese, evidenciando assim, o uso de tecnologias em variadas temáticas relacionadas aos processos em saúde. Conclusão: os aplicativos móveis apresentam benefícios significativos em relação a assistência em saúde para os pacientes, seus familiares e os profissionais da saúde. Sendo possível reconhecer a boa aceitação dos clientes em relação às inovações tecnológicas como auxílio nos processos de prevenção, promoção, assistência e acompanhamento de saúde.

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Section: Discussionunclassified

Aplicativos para celular na área da saúde: uma revisão integrativa

Resende

Silva

Soares

et al. 2022

RSD

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“…Development and validation of a mHealth technology for the promotion of selfcare for adolescents with diabetes [43] The authors argue that many clinical decisions support systems (CDSSs) have not been regularly used or extensively supported by primary care physicians. The barrier cited for using CDSSs was the difficulty in running systems that are not integrated with existing health systems and health records.…”

Section: Health Professionals (Clinicians)mentioning

confidence: 99%

“…Mobile-based and cloud-based system for self-management of people with type 2 diabetes: Development and usability evaluation [47] All sampled studies were published in 2021 [37][38][39][40][41][42][43][44][45][46][47]. Eight of the sampled studies were conducted in high-income countries, including Australia (n=2) [39,42], Canada (n=1) [41], the United States (n=2) [37,46], Norway (n=1) [38], Portugal (n=1) [40], and Saudi Arabia (n=1) [45].…”

mentioning

confidence: 99%

“…Eight of the sampled studies were conducted in high-income countries, including Australia (n=2) [39,42], Canada (n=1) [41], the United States (n=2) [37,46], Norway (n=1) [38], Portugal (n=1) [40], and Saudi Arabia (n=1) [45]. Three of the sampled studies were conducted in middle-income countries, including Brazil (n=2) [43,44] and Iran (n=1) [47]. All included studies were published in English, with one of them written in both English and Portuguese [43].…”

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confidence: 99%

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Usability of Telehealth Systems for Noncommunicable Diseases in Primary Care From the COVID-19 Pandemic Onward: Systematic Review

Gonçalves¹,

Pagano²,

Reis³

et al. 2023

J Med Internet Res

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Background During the COVID-19 pandemic, telehealth was expanded without the opportunity to extensively evaluate the adopted technology’s usability. Objective We aimed to synthesize evidence on health professionals’ perceptions regarding the usability of telehealth systems in the primary care of individuals with noncommunicable diseases (NCDs; hypertension and diabetes) from the COVID-19 pandemic onward. Methods A systematic review was performed of clinical trials, prospective cohort studies, retrospective observational studies, and studies that used qualitative data collection and analysis methods published in English, Spanish, and Portuguese from March 2020 onward. The databases queried were MEDLINE, Embase, BIREME, IEEE Xplore, BVS, Google Scholar, and grey literature. Studies involving health professionals who used telehealth systems in primary care and managed patients with NCDs from the COVID-19 pandemic onward were considered eligible. Titles, abstracts, and full texts were reviewed. Data were extracted to provide a narrative qualitative evidence synthesis of the included articles. The risk of bias and methodological quality of the included studies were analyzed. The primary outcome was the usability of telehealth systems, while the secondary outcomes were satisfaction and the contexts in which the telehealth system was used. Results We included 11 of 417 retrieved studies, which had data from 248 health care professionals. These health care professionals were mostly doctors and nurses with prior experience in telehealth in high- and middle-income countries. Overall, 9 studies (82%) were qualitative studies and 2 (18%) were quasiexperimental or multisite trial studies. Moreover, 7 studies (64%) addressed diabetes, 1 (9%) addressed diabetes and hypertension, and 3 (27%) addressed chronic diseases. Most studies used a survey to assess usability. With a moderate confidence level, we concluded that health professionals considered the usability of telehealth systems to be good and felt comfortable and satisfied. Patients felt satisfied using telehealth. The most important predictor for using digital health technologies was ease of use. The main barriers were technological challenges, connectivity issues, low computer literacy, inability to perform complete physical examination, and lack of training. Although the usability of telehealth systems was considered good, there is a need for research that investigates factors that may influence the perceptions of telehealth usability, such as differences between private and public services; differences in the level of experience of professionals, including professional experience and experience with digital tools; and differences in gender, age groups, occupations, and settings. Conclusions The COVID-19 pandemic has generated incredible demand for virtual care. Professionals’ favorable perceptions of the usability of telehealth indicate that it can facilitate access to quality care. Although there are still challenges to telehealth, more than infrastructure challenges, the most reported challenges were related to empowering people for digital health. Trial Registration PROSPERO International Prospective Register of Systematic Reviews CRD42021296887; https://www.crd.york.ac.uk/PROSPERO/display_record.php?RecordID=296887 International Registered Report Identifier (IRRID) RR2-10.21801/ppcrj.2022.82.6

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“…Furthermore, studies directly linked to autoimmune diseases can also be found, with an emphasis on organ-specific autoimmune diseases, such as diabetes mellitus and multiple sclerosis. An example of the self-care promotion of diabetes mellitus is DM Agendinha (i.e., Diabetes Mellitus Agenda), an application for youngsters [ 121 ]. It is aimed at controlling blood glucose in children and adolescents; it has a friendly interface and allows the recording of blood glucose, providing a graph with the history, medications, meals, and indications of sports practices, prevention, and coping with complications.…”

Section: Gamification In Mhealthmentioning

confidence: 99%

“Listen to Your Immune System When It’s Calling for You”: Monitoring Autoimmune Diseases Using the iShU App

Ortet

Costa

2022

Sensors

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The immune system plays a key role in protecting living beings against bacteria, viruses, and fungi, among other pathogens, which may be harmful and represent a threat to our own health. However, for reasons that are not fully understood, in some people this protective mechanism accidentally attacks the organs and tissues, thus causing inflammation and leads to the development of autoimmune diseases. Remote monitoring of human health involves the use of sensor network technology as a means of capturing patient data, and wearable devices, such as smartwatches, have lately been considered good collectors of biofeedback data, owing to their easy connectivity with a mHealth system. Moreover, the use of gamification may encourage the frequent usage of such devices and behavior changes to improve self-care for autoimmune diseases. This study reports on the use of wearable sensors for inflammation surveillance and autoimmune disease management based on a literature search and evaluation of an app prototype with fifteen stakeholders, in which eight participants were diagnosed with autoimmune or inflammatory diseases and four were healthcare professionals. Of these, six were experts in human–computer interaction to assess critical aspects of user experience. The developed prototype allows the monitoring of autoimmune diseases in pre-, during-, and post-inflammatory crises, meeting the personal needs of people with this health condition. The findings suggest that the proposed prototype—iShU—achieves its purpose and the overall experience may serve as a foundation for designing inflammation surveillance and autoimmune disease management monitoring solutions.

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Desenvolvimento e validação de uma tecnologia MHEALTH para a promoção do autocuidado de adolescentes com diabetes

Cited by 9 publications

References 15 publications

Aplicativos para celular na área da saúde: uma revisão integrativa

Aplicativos para celular na área da saúde: uma revisão integrativa

Usability of Telehealth Systems for Noncommunicable Diseases in Primary Care From the COVID-19 Pandemic Onward: Systematic Review

“Listen to Your Immune System When It’s Calling for You”: Monitoring Autoimmune Diseases Using the iShU App

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