Development and usability evaluation of the pedialysis mobile application for teaching and evaluation of pediatric patients on dialysis
DOI:
https://doi.org/10.33448/rsd-v10i16.23967Keywords:
Hemodialysis; Mobile App; Peritoneal Dialysis; Dialysis-related infection.Abstract
The prevalence of chronic kidney disease (CKD) has increased worldwide, as well as the costs of adequate treatment. The choice of dialysis method between hemodialysis and peritoneal dialysis depends on variables such as age and weight, hemodynamic conditions, presence of previous abdominal surgery or current severe abdominal diseases, in addition to the availability of therapy in the hospital and training of professionals. The use of apps appears as an aid, minimizing misdiagnosis, as well as an important tool to the proper conduct of selection of the appropriate catheter and vessel, study of the causes of renal failure, follow-up of important exams and rational antimicrobial therapy. We developed a national mobile application, for Android system, which works without internet connection and has no cost to the user, for monitoring CKD and dialysis in pediatrics, aimed at teaching medical students. To assess usability, we used the SUS scale (System Usability Scale) applied to 9 students and 12 teachers, in addition to 16 students who responded to the case without using the application (controls). The project was submitted via the Brazil platform and approved by the Institution's Ethics and Research Committee. An Informed Consent Form (ICF) was applied to all participants. Data analysis showed an average SUS scale of 74,5 points, considered good in terms of interface. The application was also well evaluated, being praised by users. It is concluded that the application presented excellent usability results, being able to help students and professionals in the teaching of nephropediatrics.
References
Arhuidese, I. J., Wanogho, J., Faateh, M., Aji, E. A., Rideout, D. A., & Malas, M. B. (2020). Hemodialysis and peritoneal dialysis access related outcomes in the pediatric and adolescent population. Journal of pediatric surgery, 55(7), 1392–1399. https://doi.org/10.1016/j.jpedsurg.2019.09.017
Bangor, A., Kortum, P., & Miller, J. (2009). Professor-in-the-Practice. Journal of Usability Studies, 4, 114–123. https://uxpajournal.org/wp-content/uploads/sites/7/pdf/JUS_Bangor_May2009.pdf
Bream P. R., Jr (2016). Update on Insertion and Complications of Central Venous Catheters for Hemodialysis. Seminars in interventional radiology, 33(1), 31–38. https://doi.org/10.1055/s-0036-157254
Broekhuis, M., van Velsen, L., & Hermens, H. (2019). Assessing usability of eHealth technology: A comparison of usability benchmarking instruments. International journal of medical informatics, 128, 24–31. https://doi.org/10.1016/j.ijmedinf.2019.05.001
Crabtree, J. H., & Chow, K. M. (2017, January). Peritoneal dialysis catheter insertion. In Seminars in nephrology (Vol. 37, No. 1, pp. 17-29). WB Saunders.
de Sena, D. P., Fabricio, D. D., Lopes, M. H., & da Silva, V. D. (2013). Computer-assisted teaching of skin flap surgery: validation of a mobile platform software for medical students. PloS one, 8(7), e65833. https://doi.org/10.1371/journal.pone.0065833
Echer, I. C. (2005). Elaboração de manuais de orientação para o cuidado em saúde. Revista Latino-Americana de Enfermagem, 13(5), 754–757. https://doi.org/10.1590/s0104-11692005000500022
Imani, P. D., Carpenter, J. L., Bell, C. S., Brandt, M. L., Braun, M. C., & Swartz, S. J. (2018). Peritoneal dialysis catheter outcomes in infants initiating peritoneal dialysis for end-stage renal disease. BMC nephrology, 19(1), 231. https://doi.org/10.1186/s12882-018-1015-1
LaPlant, M. B., Saltzman, D. A., Segura, B. J., Acton, R. D., Feltis, B. A., & Hess, D. J. (2018). Peritoneal dialysis catheter placement, outcomes and complications. Pediatric surgery international, 34(11), 1239–1244. https://doi.org/10.1007/s00383-018-4342-
Maramba, I., Chatterjee, A., & Newman, C. (2019). Methods of usability testing in the development of eHealth applications: A scoping review. International journal of medical informatics, 126, 95–104. https://doi.org/10.1016/j.ijmedinf.2019.03.018
Michard, F., Barrachina, B., & Schoettker, P. (2019). Is your smartphone the future of physiologic monitoring?. Intensive care medicine, 45(6), 869–871. https://doi.org/10.1007/s00134-018-5419-y
Millard, D., Howard, Y., Gilbert, L., Wills, G., Millard, D., Howard, Y., Gilbert, L., & Wills, G. (2009, July 1). Co-design and Co-deployment Methodologies for Innovative m-Learning Systems. Eprints.soton.ac.uk; IGI Global. https://eprints.soton.ac.uk/267555/
Koch Nogueira, P. C., Santis Feltran, L. de, Camargo, M. F., Leão, E. R., Benninghoven, J. R., Gonçalves, N. Z., Pereira, LuizA., & Sesso, R. C. (2011). Prevalência estimada da doença renal crônica terminal em crianças no Estado de São Paulo. Revista Da Associação Médica Brasileira, 57(4), 443–449. https://doi.org/10.1590/s0104-4230201100040002
Organ, B., Liu, H., & Bromwich, M. (2015). An iPhone-assisted particle repositioning maneuver for benign paroxysmal positional vertigo (BPPV): a prospective randomized study. Journal of the American Board of Family Medicine : JABFM, 28(1), 118–120. https://doi.org/10.3122/jabfm.2015.01.120295 (PDF) SUS: A quick and dirty usability scale. (n.d.). ResearchGate. https://www.researchgate.net/publication/228593520_SUS_A_quick_and_dirty_usability_scale
Reeder, B., Drake, C., Ozkaynak, M., & Wald, H. L. (2019). Usability Testing of a Mobile Clinical Decision Support App for Urinary Tract Infection Diagnosis in Nursing Homes. Journal of gerontological nursing, 45(7), 11–17. https://doi.org/10.3928/00989134-20190408-01
Rivacoba, M. Carolina, Ceballos, M. Luisa, & Coria, Paulina. (2018). Infecciones asociadas a diálisis peritoneal en el paciente pediátrico: diagnóstico y tratamiento. Revista chilena de infectología, 35(2), 123-132. https://dx.doi.org/10.4067/s0716-10182018000200123
Sauro, J. (2011). A Practical Guide to the System Usability Scale: Background, Benchmarks & Best Practices. In Google Books. Measuring Usability LLC. https://books.google.com.br/books/about/A_Practical_Guide_to_the_System_Usabilit.html?hl=es&id=BL0kKQEACAAJ&redir_esc=y
Sauro, J., & Lewis, J. R. (2016). Quantifying the User Experience: Practical Statistics for User Research. In Google Books. Morgan Kaufmann. https://books.google.com.br/books?hl=pt-BR&lr=&id=USPfCQAAQBAJ&oi=fnd&pg=PP1&dq=Sauro
Schwartz, G. J., Feld, L. G., & Langford, D. J. (1984). A simple estimate of glomerular filtration rate in full-term infants during the first year of life. The Journal of pediatrics, 104(6), 849–854. https://doi.org/10.1016/s0022-3476(84)80479-5
Schwartz, G. J., & Gauthier, B. (1985). A simple estimate of glomerular filtration rate in adolescent boys. The Journal of pediatrics, 106(3), 522–526. https://doi.org/10.1016/s0022-3476(85)80697-1
Szeto, C.-C., Chow, K.-M., Wong, T. Y.-H., Leung, C.-B., Wang, A. Y.-M., Lui, S.-F., & Li, P. K.-T. (2002). Feasibility of Resuming Peritoneal Dialysis after Severe Peritonitis and Tenckhoff Catheter Removal. Journal of the American Society of Nephrology, 13(4), 1040–1045. https://doi.org/10.1681/asn.v1341040
Tenório, J. M., Cohrs, F. M., Sdepanian, V. L., Pisa, I. T., & Marin, H. de F. (2010). Desenvolvimento e Avaliação de um Protocolo Eletrônico para Atendimento e Monitoramento do Paciente com Doença Celíaca. Revista de Informática Teórica E Aplicada, 17(2), 210–220. https://doi.org/10.22456/2175-2745.12119
Venkatesh, V., & Davis, F. D. (2000). A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies. Management Science, 46(2), 186–204. https://doi.org/10.1287/mnsc.46.2.186.11926
Weber, S., Martins, R., & Martins, N. (2017). Risk factors for respiratory complications after adenotonsillectomy in OSA children. Sleep Medicine, 40, e344–e345. https://doi.org/10.1016/j.sleep.2017.11.1016
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Lia Cordeiro Bastos Aguiar; Camila Ximenes Pinto; Maria Améllya Nunes Diniz; Ana Adélia Sá Costa; Edgar Marçal de Barros Filho; Melissa Soares Medeiros; Jayanne Antonia Ferreira Rabelo
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.
