Perceptions about learning in stroke through a mHealth application in Brazil: A case study
DOI:
https://doi.org/10.33448/rsd-v11i7.29771Keywords:
App; mHealth; Stroke.Abstract
Stroke - Cerebral Vascular Accident, occurs when a blood vessel in the brain is ruptured or blocked, interrupting blood flow and oxygen (Meschia et al., 2014), being the 2nd leading cause of death in the world, (Brasil & Ministry of Health, 2020), (George, 2020), (SOBRAC - Brazilian Society of Cardiac Arrhythmias, n.d.), (Adams et al., 2008), (Ducroquet et al., 2013). Due to the accessibility of cell phones in Brazil, it is possible to propose innovative applications for stroke education. The objective of this study is to present insights about learning and using the EduAVC application. Methodology - It is an applied research, with a qualitative approach, with a descriptive objective, Minayo (Cecília de Souza Minayo & Ferreira Deslandes Otávio Cruz Neto, 2002) and Creswell (Creswell, 2014), in the case study modality, (Yin K, 2010). It consisted in the development of the EduAVC application for Android, in Portuguese, for Google Play stores. It has scientific information, animated videos and illustrations about the disease, being a mHealth (C et al., 2018), (PP et al., 2019), (BF et al., 2020). We created an instrument to collect the perceptions of research participants in relation to the 37 items, in 4 sections that aimed to measure learning, ease of use, organization of information and usefulness of the application, being approved by the Research Ethics Committee (CEP) in Health Sciences, from the University of Brasília, with CAAE: 40507820.4.0000.0030. Results - There was a predominance of “Very Satisfied” and “Satisfied” users such as EduAVC, with perceptions that indicated a majority that have a graduate degree, having witnessed a CVA in the family. Conclusions - The application registered acceptability of use by the participants and some effectiveness in education about the disease, and may be suitable for learning about stroke in Brazil and in emerging countries according to other mHealth proposals - mHealth, (Nimmolrat et al., 2021), (Morris et al., 2017).
References
Adams, T. B., Wharton, C. M., Quilter, L., & Hirsch, T. (2008). The Association Between Mental Health and Acute Infectious Illness Among a National Sample of 18- to 24-Year-Old College Students. Journal of American College Health, 56(6). https://doi.org/10.3200/JACH.56.6.657-664
Alwashmi, M. F., Hawboldt, J., Davis, E., & Fetters, M. D. (2019). The Iterative Convergent Design for Mobile Health Usability Testing: Mixed Methods Approach. JMIR MHealth and UHealth, 7(4). https://doi.org/10.2196/11656
Alwashmi, M., Hawboldt, J., Davis, E., Marra, C., Gamble, J.-M., & Abu Ashour, W. (2016). The Effect of Smartphone Interventions on Patients With Chronic Obstructive Pulmonary Disease Exacerbations: A Systematic Review and Meta-Analysis. JMIR MHealth and UHealth, 4(3). https://doi.org/10.2196/mhealth.5921
Bastawrous, A., Rono, H. K., Livingstone, I. A. T., Weiss, H. A., Jordan, S., Kuper, H., & Burton, M. J. (2015). Development and Validation of a Smartphone-Based Visual Acuity Test (Peek Acuity) for Clinical Practice and Community-Based Fieldwork. JAMA Ophthalmology, 133(8). https://doi.org/10.1001/jamaophthalmol.2015.1468
BF, S., AJ, F., & JG, B. (2020). User-Centred Design of a Mobile Application for Chronic Pain Management. Studies in Health Technology and Informatics, 272, 272–275. https://doi.org/10.3233/SHTI200547
Brasil, & Ministério da Saúde. (2020, November 4). Acidente Vascular Cerebral - AVC.
Brooke, J. (n.d.). SUS - A quick and dirty usability scale. Retrieved December 28, 2020, from https://hell.meiert.org/core/pdf/sus.pdf
C, W., A, C., S, D., S, F., A, M., L, S., & J, G. (2018). Development of a Mobile Clinical Prediction Tool to Estimate Future Depression Severity and Guide Treatment in Primary Care: User-Centered Design. JMIR MHealth and UHealth, 6(4). https://doi.org/10.2196/MHEALTH.9502
Cecília de Souza Minayo, M., & Ferreira Deslandes Otávio Cruz Neto, S. (2002). Pesquisa Social (M. Cecília de Souza & Ferreira Deslandes (eds.); 21st ed., Vol. 21).
Creswell, J. W. (2014). Investigação qualitativa e projeto de pesquisa (3rd ed., Vol. 1). Penso.
D, F., LM, G., PA, M., & M, S. (2013). Using goal-directed design to create a novel system for improving chronic illness care. JMIR Research Protocols, 2(2), e43. https://doi.org/10.2196/RESPROT.2749
Ducroquet, A., Leys, D., Saabi, A. Al, Richard, F., Cordonnier, C., Girot, M., Deplanque, D., Casolla, B., Allorge, D., & Bordet, R. (2013). Influence of Chronic Ethanol Consumption on the Neurological Severity in Patients With Acute Cerebral Ischemia. Stroke, 44(8). https://doi.org/10.1161/STROKEAHA.113.001355
EC, M., M, C., LG, G., JC, W., & GJ, M. (2018). Smartphone apps for improving medication adherence in hypertension: patients’ perspectives. Patient Preference and Adherence, 12, 813–822. https://doi.org/10.2147/PPA.S145647
George, M. G. (2020). Risk factors for ischemic stroke in younger adults a focused update. Stroke, 729–735. https://doi.org/10.1161/STROKEAHA.119.024156
Gerhardt, T. E., Silveira, D. T., Neis, I. A., Abreu, S. P. de, & Rodrigues, R. S. (2019). Métodos de pesquisa (L. Delane (ed.); 1st ed., Vol. 1). Universidade Aberta do Brasil.
Goumopoulos, C., Papa, I., & Stavrianos, A. (2017). Development and Evaluation of a Mobile Application Suite for Enhancing the Social Inclusion and Well-Being of Seniors. Informatics 2017, Vol. 4, Page 15, 4(3), 15. https://doi.org/10.3390/INFORMATICS4030015
H, D., Z, W., Y, J., L, M., F, L., M, C., N, D., & J, A. (2020). Using Goal-Directed Design to Create a Mobile Health App to Improve Patient Compliance With Hypertension Self-Management: Development and Deployment. JMIR MHealth and UHealth, 8(2). https://doi.org/10.2196/14466
Hattink, B., Droes, R.-M., Sikkes, S., Oostra, E., & Lemstra, A. W. (2016). Evaluation of the Digital Alzheimer Center: Testing Usability and Usefulness of an Online Portal for Patients with Dementia and Their Carers. JMIR Research Protocols, 5(3). https://doi.org/10.2196/resprot.5040
Joe, J., & Demiris, G. (2013). Older adults and mobile phones for health: A review. Journal of Biomedical Informatics, 46(5). https://doi.org/10.1016/j.jbi.2013.06.008
Juen, J., Cheng, Q., & Schatz, B. (2015). A Natural Walking Monitor for Pulmonary Patients Using Mobile Phones. IEEE Journal of Biomedical and Health Informatics, 19(4). https://doi.org/10.1109/JBHI.2015.2427511
LeFevre, A. E., Shillcutt, S. D., Broomhead, S., Labrique, A. B., & Jones, T. (2017). Defining a staged-based process for economic and financial evaluations of mHealth programs. Cost Effectiveness and Resource Allocation : C/E, 15(1). https://doi.org/10.1186/S12962-017-0067-6
Lindgren, H. (2011). Towards personalized decision support in the dementia domain based on clinical practice guidelines. User Modeling and User-Adapted Interaction 2011 21:4, 21(4), 377–406. https://doi.org/10.1007/S11257-010-9090-4
Lv, M., Wu, T., Jiang, S., Chen, W., & Zhang, J. (2021). Effects of Telemedicine and mHealth on Systolic Blood Pressure Management in Stroke Patients: Systematic Review and Meta-Analysis of Randomized Controlled Trials. JMIR MHealth and UHealth, 9(6). https://doi.org/10.2196/24116
Meschia, J. F., Bushnell, C., Boden-Albala, B., Braun, L. T., Bravata, D. M., Chaturvedi, S., Creager, M. A., Eckel, R. H., Elkind, M. S. V., Fornage, M., Goldstein, L. B., Greenberg, S. M., Horvath, S. E., Iadecola, C., Jauch, E. C., Moore, W. S., & Wilson, J. A. (2014). Guidelines for the Primary Prevention of Stroke. Stroke, 45(12). https://doi.org/10.1161/STR.0000000000000046
Morris, J. T., Sweatman, W. M., & Jones, M. L. (2017). Smartphone Use and Activities by People with Disabilities: User Survey 2016. Journal on Technology and Persons with Disabilities Santiago, J.
Nelson, L. A., Mayberry, L. S., Wallston, K., Kripalani, S., Bergner, E. M., & Osborn, C. Y. (2016). Development and Usability of REACH: A Tailored Theory-Based Text Messaging Intervention for Disadvantaged Adults With Type 2 Diabetes. JMIR Human Factors, 3(2). https://doi.org/10.2196/humanfactors.6029
Nimmolrat, A., Khuwuthyakorn, P., Wientong, P., & Thinnukool, O. (2021). Pharmaceutical mobile application for visually-impaired people in Thailand: development and implementation. BMC Medical Informatics and Decision Making, 21(1). https://doi.org/10.1186/S12911-021-01573-Z
Pires, I. M., Marques, G., Garcia, N. M., Flórez-Revuelta, F., Ponciano, V., & Oniani, S. (2020). A Research on the Classification and Applicability of the Mobile Health Applications. Journal of Personalized Medicine, 10(1). https://doi.org/10.3390/jpm10010011
PP, M., MS, Y., M, F., AK, T., C, M., A, S. L., T, T., MD, L., S, G., AG, D., JA, C., & C, L. (2019). A Patient-Centered Mobile Health System That Supports Asthma Self-Management (breathe): Design, Development, and Utilization. JMIR MHealth and UHealth, 7(1). https://doi.org/10.2196/10956
Rosario, J.-A., Ascher, M. T., & Cunningham, D. J. (2012). A Study in Usability: Redesigning a Health Sciences Library’s Mobile Site. Medical Reference Services Quarterly, 31(1). https://doi.org/10.1080/02763869.2012.641481
SOBRAC - Sociedade Brasileira de Arritmias Cardíacas. (n.d.). Retrieved June 26, 2021, from https://sobrac.org/home/arritmias-cardiacas-e-morte-subita/
Song, T., Yu, P., Bliokas, V., Probst, Y., Peoples, G. E., Qian, S., Houston, L., Perez, P., Amirghasemi, M., Cui, T., Hitige, N. P. R., & Smith, N. A. (2021). A Clinician-Led, Experience-Based Co-Design Approach for Developing mHealth Services to Support the Patient Self-management of Chronic Conditions: Development Study and Design Case. JMIR MHealth and UHealth, 9(7). https://doi.org/10.2196/20650
Triantafyllidis, A., Velardo, C., Chantler, T., Shah, S. A., Paton, C., Khorshidi, R., Tarassenko, L., & Rahimi, K. (2015). A personalised mobile-based home monitoring system for heart failure: The SUPPORT-HF Study. International Journal of Medical Informatics, 84(10). https://doi.org/10.1016/j.ijmedinf.2015.05.003
Vo, V., Auroy, L., & Sarradon-Eck, A. (2019). Patients’ Perceptions of mHealth Apps: Meta-Ethnographic Review of Qualitative Studies. JMIR MHealth and UHealth, 7(7). https://doi.org/10.2196/13817
Yin K, R. (2010). Estudo de caso: planejamento e métodos (4th ed.). Bookman.
Zhang, D., & Adipat, B. (2005). Challenges, Methodologies, and Issues in the Usability Testing of Mobile Applications. International Journal of Human-Computer Interaction, 18(3). https://doi.org/10.1207/s15327590ijhc1803_3
Zhang, J., Bai, C., & Song, Y. (2013). MIOTIC study: a prospective, multicenter, randomized study to evaluate the long-term efficacy of mobile phone-based Internet of Things in the management of patients with stable COPD. International Journal of Chronic Obstructive Pulmonary Disease. https://doi.org/10.2147/COPD.S50205
Zhou, L., Bao, J., Setiawan, I. M. A., Saptono, A., & Parmanto, B. (2019). The mHealth App Usability Questionnaire (MAUQ): Development and Validation Study. JMIR MHealth and UHealth, 7(4). https://doi.org/10.2196/11500
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