Perceptions about learning in stroke through a mHealth application in Brazil: A case study

Authors

DOI:

https://doi.org/10.33448/rsd-v11i7.29771

Keywords:

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).

Author Biographies

Jitone Leônidas Soares, Universidade de Brasília

Doutorando em Ciências da Saúde (UnB), Mestre e Licenciado em Educação Física pela Universidade de Brasília (UnB), Especialista em Planejamento, Implementação e Gestão de Educação a Distância pela Universidade Federal Fluminense (UFF), Especialista em Inovação em Mídias Interativas pela Universidade Federal de Goiás (UFG), Especialista em Gestão Pública pela Universidade Federal de Goiás (UFG), Especialista em Educação Aberta e Digital pela Universidade Aberta de Portugal (UAberta) e Universidade Federal do Recôncavo da Bahia (UFRB). Desde 2016 é docente no Ensino Superior e desde 2007 é desenvolvedor de tecnologias para a Educação a Distância. É professor substituto na FEF - Faculdade de Educação Física, e professor no CEAM - Centro de Estudos Avançados Multidisciplinares CEAM-UnB, ambos da Universidade de Brasília.

André Ribeiro da Silva, Universidade de Brasília

Professor e Pesquisador no Programa de Pós-Graduação em Enfermagem e Núcleo de Estudos em Educação e Promoção da Saúde do Centro de Estudos Avançados e Multidisciplinares, ambos da Universidade de Brasília. Professor de Educação Física na Secretaria de Estado de Educação do Distrito Federal. Líder da linha de pesquisa cadastrada no CNPQ: Trabalho-Educação, Juventude(s) e Tecnologias da Informação e Comunicação. Membro do Comitê de Ética em Pesquisa em Seres Humanos da Ciências Humanas e Sociais da Universidade de Brasília. Tem experiência em coordenação pedagógica, gestão de projetos e ensino a distância, através da Universidade de Brasília. É editor chefe, membro de conselho editorial de periódico científico internacional, nacional e de editora. É membro do Colégio Europeu de Ciência do Esporte. Possui produção científica multidisciplinar, envolvendo a Educação Física, Psicologia, Enfermagem, Medicina, Educação, Estudos Sociais e Áreas Afins.

Ricardo Jacó de Oliveira, Universidade de Brasília

Natural de Uberlândia, MG, Concluiu o doutorado em Neurologia/Neurociências pela Universidade Federal de São Paulo em 1996. Atualmente é Professor adjunto da Universidade de Brasília (UnB). Publicou diversos artigos em periódicos especializados e em anais de eventos. Possui 12 capítulos de livros e 4 livros publicados. Orientou dissertações de mestrado, teses de doutorado e trabalhos de iniciação cientifica nas áreas de Educação Física, Fisioterapia, Medicina e Psicologia. Em suas atividades profissionais interagiu com 200 colaboradores e em seu currículo Lattes os termos mais freqüentes na contextualização da produção científica, tecnológica e artístico-cultural são: idosas, envelhecimento, idosos, câncer, Força, exercício, genética, Treinamento resistido, Atividade Física, Composicão Corporal, Densidade Mineral óssea e depressão.

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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Published

17/05/2022

How to Cite

SOARES, J. L. .; SILVA, A. R. da .; OLIVEIRA, R. J. de . Perceptions about learning in stroke through a mHealth application in Brazil: A case study . Research, Society and Development, [S. l.], v. 11, n. 7, p. e10111729771, 2022. DOI: 10.33448/rsd-v11i7.29771. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/29771. Acesso em: 19 apr. 2024.

Issue

Vol. 11 No. 7

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Health Sciences

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