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INTRODUCTION: Up to 25% of children and 5.6% of adults in the USA have atopic dermatitis (AD), with substantial impacts on quality of life. Effective control can be challenging despite therapy efforts. The emergence of information and communication technologies (ICT) in AD management prompted this study to assess its impact on self-management. We conducted a meta-analysis to assess outcomes from peer-reviewed clinical trials evaluating the effectiveness of teledermatology, mobile health (mHealth) apps, and electronic devices for managing AD. METHODS: We searched PubMed, Web of Science, Scopus, and Embase for articles written in English and published until May 2023. RESULTS: Twelve trials with 2424 participants were selected from 811 studies. A meta-analysis of 1038 individuals reported a mean difference (MD) of -1.57 [95% confidence interval (CI): -2.24, -0.91] for the Patient Oriented Eczema Measure (POEM). A meta-analysis of 495 individuals reported a Dermatology Life Quality Index (DLQI) MD of -0.59 [95% CI: -0.95, -0.23]. Despite heterogeneity (I2 = 47% and I2 = 74%), the impact was significant (P ≤ 0.001). SCORing Atopic Dermatitis (SCORAD) showed an insignificant MD of -0.12 (P = 0.91). CONCLUSION: mHealth applications and telemonitoring show significant improvement in patients' quality of life (DLQI) and self-management (POEM) but no significant impact on AD severity (SCORAD).

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BACKGROUND: Inadequate working conditions and sedentary work can exert a negative impact on workers' health and wellbeing, leading to musculoskeletal disorders and disability. Mobile health (mHealth) applications (apps) have high potential for the self-management of workers' health. OBJECTIVE: To identify mHealth apps aimed at promoting workers' health and wellbeing available in Brazilian online stores and assess these apps in terms of engagement, functionality, aesthetics and information quality. METHODS: A systematic search for apps was conducted in the Brazilian online App Store and Play Store in December 2022. Only smartphone apps in Brazilian Portuguese directed at workers' health were assessed. The appraisal of the quality of the applications was performed using the Mobile App Rating Scale (MARS). RESULTS: Among the 3449 mHealth apps found, ten were eligible for inclusion. The mean overall score was 3.15 ± 0.91 on a scale of 1-5. The lowest score was found for the "credibility" item. Exercises and breaks were the most frequent strategies. Most apps provided low-quality information from questionable sources and therefore received a mean score of 2.1 ± 1.5 on the MARS information subscale. CONCLUSION: Ten relevant mHealth apps were eligible for inclusion. The mHealth apps for the promotion of workers' health and wellbeing currently available in Brazil exhibited moderate quality and limited functionality.

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Objective: To create and evaluate a digital educational game (DEG) for preschool children for the prevention of iron deficiency and iron deficiency anemia. Methodology: The DEG software was developed by a multidisciplinary team, according to Chandler's methodology, in Engine Unity. The game is a 2D platformer, for Android, with three different phases. A quiz was developed for parents/caregivers about iron absorption and anemia. The quiz content was evaluated by experts. The evaluation of the game was carried out through a questionnaire applied in the school for children from 4 to 6 years of age. Results: For the construction of the game, programming, team planning, art, and soundtrack were necessary. The game was registered at the National Institute of Industrial Property. The quiz was evaluated by 14 experts and all questions had more than 80% agreement. The questionnaire was answered by 32 children with a mean age of 5.0 ± 0.7 years, and ∼70% evaluated the game positively. Thus, the acceptability of the software was favored by most players. Conclusion: The "O Jardim do Ferro" software, from its conception to evaluation, proved to be a promising tool to contribute to food and nutrition education actions, providing opportunities for the construction of knowledge about iron-rich foods for the prevention of iron deficiency and iron deficiency anemia in childhood.

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OBJETIVO: Investigar os aplicativos móveis que foram desenvolvidos com a finalidade de orientar os profissionais, os pacientes e seus acompanhantes quanto às ações de segurança do paciente no contexto de hospitalização. MÉTODO: Prospecção tecnológica realizada nas lojas virtuais App Store e Google Play e na ferramenta de busca da Google, cujo critério de inclusão foi aplicativos voltados para segurança do paciente no contexto hospitalar sem limitação de recorte temporal. RESULTADOS: Foram incluídos e analisados no estudo 25 aplicativos. A maioria dos aplicativos eram móveis, desenvolvido em inglês, com ênfase para os profissionais de saúde. Ademais, tiveram como limitação, fragilidades relacionadas ao design e características lúdicas. CONCLUSÃO: O estudo pode contribuir para desenvolvimento de novos aplicativos para educação sobre a segurança do paciente, promovendo o aumento do engajamento nas ações de prevenção de erros.

OBJECTIVE: To examine mobile applications developed to guide healthcare professionals, patients, and their caregivers regarding patient safety interventions in the context of hospitalization. METHODS: A technological prospection was conducted in the virtual stores App Store and Google Play and through the Google search tool. Inclusion criteria included applications focused on patient safety in the context of hospitalization without temporal limitations. RESULTS: 25 applications were included in the study and analyzed. The Most applications were mobile, developed in English, and focused on healthcare professionals. In addition, they had limitations and weaknesses related to design and playful features. CONCLUSIONS: The study may contribute to developing of new patient safety education applications that promote increased engagement in error prevention interventions.

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Resumo Introdução: Avaliação e manejo adequados da dor têm se tornado uma preocupação cada vez maior dos profissionais de saúde. Segundo a definição de cuidados paliativos da Organização Mundial da Saúde, são importantes a identificação precoce, a avaliação e o tratamento da dor. Objetivo: Este estudo teve como objetivos desenvolver e avaliar um aplicativo para dispositivos móveis voltado para o ensino de abordagem da dor em cuidados paliativos. Método: Foi desenvolvido um aplicativo móvel, seguido de sua utilização por médicos residentes e de avaliação qualiquantitativa prospectiva. Aplicou-se o teste de conhecimento. Obtiveram-se a usabilidade do aplicativo, por meio da System Usability Scale (SUS), e a satisfação, por meio do Net Promoter Score (NPS). Os dados foram tabulados no Microsoft Office Excel® e exportados para o software Statistical Package for the Social Sciences (SPSS) versão 20.0 (IBM): na realização das análises, adotou-se uma confiança de 95%. Para a análise qualitativa das avaliações, o conteúdo das respostas foi transcrito e organizado em nuvens de palavras para destacar as ideias centrais. O estudo foi aprovado pelo Comitê de Ética do Centro Universitário Christus. Resultado: Desenvolveu-se o PaliPain App, aplicativo constituído de casos clínicos de pacientes em cuidados paliativos com manifestações de dor, além de questões, vídeos e imagens, disponibilizado nas plataformas Android e iOS. Utilizaram o aplicativo 13 médicos residentes. A média de acertos de questões no pré-teste sobre dor em cuidados paliativos aumentou de 6,08 para 7,54 após manuseio do aplicativo. Na avaliação sobre a usabilidade do aplicativo, obtivemos na SUS uma média de 89,2, acima do nível considerado adequado de 70,0. Na avaliação de satisfação, 54% dos médicos responderam com pontuação 10 à pergunta: "Em uma escala de 0 a 10, quanto você recomendaria o aplicativo PaliPain a um amigo ou colega?". Conclusão: O PaliPain App, desenvolvido e disponibilizado nas plataformas Android e iOS, foi bem avaliado pelos médicos residentes, apresentando ótimos escores de usabilidade e de satisfação. Identificamos que houve ganho de conhecimento, com pontuação média na resolução de questões aumentando de 6,08 para 7,54 após livre uso da aplicação. O PaliPain App pode ser uma ferramenta útil para ensino de abordagem de dor para médicos residentes.

Abstract Introduction: Pain evaluation has become an increasingly relevant concern for healthcare workers. According to the World Health Organization's definition of Palliative Care, early identification, evaluation, and treatment of pain are important. Objective: Developing and rating an app for mobile devices that focuses on teaching the subject of pain management in Palliative Care. Research Methodology: The app was developed as a learning tool and tested by resident physicians while undergoing a qualitative and quantitative prospective evaluation. Mock tests were taken. The usability of the app was rated through the System Usability Scale (SUS), and satisfaction with the app was rated through the Net Promoter Score (NPS). The data was charted by using Microsoft Office Excel ® and was exported to the Statistical Package for the Social Sciences (SPSS) version 20.0 (IBM) software: an analysis was run with a 95% confidence interval. As for the qualitative analysis of the resident physicians' evaluations, all available content was transcribed and properly organized in word clouds in order to highlight the most important pieces of feedback that the physicians presented regarding the app. The study was approved by the Ethics Committee. Main Results: The PaliPain App was developed as a database filled with clinical cases of patients undergoing palliative care who were experiencing varying levels of pain, and also presents analysis of test questions, videos and images. It was made available for the Android and iOS platforms. The average correct answers in a mock test about pain management during palliative care rose from 6.08 to 7.54. Thirteen resident physicians made use of the app. In the evaluation of the app's usability, the average SUS score was 89.2. In the evaluation of user satisfaction, 54% of the resident physicians answered the question "from a scale of 0 to 10, what is the likelihood of you recommending the PaliPan app to a friend or colleague?" with a score of 10. Conclusion: The PaliPain App, developed and available on Android and iOS platforms, was well evaluated by resident physicians, presenting excellent scores for both usability and satisfaction. We identified that there was a gain in knowledge, with an average score in the resolution of questions increasing from 6.08 to 7.54 after free use of the application. The PaliPan app could be a useful tool to teach the subject of pain to resident physicians.

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O rápido avanço tecnológico na área da saúde tem impacto relevante e positivo na educação médica. O amplo uso de recursos digitais teve crescimento com a pandemia de Covid-19 e impulsionou a disponibilidade de novas formas de desenvolver o ensino por meio de plataformas digitais, para o ensino híbrido e EaD. Nesse sentido, o objetivo deste estudo foi elaborar uma plataforma móvel de suporte educacional em Infectologia para graduação em Medicina. Foi avaliada a aplicabilidade e usabilidade do sistema, o seu impacto na facilitação do ensino e o grau de satisfação do usuário com a nova ferramenta. Trata-se de um estudo quantitativo, experimental, descritivo, em que a plataforma desenvolvida foi avaliada por 42 estudantes de Medicina do quarto semestre do Centro Universitário Christus (Unichristus), por meio de questionários, visando estimar a repercussão nos diferentes cenários educacionais e o grau de satisfação com esse instrumento. Quanto à sua eficácia, foi aplicada a Escala de Usabilidade de Sistema (System Usabillity Scale - SUS). Como resultado, foi analisado que a plataforma apresentou o escore SUS de 84,64, com desvio-padrão de 13,8, sendo evidenciada uma correlação de Spearman estatisticamente significativa (p<0,05). Conclui-se que a plataforma móvel em infectologia é uma ferramenta com boa aceitabilidade e facilidade na utilização, permitindo uma alternativa de abordagem eficaz de ensino na graduação de medicina.

The rapid technological advancement in the field of healthcare has a significant and positive impact on medical education. The widespread use of digital resources has seen growth with the Covid-19 pandemic and has driven the availability of new ways to deliver education through digital platforms for hybrid and distance learning. In this regard, the objective of this study was to develop a mobile educational support platform in Infectious Diseases for undergraduate medical education. The applicability and usability of the system, its impact on facilitating education, and the user satisfaction with the new tool were evaluated. This was a quantitative, experimental, descriptive study in which the developed platform was assessed by 42 fourth-semester medical students at Christus University Center (Unichristus) through questionnaires to estimate its impact on various educational scenarios and the level of satisfaction with this tool. In terms of its effectiveness, the System Usability Scale (SUS) was applied. As a result, it was found that the platform scored an SUS score of 84.64 with a standard deviation of 13.8, and a statistically significant Spearman correlation (p<0.05) was evident. It is concluded that the mobile platform in Infectious Diseases is a tool with good acceptability and ease of use, allowing for an effective alternative approach to medical education at the undergraduate level.

El rápido avance tecnológico en el campo de la salud tiene un impacto significativo y positivo en la educación médica. El uso generalizado de recursos digitales ha experimentado un crecimiento con la pandemia de Covid-19 y ha impulsado la disponibilidad de nuevas formas de brindar educación a través de plataformas digitales para la enseñanza híbrida y a distancia. En este sentido, el objetivo de este estudio fue desarrollar una plataforma de apoyo educativo móvil en Enfermedades Infecciosas para la educación médica de pregrado. Se evaluó la aplicabilidad y la usabilidad del sistema, su impacto en facilitar la educación y el nivel de satisfacción del usuario con la nueva herramienta. Este fue un estudio cuantitativo, experimental y descriptivo en el que la plataforma desarrollada fue evaluada por 42 estudiantes de medicina en su cuarto semestre en el Centro Universitario Christus (Unichristus) a través de cuestionarios para estimar su impacto en diversos escenarios educativos y el nivel de satisfacción con esta herramienta. En términos de su eficacia, se aplicó la Escala de Usabilidad del Sistema (SUS). Como resultado, se encontró que la plataforma obtuvo una puntuación de SUS de 84.64 con una desviación estándar de 13.8, y se evidenció una correlación de Spearman estadísticamente significativa (p<0.05). Se concluye que la plataforma móvil en Enfermedades Infecciosas es una herramienta con buena aceptabilidad y facilidad de uso, que permite un enfoque alternativo efectivo para la educación médica a nivel de pregrado.

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Objective: to evaluate the usability of the ROBOVID mobile application for health education about COVID-19. Method: methodological study with an applied quantitative approach, developed with 21 adults, using an electronic form. Usability was assessed using the System Usability Scale. The Statistical Package for the Social Sciences software was used to analyze the data. Results: the overall average score on the System Usability Scale questionnaire was 87.3, which classifies the usability of the ROBOVID application as the best achievable. Furthermore, the application has high scores for ease of memorization, user satisfaction and ease of getting to know the system, as well as excellent scores for absence of errors and speed in carrying out the tasks set. Conclusion: the ROBOVID application complies with the principles of usability in terms of efficiency, effectiveness and satisfaction in the evaluation of end users, showing that the application meets consumer needs in terms of its functionalities, demonstrating its viability in terms of the initial objectives.

Objetivo: evaluar la usabilidad de la aplicación móvil ROBOVID para educación en salud acerca de la COVID-19. Método: estudio metodológico con enfoque cuantitativo aplicado, desarrollado con 21 adultos, mediante formulario electrónico. La evaluación de la usabilidad se llevó a cabo mediante la System Usability Scale. Para el análisis de los datos se utilizó el software Statistical Package for the Social Sciences . Resultados: la media global por el cuestionario System Usability Scale fue de 87,3, lo que clasifica la usabilidad de la aplicación ROBOVID como mejor alcanzable. Además, la aplicación presenta índices elevados para facilidad de memorización, satisfacción del usuario y facilidad de conocimiento del sistema, además de excelentes índices para ausencia de errores y rapidez en la ejecución de las tareas establecidas. Conclusión: la aplicación ROBOVID posee conformidad con los principios de usabilidad en los criterios de eficiencia, eficacia y satisfacción en la evaluación de los usuarios finales, explicando que la aplicación satisface las necesidades de consumo frente a sus funcionalidades, demostrando su viabilidad en cuanto a los objetivos iniciales.

Objetivo: avaliar a usabilidade do aplicativo móvel ROBOVID para educação em saúde acerca da COVID-19. Método: estudo metodológico com abordagem quantitativa aplicado, desenvolvido com 21 adultos, por meio de formulário eletrônico. A avaliação da usabilidade ocorreu por meio da System Usability Scale . Para análise dos dados utilizou-se o software Statistical Package for the Social Sciences . Resultados: a média global pelo questionário System Usability Scale foi de 87,3, o que classifica a usabilidade do aplicativo ROBOVID como melhor alcançável. Ademais, o aplicativo apresenta índices elevados para facilidade de memorização, satisfação do usuário e facilidade de conhecimento do sistema, além de excelentes índices para ausência de erros e rapidez na execução das tarefas estabelecidas. Conclusão: o aplicativo ROBOVID possui conformidade com os princípios de usabilidade nos critérios de eficiência, eficácia e satisfação na avaliação dos usuários-finais, explicitando que o aplicativo atende às necessidades de consumo frente a suas funcionalidades, demostrando sua viabilidade no que tange aos objetivos iniciais.

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ABSTRACT Objective: Translating and culturally adapting the AmamentaCoach app, originally developed in Brazil, for use by mothers of premature babies in Canada, through international research collaboration. Method: This is applied research in the form of technological development, in which the World Health Organization's recommendations for the translation and cultural adaptation of instruments were taken into account. Five Canadian researchers who are experts in breastfeeding promotion evaluated the appearance, language, and content of the new version of the app. An 18-item instrument was used with Likert scale response options indicating the degree of agreement for each statement, where 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, and 5=Strongly Agree. Results: In the first round of evaluation, the total Content Validity Index (CVI-T) was 0.72, and 6 of the 18 items did not reach CVI-I ≥0.8. A total of 59 screens (74%) of the app were modified, especially in terms of language and the quality of the translation of the texts, reaching CVI-T=0.87 in the second round. Conclusion: The Breastfeeding Coach app showed expressions adjusted to Canadian reality, meaningful images, and new auxiliary resources specific to Canada. Changes in content and attenuations in the rhetorical textual pattern, prompted by cultural differences in the nurse-client relationship and the woman's role in these two different societies, sought consistency with the reality of breastfeeding practices in Canada.

RESUMEN Objetivo: traducir y adaptar culturalmente la aplicación AmamentaCoach, desarrollada originalmente en Brasil, para uso de madres de bebés prematuros en Canadá, a través de una investigación internacional de colaboración. Método: investigación aplicada en forma de desarrollo tecnológico, en la que se consideraron las recomendaciones de la Organización Mundial de la Salud para la traducción y adaptación cultural de instrumentos. Cinco investigadoras canadienses expertas en promoción de la lactancia materna evaluaron la apariencia, el lenguaje y el contenido de la nueva versión de la aplicación. Se utilizó un instrumento con 18 ítems con opciones de respuesta en una escala Likert que indica el grado de acuerdo para cada afirmación, donde 1=Muy en desacuerdo, 2=En desacuerdo, 3=Neutral, 4=De acuerdo y 5=Muy de acuerdo. Resultados: en la primera ronda de evaluación, el Índice de Validez de Contenido (IVC-T) total fue de 0,72 y 6 de los 18 ítems no alcanzaron el IVC-I ≥0,8. Se modificaron 59 pantallas (74%) de la aplicación, especialmente en lo que respecta al idioma y la calidad de la traducción del texto, alcanzando IVC-T=0,87 en la segunda ronda. Conclusión: la aplicación Breastfeeding Coach presentó expresiones ajustadas a la realidad canadiense, imágenes significativas y nuevos recursos auxiliares específicos de Canadá. Los cambios en el contenido y las atenuaciones en el patrón retórico textual, provocados por las diferencias culturales en la relación enfermero-paciente y el papel de las mujeres en estas dos sociedades diferentes, buscaron coherencia con la realidad de las prácticas de lactancia materna en Canadá.

RESUMO Objetivo: traduzir e adaptar culturalmente o app AmamentaCoach, originalmente desenvolvido no Brasil, para utilização por mães de prematuros no Canadá, mediante colaboração internacional de pesquisa. Método: pesquisa aplicada na modalidade de desenvolvimento tecnológico, em que foram consideradas as recomendações da Organização Mundial da Saúde para tradução e adaptação cultural de instrumentos. Cinco pesquisadoras canadenses experts em promoção da amamentação avaliaram a aparência, linguagem e conteúdo da nova versão do app. Foi utilizado um instrumento com 18 itens com opções de resposta em escala Likert indicando o grau de concordância para cada afirmação, em que 1=Strongly Disagree, 2=Disagree, 3=Neutral, 4=Agree, e 5=Strongly Agree. Resultados: na primeira rodada de avaliação, o Índice de Validade de Conteúdo total (IVC-T) foi de 0,72 e 6 dos 18 itens não alcançaram IVC-I ≥0.8. Modificaram-se 59 telas (74%) do app, especialmente quanto à linguagem e qualidade da tradução dos textos, atingindo-se IVC-T=0,87 na segunda rodada. Conclusão: o app The Breastfeeding Coach apresentou expressões ajustadas à realidade canadense, imagens significativas e novos recursos auxiliares próprios do Canadá. Alterações no conteúdo e atenuações no padrão retórico textual, instadas pelas diferenças culturais na relação enfermeiro-cliente e no papel da mulher nessas duas distintas sociedades, buscaram coerência com a realidade das práticas de amamentação no Canadá.

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INTRODUCTION: Human immunodeficiency virus (HIV) infection is a relevant public health problem is worldwide. From the change in the health care of people living with HIV (PLHIV) in Primary Health Care (PHC), nurses gained autonomy in their workflow, which requires a significant technological arsenal for the planning, organization and functioning of services. It is believed that the development of a mobile application for the care/prevention of HIV will contribute to the strengthening of care, resulting in greater autonomy and empowerment of nurses in Primary Health Care. OBJECTIVE: To develop and validate a content script for a mobile application for nurses in PHC containing information about PLHIV management/care in PHC. METHODS: This is a methodological study developed in three phases: exploratory study, content elaboration process and validation by the 16 judges. RESULTS: The application was evaluated and validated satisfactorily in terms of content and appearance, with an average Content Validity Index (CVI) of 0.99 (99%), Item Content Validity Index (I-CVI) and Medium Content Validity (S-IVC/AVE) also obtained satisfactory levels. CONCLUSIONS: The construction of the prototype of an application called LearnHIV, is considered a valid instrument in terms of content and appearance, according to the judges. TRIAL REGISTRATION: None because it is not an intervention study.

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This scoping review indicates a lack of scientific articles that specifically explore software and mobile applications designed to assist in the clinical diagnosis of leprosy, and our findings have provided insights into the available tools, their usage methods, and the benefits offered by health technologies.