Doutorado em Saúde Coletiva

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Navegando Doutorado em Saúde Coletiva por Autor "Alves, Domingos"

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    Desenvolvimento e validação de um protótipo de um aplicativo móvel para melhorar a adesão ao tratamento da tuberculose latente
    (Universidade Federal do Espírito Santo, 2022-12-19) Novaes, Marcelle Temporim; Maciel, Ethel Leonor Noia; https://orcid.org/0000000348263355; http://lattes.cnpq.br/3761398932271892; Miranda, Angelica Espinosa Barbosa; http://lattes.cnpq.br/5842271060162462; Monteiro, Maxwell Eduardo; http://lattes.cnpq.br/8831352516689445; Silva, Adriana Ilha da; http://lattes.cnpq.br/4088542085942883; Alves, Domingos
    Introduction: Latent Tuberculosis Infection affects a quarter of the world’s population. The disease is characterized by an asymptomatic immune status without evidence of active tuberculosis. The treatment period is long and adverse reactions may occur, which is why many fail to take the medication properly, making adherence to treatment a major challenge. Mobile applications stand out in serving the population with access to information and can be a great ally in adherence to Latent Tuberculosis Infection treatment. Objective: To develop and validate the prototype of the application “My latent tuberculosis treatment (TraTBlatent)”, created to monitor the treatment of people with Latent Tuberculosis Infection, and to describe the clinical trial protocol. Methodology: This is a descriptive and methodological study carried out in 6 Steps: 1st Step, Definition of requirements and elaboration of the conceptual map; 2nd Step, Generation of implementation and prototyping alternatives; 3rd Step, Validation of the content present in the application prototype with health professionals and people with Latent Tuberculosis Infection, the purpose of this stage was to verify that the content of the prototype was comprehensible to its target audience, in this stage the evaluators did not have access to the screens and images of the prototype 4th Step, Implementation; 5th Step, Carrying out the usability pilot test by people being treated with LTBI, the objective of this step was to identify problems such as the lack of understanding among end users, and the developer's perception of clinical practice related to the usability of the prototype; 6th Step, Protocol of the pragmatic randomized clinical trial. Steps 3 and 5 were performed at the health unit located in the city of Vila Velha, Espírito Santo, Brazil. For the development of the prototype of the application, the Android Studio environment, the JAVA language. The generated data was stored in the Firestore database management system. Results: The application offers information about latent tuberculosis, treatment time, report on how the person is feeling and a triggering alarm to take the medication. With the completion of Steps 1 and 2, it was possible to validate the content. At this stage, the health professionals who evaluated it requested modifications to the presented content related to usefulness, consistency, clarity, objectivity, vocabulary, and accuracy. These modifications were carried out and, thus, people with Latent Tuberculosis Infection could evaluate this new version and requested improvement in the “clarity” domain. Based on the requested considerations, the prototype was implemented to carry out the 5th Step (usability pilot test). In this step, users considered the application to have good usability. The clinical trial protocol was prepared. Conclusion: Based on the results obtained for the development and validation of the application prototype, it was observed that it is easy to understand and usable, thus it is expected to contribute to the monitoring and adherence of people undergoing treatment for Latent Tuberculosis Infection.