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- ItemAcesso aberto (Open Access)Avaliação de aplicativos móveis para o controle nutricional em indivíduos adultos(Universidade Federal de São Paulo (UNIFESP), 2017-12-21) Fernandes, Mauro Petrini [UNIFESP]; Marin, Heimar de Fátima [UNIFESP]; http://lattes.cnpq.br/5458785300394469; http://lattes.cnpq.br/2281683250808717; Universidade Federal de São Paulo (UNIFESP)Objective: To evaluate mobile applications for the control of a healthy diet. Methods: This is an assessment study using didactic, technical, and nutritional analysis tools for mobile applications that provide nutritional diet for healthy adult individuals developed for the Android operating system found in the Google Play® store and free of charge. A didactic and technical evaluation instrument was validated, and a nutritional assessment tool based on the content of the applications was also developed, validated by nutritionists. Both instruments were applied to the applications that met the selection criteria. To the applications with higher scores in the instruments, were applied to three case studies simulating obese, athlete and normal individuals. Results: The 18 applications contained on average 47% of the analyzed variables. The three best applications scored on the two analytical tools are equivalent in the amount of variables analyzed, in the information they display, and in the usability items reports, security, and storage of data in the cloud. For the case of the individual athlete analyzed, only one application indicates recommended minimum diet. For the obese individual, the same application indicates diet far below that recommended by international bodies and another application also recommends diet with 200 cal. below the recommended minimum. For the normal individual, the same application also indicates a diet far below the recommended one. The three apps change calorie intake values for each case and none have their value repeated between them. Conclusion: According to the results obtained in the application of the two analysis tools in this study, all mHealth apps available in Android for nutritional control have poor quality for the user, since none reached the 70 points with the two instruments applied.
- ItemSomente MetadadadosThe impact of short message service text messages sent as appointment reminders to patients' cell phones at outpatient clinics in São Paulo, Brazil(Elsevier B.V., 2010-01-01) Costa, Thiago Martini da [UNIFESP]; Salomao, Paulo Lisias; Martha, Amilton Souza [UNIFESP]; Pisa, Ivan Torres [UNIFESP]; Sigulem, Daniel [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Katu CoObjective: Nonattendance for appointments remains a challenge to health care managers and providers. the objective of this article is to present the results of a study on the impact of appointment reminders sent as short message service text messages to patients' cell phones on nonattendance rates at outpatient clinics in São Paulo, Brazil.Design: Data were collected on scheduled appointments in four medical clinics using Clinic Manager (R) or Clinic Web (R) systems that can send automated messages to patients. Data on appointment attendance were collected from these systems.Measurements: More than 29,000 appointments were scheduled between July 1, 2007, and May 31, 2008, and for 7890 of them a text message reminder was sent to the patient's cell phone. the rates of nonattendance were compared between those who were sent and those who were not sent a text message as an appointment reminder.Results: the nonattendance reduction rates for appointments at the four outpatient clinics studied were 0.82% (p = .590), 3.55% (p = .009), 5.75% (p = .022), and 14.49% (p = <.001).Conclusion: the study results indicate that sending appointment reminders as text messages to patients' cell phones is an effective strategy to reduce nonattendance rates. When patients attend their appointments, the facility providing care and the patients receiving uninterrupted care benefit. (C) 2009 Elsevier Ireland Ltd. All rights reserved.
- ItemAcesso aberto (Open Access)Investigação do efeito do envio automático de alertas ao paciente com HIV/AIDS por meio de mensagem de texto para celular na adesão ao tratamento antiretroviral(Universidade Federal de São Paulo (UNIFESP), 2011-05-25) Costa, Thiago Martini da [UNIFESP]; Pisa, Ivan Torres [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: To assess if SMS automatic sending increases the adherence antiretroviral drug-based treatment regimens. Methods: The web system HIVAS was projected according to software engineering cascade model. It was conducted two experiments: Experiment 1, a randomized controlled trial with woman living with HIV/AIDS to assess the effects of SMS on adherence to antiretroviral therapy; Experiment 2, a transversal study with data extracted from two electronic health recorders of 4 outpatient clinics to assess the effects of SMS on non-attendance rates. On Experiment 1 adherence of participants allocated to receive SMS, called intervention (n=8), and to not receive SMS, labeled control (n=13), was measured during 4 months by self-reported adherence, pill counting, and microelectronic monitoring (MEMS). On Experiment 2, the incidence of non-attendance when a SMS reminder was sent to the appointment, labeled intervention (n=7,890), was compared to the incidence of non-attendance when no SMS reminder was sent, labeled control (n=21,124). Results: The HIV Alert System (HIVAS) was developed over 7 months during 2008 and 2009. On Experiment 1, during the 4-month study period, the number and percentage of participants from both control and intervention groups that achieved adherence levels to antiretroviral therapy exceeding 95%, were respectively: 11 (84.62%) and 8 (100.00%) to self-reported adherence method; 5 (38.46%) and 4 (50.00%) to pill counting method; and 6 (46.15%) and 6 (75.00%) to micro-electronic monitoring. On Experiment 2, the average non-attendance rate to appointments without previous SMS was 25.57%, while average non-attendance rate to appointments with previous SMS was 19.42%. Conclusion: SMS messaging has demonstrated potential in helping patient adherence to therapy. Brazilian women living with HIV/AIDS who received SMS stated that the messages were reminders, incentives and signs of affection by the health clinic for their, a marginalized population. Beside this, it was observed a statistically significant reduction on the incidence of non-attendance due to SMS messages. The development of HIVAS was the less difficulty phase in the project, emphasizing the feasibility of SMS incorporation to help clinical practice.
- ItemSomente MetadadadosResults of a randomized controlled trial to assess the effects of a mobile SMS-based intervention on treatment adherence in HIV/AIDS-infected Brazilian women and impressions and satisfaction with respect to incoming messages(Elsevier B.V., 2012-04-01) Costa, Thiago Martini da [UNIFESP]; Peres Barbosa, Barbara Jaqueline [UNIFESP]; Gomes e Costa, Durval Alex [UNIFESP]; Sigulem, Daniel; Marin, Heimar de Fatima; Castelo Filho, Adauto [UNIFESP]; Pisa, Ivan Torres; Universidade Federal de São Paulo (UNIFESP)Objective: To assess whether a warning system based on mobile SMS messages increases the adherence of HIV-infected Brazilian women to antiretroviral drug-based treatment regimens and their impressions and satisfaction with respect to incoming messages.Design: A randomized controlled trial was conducted from May 2009 to April 2010 with HIV-infected Brazilian women. All participants (n = 21) had a monthly multidisciplinary attendance; each participant was followed over a 4-month period, when adherence measures were obtained. Participants in the intervention group (n = 8) received SMS messages 30 min before their last scheduled time for a dose of medicine during the day. the messages were sent every Saturday and Sunday and on alternate days during the working week. Participants in the control group (n = 13) did not receive messages.Measurements: Self-reported adherence, pill counting, microelectronic monitors (MEMS) and an interview about the impressions and satisfaction with respect to incoming messages.Results: the HIV Alert System (HIVAS) was developed over 7 months during 2008 and 2009. After the study period, self-reported adherence indicated that 11 participants (84.62%) remained compliant in the control group (adherence exceeding 95%), whereas all 8 participants in the intervention group (100.00%) remained compliant. in contrast, the counting pills method indicated that the number of compliant participants was 5 (38.46%) for the control group and 4 (50.00%) for the intervention group. Microelectronic monitoring indicated that 6 participants in the control group (46.15%) were adherent during the entire 4-month period compared to 6 participants in the intervention group (75.00%). According to the feedback of the 8 participants who completed the research in the intervention group, along with the feedback of 3 patients who received SMS for less than 4 months, that is, did not complete the study, 9 (81.81%) believed that the SMS messages aided them in treatment adherence, and 10 (90.90%) responded that they would like to continue receiving SMS messages. SMS messaging can help Brazilian women living with HIV/AIDS to adhere to antiretroviral therapy for a period of at least 4 months. in general, the results are encouraging because the SMS messages stimulated more participants in the intervention group to be adherent to their treatment, and the patients were satisfied with the messages received, which were seen as reminders, incentives and signs of affection by the health clinic for a marginalized population. (c) 2012 Published by Elsevier Ireland Ltd.