Web page for adherence to treatment of patients with cardiovascular disease in Primary Health Care: development and evaluation of usability

Authors

Keywords:

proof of concept study, compliance and adherence to treatment, cardiovascular diseases, risk factors, primary health care.

Abstract

The aim of the study was to describe the process of developing and evaluating the usability of a prototype web page for adherence to pharmacological and nonpharmacological treatment of patients with cardiovascular diseases and their risk factors in primary health care. It consisted of an applied methodological research of technological development. The technical-scientific content was built by the research team. For the construction of the website, tools were used in three areas: Front End, Back End and Database. For the usability test, five health professionals evaluated the accessibility and satisfaction with a form created by the researchers based on scientific literature. The response was dichotomous (yes, no) with comments. On the web page, the patient and health team menus open in five interfaces: one with the dates of the next check-ups, another with the health check-up data, which includes pharmacological and non-pharmacological treatment; two with informative data on treatment and healthy lifestyles and the last, with patient data. As for the evaluation of usability, the five professionals evaluated accessibility and satisfaction positively. The study succeeded in creating a prototype web application for patients with cardiovascular disease and risk factors. The proposed technology can be designed for other diseases or health needs. In addition, after validation, it will enable studies to explore the effectiveness of this technology.

Downloads

Download data is not yet available.

Author Biographies

María Cecilia Toffoletto, Universidad de Las Américas

Escuela de Enfermería de la Universidad de Las Américas, Santiago, Chile.

Natalia Eloísa Conejero Riquelme, Universidad de Las Américas

Escuela de Ingeniería de la Universidad de Las Américas, Santiago, Chile.

Daniel Alejandro Grandón Reese, Universidad de Las Américas

Escuela de Ingeniería de la Universidad de Las Américas, Santiago, Chile.

Mauricio San Martín Salinas, Universidad de Las Américas

Escuela de Ingeniería de la Universidad de Las Américas, Santiago, Chile.

María Andrea Méndez Gálvez, Universidad de Las Américas

Escuela de Kinesiología de la Universidad de Las Américas, Santiago, Chile.

Carola Andrea Montecino Bacigalupo, Universidad de Las Américas

Escuela de Enfermería de la Universidad de Las Américas, Santiago, Chile.

References

World Health Organization. La OMS revela las principales causas de muerte y discapacidad en el mundo: 2000-2019. 2020 [acceso 07/02/2022] Disponible en: https://www.who.int/es/news/item/09-12-2020-who-reveals-leading-causes-of-death-and-disability-worldwide-2000-2019

World Health Organization. Enfermedades cardiovasculares. 2017 [acceso 07/02/2022]. Disponible en: http://www.who.int/es/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

Kotseva K, De Backer G, De Bacquer D, Rydén L, Hoes A, Grobbee D, et al. Lifestyle and impact on cardiovascular risk factor control in coronary patients across 27 countries: Results from the European Society of Cardiology ESC-EORP EUROASPIRE V registry. European Journal of Preventive Cardiology. 2019;26(8):824-35. DOI: https://doi.org/10.1177/2047487318825350

Rampamba EM, Meyer JC, Godman B, Kurdi A, Helberg E. Evaluation of antihypertensive adherence and its determinants at primary healthcare facilities in rural South Africa. J Comp Eff Res. 2018 Jul;7(7):661-72. DOI: https://doi.org/10.2217/cer-2018-0004

Fentaw Z, Adamu K, Wedajo S. Blood pressure control status of patients with hypertension on treatment in Dessie City Northeast Ethiopia. BMC Public Health. 2022;22(1):917. DOI: https://doi.org/10.1186/s12889-022-13368-6

Adidja NM, Agbor VN, Aminde JA, Ngwasiri CA, Ngu KB, Aminde LN. Non-adherence to antihypertensive pharmacotherapy in Buea, Cameroon: a cross-sectional community-based study. BMC Cardiovascular Disorders. 2018;24;18(1):150. DOI: https://doi.org/10.1186/s12872-018-0888-z

Gomes IS, Rossi EM, Mendes SJ, Santos BRM, Sabino W. Pharmaceutical Care in Primary Care: An Experience with Hypertensive Patients in the North of Brazil. Int J Cardiovasc Sci. 2022;35(3),318-26. DOI: https://doi.org/10.36660/ijcs.20200257

Rios-González CM. Adherence to the pharmacological treatment in hypertensive and diabetic patients of a Family Health Unit of Paraguay. Revista Cubana de Salud Pública. 2018[acceso 07/02/2022];44(3):1-4. Disponible en: https://www.medigraphic.com/pdfs/revcubsalpub/csp-2018/csp183r.pdf

Cardona Garbey DL, Borges Carcasés D, Cala Cardona JC, Mora García G, Rodríguez Salvá A. Características clínico-epidemiológicas de pacientes con diabetes mellitus de tipo 2 en un área de salud. MEDISAN. 2018 [acceso 22/07/2022];22(7):522-39. Disponible en: http://scielo.sld.cu/pdf/san/v22n7/1029-3019-san-22-07-522.pdf

World Health Organization. Adherence to long-term therapies Evidence for action 2003. 2003 [acceso 18/02/2022] Disponible en: https://apps.who.int/iris/bitstream/handle/10665/42682/9241545992.pdf;jsessionid=343D42523231E0290C1302EF1261B97B?sequence=1

Georgiopoulos G, Kollia Z, KatsiV, Oikonomou D, Tsioufis C, Tousoulis D. Nurse’s Contribution to Alleviate Non-adherence to Hypertension Treatment. Current Hypertension Reports. Curr Hypertens Rep. 2018;20(8):65. DOI: https://doi.org/10.1007/s11906-018-0862-2

Achury Beltrán LF. Efecto de la entrevista motivacional sobre la adherencia de pacientes cardiovasculares. Enf Global. 2019;18(4):459-84. DOI: https://doi.org/10.6018/eglobal.18.4.341611

Jacome S, Ordoñez A, Ceron G, Villaquiran-Hurtado A. Mapeo sistemático del uso de las tecnologías de la información y la comunicación en la diabetes tipo 2. Revista Cubana de Información en Ciencias de la Salud. 2018 [acceso 18/02/2022];29(4). Disponible en: http://www.rcics.sld.cu/index.php/acimed/article/view/1226

Fujiwara T, McManus RJ, Kario K. Management of hypertension in the digital era: Perspectives and future directions. Hipertens riesgo vasc. 2022;39(2):79-91. DOI: https://doi.org/0.1016/j.hipert.2022.01.004

Garmendia CM, Miranda RMP, Verello E, Goyeneche A, Furmento JF, Costabel JP. Use of a smartphone application to increase adherence to medical treatment. Medicina (B.Aires). 2021 [acceso 22/07/2022];81(1):11-5. Disponible en: https://www.medicinabuenosaires.com/revistas/vol81-21/n1/11.pdf

Devaraju CJ, Veena N, Sadananda KS, Manjunath CN. The effect of mobile application-based technology use on medication compliance and modification of risk factors in post PTCA cohort of patients. Indian Heart J. 2022;74(3): 242-4. DOI: https://doi.org/0.1016/j.ihj.2022.03.009

Ministerio de Salud. Guía clínica hipertensión arterial primaria o esencial en personas de 15 años y más. 2010 [acceso 07/03/2022]. Disponible en: https://diprece.minsal.cl/wrdprss_minsal/wp-content/uploads/2014/12/Hipertensi%C3%B3n-Arterial-en-personas-de-15-a%C3%B1os-y-m%C3%A1s.pdf

Ministerio de Salud. Orientación Técnica Programa de Salud Cardiovascular. 2017 [acceso 07/03/2022]. Disponible en: http://www.capacitacionesonline.com/blog/wp-content/uploads/2017/09/Programa-de-salud-cardiovascular.-MINSAL-Chile-2017.pdf

Ministerio de Salud. Guía Alimentaria para la Población Chilena, MINSAL, 2013 [acceso 07/03/2022]. Disponible en: http://www.integra.cl/wp-content/uploads/2017/01/GUIAS-ALIMENTARIAS.pdf

Ministerio de Salud. Programa de Salud Cardiovascular. La cesación del consumo de tabaco, MINSAL. [acceso 07/03/2022]. Disponible en: http://buenaspracticasaps.cl/wp-content/uploads/2014/07/MINSAL-2003-la-cesaci%C3%B3n-del-consumo-de-tabaco.pdf

Nielsen J. Why You Only Need to Test with 5 Users. 2000 [acceso 23/07/2022]. Disponible en: https://www.nngroup.com/articles/why-you-only-need-to-test-with-5-users/

Enríquez J, Casas S. Usabilidad en aplicaciones móviles. Informes Científicos-Técnicos UNPA. 2013 [acceso 08/03/2022]; 5(2):25-47. Disponible en: https://publicaciones.unpa.edu.ar/index.php/ICTUNPA/article/view/581/560

World Health Organization. mHealth new horizons for health through mobile technologies. 2011 [acceso 10/03/2022]. Disponible en: https://www.who.int/goe/publications/goe_mhealth_web.pdf

Imran TF, Wang Na, Zombeck S, Balady GJ. Mobile Technology Improves Adherence to Cardiac Rehabilitation: A Propensity Score-Matched Study. J Am Heart Assoc. 2021;10(15):e020482. DOI: https://doi.org/0.1161/JAHA.120.020482

Lin K, Zhang W, He F, Shen J. Evaluation of the Clinical Efficacy of the Treatment of Overweight and Obesity in Type 2 Diabetes Mellitus by the Telemedicine Management System Based on the Internet of Things Technology. Comput Intell Neurosci. 2022:8149515. DOI: https://doi.org/10.1155/2022/8149515

Prahalad P, Tanenbaum M, Hood K, Maahs DM. Diabetes technology: improving care, improving patient-reported outcomes and preventing complications in young people with Type 1 diabetes. Diabet Med. 2018;35(4):419-29. DOI: https://doi.org/10.1111/dme.13588

Akinosun AS, Polson R, Díaz-Skeete Y, De Kock JH, Carragher L, Leslie S, et al. Digital Technology Interventions for Risk Factor Modification in Patients with Cardiovascular Disease: Systematic Review and Meta-analysis. JMIR Mhealth Uhealth. 2021;9(3):e21061. DOI: https://doi.org/10.2196/21061

Coorey GM, Peiris D, Usherwood T, Neubeck L, Mulley J, Redfern J. Persuasive design features within a consumer-focused eHealth intervention integrated with the electronic health record: a mixed methods study of effectiveness and acceptability. PLoS One. 2019;14(6):e0218447. DOI: https://doi.org/10.1371/journal.pone.0218447

Paz L. Accesibilidad y usabilidad: los requisitos para la inclusión digital. 2020 [acceso 12/03/2022]. Disponible en: https://www.researchgate.net/publication/339613274_Accesibilidad_y_Usabilidad_los_requisitos_para_la_inclusion_digital

Santiago RF, Andrade EMLR, Mendes IAC, Viana MCA, Nery IS. Evaluation of a prenatal virtual learning object for pregnant adolescents in primary care. Acta paul enferm. 2020;33:eAPE20190063. DOI: http://dx.doi.org/10.37689/acta-ape/2020ao0063 .

Melo CMCS, Delgado Filho AJF, Oliveira ER, Aráujo AA, Cavalcanti HGO, Melo CMCS, et al. Development and assessment of an Application for Primary Care for Users with Diabetes Mellitus. Aquichan. 2020;20(2):e2026. DOI: https://doi.org/10.5294/aqui.2020.20.2.6

Published

2023-01-13

How to Cite

1.
Toffoletto MC, Conejero Riquelme NE, Grandón Reese DA, San Martín Salinas M, Méndez Gálvez MA, Montecino Bacigalupo CA. Web page for adherence to treatment of patients with cardiovascular disease in Primary Health Care: development and evaluation of usability. Rev. cuba. inf. cienc. salud [Internet]. 2023 Jan. 13 [cited 2025 Mar. 15];34. Available from: https://acimed.sld.cu/index.php/acimed/article/view/2214

Issue

Section

Artículos Originales