Desenvolvimento e validação de aplicativo de smartphone para otimização da adesão terapêutica em pacientes com hipertensão

Abstract

INTRODUCTION: Therapeutic adherence can be understood as the measure by which patients follow the recommendations for their prescribed treatments, considering the actual behavior of individuals during treatment. The use of mobile technologies to monitor and promote care for individuals with health problems is a growing phenomenon that has been used to optimize therapeutic adherence in recent years. However, few smartphone apps havebeen developed by health professionals, adopt different strategies focused on different adherence domains or have been validated so far. OBJECTIVES: To develop and validate thecontent of a smartphone application to optimize therapeutic adherence in patients with Hypertension. Methodology: A two-phase study was developed. 1) systematic review of the literature to identify and evaluate applications to optimize adherence to drug therapies and analysis of application domains and the effectiveness of their functionalities 2) Content validation through the technique DELPHI. ETHICAL ASPECTS: This study adhered to the norms of resolution 466/2012 of the National Health Council. RESULTS: After intervention with mobile applications to optimize therapeutic adherence, ten studies showed satisfactory results.Two other studies did not have the overall use of apps associated with improved adherence, but the subgroups of patients in the intervention group who used the apps more frequently hadbetter treatment results. All applications showed satisfactory results in increasing the rate of therapeutic adherence. Of the functionalities proposed by the therapeutic adherence validation instrument for the development of the application, they had an acceptable percentage, for the reminder category 90%, behavioral modification category 94% and 96% for the educational modification category. CONCLUSION: Studies that evaluated the effects of mobile apps as a health intervention showed satisfactory results in therapeutic adherence, in addition, studies that carried out a satisfaction survey with users on the use of apps in therapeutic adherence revealed high satisfaction rates. Therefore, studies must be developed so that new application modalities, with effective functionalities are developed, with this there will be a greater integration between professionals and patients, optimizing therapeutic adherence.