Aplicações móveis para o autocuidado dos pés na diabetes tipo 2: scoping review
DOI:
https://doi.org/10.29352/mill0223e.43437Palavras-chave:
pé diabético; saúde digital; aplicações móveis; autocuidado; diabetes Mellitus tipo 2Resumo
Introdução: A doença do pé relacionada com a diabetes compromete a qualidade de vida, eleva morbilidade, mortalidade e custos de saúde. As aplicações móveis surgem como estratégia promissora para apoiar o autocuidado dos pés na diabetes tipo 2, embora âmbito e características das ferramentas permaneçam pouco claros.
Objetivo: Mapear a extensão e natureza da literatura sobre aplicações móveis para o autocuidado dos pés em adultos com diabetes tipo 2, descrevendo conteúdo, funcionalidades e lacunas.
Métodos: Realizou-se revisão de escopo segundo metodologia do Joanna Briggs Institute e PRISMA-ScR. As pesquisas decorreram em PubMed, Scopus, Web of Science, CINAHL, PsycINFO e em literatura cinzenta. Foram incluídos estudos com adultos com diabetes tipo 2 e aplicações para o autocuidado dos pés. A extração de dados considerou características e funcionalidades das aplicações.
Resultados: Dos 7.360 registos identificados, dez estudos cumpriram os critérios, reportando dez aplicações. As funcionalidades mais comuns incluíram lembretes, automonitorização e conteúdos educativos. Nenhuma aplicação integrou completamente as principais funcionalidades tecnológicas identificadas como relevantes para apoiar o autocuidado dos pés. Estratégias de mudança comportamental foram raramente aplicadas, e privacidade e segurança frequentemente negligenciadas.
Conclusão: Os achados evidenciam a necessidade de aplicações mais abrangentes, baseadas em evidência e centradas no utilizador. Integração de mudança comportamental e proteção da privacidade são fundamentais para intervenções eficazes. Esta revisão orienta futuras investigações, desenvolvimento e avaliação de soluções móveis em saúde, apoiando o autocuidado em doenças crónicas.
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Referências
Adu, M. D., Malabu, U. H., Callander, E. J., Malau-Aduli, A. E., & Malau-Aduli, B. S. (2018). Considerations for the development of mobile phone apps to support diabetes self-management: systematic review. JMIR mHealth and uHealth, 6(6), e10115. https://doi.org/10.2196/10115
Aljedaani, B., & Babar, M. A. (2021). Challenges with developing secure mobile health applications: systematic review. JMIR mHealth and uHealth, 9(6), e15654. https://doi.org/10.2196/15654
Amalindah, D., Winarto, A., & Rahmi, A. H. (2020). Effectiveness of mobile app-based interventions to support diabetes self-management: a systematic review. Jurnal Ners, 15(1Sp), 9-18.
American Diabetes Association (2021). Diabetes technology: Standards of medical care in diabetes-2021. Diabetes Care, 44(Suppl 1), S85–S99. https://doi.org/10.2337/dc21-S007
Bautista, J. R., Zhang, Y., & Gwizdka, J. (2021). Healthcare professionals' acts of correcting health misinformation on social media. International Journal of Medical Informatics, 148, 104375. https://doi.org/10.1016/j.ijmedinf.2021.104375
Bevan Jones, R., Stallard, P., Agha, S. S., Rice, S., Werner-Seidler, A., Stasiak, K., Kahn, J., Simpson, S. A., Alvarez-Jimenez, M., Rice, F., Evans, R., & Merry, S. (2020). Practitioner review: Co-design of digital mental health technologies with children and young people. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 61(8), 928–940. https://doi.org/10.1111/jcpp.13258
Bus, K., Peyer, K. L., Bai, Y., Ellingson, L. D., & Welk, G. J. (2018). Comparison of in-person and online motivational interviewing-based health coaching. Health Promotion Practice, 19(4), 513–521. https://doi.org/10.1177/1524839917746634
Dang, T. H., Nguyen, T. A., Hoang Van, M., Santin, O., Tran, O. M. T., & Schofield, P. (2021). Patient-centered care: Transforming the health care system in Vietnam with support of digital health technology. Journal of Medical Internet Research, 23(6), e24601. https://doi.org/10.2196/24601
Dincer, B., & Bahcecik, N. (2021). The effect of a mobile application on the foot care of individuals with type 2 diabetes: A randomised controlled study. Health Education Journal, 80(4), 425-437. https://doi.org/10.1177/0017896920981617
El-Gayar, O., Ofori, M., & Nawar, N. (2021). On the efficacy of behavior change techniques in mHealth for self-management of diabetes: A meta-analysis. Journal of Biomedical Informatics, 119, 103839. https://doi.org/10.1016/j.jbi.2021.103839
Fraiwan, L., AlKhodari, M., Ninan, J., Mustafa, B., Saleh, A., & Ghazal, M. (2017). Diabetic foot ulcer mobile detection system using smart phone thermal camera: a feasibility study. Biomedical Engineering Online, 16(1), 117. https://doi.org/10.1186/s12938-017-0408-x
Harte, R., Glynn, L., Rodríguez-Molinero, A., Baker, P. M., Scharf, T., Quinlan, L. R., & ÓLaighin, G. (2017). A human-centered design methodology to enhance the usability, human factors, and user experience of connected health systems: A three-phase methodology. JMIR Human Factors, 4(1), e8. https://doi.org/10.2196/humanfactors.5443
Hassan, Z. M. (2017). Mobile phone text messaging to improve knowledge and practice of diabetic foot care in a developing country: Feasibility and outcomes. International Journal of Nursing Practice, 23(Suppl 1), e12546. https://doi.org/10.1111/ijn.12546
Haycocks, S., Cameron, R., Edge, M., Budd, J., & Chadwick, P. (2022). Implementation of a novel mHealth application for the management of people with diabetes and recently healed foot ulceration: A feasibility study. Digital Health, 8. https://doi.org/10.1177/20552076221142103
Hogan, K., Macedo, B., Macha, V., Barman, A., & Jiang, X. (2021). Contact tracing apps: Lessons learned on privacy, autonomy, and the need for detailed and thoughtful implementation. JMIR Medical Informatics, 9(7), e27449. https://doi.org/10.2196/27449
International Diabetes Federation. (2021). IDF diabetes atlas (10th ed.). https://shre.ink/7XQX
James, S. L., Castle, C. D., Dingels, Z. V., Fox, J. T., Hamilton, E. B., Liu, Z., Roberts, N. L. S., Sylte, D. O., Bertolacci, G. J., Cunningham, M., Henry, N. J., LeGrand, K. E., Abdelalim, A., Abdollahpour, I., Abdulkader, R. S., Abedi, A., Abegaz, K. H., Abosetugn, A. E., Abushouk, A. I., Adebayo, O. M., … Vos, T. (2020). Estimating global injuries morbidity and mortality: methods and data used in the global burden of disease 2017 study. Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention, 26(Supp 1), i125–i153. https://doi.org/10.1136/injuryprev-2019-043531
Jokinen, A., Stolt, M., & Suhonen, R. (2021). Ethical issues related to eHealth: An integrative review. Nursing Ethics, 28(2), 253–271. https://doi.org/10.1177/0969733020945765
Kaufman, N., & Mel, E. (2020). Using digital health technology to prevent and treat diabetes. Diabetes Technology & Therapeutics, 22(S1), S63–S78. https://doi.org/10.1089/dia.2020.2505
Kilic, M., & Karadağ, A. (2020). Developing and evaluating a mobile foot care application for persons with diabetes mellitus: a randomized pilot study. Wound Management & Prevention, 66(10), 29–40. https://doi.org/10.25270/wmp.2020.10.2940
Lawn, S., & Schoo, A. (2010). Supporting self-management of chronic health conditions: common approaches. Patient Education and Counseling, 80(2), 205–211. https://doi.org/10.1016/j.pec.2009.10.006
Lenzen, S. A., Daniëls, R., van Bokhoven, M. A., van der Weijden, T., & Beurskens, A. (2017). Disentangling self-management goal setting and action planning: A scoping review. PLOS ONE, 12(11), e0188822. https://doi.org/10.1371/journal.pone.0188822
Liu, K., Xie, Z., & Or, C. K. (2020). Effectiveness of mobile app-assisted self-care interventions for improving patient outcomes in type 2 diabetes and/or hypertension: systematic review and meta-analysis of randomized controlled trials. JMIR mHealth and uHealth, 8(8), e15779. https://doi.org/10.2196/15779
Lorig, K. R., & Holman, H. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine: a publication of the Society of Behavioral Medicine, 26(1), 1–7. https://doi.org/10.1207/S15324796ABM2601_01
Marques, A. D. B., Moreira, T. M. M., Mourão, L. F., Florêncio, R. S., Cestari, V. R. F., Garces, T. S., & Bruno, N. A. (2023). Mobile application for adhering to diabetic foot self-care: randomized controlled clinical trial. Computers, Informatics, Nursing: CIN, 41(11), 877–883. https://doi.org/10.1097/CIN.0000000000001024
Méndez, N. G., Aguilera, M. F. G., Muñoz, E. Á., Rivadeneira, J., Cabrera, P. J. B., Totomoch-Serra, A., Romo, P. L., Aguilar, P. V., Cid, M. A. E., & Diaz, M. A. P. (2025). New technologies applied in self-care to patients with diabetic foot ulcers: a scoping review. Diabetology & Metabolic Syndrome, 17(1), 262. https://doi.org/10.1186/s13098-025-01822-5
Moore, G., Wilding, H., Gray, K., & Castle, D. (2019). Participatory methods to engage health service users in the development of electronic health resources: systematic review. Journal of Participatory Medicine, 11(1), e11474. https://doi.org/10.2196/11474
Moradi, A., Alavi, S. M., Salimi, M., Nouhjah, S., & Shahvali, E. A. (2019). The effect of short message service (SMS) on knowledge and preventive behaviors of diabetic foot ulcer in patients with diabetes type 2. Diabetes & Metabolic Syndrome, 13(2), 1255–1260. https://doi.org/10.1016/j.dsx.2019.01.051
Moulaei, K., Malek, M., & Sheikhtaheri, A. (2021). A smart wearable device for monitoring and self-management of diabetic foot: a proof of concept study. International Journal of Medical Informatics, 146, 104343. https://doi.org/10.1016/j.ijmedinf.2020.104343
Nelson, L. A., Mulvaney, S. A., Johnson, K. B., & Osborn, C. Y. (2017). mHealth intervention elements and user characteristics determine utility: a mixed-methods analysis. Diabetes Technology & Therapeutics, 19(1), 9–17. https://doi.org/10.1089/dia.2016.0294
Oe, M., Tsuruoka, K., Ohashi, Y., Takehara, K., Noguchi, H., Mori, T., Yamauchi, T., & Sanada, H. (2021). Prevention of diabetic foot ulcers using a smartphone and mobile thermography: a case study. Journal of Wound Care, 30(2), 116–119. https://doi.org/10.12968/jowc.2021.30.2.116
Ofori, M. Q., & El-Gayar, O. F. (2021). Mobile applications for behavioral change: A systematic literature review. In N. Wickramasinghe (Ed.), Optimizing health monitoring systems with wireless technology (pp. 130–154). IGI Global. https://doi.org/10.4018/978-1-5225-6067-8.ch011
Ogrin, R., Viswanathan, R., Aylen, T., Wallace, F., Scott, J., & Kumar, D. (2018). Co‐design of an evidence‐based health education diabetes foot app to prevent serious foot complications: a feasibility study. Practical Diabetes, 35(6), 203-209. https://doi.org/10.1002/pdi.2197
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., Chou, R., Glanville, J., Grimshaw, J. M., Hróbjartsson, A., Lalu, M. M., Li, T., Loder, E. W., Mayo-Wilson, E., McDonald, S., McGuinness, L. A., … Moher, D. (2021). The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ, 372, n71. https://doi.org/10.1136/bmj.n71
Peters, M. D. J., Godfrey, C., McInerney, P., Munn, Z., Tricco, A. C., & Khalil, H. (2020). Chapter 11: Scoping reviews (2020 version). In E. Aromataris & Z. Munn (Eds.), JBI manual for evidence synthesis. JBI. https://doi.org/10.46658/JBIMES-20-12
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2021). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Implementation, 19(1), 3–10. https://doi.org/10.1097/XEB.0000000000000277
Ploderer, B., Brown, R., Seng, L. S. D., Lazzarini, P. A., & van Netten, J. J. (2018). Promoting self-care of diabetic foot ulcers through a mobile phone app: User-centered design and evaluation. JMIR Diabetes, 3(4), e10105. https://doi.org/10.2196/10105
Rose, K. J., Petrut, C., L'Heveder, R., & de Sabata, S. (2019). IDF Europe's position on mobile applications in diabetes. Diabetes Research and Clinical Practice, 149, 39–46. https://doi.org/10.1016/j.diabres.2017.08.020
Ryll, B. (2021). Digitale Gesundheitsanwendungen (DiGA): Patientenzentrierte Gesundheitsversorgung mit disruptivem potenzial [Digital health applications-patient-centric care with disruptive potential]. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz, 64(10), 1207–1212. https://doi.org/10.1007/s00103-021-03421-x
Scarcella, M. F. S. (2017). Elaboração e desenvolvimento de aplicativo móvel para autocuidado e automonitoramento do pé diabético [Master’s dissertation, Universidade Federal de Minas Gerais]. CAPES Theses and Dissertations Catalog.
Schaper, N. C., van Netten, J. J., Apelqvist, J., Bus, S. A., Fitridge, R., Game, F., Monteiro-Soares, M., Senneville, E., & IWGDF Editorial Board (2024). Practical guidelines on the prevention and management of diabetes-related foot disease (IWGDF 2023 update). Diabetes/Metabolism Research and Reviews, 40(3), e3657. https://doi.org/10.1002/dmrr.3657
Schneider, H., Hill, S., & Blandford, A. (2016). Patients know best: Qualitative study on how families use patient-controlled personal health records. Journal of Medical Internet Research, 18(2), e43. https://doi.org/10.2196/jmir.4652
Soares, J., & Cunha, M. (2018). Satisfação com a equipa, com a consulta e com o grupo de diabetes em pessoas brasileiras. Millenium - Journal of Education, Technologies, and Health, 2(5), 53–61. https://doi.org/10.29352/mill0205.05.00163
Song, S., Zhang, Y., & Yu, B. (2021). Interventions to support consumer evaluation of online health information credibility: A scoping review. International Journal of Medical Informatics, 145, 104321. https://doi.org/10.1016/j.ijmedinf.2020.104321
Van Rhoon, L., Byrne, M., Morrissey, E., Murphy, J., & McSharry, J. (2020). A systematic review of the behaviour change techniques and digital features in technology-driven type 2 diabetes prevention interventions. Digital Health, 6, 2055207620914427. https://doi.org/10.1177/2055207620914427
Vandekerckhove, P., de Mul, M., Bramer, W. M., & de Bont, A. A. (2020). Generative participatory design methodology to develop electronic health interventions: systematic literature review. Journal of Medical Internet Research, 22(4), e13780. https://doi.org/10.2196/13780
Webb, T. L., Joseph, J., Yardley, L., & Michie, S. (2010). Using the internet to promote health behavior change: a systematic review and meta-analysis of the impact of theoretical basis, use of behavior change techniques, and mode of delivery on efficacy. Journal of Medical Internet Research, 12(1), e4. https://doi.org/10.2196/jmir.1376
World Health Organization. (2019). WHO guideline: recommendations on digital interventions for health system strengthening. https://www.who.int/publications/i/item/9789241550505
World Health Organization. (2022). WHO guideline on self-care interventions for health and well-being (2022 revision). https://www.who.int/publications/i/item/9789240052192
Yang, Q., & Van Stee, S. K. (2019). The comparative effectiveness of mobile phone interventions in improving health outcomes: meta-analytic review. JMIR mHealth and uHealth, 7(4), e11244. https://doi.org/10.2196/11244
Zamani, N., Chung, J., Evans-Hudnall, G., Martin, L. A., Gilani, R., Poythress, E. L., Skelton-Dudley, F., Huggins, J. S., Trautner, B. W., & Mills, J. L., Sr (2021). Engaging patients and caregivers to establish priorities for the management of diabetic foot ulcers. Journal of Vascular Surgery, 73(4), 1388–1395.e4. https://doi.org/10.1016/j.jvs.2020.08.127
Zhao, J., Freeman, B., & Li, M. (2016). Can mobile phone apps influence people's health behavior change? An evidence review. Journal of Medical Internet Research, 18(11), e287. https://doi.org/10.2196/jmir.5692
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